|
Thumb fusion with graft
|
$14,590.10 |
$14,590.10 |
$14,590.10 |
$7,807.24
|
|
Thyroglobulin antibody
|
$57.57 |
$57.57 |
$57.57 |
$82.73
|
|
Thyroid imaging
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,129.74 |
$1,129.74 |
$1,129.74 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$60.82 |
$60.82 |
$60.82 |
$112.67
|
|
Thyroid Ultrasound
|
$425.45 |
$425.45 |
$425.45 |
$588.50
|
|
Thyroid uptake measurement
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,112.43 |
$4,112.43 |
$4,112.43 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$53.50 |
$53.50 |
$53.50 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$20,150.88 |
$20,150.88 |
$20,150.88 |
$21,249.26
|
|
Tib/per revasc w/ather add-on 37233
|
$16,571.05 |
$16,571.05 |
$16,571.05 |
$10,165.00
|
|
Tilt table study
|
$1,454.78 |
$1,454.78 |
$1,454.78 |
$1,561.82
|
|
Tissue culture placenta
|
$532.94 |
$532.94 |
$532.94 |
$440.50
|
|
Tissue culture skin/biopsy
|
$509.28 |
$509.28 |
$509.28 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$15.44 |
$15.44 |
$15.44 |
$47.40
|
|
Tissue transglutaminase iga
|
$29.19 |
$29.19 |
$29.19 |
$44.80
|
|
Tixagev and cilgav inj
|
$381.09 |
$381.09 |
$381.09 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$44.04 |
$44.04 |
$44.04 |
$80.10
|
|
Tlso 2 shl symphys-stern cst
|
$2,136.99 |
$2,136.99 |
$2,136.99 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,338.05 |
$2,338.05 |
$2,338.05 |
$2,117.57
|
|
Tlso rigid lined custom fab
|
$3,437.06 |
$3,437.06 |
$3,437.06 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$3,414.61 |
$3,414.61 |
$3,414.61 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$3,084.14 |
$3,084.14 |
$3,084.14 |
$2,788.42
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$2.75 |
$2.75 |
$2.75 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$58.37 |
$58.37 |
$58.37 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$26.02 |
$26.02 |
$26.02 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$201.75 |
$201.75 |
$201.75 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$76.37 |
$76.37 |
$76.37 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$80.17 |
$80.17 |
$80.17 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$6,419.65 |
$6,419.65 |
$6,419.65 |
$3,592.74
|
|
Tonsillectomy (age 12+)
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,558.89
|
|
Total Knee Replacement
|
$13,931.12 |
$13,931.12 |
$13,931.12 |
$14,061.89
|
|
Total lung lavage
|
$6,482.18 |
$6,482.18 |
$6,482.18 |
$1,758.40
|
|
Total tau
|
$35.95 |
$35.95 |
$35.95 |
$312.50
|
|
Toxoplasma antibody igg
|
$52.10 |
$52.10 |
$52.10 |
$91.65
|
|
Toxoplasma antibody igm
|
$52.12 |
$52.12 |
$52.12 |
$88.00
|
|
Tp53 gene full gene sequence
|
$1,511.87 |
$1,511.87 |
$1,511.87 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$876.10 |
$876.10 |
$876.10 |
$804.00
|
|
Tpmt gene com vrnts
|
$512.41 |
$512.41 |
$512.41 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$11,985.71 |
$11,985.71 |
$11,985.71 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$159.82 |
$159.82 |
$159.82 |
$103.20
|
|
Transcath biopsy
|
$12,290.60 |
$12,290.60 |
$12,290.60 |
$4,285.93
|
|
Transcath closure of asd
|
$25,833.90 |
$25,833.90 |
$25,833.90 |
$17,088.00
|
|
Transcath closure of vsd
|
$20,565.38 |
$20,565.38 |
$20,565.38 |
$17,115.04
|
|
Transcatheter bx s&i
|
$73.28 |
$73.28 |
$73.28 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$14,917.62 |
$14,917.62 |
$14,917.62 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$13,093.20
|
|
Transcath occlusion cns
|
$1,396.32 |
$1,396.32 |
$1,396.32 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$20,251.58 |
$20,251.58 |
$20,251.58 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,787.93 |
$5,787.93 |
$5,787.93 |
$4,822.00
|
|
Transferrin
|
