|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$3,092.17 |
$3,092.17 |
$7,223.97 |
$10,980.00
|
|
System sealant biosentry tract
|
$456.44 |
$456.44 |
$927.77 |
$900.00
|
|
T3 (triiodothyronine) free
|
$70.95 |
$70.95 |
$82.50 |
$89.82
|
|
T3 (triiodothyronine) total
|
$77.00 |
$77.00 |
$86.90 |
$94.90
|
|
T4 (thyroxine) free
|
$64.35 |
$64.35 |
$84.15 |
$81.60
|
|
T4 (thyroxine) total
|
$27.50 |
$27.50 |
$30.80 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$80.85 |
$80.85 |
$110.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$936.10 |
$936.10 |
$936.10 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$4,116.75 |
$4,116.75 |
$6,065.95 |
$3,385.00
|
|
Tas congenital car anomal
|
$8,795.42 |
$8,795.42 |
$8,795.42 |
$6,003.27
|
|
Tavr perq femoral
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$143.55 |
$143.55 |
$242.00 |
$166.46
|
|
Tc-99m bicisate
|
$748.32 |
$748.32 |
$4,348.01 |
$1,969.45
|
|
Tc-99m disofenin
|
$90.81 |
$90.81 |
$90.81 |
$151.32
|
|
Tc-99m exametazime diag
|
$933.39 |
$933.39 |
$2,900.15 |
$2,166.26
|
|
Tc-99m gluceptate
|
$235.07 |
$235.07 |
$235.07 |
$1,105.40
|
|
Tc-99m labeled rbc
|
$251.16 |
$251.16 |
$493.93 |
$323.01
|
|
Tc-99m maa
|
$288.52 |
$288.52 |
$343.47 |
$312.06
|
|
Tc-99m mebrofenin
|
$114.95 |
$114.95 |
$330.33 |
$169.53
|
|
Tc-99m medronate
|
$335.19 |
$335.19 |
$618.43 |
$122.46
|
|
Tc-99m mertiatide
|
$604.64 |
$604.64 |
$940.02 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$16.50 |
$16.50 |
$17.24 |
$8.00
|
|
Tc-99m pentetate dtpa
|
$314.39 |
$314.39 |
$314.39 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$173.00 |
$173.00 |
$173.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$6.32 |
$6.32 |
$68.10 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$240.25 |
$240.25 |
$255.98 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$435.66 |
$435.66 |
$1,392.10 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$563.83 |
$563.83 |
$563.83 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$174.72 |
$174.72 |
$179.85 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$459.96 |
$459.96 |
$1,202.38 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$419.45 |
$419.45 |
$920.17 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$92.95 |
$92.95 |
$93.50 |
$186.00
|
|
T cells absolute cd 4 count
|
$89.10 |
$89.10 |
$149.05 |
$120.25
|
|
T cells total count
|
$71.50 |
$71.50 |
$261.80 |
$124.11
|
|
Tcranial magn stim tx deli
|
$270.05 |
$270.05 |
$270.05 |
$368.50
|
|
Tcranial magn stim tx plan
|
$305.25 |
$305.25 |
$305.25 |
$386.88
|
|
Tcran magn stim redetemine
|
$265.10 |
$265.10 |
$265.10 |
$417.06
|
|
Tee w or without fol w/cont,cong
|
$2,383.70 |
$2,383.70 |
$2,383.70 |
$1,995.40
|
|
Telehealth original site facility fee
|
$44.55 |
$44.55 |
$48.08 |
$60.80
|
|
Telethx isodose plan cplx
|
$2,268.20 |
$2,268.20 |
$2,268.20 |
$1,617.00
|
|
Telethx isodose plan simple
|
$796.40 |
$796.40 |
$796.40 |
$848.72
|
|
Test for urine cystines
|
$25.30 |
$25.30 |
$34.10 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$643.50 |
$643.50 |
$643.50 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$800.80 |
$800.80 |
$1,128.60 |
$1,001.55
|
|
Thaw preserved stem cells
|
$271.15 |
$271.15 |
$731.50 |
$900.90
|
|
Theophylline therapeutic drug level
|
$92.40 |
$92.40 |
$143.00 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$47.30 |
$47.30 |
$47.30 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$69.36 |
$69.36 |
$69.36 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,051.05 |
$1,051.05 |
$1,051.05 |
$534.32
|
|
Ther/proph/diag inj ia
|
$201.90 |
$201.90 |
$361.90 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,845.42 |
