|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,760.35 |
$3,760.35 |
$3,760.35 |
$2,139.67
|
|
Test for chlorohydrocarbons
|
$101.75 |
$101.75 |
$101.75 |
$71.04
|
|
Test for urine cystines
|
$31.35 |
$31.35 |
$31.35 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$489.50 |
$489.50 |
$489.50 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$107.25 |
$107.25 |
$107.25 |
$108.00
|
|
Therapeutic procd strg endur
|
$85.80 |
$85.80 |
$85.80 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$37.40 |
$37.40 |
$37.40 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$37.40 |
$37.40 |
$37.40 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$475.20 |
$475.20 |
$475.20 |
$534.32
|
|
Ther/proph/diag inj ia
|
$197.45 |
$197.45 |
$197.45 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$1,804.00
|
|
Thoracotomy with cardiac massage
|
$1,474.55 |
$1,474.55 |
$1,474.55 |
$2,926.56
|
|
Throat x-ray & fluoroscopy
|
$259.60 |
$259.60 |
$259.60 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$6,513.10 |
$6,513.10 |
$6,513.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,594.40 |
$7,594.40 |
$7,594.40 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,494.00 |
$10,494.00 |
$10,494.00 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$11,126.50 |
$11,126.50 |
$11,126.50 |
$24,605.30
|
|
Thrombin time
|
$31.35 |
$31.35 |
$31.35 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$15,243.80 |
$15,243.80 |
$15,243.80 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$61.05 |
$61.05 |
$61.05 |
$56.93
|
|
Thyroglobulin antibody
|
$52.25 |
$52.25 |
$52.25 |
$84.00
|
|
Thyroid imaging
|
$448.80 |
$448.80 |
$448.80 |
$670.80
|
|
Thyroid met imaging
|
$553.85 |
$553.85 |
$553.85 |
$549.70
|
|
Thyroid mets imag whole body
|
$1,630.20 |
$1,630.20 |
$1,630.20 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$60.50 |
$60.50 |
$60.50 |
$120.00
|
|
Thyroid Ultrasound
|
$526.35 |
$526.35 |
$526.35 |
$589.96
|
|
Thyroid uptake measurement
|
$591.25 |
$591.25 |
$591.25 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$158.40 |
$158.40 |
$158.40 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$26,234.45 |
$26,234.45 |
$26,234.45 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$10,420.85 |
$10,420.85 |
$10,420.85 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$9,769.65 |
$9,769.65 |
$9,769.65 |
$10,406.14
|
|
Tilt table study
|
$997.70 |
$997.70 |
$997.70 |
$1,495.00
|
|
Tissue culture placenta
|
$522.50 |
$522.50 |
$522.50 |
$520.91
|
|
Tissue culture skin/biopsy
|
$355.30 |
$355.30 |
$355.30 |
$558.87
|
|
Tissue culture tumor
|
$353.10 |
$353.10 |
$353.10 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$55.55 |
$55.55 |
$55.55 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$947.63 |
$947.63 |
$947.63 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$2,114.68 |
$2,114.68 |
$2,114.68 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$94.05 |
$94.05 |
$94.05 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$28.60 |
$28.60 |
$28.60 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$209.00 |
$209.00 |
$209.00 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$116.05 |
$116.05 |
$116.05 |
$73.45
|
|
Total hysterectomy
|
$11,541.75 |
$11,541.75 |
$11,541.75 |
$3,001.70
|
|
Toxoplasma antibody igg
|
$139.70 |
$139.70 |
$139.70 |
$84.35
|
|
Toxoplasma antibody igm
|
$187.00 |
$187.00 |
$187.00 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Tpmt gene com vrnts
|
$371.80 |
$371.80 |
$371.80 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$6,020.30 |
$6,020.30 |
$6,020.30 |
$6,105.61
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,752.85 |
$1,752.85 |
$1,752.85 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$112.20 |
$112.20 |
$112.20 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$678.70 |
