|
Tas congenital car anomal
|
$6,935.00 |
$6,935.00 |
$6,935.00 |
$6,003.27
|
|
Tavr perq femoral
|
$16,357.00 |
$16,357.00 |
$16,357.00 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$258.00 |
$258.00 |
$258.00 |
$179.95
|
|
Tc-99m labeled rbc
|
$293.42 |
$293.42 |
$293.42 |
$306.00
|
|
Tc-99m maa
|
$458.34 |
$458.34 |
$458.34 |
$312.06
|
|
Tc-99m mebrofenin
|
$130.13 |
$130.13 |
$130.13 |
$157.65
|
|
Tc-99m medronate
|
$120.30 |
$120.30 |
$120.30 |
$111.01
|
|
Tc-99m mertiatide
|
$1,044.51 |
$1,044.51 |
$1,044.51 |
$756.00
|
|
Tc-99m oxidronate
|
$133.35 |
$133.35 |
$133.35 |
$108.00
|
|
Tc-99m pentetate dtpa aerosol
|
$632.69 |
$632.69 |
$632.69 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$9.00 |
$9.00 |
$9.00 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$193.44 |
$193.44 |
$193.44 |
$141.00
|
|
Tc-99m sulfur colloid
|
$254.01 |
$254.01 |
$254.01 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$93.84 |
$93.84 |
$93.84 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$768.68 |
$768.68 |
$768.68 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$328.00 |
$328.00 |
$328.00 |
$184.00
|
|
T cells absolute cd 4 count
|
$176.00 |
$176.00 |
$176.00 |
$111.20
|
|
T cells total count
|
$318.00 |
$318.00 |
$318.00 |
$130.20
|
|
Tee w or without fol w/cont,cong
|
$2,903.00 |
$2,903.00 |
$2,903.00 |
$2,101.65
|
|
Telehealth original site facility fee
|
$121.00 |
$121.00 |
$121.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$1,526.85
|
|
Test stress cardiovascular tracing only
|
$813.00 |
$813.00 |
$813.00 |
$953.40
|
|
Tgsap so/hl 51/< rna alys
|
$4,723.00 |
$4,723.00 |
$4,723.00 |
$4,347.00
|
|
Thaw preserved stem cells
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$108.00 |
$108.00 |
$108.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$181.00 |
$181.00 |
$181.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$96.11 |
$96.11 |
$96.11 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$66.00 |
$66.00 |
$66.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$391.00 |
$391.00 |
$391.00 |
$538.88
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$673.00 |
$673.00 |
$673.00 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,845.00 |
$3,845.00 |
$3,845.00 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,703.45
|
|
Throat x-ray & fluoroscopy
|
$377.00 |
$377.00 |
$377.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$898.00 |
$898.00 |
$898.00 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$19,150.00 |
$19,150.00 |
$19,150.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$28,988.00 |
$28,988.00 |
$28,988.00 |
$14,277.20
|
|
Thrombin time
|
$16.00 |
$16.00 |
$16.00 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$30.00 |
$30.00 |
$30.00 |
$62.01
|
|
Thyroglobulin antibody
|
$93.00 |
$93.00 |
$93.00 |
$82.50
|
|
Thyroid imaging
|
$442.00 |
$442.00 |
$442.00 |
$695.60
|
|
Thyroid mets imag whole body
|
$998.00 |
$998.00 |
$998.00 |
$1,524.99
|
|
Thyroid met uptake
|
$194.00 |
$194.00 |
$194.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$76.00 |
$76.00 |
$76.00 |
$112.70
|
|
Thyroid Ultrasound
|
$878.00 |
$878.00 |
$878.00 |
$588.50
|
|
Tilt table study
|
$688.00 |
$688.00 |
$688.00 |
$1,561.82
|
|
Tissue culture placenta
|
$810.00 |
$810.00 |
$810.00 |
$453.00
|
|
Tissue culture skin/biopsy
|
$890.00 |
$890.00 |
$890.00 |
$488.74
|
|
Tissue culture tumor
|
$890.00 |
$890.00 |
$890.00 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$28.00 |
$28.00 |
$28.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$109.00 |
$109.00 |
$109.00 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$125.00 |
