|
Thumb fusion with graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Thumb fusion with graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,089.25
|
|
Thumb tendon transfer
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,682.81
|
|
Thyroglobulin antibody
|
$17.50 |
$17.50 |
$17.50 |
$84.00
|
|
Thyroid imaging
|
$154.72 |
$154.72 |
$154.72 |
$670.80
|
|
Thyroid met imaging/studies
|
$279.44 |
$279.44 |
$279.44 |
$607.23
|
|
Thyroid mets imag whole body
|
$358.61 |
$358.61 |
$358.61 |
$1,524.99
|
|
Thyroid met uptake
|
$74.57 |
$74.57 |
$74.57 |
$380.00
|
|
Thyroid (TSH) Test
|
$18.48 |
$18.48 |
$18.48 |
$120.00
|
|
Thyroid Ultrasound
|
$222.90 |
$222.90 |
$222.90 |
$589.96
|
|
Thyroid uptake measurement
|
$268.63 |
$268.63 |
$268.63 |
$653.60
|
|
Thyrotropin releasing hormone
|
$55.45 |
$55.45 |
$55.45 |
$55.45
|
|
Thyroxine binding globulin (tbg)
|
$16.26 |
$16.26 |
$16.26 |
$63.60
|
|
Tibial arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Tibial arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,223.44
|
|
Tib/per revasc stent & ather 37231
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$21,900.00
|
|
Tissue culture placenta
|
$165.33 |
$165.33 |
$165.33 |
$520.91
|
|
Tissue culture skin/biopsy
|
$154.80 |
$154.80 |
$154.80 |
$558.87
|
|
Tissue culture tumor
|
$162.27 |
$162.27 |
$162.27 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$4.70 |
$4.70 |
$4.70 |
$47.40
|
|
Tissue transglutaminase iga
|
$12.68 |
$12.68 |
$12.68 |
$48.57
|
|
Tlh uterus 250 g or less
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,134.69
|
|
Tlh uterus over 250 g
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,311.00
|
|
Tlh w/t/o 250 g or less
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,799.26
|
|
Tlh w/t/o uterus over 250 g
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,700.71
|
|
Tlso trnk sj-t9 pre cst
|
$150.98 |
$150.98 |
$150.98 |
$522.56
|
|
Tnot opn elbw to sho ea tdn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Tobramycin peak therapeutic drug level
|
$17.74 |
$17.74 |
$17.74 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$87.52 |
$87.52 |
$87.52 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$54.74 |
$54.74 |
$54.74 |
$73.45
|
|
Tongue base vol reduction
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,589.62
|
|
Tongue suspension
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,419.00
|
|
Tongue to lip surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Tonsillectomy (child under 12)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,881.00
|
|
Total Hip Replacement
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,675.20
|
|
Total Knee Replacement
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,668.80
|
|
Tot disc arthrp 1ntrspc crv
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,646.17
|
|
Tot estradiol response panel
|
$61.48 |
$61.48 |
$61.48 |
$61.48
|
|
Toxoplasma antibody igg
|
$15.83 |
$15.83 |
$15.83 |
$84.35
|
|
Toxoplasma antibody igm
|
$15.85 |
$15.85 |
$15.85 |
$83.20
|
|
Tp53 gene full gene sequence
|
$706.04 |
$706.04 |
$706.04 |
$706.04
|
|
Tp53 gene known famil vrnt
|
$338.80 |
$338.80 |
$338.80 |
$338.80
|
|
Tp53 gene trgt sequence alys
|
$362.46 |
$362.46 |
$362.46 |
$919.10
|
|
Tpmt gene com vrnts
|
$192.29 |
$192.29 |
$192.29 |
$381.55
|
|
Tprnl balo cntnc dev adjmt
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$287.81
|
|
Tprnl balo cntnc dev bi
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$14,393.26
|
|
Tprnl balo cntnc dev rmvl ea
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,081.37
|
|
Tprnl balo cntnc dev uni
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,244.18
|
|
Tprnl plmt biodegrdabl matrl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,105.61
|
|
Trabeculoplasty laser surg
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,224.00
|
|
Trachelectomy (cervicectomy) 57530
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,459.48
|
|
Tracheostoma revision; simple, without flap rotation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$50.97 |
$50.97 |
$50.97 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$791.05
|
|
Transcath biopsy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,298.05
|
|
Transcatheter bx s&i
|
$293.05 |
$293.05 |
$293.05 |
$1,875.96
|
|
Transcath occlusion cns
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,627.00
|
|
Transcrv abltj utrn fibrd rf
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,708.57
|
|
Transcutaneous carboxyhb
|
$10.31 |
$10.31 |
$10.31 |
$23.00
|
|
Transcutaneous hgb 88738
|
$5.52 |
$5.52 |
$5.52 |
$11.40
|
|
Transcutaneous methb
|
$10.31 |
$10.31 |
$10.31 |
$10.31
|
|
Transfer of abdominal muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Transfer of embryo
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$419.01
|
|
Transfer of iliopsoas muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Transfer of iliopsoas muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,432.00
|
|
Transfer of spinal muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,268.80
|
|
Transferrin
|
$14.04 |
$14.04 |
$14.04 |
$87.30
|
|
Transfer skin pedicle flap
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,164.64
|
|
Transfer tendon to pelvis
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,821.05
|
|
Transfusion blood/blood component(s)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$988.24
|
|
Transorl lwr esophgl myotomy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,311.00
|
|
Transperi needle place pros
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,203.00
|
|
Transplant forearm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,762.00
|
|
Transplant forearm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Transplant/graft hand tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Transplant/graft palm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Transplant hand tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,821.05
|
|
Transplant of thigh tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,507.19
|
|
Transplant palm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,819.05
|
|
Transplants of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Transplj hematopoietic boost
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,952.28
|
|
Transplt allo hct/donor
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,939.86
|
|
Transplt autol hct/donor
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,665.25
|
|
Transposition of vein valve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,907.78
|
|
Transurethral rf treatment
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,906.29
|
|
Trb@ gene rearrange dirprobe
|
$54.55 |
$54.55 |
$54.55 |
$54.55
|
|
Treat ankle dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,207.20
|
|
Treat ankle dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,807.24
|
|
Treat ankle dislocation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Treat ankle fracture
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,004.47
|
|
Treat big toe fracture
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,981.06
|
|
Treat cheek bone fracturemalar 21360
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,465.11
|
|
Treat clavicle dislocation 23545
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$734.00
|
