|
Ther/proph/diag inj ia
|
$292.48 |
$292.48 |
$292.48 |
$247.33
|
|
Ther radiology tx plng cplx
|
$237.10 |
$237.10 |
$237.10 |
$332.00
|
|
Ther radiology tx plng intrm
|
$149.91 |
$149.91 |
$149.91 |
$224.00
|
|
Ther radiology tx plng smpl
|
$97.35 |
$97.35 |
$97.35 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$2.49 |
$2.49 |
$2.49 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$119.66 |
$119.66 |
$119.66 |
$311.15
|
|
Thigh/wght bear high roll cu
|
$577.06 |
$577.06 |
$577.06 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$769.63 |
$769.63 |
$769.63 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$406.73 |
$406.73 |
$406.73 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$530.72 |
$530.72 |
$530.72 |
$657.72
|
|
Thiotepa 15 mg solution for injection
|
$53.20 |
$53.20 |
$53.20 |
$1,090.00
|
|
Thorabd diaphr hern repair
|
$2,067.85 |
$2,067.85 |
$2,067.85 |
$3,542.40
|
|
Thorabd diaphr hern repair
|
$2,201.03 |
$2,201.03 |
$2,201.03 |
$6,837.60
|
|
Thorac cont lat support upri
|
$248.15 |
$248.15 |
$248.15 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$270.51 |
$270.51 |
$270.51 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$862.57 |
$862.57 |
$862.57 |
$1,748.50
|
|
Thoracic aortic graft 33875
|
$3,867.80 |
$3,867.80 |
$3,867.80 |
$5,329.20
|
|
Thoracic control thoracic ba
|
$303.88 |
$303.88 |
$303.88 |
$387.41
|
|
Thoracic duct procedure
|
$747.84 |
$747.84 |
$747.84 |
$1,406.40
|
|
Thoracic duct procedure
|
$1,155.23 |
$1,155.23 |
$1,155.23 |
$1,958.40
|
|
Thoracic duct procedure
|
$999.75 |
$999.75 |
$999.75 |
$1,656.80
|
|
Thoracic intern lock elbow
|
$8,264.43 |
$8,264.43 |
$8,264.43 |
$5,829.60
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$300.59 |
$300.59 |
$300.59 |
$499.80
|
|
Thoracic pad
|
$183.68 |
$183.68 |
$183.68 |
$234.19
|
|
Thoracoabdominal graft 33877
|
$5,059.92 |
$5,059.92 |
$5,059.92 |
$8,824.00
|
|
Thoracoscop w/esoph musc exc
|
$1,763.57 |
$1,763.57 |
$1,763.57 |
$2,999.20
|
|
Thoracoscopy bilobectomy 32670
|
$2,273.09 |
$2,273.09 |
$2,273.09 |
$3,910.40
|
|
Thoracoscopy diagnostic 32601
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,442.80
|
|
Thoracoscopy for lvrs
|
$2,163.11 |
$2,163.11 |
$2,163.11 |
$5,411.20
|
|
Thoracoscopy lymph node exc
|
$300.59 |
$300.59 |
$300.59 |
$1,071.20
|
|
Thoracoscopy pneumonectomy
|
$2,521.74 |
$2,521.74 |
$2,521.74 |
$6,238.40
|
|
Thoracoscopy remove cortex
|
$1,565.42 |
$1,565.42 |
$1,565.42 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$1,916.78 |
$1,916.78 |
$1,916.78 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$1,509.35 |
$1,509.35 |
$1,509.35 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$1,376.36 |
$1,376.36 |
$1,376.36 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$968.14 |
$968.14 |
$968.14 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$1,694.89 |
$1,694.89 |
$1,694.89 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$1,225.87 |
$1,225.87 |
$1,225.87 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$2,372.66 |
$2,372.66 |
$2,372.66 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$7,586.80
|
|
Thoracoscopy w/lobectomy
|
$1,995.22 |
$1,995.22 |
$1,995.22 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$1,291.47 |
$1,291.47 |
$1,291.47 |
$2,172.00
|
|
Thoracoscopy w/pericard exc
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,942.40
|
|
Thoracoscopy w/pleurectomy 32656
|
$1,166.25 |
$1,166.25 |
$1,166.25 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$1,069.58 |
$1,069.58 |
$1,069.58 |
$1,780.00
|
|
Thoracoscopy w/sac fb remove
