|
Thrombectomy/inf pq dialysis circuit w/pta
|
$4,848.40 |
$4,848.40 |
$4,848.40 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$7,348.50 |
$7,348.50 |
$7,348.50 |
$21,413.60
|
|
Thrombin time
|
$29.90 |
$29.90 |
$29.90 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$46.23 |
$46.23 |
$46.23 |
$61.52
|
|
Thyroglobulin antibody
|
$63.48 |
$63.48 |
$63.48 |
$82.00
|
|
Thyroid imaging
|
$355.35 |
$355.35 |
$355.35 |
$695.02
|
|
Thyroid mets imag whole body
|
$434.24 |
$434.24 |
$434.24 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$65.55 |
$65.55 |
$65.55 |
$111.00
|
|
Thyroid Ultrasound
|
$136.62 |
$136.62 |
$136.62 |
$588.50
|
|
Thyroid uptake measurement
|
$292.33 |
$292.33 |
$292.33 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$79.81 |
$79.81 |
$79.81 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$17,594.54 |
$17,594.54 |
$17,594.54 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$15,432.77 |
$15,432.77 |
$15,432.77 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$9,651.72 |
$9,651.72 |
$9,651.72 |
$9,769.65
|
|
Tigecycline injection
|
$167.63 |
$167.63 |
$167.63 |
$234.00
|
|
Tilt table study
|
$425.27 |
$425.27 |
$425.27 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$144.90 |
$144.90 |
$144.90 |
$458.85
|
|
Tissue exam koh skin/hair/nails
|
$21.16 |
$21.16 |
$21.16 |
$47.20
|
|
Tissue transglutaminase iga
|
$8.74 |
$8.74 |
$8.74 |
$44.16
|
|
Tixagev and cilgav inj
|
$117.07 |
$117.07 |
$117.07 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$79.30 |
$79.30 |
$79.30 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$122.88 |
$122.88 |
$122.88 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$46.23 |
$46.23 |
$46.23 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$24.15 |
$24.15 |
$24.15 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$24.15 |
$24.15 |
$24.15 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$297.85 |
$297.85 |
$297.85 |
$325.00
|
|
Toxoplasma antibody igg
|
$65.78 |
$65.78 |
$65.78 |
$89.40
|
|
Toxoplasma antibody igm
|
$65.78 |
$65.78 |
$65.78 |
$87.00
|
|
Tp53 gene full gene sequence
|
$498.18 |
$498.18 |
$498.18 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$246.10 |
$246.10 |
$246.10 |
$790.68
|
|
Tpmt gene com vrnts
|
$82.80 |
$82.80 |
$82.80 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$292.33 |
$292.33 |
$292.33 |
$1,420.44
|
|
Transcath biopsy
|
$1,793.54 |
$1,793.54 |
$1,793.54 |
$4,285.93
|
|
Transcatheter bx s&i
|
$1,893.36 |
$1,893.36 |
$1,893.36 |
$1,915.00
|
|
Transcath occlusion non-cns
|
$5,437.66 |
$5,437.66 |
$5,437.66 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,322.27 |
$1,322.27 |
$1,322.27 |
$4,775.16
|
|
Transferrin
|
$73.14 |
$73.14 |
$73.14 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$241.73 |
$241.73 |
$241.73 |
$983.00
|
|
Trauma partial team response w/critical care services level 4
|
$1,124.24 |
$1,124.24 |
$1,124.24 |
$4,523.04
|
|
Trb@ gene rearrange dirprobe
|
$38.41 |
$38.41 |
$38.41 |
$73.46
|
|
Treat ankle dislocation
|
$1,002.11 |
$1,002.11 |
$1,002.11 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$178.94 |
$178.94 |
$178.94 |
$705.60
|
|
Treat elbow dislocation
|
$1,001.19 |
$1,001.19 |
$1,001.19 |
$2,223.20
|
|
Treat elbow fracture
|
$991.76 |
$991.76 |
$991.76 |
$1,919.13
|
|
Treat finger fracture each
|
$454.48 |
$454.48 |
$454.48 |
$1,536.00
|
|
Treat foot dislocation
|
$82.80 |
$82.80 |
$82.80 |
$396.30
|
|
Treat foot dislocation
|
$178.94 |
$178.94 |
$178.94 |
$527.28
|
|
Treat foot dislocation
|
$98.90 |
$98.90 |
$98.90 |
$445.80
|
|
Treat fracture of radius
|
$454.48 |
$454.48 |
$454.48 |
$1,790.00
|
|
Treat fracture of radius
|
$991.07 |
$991.07 |
$991.07 |
$1,849.00
|
|
