|
Swallowing Therapy Session
|
$206.29 |
$206.29 |
$206.29 |
$232.56
|
|
Synch audio-only est high 40
|
$190.77 |
$190.77 |
$190.77 |
$196.80
|
|
Synch audio-only est low 20
|
$138.14 |
$138.14 |
$138.14 |
$93.60
|
|
Synch audio-only est mod 30
|
$155.60 |
$155.60 |
$155.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$134.14 |
$134.14 |
$134.14 |
$53.20
|
|
Synch audio-only new high 60
|
$200.30 |
$200.30 |
$200.30 |
$207.64
|
|
Synch audio-only new low 30
|
$145.05 |
$145.05 |
$145.05 |
$120.80
|
|
Synch audio-only new mod 45
|
$163.38 |
$163.38 |
$163.38 |
$176.70
|
|
Synch audio-only new sf 15
|
$140.85 |
$140.85 |
$140.85 |
$71.20
|
|
Synvisc or synvisc-one
|
$47.53 |
$47.53 |
$47.53 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$39.08 |
$39.08 |
$39.08 |
$42.24
|
|
T3 (triiodothyronine) free
|
$338.34 |
$338.34 |
$338.34 |
$100.32
|
|
T3 (triiodothyronine) total
|
$173.30 |
$173.30 |
$173.30 |
$93.52
|
|
T4 (thyroxine) free
|
$79.06 |
$79.06 |
$79.06 |
$89.60
|
|
T4 (thyroxine) total
|
$188.09 |
$188.09 |
$188.09 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$312.29 |
$312.29 |
$312.29 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$256.69 |
$256.69 |
$256.69 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$1,659.52 |
$1,659.52 |
$1,659.52 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,583.71 |
$2,583.71 |
$2,583.71 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,761.58 |
$1,761.58 |
$1,761.58 |
$1,701.91
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$213.69 |
$213.69 |
$213.69 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$221.95 |
$221.95 |
$221.95 |
$179.95
|
|
Tc-99m mebrofenin
|
$61.89 |
$61.89 |
$61.89 |
$157.65
|
|
Tc-99m medronate
|
$181.40 |
$181.40 |
$181.40 |
$111.01
|
|
Tc-99m pentetate dtpa aerosol
|
$635.21 |
$635.21 |
$635.21 |
$191.50
|
|
Tc-99m sestamibi p study dose
|
$350.14 |
$350.14 |
$350.14 |
$287.20
|
|
Tc-99m sulfur colloid
|
$420.15 |
$420.15 |
$420.15 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$1,549.94 |
$1,549.94 |
$1,549.94 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$160.28 |
$160.28 |
$160.28 |
$184.00
|
|
T cells absolute cd 4 count
|
$67.10 |
$67.10 |
$67.10 |
$111.20
|
|
T cells total count
|
$150.72 |
$150.72 |
$150.72 |
$130.20
|
|
Telethx isodose plan cplx
|
$972.85 |
$972.85 |
$972.85 |
$1,526.85
|
|
Test for chlorohydrocarbons
|
$12.98 |
$12.98 |
$12.98 |
$65.00
|
|
Test pathogen(s) for platelets reference
|
$102.18 |
$102.18 |
$102.18 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$622.39 |
$622.39 |
$622.39 |
$953.40
|
|
Tetanus immune globulin inj
|
$848.58 |
$848.58 |
$848.58 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$25.14 |
$25.14 |
$25.14 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$109.45 |
$109.45 |
$109.45 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$98.83 |
$98.83 |
$98.83 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$98.83 |
$98.83 |
$98.83 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$46.94 |
$46.94 |
$46.94 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$69.37 |
$69.37 |
$69.37 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$321.90 |
$321.90 |
$321.90 |
$538.88
|
|
Ther/proph/diag inj ia
|
$67.98 |
$67.98 |
$67.98 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$195.01 |
$195.01 |
$195.01 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,472.47 |
$1,472.47 |
$1,472.47 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,587.39 |
$1,587.39 |
$1,587.39 |
$1,703.45
|
|
Thrombin time
|
$122.48 |
$122.48 |
$122.48 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$69.08 |
$69.08 |
$69.08 |
$62.01
|
|
Thyroglobulin antibody
|
$144.20 |
$144.20 |
$144.20 |
$82.50
|
