|
Thorcscpy w/biop pleura
|
$630.40 |
$630.40 |
$630.40 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$308.00 |
$308.00 |
$308.00 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$752.00 |
$752.00 |
$752.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$924.00 |
$924.00 |
$924.00 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,315.52 |
$1,315.52 |
$1,315.52 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$188.00 |
$188.00 |
$188.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$381.60 |
$381.60 |
$381.60 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$5,887.20 |
$5,887.20 |
$5,887.20 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,514.40 |
$15,514.40 |
$15,514.40 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$6,422.91
|
|
Thrombin time
|
$32.85 |
$32.85 |
$32.85 |
$53.76
|
|
Thrombin time titer
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$3,987.20 |
$3,987.20 |
$3,987.20 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$4,355.20 |
$4,355.20 |
$4,355.20 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$6,262.40 |
$6,262.40 |
$6,262.40 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$5,472.00 |
$5,472.00 |
$5,472.00 |
$5,472.00
|
|
Thrombomodulin
|
$35.20 |
$35.20 |
$35.20 |
$23.83
|
|
Thromboplastin inhibition
|
$32.85 |
$32.85 |
$32.85 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.85 |
$32.85 |
$32.85 |
$61.52
|
|
Thromboxane urine
|
$70.40 |
$70.40 |
$70.40 |
$119.40
|
|
Thumb fusion with graft
|
$3,928.00 |
$3,928.00 |
$3,928.00 |
$7,907.11
|
|
Thumb fusion with graft
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$7,807.24
|
|
Thumb tendon transfer
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$3,839.54
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$3,328.80 |
$3,328.80 |
$3,328.80 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$2,736.00
|
|
Thyroglobulin antibody
|
$48.57 |
$48.57 |
$48.57 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$3,366.40 |
$3,366.40 |
$3,366.40 |
$2,616.00
|
|
Thyroid imaging
|
$409.60 |
$409.60 |
$409.60 |
$695.02
|
|
Thyroid met imaging
|
$488.80 |
$488.80 |
$488.80 |
$838.25
|
|
Thyroid met imaging/studies
|
$642.40 |
$642.40 |
$642.40 |
$767.93
|
|
Thyroid mets imag whole body
|
$689.60 |
$689.60 |
$689.60 |
$1,524.99
|
|
Thyroid met uptake
|
$186.40 |
$186.40 |
$186.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$55.00 |
$55.00 |
$55.00 |
$111.75
|
|
Thyroid Ultrasound
|
$580.04 |
$580.04 |
$580.04 |
$588.50
|
|
Thyroid uptake measurement
|
$171.20 |
$171.20 |
$171.20 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,215.20 |
$2,215.20 |
$2,215.20 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$127.20 |
$127.20 |
$127.20 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$55.00 |
$55.00 |
$55.00 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$3,849.60 |
$3,849.60 |
$3,849.60 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$4,872.00 |
$4,872.00 |
$4,872.00 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$68,368.00 |
$68,368.00 |
$68,368.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$19,827.20 |
$19,827.20 |
$19,827.20 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$10,165.00
|
|
Tilt table study
|
$362.40 |
$362.40 |
$362.40 |
$1,507.01
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$390.40 |
$390.40 |
$390.40 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$436.00 |
$436.00 |
$436.00 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$291.20 |
$291.20 |
$291.20 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$380.00 |
$380.00 |
$380.00 |
$650.00
|
|
Tissue culture placenta
|
$377.60 |
$377.60 |
$377.60 |
$453.00
|
|
Tissue culture skin/biopsy
|
$353.60 |
$353.60 |
$353.60 |
$498.40
|
|
Tissue culture tumor
|
$370.40 |
$370.40 |
$370.40 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$38.58 |
$38.58 |
$38.58 |
$47.20
|
|
Tissue transglutaminase iga
|
$48.57 |
$48.57 |
$48.57 |
$45.60
|
|
Tl-201 thallium diag per mci
|
$144.80 |
$144.80 |
$144.80 |
$80.10
|
|
Tlh uterus 250 g or less
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$2,575.20 |
$2,575.20 |
$2,575.20 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$2,235.20 |
$2,235.20 |
$2,235.20 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$3,020.00 |
$3,020.00 |
$3,020.00 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$5,816.80 |
$5,816.80 |
$5,816.80 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$5,969.60 |
$5,969.60 |
$5,969.60 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$4.00 |
$4.00 |
$4.00 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.84 |
$10.84 |
$10.84 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$230.35 |
$230.35 |
$230.35 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$382.40 |
$382.40 |
$382.40 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$96.80 |
$96.80 |
$96.80 |
$74.10
|
|
Tone decay hearing test
|
$64.80 |
$64.80 |
$64.80 |
$90.37
|
|
Tongue base vol reduction
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$435.20 |
$435.20 |
$435.20 |
$3,592.74
|
|
Tongue mouth jaw surgery
|
$5,428.00 |
$5,428.00 |
$5,428.00 |
$5,428.00
|
|
Tongue suspension
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$4,082.40
|
|
Tongue to lip surgery
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$622.40 |
$622.40 |
$622.40 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$650.40 |
$650.40 |
$650.40 |
$6,056.50
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$3,364.80 |
$3,364.80 |
$3,364.80 |
$3,364.80
|
|
Total hip arthroplasty
|
$8,249.60 |
$8,249.60 |
$8,249.60 |
$7,347.60
|
|
Total Hip Replacement
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$9,161.60
|
|
Total hysterectomy
|
$2,520.80 |
$2,520.80 |
$2,520.80 |
$3,001.70
|
|
Total Knee Replacement
|
$6,668.80 |
$6,668.80 |
$6,668.80 |
$14,061.89
|
|
Total lung lavage
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$1,758.40
|
|
Total ob care failed vbac 59618
|
$4,795.20 |
$4,795.20 |
$4,795.20 |
$4,792.80
|
|
Total tau
|
$64.28 |
$64.28 |
$64.28 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$4,365.60 |
$4,365.60 |
$4,365.60 |
$4,365.60
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$7,284.80 |
$7,284.80 |
$7,284.80 |
$7,284.80
|
|
Tot estradiol response panel
|
$140.80 |
$140.80 |
$140.80 |
$140.80
|
|
Toxoplasma antibody igg
|
$48.57 |
$48.57 |
$48.57 |
$90.00
|
|
Toxoplasma antibody igm
|
$48.57 |
$48.57 |
$48.57 |
$89.05
|
|
Tp53 gene full gene sequence
|
$616.18 |
$616.18 |
$616.18 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$316.33 |
$316.33 |
$316.33 |
$790.68
|
|
Tpmt gene com vrnts
|
$350.40 |
$350.40 |
$350.40 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$7,438.40 |
$7,438.40 |
$7,438.40 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$897.60 |
$897.60 |
$897.60 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$420.80 |
$420.80 |
$420.80 |
$1,437.45
|
|
Tracheo-esophagoplasty cong
|
$7,181.60 |
$7,181.60 |
$7,181.60 |
$7,181.60
|