Treat fracture of ulna
|
$145.36 |
$145.36 |
$145.36 |
$726.05
|
|
Treat hip dislocation
|
$1,070.65 |
$1,070.65 |
$1,070.65 |
$2,192.80
|
|
Treat humerus fracture
|
$454.48 |
$454.48 |
$454.48 |
$1,771.43
|
|
Treat knee dislocation
|
$521.64 |
$521.64 |
$521.64 |
$2,220.89
|
|
Treat knee fracture 27530
|
$82.80 |
$82.80 |
$82.80 |
$550.00
|
|
Treat knuckle dislocation
|
$454.48 |
$454.48 |
$454.48 |
$1,523.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$80.50 |
$80.50 |
$80.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$80.50 |
$80.50 |
$80.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$57.73 |
$57.73 |
$57.73 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$72.22 |
$72.22 |
$72.22 |
$520.80
|
|
Treatment of thigh fracture
|
$72.22 |
$72.22 |
$72.22 |
$548.90
|
|
Treatment of thigh fracture
|
$454.48 |
$454.48 |
$454.48 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$240.58 |
$240.58 |
$240.58 |
$767.65
|
|
Treat spinal cord lesion
|
$848.70 |
$848.70 |
$848.70 |
$1,337.00
|
|
Treat thigh fracture
|
$1,004.64 |
$1,004.64 |
$1,004.64 |
$2,032.10
|
|
Treat ulnar fracture
|
$454.48 |
$454.48 |
$454.48 |
$1,662.00
|
|
Treat vaginal bleeding
|
$124.20 |
$124.20 |
$124.20 |
$379.60
|
|
Treat wrist bone fracture
|
$454.48 |
$454.48 |
$454.48 |
$1,548.40
|
|
Treat wrist dislocation
|
$72.22 |
$72.22 |
$72.22 |
$656.25
|
|
Treponema pallidum antibody
|
$49.45 |
$49.45 |
$49.45 |
$70.40
|
|
Treprostinil injection
|
$7,315.06 |
$7,315.06 |
$7,315.06 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$144.90 |
$144.90 |
$144.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$98.95 |
$98.95 |
$98.95 |
$43.21
|
|
Trichomonas assay w/optic
|
$10.58 |
$10.58 |
$10.58 |
$55.50
|
|
Triglycerides
|
$31.74 |
$31.74 |
$31.74 |
$58.05
|
|
Trim nondyst nails
|
$39.56 |
$39.56 |
$39.56 |
$113.40
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$8,321.86 |
$8,321.86 |
$8,321.86 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$8,321.86 |
$8,321.86 |
$8,321.86 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$12,194.37 |
$12,194.37 |
$12,194.37 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,466.29 |
$2,466.29 |
$2,466.29 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,407.37 |
$1,407.37 |
$1,407.37 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,086.14 |
$3,086.14 |
$3,086.14 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$955.42 |
$955.42 |
$955.42 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,407.37 |
$1,407.37 |
$1,407.37 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,235.56 |
$1,235.56 |
$1,235.56 |
$2,986.34
|
|
Trnspl rej kdn mrna qpcr 139
|
$2,235.60 |
$2,235.60 |
$2,235.60 |
$3,232.32
|
|
Troponin quantitative
|
$76.13 |
$76.13 |
$76.13 |
$127.20
|
|
Trurl dstrj prst8 tiss rf wv
|
$1,996.86 |
$1,996.86 |
$1,996.86 |
$4,228.00
|
|
Tx atrial fib pulm vein isol
|
$14,020.80 |
$14,020.80 |
$14,020.80 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$82.80 |
$82.80 |
$82.80 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$72.22 |
$72.22 |
$72.22 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,996.40 |
$1,996.40 |
$1,996.40 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$72.22 |
$72.22 |
$72.22 |
$535.60
|
|
Tx l/r atrial fib addl
|
$3,409.75 |
$3,409.75 |
$3,409.75 |
$6,769.00
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$2,221.34 |
$2,221.34 |
$2,221.34 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$2,063.56 |
$2,063.56 |
$2,063.56 |
$4,499.12
|
|
Ugt1a1 gene analy common variants
|
$327.75 |
$327.75 |
$327.75 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$92.00 |
$92.00 |
$92.00 |
$394.20
|
|
Ultrasound breast complete
|
$124.20 |
$124.20 |
$124.20 |
$528.41
|