$678.70 |
$678.70 |
$791.05
|
|
Transcath biopsy
|
$3,871.45 |
$3,871.45 |
$3,871.45 |
$4,298.05
|
|
Transcath closure of asd
|
$18,888.10 |
$18,888.10 |
$18,888.10 |
$18,772.00
|
|
Transcath closure of vsd
|
$20,169.05 |
$20,169.05 |
$20,169.05 |
$18,837.00
|
|
Transcatheter bx s&i
|
$2,267.10 |
$2,267.10 |
$2,267.10 |
$1,875.96
|
|
Transcath occlusion cns
|
$3,201.55 |
$3,201.55 |
$3,201.55 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$9,678.35 |
$9,678.35 |
$9,678.35 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,233.35 |
$4,233.35 |
$4,233.35 |
$4,627.00
|
|
Transferrin
|
$32.45 |
$32.45 |
$32.45 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$904.20 |
$904.20 |
$904.20 |
$988.24
|
|
Transperi needle place pros
|
$5,110.05 |
$5,110.05 |
$5,110.05 |
$6,203.00
|
|
Transplt allo hct/donor
|
$29,206.10 |
$29,206.10 |
$29,206.10 |
$29,206.10
|
|
Transplt autol hct/donor
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$3,665.25
|
|
Trauma partial team response w/critical care services level 4
|
$8,580.00 |
$8,580.00 |
$8,580.00 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,769.32 |
$1,769.32 |
$1,769.32 |
$1,013.83
|
|
Treat ankle dislocation
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,207.20
|
|
Treat clavicle dislocation 23545
|
$561.00 |
$561.00 |
$561.00 |
$734.00
|
|
Treat elbow dislocation
|
$2,323.75 |
$2,323.75 |
$2,323.75 |
$2,326.40
|
|
Treat elbow fracture
|
$3,031.05 |
$3,031.05 |
$3,031.05 |
$2,125.60
|
|
Treat finger fracture each
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,815.75
|
|
Treat foot dislocation
|
$479.60 |
$479.60 |
$479.60 |
$435.60
|
|
Treat foot dislocation
|
$585.75 |
$585.75 |
$585.75 |
$527.28
|
|
Treat foot dislocation
|
$510.40 |
$510.40 |
$510.40 |
$478.40
|
|
Treat fracture of radius
|
$1,742.95 |
$1,742.95 |
$1,742.95 |
$2,030.33
|
|
Treat fracture of radius
|
$1,070.85 |
$1,070.85 |
$1,070.85 |
$2,316.75
|
|
Treat fracture of ulna
|
$709.50 |
$709.50 |
$709.50 |
$766.72
|
|
Treat hand dislocation
|
$1,341.45 |
$1,341.45 |
$1,341.45 |
$1,893.86
|
|
Treat hip dislocation
|
$1,685.75 |
$1,685.75 |
$1,685.75 |
$2,561.90
|
|
Treat hip dislocation
|
$1,396.45 |
$1,396.45 |
$1,396.45 |
$3,152.05
|
|
Treat hip socket fracture
|
$512.60 |
$512.60 |
$512.60 |
$1,340.10
|
|
Treat humerus fracture
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,950.60
|
|
Treat humerus fracture
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,045.35
|
|
Treat kneecap dislocation
|
$889.35 |
$889.35 |
$889.35 |
$1,351.35
|
|
Treat knee dislocation
|
$1,565.85 |
$1,565.85 |
$1,565.85 |
$2,592.08
|
|
Treat knee fracture 27530
|
$633.60 |
$633.60 |
$633.60 |
$580.20
|
|
Treat knee fracture(s)
|
$682.00 |
$682.00 |
$682.00 |
$642.00
|
|
Treat knuckle dislocation
|
$1,396.45 |
$1,396.45 |
$1,396.45 |
$1,893.86
|
|
Treat lower leg dislocation
|
$530.75 |
$530.75 |
$530.75 |
$532.60
|
|
Treat lower leg dislocation
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$4,350.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,358.85 |
$3,358.85 |
$3,358.85 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$366.30 |
$366.30 |
$366.30 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$246.95 |
$246.95 |
$246.95 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$138.05 |
$138.05 |
$138.05 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,920.50 |
$2,920.50 |
$2,920.50 |
$3,820.53
|
|
Treatment of ankle fracture 27786
|
$682.00 |
$682.00 |
$682.00 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$465.30 |
$465.30 |
$465.30 |
$558.75
|
|
Treatment of heel fracture 28400
|
$860.20 |
$860.20 |
$860.20 |
$494.00
|
|
Treatment of thigh fracture
|
$983.40 |
$983.40 |
$983.40 |
$1,893.86
|
|
Treatment of thigh fracture
|
$479.60 |
$479.60 |
$479.60 |
$659.00
|
