|
Support clav 29.6-40.5in med
|
$6.02 |
$6.02 |
$6.02 |
$94.19
|
|
Surg dx exam anorectal
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,035.44
|
|
Surgery for urethra pouch
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$4,081.37
|
|
Surgery to stop leg growth
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$6,311.00
|
|
Surgery to stop leg growth
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,886.74
|
|
Surgery to stop leg growth
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$6,311.00
|
|
Surgical exposure prostate 55860
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$4,881.00
|
|
Surgical opening of stomach
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,358.04
|
|
Surgical opening of throat
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,870.40
|
|
Surgical pathology level 1 gross examination only
|
$30.54 |
$30.54 |
$30.54 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$47.37 |
$47.37 |
$47.37 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$70.85 |
$70.85 |
$70.85 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$89.14 |
$89.14 |
$89.14 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$317.93 |
$317.93 |
$317.93 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$323.12 |
$323.12 |
$323.12 |
$790.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$5.23 |
$5.23 |
$5.23 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$5.23 |
$5.23 |
$5.23 |
$34.48
|
|
Susceptibility mic per plate
|
$9.52 |
$9.52 |
$9.52 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$7.30 |
$7.30 |
$7.30 |
$48.30
|
|
Suspension of testis
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,817.53
|
|
Svc venogram s&i
|
$1,537.92 |
$1,537.92 |
$1,537.92 |
$1,908.00
|
|
Sympathectomy cervical
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$2,696.20
|
|
Sympathectomy digital artery
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,839.54
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$4.84 |
$4.84 |
$4.84 |
$44.85
|
|
T3 (triiodothyronine) free
|
$18.63 |
$18.63 |
$18.63 |
$89.82
|
|
T3 (triiodothyronine) total
|
$15.60 |
$15.60 |
$15.60 |
$94.90
|
|
T4 (thyroxine) free
|
$9.92 |
$9.92 |
$9.92 |
$81.60
|
|
T4 (thyroxine) total
|
$7.56 |
$7.56 |
$7.56 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$15.10 |
$15.10 |
$15.10 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$835.48 |
$835.48 |
$835.48 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,211.56 |
$3,211.56 |
$3,211.56 |
$3,385.00
|
|
Target gsa panel organ neop
|
$657.70 |
$657.70 |
$657.70 |
$1,913.00
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$755.08
|
|
Tbp gene detc abnor alleles
|
$150.70 |
$150.70 |
$150.70 |
$150.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$110.00 |
$110.00 |
$110.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$68.18 |
$68.18 |
$68.18 |
$166.46
|
|
Tca peel dermal 15789
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,276.60
|
|
T-cell depletion of harvest
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$51.68 |
$51.68 |
$51.68 |
$186.00
|
|
T cells absolute cd 4 count
|
$29.46 |
$29.46 |
$29.46 |
$120.25
|
|
T cells total count
|
$41.50 |
$41.50 |
$41.50 |
$124.11
|
|
Telethx isodose plan cplx
|
$1,445.66 |
$1,445.66 |
$1,445.66 |
$1,617.00
|
|
Telethx isodose plan simple
|
$338.09 |
$338.09 |
$338.09 |
$848.72
|
|
Tendon lengthening
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,839.54
|
|
Tendon lngth upr a/e ea tdn
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,671.74
|
|
Tendon shortening
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,594.44
|
|
Tendon transfer with graft
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,821.05
|
|
Tenodesis biceps tdn at elbw
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,594.44
|
|
Tenolysis triceps
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,839.54
|
|
Tenoplasty elbow to sho 1
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,855.00
|
|
Tenosynovectomy radic 26145
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,893.86
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,839.54
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$2,139.67
|
|
Tert gene targeted seq alys
|
$203.72 |
$203.72 |
$203.72 |
$304.59
|
|
Test for chlorohydrocarbons
|
$6.61 |
$6.61 |
$6.61 |
$71.04
|
|
Test for porphobilinogen
|
$6.40 |
$6.40 |
$6.40 |
$33.57
|
|
Test for urine cystines
|
$10.51 |
$10.51 |
$10.51 |
$26.00
|
|
Testosterone response panel
|
$56.80 |
$56.80 |
$56.80 |
$56.80
|
|
Test stress cardiovascular tracing only
|
$419.34 |
$419.34 |
$419.34 |
$1,001.55
|
|
Test urine for lactose
|
$12.38 |
$12.38 |
$12.38 |
$12.38
|
|
Test urine for porphyrins
|
$14.70 |
$14.70 |
$14.70 |
$27.30
|
|
Test urine urobilinogen
|
$4.92 |
$4.92 |
$4.92 |
$6.17
|
|
Tgfbi gene common variants
|
$150.70 |
$150.70 |
$150.70 |
$150.70
|
|
Tgsap hl neo 5-50 rna alys
|
$835.48 |
$835.48 |
$835.48 |
$1,048.15
|
|
Tgsap so/hl 51/< rna alys
|
$3,211.56 |
$3,211.56 |
$3,211.56 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$657.70 |
$657.70 |
$657.70 |
$816.27
|
|
Thaw preserved stem cells
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$900.90
|
|
Theophylline therapeutic drug level
|
$15.55 |
$15.55 |
$15.55 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$43.43 |
$43.43 |
$43.43 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$28.67 |
$28.67 |
$28.67 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$84.36 |
$84.36 |
$84.36 |
$283.20
|
|
Ther fx nasal inf turbinate
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,589.62
|
|
Ther/proph/diag inj ia
|
$86.65 |
$86.65 |
$86.65 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$1,804.00
|
|
Thoracoscopy diagnostic 32601
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$4,736.84
|
|
Thoracoscopy w/bx med space
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,508.80
|
|
Thoracoscopy wbx sac
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,110.00
|
|
Thorcscpy w/biop pleura
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$6,376.26
|
|
Thrcspy w/diag bp lng inf uni
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,339.00
|
|
Thrcspy w/diag bp lng nod uni
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,339.00
|
|
Thrombectmy crnry perq mechanical
|
$1,947.08 |
$1,947.08 |
$1,947.08 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$24,605.30
|
|
Thrombin time
|
$6.35 |
$6.35 |
$6.35 |
$48.75
|
|
Thrombin time titer
|
$7.54 |
$7.54 |
$7.54 |
$9.10
|
|
Thromboendarterectomy including patch graft if preformed;
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$5,983.35
|
|
Thrombomodulin
|
$19.00 |
$19.00 |
$19.00 |
$19.00
|
|
Thromboplastin inhibition
|
$10.59 |
$10.59 |
$10.59 |
$52.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$7.12 |
$7.12 |
$7.12 |
$56.93
|
|
Thromboxane urine
|
$38.62 |
$38.62 |
$38.62 |
$52.22
|
|
Thumb fusion with graft
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$6,839.00
|
|
Thumb fusion with graft
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$7,089.25
|
|
Thumb tendon transfer
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$3,594.44
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$5,339.00 |
$5,339.00 |
$5,339.00 |
$4,682.81
|
|
Thyroglobulin antibody
|
$17.50 |
$17.50 |
$17.50 |
$84.00
|