$125.00 |
$125.00 |
$120.60
|
|
Toe X-ray (both feet)
|
$609.00 |
$609.00 |
$609.00 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$233.00 |
$233.00 |
$233.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$233.00 |
$233.00 |
$233.00 |
$74.10
|
|
Toxoplasma antibody igg
|
$147.00 |
$147.00 |
$147.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$147.00 |
$147.00 |
$147.00 |
$87.75
|
|
Tprnl plmt biodegrdabl matrl
|
$9,692.00 |
$9,692.00 |
$9,692.00 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$1,437.45
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$132.00 |
$132.00 |
$132.00 |
$102.27
|
|
Transabdom amnioinfus w/us
|
$652.00 |
$652.00 |
$652.00 |
$678.70
|
|
Transcath biopsy
|
$5,452.00 |
$5,452.00 |
$5,452.00 |
$4,285.93
|
|
Transcath closure of asd
|
$18,772.00 |
$18,772.00 |
$18,772.00 |
$17,041.80
|
|
Transcatheter bx s&i
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$4,385.00 |
$4,385.00 |
$4,385.00 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$17,541.00 |
$17,541.00 |
$17,541.00 |
$13,384.80
|
|
Transcath occlusion cns
|
$17,419.00 |
$17,419.00 |
$17,419.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$14,353.00 |
$14,353.00 |
$14,353.00 |
$10,270.00
|
|
Transcutaneous carboxyhb
|
$20.00 |
$20.00 |
$20.00 |
$33.57
|
|
Transferrin
|
$47.00 |
$47.00 |
$47.00 |
$82.00
|
|
Transplt allo hct/donor
|
$44,370.34 |
$44,370.34 |
$44,370.34 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,751.65 |
$2,751.65 |
$2,751.65 |
$2,751.65
|
|
Transplt autol hct/donor
|
$6,379.96 |
$6,379.96 |
$6,379.96 |
$4,060.62
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$897.00 |
$897.00 |
$897.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$912.00 |
$912.00 |
$912.00 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$9,243.00 |
$9,243.00 |
$9,243.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$2,360.00
|
|
Treat clavicle dislocation 23545
|
$388.00 |
$388.00 |
$388.00 |
$692.80
|
|
Treat elbow dislocation
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$2,272.50
|
|
Treat elbow fracture
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$2,026.50
|
|
Treat finger fracture each
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$1,592.00
|
|
Treat foot dislocation
|
$356.00 |
$356.00 |
$356.00 |
$445.80
|
|
Treat foot dislocation
|
$753.00 |
$753.00 |
$753.00 |
$469.20
|
|
Treat fracture of radius
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$1,790.00
|
|
Treat fracture of radius
|
$7,590.00 |
$7,590.00 |
$7,590.00 |
$1,849.00
|
|
Treat fracture of ulna
|
$545.00 |
$545.00 |
$545.00 |
$731.04
|
|
Treat hip dislocation
|
$3,331.00 |
$3,331.00 |
$3,331.00 |
$2,211.05
|
|
Treat hip dislocation
|
$6,748.00 |
$6,748.00 |
$6,748.00 |
$2,641.60
|
|
Treat hip socket fracture
|
$957.00 |
$957.00 |
$957.00 |
$1,392.00
|
|
Treat humerus fracture
|
$1,633.00 |
$1,633.00 |
$1,633.00 |
$1,790.00
|
|
Treat humerus fracture
|
$5,063.00 |
$5,063.00 |
$5,063.00 |
$1,790.00
|
|
Treat knee fracture 27530
|
$600.00 |
$600.00 |
$600.00 |
$550.73
|
|
Treat knee fracture(s)
|
$645.00 |
$645.00 |
$645.00 |
$643.26
|
|
Treat knuckle dislocation
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,726.01
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,301.00 |
$3,301.00 |
$3,301.00 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$239.00 |
$239.00 |
$239.00 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$141.00 |
$141.00 |
$141.00 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$462.00 |
$462.00 |
$462.00 |
$523.20
|
|
Treatment of fibula fracture 27780
|
$414.00 |
$414.00 |
$414.00 |
$501.20
|