$1,845.42 |
$3,341.80 |
$1,804.00
|
|
Thoracotomy w/expl
|
$921.25 |
$921.25 |
$921.25 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,654.95 |
$1,654.95 |
$1,756.76 |
$2,926.56
|
|
Throat x-ray & fluoroscopy
|
$361.26 |
$361.26 |
$361.26 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,650.00 |
$12,650.00 |
$13,063.37 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,750.00 |
$13,750.00 |
$14,492.48 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,466.27 |
$17,466.27 |
$35,750.00 |
$24,605.30
|
|
Thrombin time
|
$29.70 |
$29.70 |
$32.45 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$1,408.55 |
$1,408.55 |
$1,408.55 |
$7,431.06
|
|
Thromboplastin inhibition
|
$112.20 |
$112.20 |
$112.20 |
$92.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$60.50 |
$60.50 |
$98.45 |
$56.93
|
|
Thyroglobulin antibody
|
$8.80 |
$8.80 |
$103.95 |
$84.00
|
|
Thyroid imaging
|
$649.00 |
$649.00 |
$781.00 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,289.20 |
$1,289.20 |
$1,828.20 |
$1,524.99
|
|
Thyroid met uptake
|
$166.10 |
$166.10 |
$354.75 |
$380.00
|
|
Thyroid (TSH) Test
|
$80.30 |
$80.30 |
$82.50 |
$120.00
|
|
Thyroid Ultrasound
|
$517.00 |
$517.00 |
$838.20 |
$589.96
|
|
Thyroid uptake measurement
|
$228.25 |
$228.25 |
$442.20 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$111.65 |
$111.65 |
$196.90 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$24,416.70 |
$24,416.70 |
$69,159.17 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$11,396.19 |
$11,396.19 |
$16,500.00 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$14,098.15 |
$14,098.15 |
$18,858.70 |
$10,406.14
|
|
Tilt table study
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$1,495.00
|
|
Tis cgen car anomal 1st shnt
|
$5,524.04 |
$5,524.04 |
$5,524.04 |
$7,684.33
|
|
Tis cgen car anomal ea addl
|
$5,524.04 |
$5,524.04 |
$5,524.04 |
$5,818.02
|
|
Tissue culture placenta
|
$522.50 |
$522.50 |
$522.50 |
$520.91
|
|
Tissue culture skin/biopsy
|
$319.55 |
$319.55 |
$762.85 |
$558.87
|
|
Tissue culture tumor
|
$343.75 |
$343.75 |
$947.65 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$17.16 |
$17.16 |
$42.35 |
$47.40
|
|
Tissue transglutaminase iga
|
$22.00 |
$22.00 |
$98.45 |
$48.57
|
|
Tixagev and cilgav inj
|
$208.45 |
$208.45 |
$208.45 |
$208.45
|
|
Tl-201 thallium diag per mci
|
$31.61 |
$31.61 |
$31.61 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$110.00 |
$110.00 |
$129.25 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$109.45 |
$109.45 |
$109.45 |
$73.45
|
|
Tone decay hearing test
|
$101.53 |
$101.53 |
$101.53 |
$64.80
|
|
Tongue biopsy; posterior one-third 41105
|
$4,971.45 |
$4,971.45 |
$4,971.45 |
$3,589.62
|
|
Toxoplasma antibody igg
|
$41.25 |
$41.25 |
$120.45 |
$84.35
|
|
Toxoplasma antibody igm
|
$51.70 |
$51.70 |
$162.80 |
$83.20
|
|
Tp53 gene full gene sequence
|
$3,633.30 |
$3,633.30 |
$3,633.30 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Tpmt gene com vrnts
|
$378.40 |
$378.40 |
$378.40 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$4,790.50 |
$4,790.50 |
$4,790.50 |
$6,105.61
|
|
Trabeculoplasty laser surg
|
$507.90 |
$507.90 |
$507.90 |
$1,224.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$602.25 |
$602.25 |
$1,250.70 |
$1,459.48
|
|
Tracheostoma revision; simple, without flap rotation
|
$342.54 |
$342.54 |
$342.54 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$34.67 |
$34.67 |
$95.02 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$765.76 |
$765.76 |
$765.76 |
$791.05
|
|
Transcath biopsy
|
$2,567.40 |
$2,567.40 |
$6,192.62 |
$4,298.05
|
|
Transcath closure of asd
|
$8,250.00 |
$8,250.00 |
$25,587.62 |
$18,772.00
|