|
Thyroid (TSH) Test
|
$179.82 |
$179.82 |
$179.82 |
$112.70
|
|
Thyroid Ultrasound
|
$649.75 |
$649.75 |
$649.75 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$179.82 |
$179.82 |
$179.82 |
$64.51
|
|
Tilt table study
|
$1,381.56 |
$1,381.56 |
$1,381.56 |
$1,561.82
|
|
Tissue transglutaminase iga
|
$28.89 |
$28.89 |
$28.89 |
$44.80
|
|
Tixagev and cilgav inj
|
$377.09 |
$377.09 |
$377.09 |
$244.50
|
|
Tobramycin peak therapeutic drug level
|
$77.34 |
$77.34 |
$77.34 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.11 |
$10.11 |
$10.11 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$187.21 |
$187.21 |
$187.21 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$65.14 |
$65.14 |
$65.14 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$65.14 |
$65.14 |
$65.14 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$6,352.40 |
$6,352.40 |
$6,352.40 |
$3,592.74
|
|
Total tau
|
$230.00 |
$230.00 |
$230.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$165.92 |
$165.92 |
$165.92 |
$91.65
|
|
Toxoplasma antibody igm
|
$129.00 |
$129.00 |
$129.00 |
$87.75
|
|
Tpmt gene com vrnts
|
$507.05 |
$507.05 |
$507.05 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$11,764.71 |
$11,764.71 |
$11,764.71 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,542.77 |
$1,542.77 |
$1,542.77 |
$1,180.80
|
|
Transferrin
|
$105.57 |
$105.57 |
$105.57 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$608.90 |
$608.90 |
$608.90 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$703.16 |
$703.16 |
$703.16 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$6,728.77 |
$6,728.77 |
$6,728.77 |
$4,523.04
|
|
Treat ankle dislocation
|
$3,377.48 |
$3,377.48 |
$3,377.48 |
$2,360.00
|
|
Treat elbow dislocation
|
$3,377.48 |
$3,377.48 |
$3,377.48 |
$2,272.50
|
|
Treat elbow fracture
|
$4,976.71 |
$4,976.71 |
$4,976.71 |
$2,026.50
|
|
Treat eyelid by injection
|
$58.47 |
$58.47 |
$58.47 |
$481.44
|
|
Treat finger fracture each
|
$2,028.72 |
$2,028.72 |
$2,028.72 |
$1,592.00
|
|
Treat fracture of radius
|
$3,377.48 |
$3,377.48 |
$3,377.48 |
$1,790.00
|
|
Treat hip dislocation
|
$4,743.45 |
$4,743.45 |
$4,743.45 |
$2,211.05
|
|
Treat humerus fracture
|
$4,743.45 |
$4,743.45 |
$4,743.45 |
$1,790.00
|
|
Treat knee fracture 27530
|
$780.84 |
$780.84 |
$780.84 |
$550.73
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,297.80 |
$8,297.80 |
$8,297.80 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$258.68 |
$258.68 |
$258.68 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$137.23 |
$137.23 |
$137.23 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$575.04 |
$575.04 |
$575.04 |
$523.20
|
|
Treatment of choroid lesion
|
$1,327.98 |
$1,327.98 |
$1,327.98 |
$1,253.20
|
|
Treatment of fibula fracture 27780
|
$563.77 |
$563.77 |
$563.77 |
$501.20
|
|
Treatment of heel fracture 28400
|
$504.67 |
$504.67 |
$504.67 |
$473.00
|
|
Treatment of retinal lesion
|
$1,542.77 |
$1,542.77 |
$1,542.77 |
$1,082.70
|
|
Treatment of thigh fracture
|
$37.30 |
$37.30 |
$37.30 |
$549.00
|
|
Treatment of toe fracture 28510
|
$792.02 |
$792.02 |
$792.02 |
$371.40
|
|
Treatment radiation delivery level 2
|
$510.67 |
$510.67 |
$510.67 |
$830.70
|
|
Treatment x10sv retinopathy
|
$1,863.35 |
$1,863.35 |
$1,863.35 |
$1,513.20
|
|
Treat thigh fracture
|
$656.57 |
$656.57 |
$656.57 |
$618.80
|
|
Treat wrist dislocation
|
$517.93 |
$517.93 |
$517.93 |
$656.25
|
|
Treponema pallidum antibody
|
$49.69 |
$49.69 |
$49.69 |
$72.05
|
|
Trg gene rearrangement anal
|
$504.89 |
$504.89 |
$504.89 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.80 |
$3.80 |
$3.80 |
$43.09
|
|
Trichinella antibody
|
$47.17 |
$47.17 |
$47.17 |
$70.65
|
|
#tricyclicantidprssnt
|
$131.35 |
$131.35 |
$131.35 |
$50.54
|
