|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$13,055.04 |
$13,055.04 |
$13,055.04 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$61.33 |
$61.33 |
$61.33 |
$100.32
|
|
T3 (triiodothyronine) total
|
$51.34 |
$51.34 |
$51.34 |
$93.52
|
|
T4 (thyroxine) free
|
$32.62 |
$32.62 |
$32.62 |
$88.44
|
|
T4 (thyroxine) total
|
$24.86 |
$24.86 |
$24.86 |
$69.58
|
|
Tacrolimus therapeutic drug level
|
$49.71 |
$49.71 |
$49.71 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$201.75 |
$201.75 |
$201.75 |
$289.90
|
|
Talymed
|
$85.37 |
$85.37 |
$85.37 |
$199.00
|
|
Target gsa panel hmtlmph neop
|
$4,979.87 |
$4,979.87 |
$4,979.87 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,762.52 |
$7,762.52 |
$7,762.52 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,780.75 |
$1,780.75 |
$1,780.75 |
$1,681.28
|
|
Tavr perq femoral
|
$21,540.15 |
$21,540.15 |
$21,540.15 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$293.13 |
$293.13 |
$293.13 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$224.30 |
$224.30 |
$224.30 |
$180.80
|
|
Tc-99m bicisate
|
$3,383.26 |
$3,383.26 |
$3,383.26 |
$2,070.00
|
|
Tc-99m diag per dose
|
$9,070.35 |
$9,070.35 |
$9,070.35 |
$470.40
|
|
Tc-99m disofenin
|
$138.94 |
$138.94 |
$138.94 |
$124.32
|
|
Tc-99m exametazime diag
|
$2,958.76 |
$2,958.76 |
$2,958.76 |
$2,135.70
|
|
Tc-99m gluceptate
|
$5.40 |
$5.40 |
$5.40 |
$31.35
|
|
Tc-99m labeled rbc
|
$398.04 |
$398.04 |
$398.04 |
$306.00
|
|
Tc-99m maa
|
$391.76 |
$391.76 |
$391.76 |
$312.06
|
|
Tc-99m mebrofenin
|
$140.12 |
$140.12 |
$140.12 |
$157.65
|
|
Tc-99m medronate
|
$110.53 |
$110.53 |
$110.53 |
$111.01
|
|
Tc-99m mertiatide
|
$752.37 |
$752.37 |
$752.37 |
$756.00
|
|
Tc-99m oxidronate
|
$112.42 |
$112.42 |
$112.42 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$342.80 |
$342.80 |
$342.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$385.37 |
$385.37 |
$385.37 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$1.37 |
$1.37 |
$1.37 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$101.55 |
$101.55 |
$101.55 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$67.60 |
$67.60 |
$67.60 |
$287.20
|
|
Tc-99m sulfur colloid
|
$922.89 |
$922.89 |
$922.89 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$101.34 |
$101.34 |
$101.34 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$985.60
|
|
Tcd emboli detect w/inj
|
$425.45 |
$425.45 |
$425.45 |
$475.80
|
|
Tcd emboli detect without inj
|
$425.45 |
$425.45 |
$425.45 |
$475.28
|
|
T-cell depletion of harvest
|
$845.49 |
$845.49 |
$845.49 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$170.05 |
$170.05 |
$170.05 |
$185.28
|
|
T cells absolute cd 4 count
|
$96.91 |
$96.91 |
$96.91 |
$111.20
|
|
T cells total count
|
$136.54 |
$136.54 |
$136.54 |
$130.35
|
|
Teaec w/wo patch graft iliofemoral
|
$10,013.41 |
$10,013.41 |
$10,013.41 |
$6,120.00
|
|
Telehealth original site facility fee
|
$73.28 |
$73.28 |
$73.28 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,157.38 |
$1,157.38 |
$1,157.38 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,157.38 |
$1,157.38 |
$1,157.38 |
$877.09
|
|
Temperature gradient studies
|
$482.35 |
$482.35 |
$482.35 |
$242.25
|
|
Tert gene targeted seq alys
|
$492.40 |
$492.40 |
$492.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$12.51 |
$12.51 |
$12.51 |
$61.60
|
|
Testosterone undecanoate 1mg
|
$9.91 |
$9.91 |
$9.91 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$103.27 |
$103.27 |
$103.27 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$870.76 |
$870.76 |
$870.76 |
$953.40
|
|
Test urine urobilinogen
|
$13.09 |
$13.09 |
$13.09 |
$9.75
|
|
Tgsap so/hl 51/< rna alys