$46.19 |
$46.19 |
$46.19 |
$82.00
|
|
Transperi needle place pros
|
$11,985.71 |
$11,985.71 |
$11,985.71 |
$6,015.75
|
|
Transplt autol hct/donor
|
$3,624.31 |
$3,624.31 |
$3,624.31 |
$3,986.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$425.45 |
$425.45 |
$425.45 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$425.45 |
$425.45 |
$425.45 |
$501.60
|
|
Treat ankle dislocation
|
$3,413.24 |
$3,413.24 |
$3,413.24 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$763.42 |
$763.42 |
$763.42 |
$692.80
|
|
Treat elbow dislocation
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,311.20
|
|
Treat elbow fracture
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,027.40
|
|
Treat eyelid by injection
|
$335.52 |
$335.52 |
$335.52 |
$481.44
|
|
Treat eyelid lesion 67850
|
$2,693.73 |
$2,693.73 |
$2,693.73 |
$1,146.13
|
|
Treat finger fracture each
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,592.00
|
|
Treat foot dislocation
|
$763.42 |
$763.42 |
$763.42 |
$527.28
|
|
Treat fracture of radius
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,821.60
|
|
Treat fracture of ulna
|
$763.42 |
$763.42 |
$763.42 |
$726.05
|
|
Treat hip dislocation
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,211.05
|
|
Treat hip dislocation
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,612.00
|
|
Treat humerus fracture
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,790.00
|
|
Treat humerus fracture
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,790.00
|
|
Treat kneecap dislocation
|
$529.65 |
$529.65 |
$529.65 |
$1,068.06
|
|
Treat knee dislocation
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,220.89
|
|
Treat knee fracture 27530
|
$763.42 |
$763.42 |
$763.42 |
$550.73
|
|
Treat lower jaw fracture 21462
|
$14,043.05 |
$14,043.05 |
$14,043.05 |
$7,000.36
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$10,599.52 |
$10,599.52 |
$10,599.52 |
$8,590.40
|
|
Treatment incomplete abortion completed surgically any trimester
|
$6,519.73 |
$6,519.73 |
$6,519.73 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$335.52 |
$335.52 |
$335.52 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$166.12 |
$166.12 |
$166.12 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$6,478.78 |
$6,478.78 |
$6,478.78 |
$4,230.80
|
|
Treatment of ankle fracture 27786
|
$763.42 |
$763.42 |
$763.42 |
$528.00
|
|
Treatment of choroid lesion
|
$1,223.26 |
$1,223.26 |
$1,223.26 |
$1,253.20
|
|
Treatment of fibula fracture 27780
|
$623.11 |
$623.11 |
$623.11 |
$515.45
|
|
Treatment of foot infection
|
$3,251.90 |
$3,251.90 |
$3,251.90 |
$2,928.60
|
|
Treatment of foot infection
|
$6,055.06 |
$6,055.06 |
$6,055.06 |
$3,839.54
|
|
Treatment of gum lesion
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$763.42 |
$763.42 |
$763.42 |
$473.00
|
|
Treatment of miscarriage
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$4,146.69
|
|
Treatment of retinal lesion
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,033.14
|
|
Treatment of thigh fracture
|
$763.42 |
$763.42 |
$763.42 |
$548.90
|
|
Treatment of thigh fracture
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$763.42 |
$763.42 |
$763.42 |
$371.40
|
|
Treatment radiation delivery level 2
|
$545.14 |
$545.14 |
$545.14 |
$830.70
|
|
Treatment x10sv retinopathy
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,513.20
|
|
Treat radius fracture
|
$14,590.10 |
$14,590.10 |
$14,590.10 |
$7,907.11
|
|
Treat spinal cord lesion
|
$2,188.39 |
$2,188.39 |
$2,188.39 |
$1,142.50
|
|
Treat spinal cord lesion
|
$2,188.39 |
$2,188.39 |
$2,188.39 |
$1,337.00
|
|
Treat thigh fracture
|
$544.83 |
$544.83 |
$544.83 |
$661.00
|
|
Treat thigh fracture
|
$3,188.88 |
$3,188.88 |
$3,188.88 |
$1,893.86
|
|
Treat thigh fracture
|
$494.49 |
$494.49 |
$494.49 |
$618.80
|