|
$1,039.87 |
$1,039.87 |
$1,039.87 |
$1,736.80
|
|
Thoracoscopy w/thymus resect
|
$1,737.50 |
$1,737.50 |
$1,737.50 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$1,258.46 |
$1,258.46 |
$1,258.46 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$217.58 |
$217.58 |
$217.58 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$218.03 |
$218.03 |
$218.03 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$1,151.20 |
$1,151.20 |
$1,151.20 |
$3,198.00
|
|
Thoracostomy w/rib resection 32035
|
$1,078.26 |
$1,078.26 |
$1,078.26 |
$2,935.40
|
|
Thoracotomy opn free adhesions 32124
|
$1,345.98 |
$1,345.98 |
$1,345.98 |
$2,256.80
|
|
Thoracotomy w/expl
|
$1,166.68 |
$1,166.68 |
$1,166.68 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$2,138.76
|
|
Thorax spine fusion
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$281.26 |
$281.26 |
$281.26 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$219.09 |
$219.09 |
$219.09 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$549.70 |
$549.70 |
$549.70 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$119.66 |
$119.66 |
$119.66 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$124.59 |
$124.59 |
$124.59 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,826.12 |
$7,826.12 |
$7,826.12 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$15,873.70 |
$15,873.70 |
$15,873.70 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$6,422.91
|
|
Thrombin time
|
$7.96 |
$7.96 |
$7.96 |
$53.76
|
|
Thrombin time titer
|
$9.45 |
$9.45 |
$9.45 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$1,135.60 |
$1,135.60 |
$1,135.60 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,801.11 |
$1,801.11 |
$1,801.11 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$1,557.91 |
$1,557.91 |
$1,557.91 |
$5,472.00
|
|
Thrombomodulin
|
$23.83 |
$23.83 |
$23.83 |
$23.83
|
|
Thromboplastin inhibition
|
$13.29 |
$13.29 |
$13.29 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$8.93 |
$8.93 |
$8.93 |
$61.52
|
|
Thromboxane urine
|
$48.45 |
$48.45 |
$48.45 |
$119.40
|
|
Thumb fusion with graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Thumb fusion with graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Thumb tendon transfer
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Th/wght bear nar m-l brim cu
|
$1,086.18 |
$1,086.18 |
$1,086.18 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$1,933.06 |
$1,933.06 |
$1,933.06 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$911.60 |
$911.60 |
$911.60 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,367.84 |
$1,367.84 |
$1,367.84 |
$1,695.23
|
|
Thymectomy prtl/tot rad medstnl dsj 60522
|
$1,956.63 |
$1,956.63 |
$1,956.63 |
$3,328.80
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$1,625.52 |
$1,625.52 |
$1,625.52 |
$2,736.00
|
|
Thyroglobulin antibody
|
$21.96 |
$21.96 |
$21.96 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$1,828.78 |
$1,828.78 |
$1,828.78 |
$2,616.00
|
|
Thyroid imaging
|
$549.70 |
$549.70 |
$549.70 |
$695.02
|
|
Thyroid met imaging
|
$549.70 |
$549.70 |
$549.70 |
$838.25
|
|
Thyroid met imaging/studies
|
$549.70 |
$549.70 |
$549.70 |
$767.93
|
|
Thyroid mets imag whole body
|
$746.61 |
$746.61 |
$746.61 |
$1,524.99
|
|
Thyroid met uptake
|
$71.39 |
$71.39 |
$71.39 |
$407.40
|
|
Thyroid (TSH) Test
|
$23.18 |
$23.18 |
$23.18 |
$111.75
|
|
Thyroid Ultrasound
|
$143.75 |
$143.75 |
$143.75 |
$588.50
|
|
Thyroid uptake measurement
|
$549.70 |
$549.70 |
$549.70 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,933.38 |
$2,933.38 |
$2,933.38 |
$4,152.21
|