|
$7,305.90 |
$7,305.90 |
$7,305.90 |
$4,563.00
|
|
Thaw preserved stem cells
|
$845.49 |
$845.49 |
$845.49 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$51.18 |
$51.18 |
$51.18 |
$108.00
|
|
Therapeutic procd strg endur
|
$114.07 |
$114.07 |
$114.07 |
$85.68
|
|
Therapeutic pulpotomy
|
$71.50 |
$71.50 |
$71.50 |
$744.80
|
|
Therapy Activity Training (each 15 minutes)
|
$120.82 |
$120.82 |
$120.82 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$93.49 |
$93.49 |
$93.49 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$78.65 |
$78.65 |
$78.65 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$66.86 |
$66.86 |
$66.86 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$336.54 |
$336.54 |
$336.54 |
$538.88
|
|
Ther/proph/diag inj ia
|
$348.36 |
$348.36 |
$348.36 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$4.06 |
$4.06 |
$4.06 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$201.75 |
$201.75 |
$201.75 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,053.14 |
$2,053.14 |
$2,053.14 |
$1,733.65
|
|
Thoracic duct procedure
|
$6,184.83 |
$6,184.83 |
$6,184.83 |
$1,406.40
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$10,282.70 |
$10,282.70 |
$10,282.70 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$11,803.64 |
$11,803.64 |
$11,803.64 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$7,573.00 |
$7,573.00 |
$7,573.00 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$11,725.60 |
$11,725.60 |
$11,725.60 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$15,583.72 |
$15,583.72 |
$15,583.72 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$6,899.93 |
$6,899.93 |
$6,899.93 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$9,590.78 |
$9,590.78 |
$9,590.78 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$3,409.02 |
$3,409.02 |
$3,409.02 |
$2,251.60
|
|
Thoracoscopy/tot pulm decortication32652
|
$6,342.65 |
$6,342.65 |
$6,342.65 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$11,479.79 |
$11,479.79 |
$11,479.79 |
$6,463.42
|
|
Thoracoscopy w/lobectomy
|
$7,417.43 |
$7,417.43 |
$7,417.43 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$14,496.48 |
$14,496.48 |
$14,496.48 |
$2,172.00
|
|
Thoracoscopy w/pleurectomy 32656
|
$3,409.02 |
$3,409.02 |
$3,409.02 |
$3,409.02
|
|
Thoracoscopy w/thymus resect
|
$9,815.05 |
$9,815.05 |
$9,815.05 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$2,641.78 |
$2,641.78 |
$2,641.78 |
$477.00
|
|
Thoracotomy w/expl
|
$3,529.88 |
$3,529.88 |
$3,529.88 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$5,512.53 |
$5,512.53 |
$5,512.53 |
$2,138.76
|
|
Thorcscpy w/biop pleura
|
$11,241.56 |
$11,241.56 |
$11,241.56 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$11,479.79 |
$11,479.79 |
$11,479.79 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$11,479.79 |
$11,479.79 |
$11,479.79 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$8,877.15 |
$8,877.15 |
$8,877.15 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,648.13 |
$12,648.13 |
$12,648.13 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,833.90 |
$25,833.90 |
$25,833.90 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$5,398.13 |
$5,398.13 |
$5,398.13 |
$6,422.91
|
|
Thrombin time
|
$20.87 |
$20.87 |
$20.87 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$9,733.81 |
$9,733.81 |
$9,733.81 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$10,019.51 |
$10,019.51 |
$10,019.51 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$23.40 |
$23.40 |
$23.40 |
$61.52
|
|
Thromboxane urine
|
$82.69 |
$82.69 |
$82.69 |
$119.40
|
|
Thumb fusion with graft
|
$14,590.10 |
$14,590.10 |
$14,590.10 |
$7,907.11
|
