|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,796.00 |
$5,796.00 |
$5,796.00 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$8,410.50 |
$8,410.50 |
$8,410.50 |
$11,183.00
|
|
System sealant biosentry tract
|
$441.00 |
$441.00 |
$441.00 |
$889.35
|
|
T3 (triiodothyronine) free
|
$94.80 |
$94.80 |
$94.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$16.00 |
$16.00 |
$16.00 |
$93.52
|
|
T4 (thyroxine) free
|
$259.20 |
$259.20 |
$259.20 |
$85.20
|
|
T4 (thyroxine) total
|
$82.80 |
$82.80 |
$82.80 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$140.80 |
$140.80 |
$140.80 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$2,246.30
|
|
Tavr perq femoral
|
$21,400.80 |
$21,400.80 |
$21,400.80 |
$15,454.40
|
|
Tbs techl calculation only
|
$150.80 |
$150.80 |
$150.80 |
$153.60
|
|
Tbs techl prep&transmis data
|
$150.80 |
$150.80 |
$150.80 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$124.80 |
$124.80 |
$124.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$111.20 |
$111.20 |
$111.20 |
$177.65
|
|
Tc-99m arcitumomab
|
$1,061.22 |
$1,061.22 |
$1,061.22 |
$2,155.56
|
|
Tc-99m bicisate
|
$1,767.89 |
$1,767.89 |
$1,767.89 |
$1,969.45
|
|
Tc-99m disofenin
|
$16.90 |
$16.90 |
$16.90 |
$124.32
|
|
Tc-99m exametazime diag
|
$545.60 |
$545.60 |
$545.60 |
$2,033.20
|
|
Tc-99m fanolesomab diag
|
$716.50 |
$716.50 |
$716.50 |
$2,115.12
|
|
Tc-99m gluceptate
|
$105.40 |
$105.40 |
$105.40 |
$31.35
|
|
Tc-99m labeled rbc
|
$136.18 |
$136.18 |
$136.18 |
$302.40
|
|
Tc-99m maa
|
$384.00 |
$384.00 |
$384.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$38.40 |
$38.40 |
$38.40 |
$157.65
|
|
Tc-99m medronate
|
$32.11 |
$32.11 |
$32.11 |
$111.01
|
|
Tc-99m mertiatide
|
$152.40 |
$152.40 |
$152.40 |
$756.00
|
|
Tc-99m oxidronate
|
$72.83 |
$72.83 |
$72.83 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$20.80 |
$20.80 |
$20.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$97.02 |
$97.02 |
$97.02 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$5.45 |
$5.45 |
$5.45 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$33.07 |
$33.07 |
$33.07 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$33.60 |
$33.60 |
$33.60 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$525.16 |
$525.16 |
$525.16 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$94.71 |
$94.71 |
$94.71 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$48.83 |
$48.83 |
$48.83 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$285.82 |
$285.82 |
$285.82 |
$955.60
|
|
Tcd emboli detect w/inj
|
$504.40 |
$504.40 |
$504.40 |
$475.80
|
|
Tcd emboli detect without inj
|
$504.40 |
$504.40 |
$504.40 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$218.00 |
$218.00 |
$218.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$102.80 |
$102.80 |
$102.80 |
$111.20
|
|
T cells total count
|
$163.60 |
$163.60 |
$163.60 |
$126.90
|
|
Teaec w/wo patch graft iliofemoral
|
$33,791.60 |
$33,791.60 |
$33,791.60 |
$5,163.60
|
|
Telethx isodose plan cplx
|
$4,149.20 |
$4,149.20 |
$4,149.20 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,785.60 |
$1,785.60 |
$1,785.60 |
$873.62
|
|
Temperature gradient studies
|
$377.20 |
$377.20 |
$377.20 |
$242.25
|
|
Testicular imaging w/vasc flow
|
$676.40 |
$676.40 |
$676.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$77.60 |
$77.60 |
$77.60 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$897.60 |
$897.60 |
$897.60 |
$949.70
|
|
Thawing cryopresrved oocyte
|
$402.80 |
$402.80 |
$402.80 |
$402.80
|
|
Theophylline therapeutic drug level
|
$140.00 |
$140.00 |
$140.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$297.60 |
$297.60 |
$297.60 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$304.40 |
$304.40 |
$304.40 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$85.60 |
$85.60 |
$85.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$74.00 |
$74.00 |
$74.00 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$337.20 |
$337.20 |
$337.20 |
$529.08
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,806.00 |
$4,806.00 |
$4,806.00 |
$1,687.50
|
|
Thoracoscopy surgical 32650
|
$10,769.60 |
$10,769.60 |
$10,769.60 |
$2,815.80
|
|
Thoracotomy opn free adhesions 32124
|
$12,943.60 |
$12,943.60 |
$12,943.60 |
$2,256.80
|
|
Thorcscpy w/biop pleura
|
$10,769.60 |
$10,769.60 |
$10,769.60 |
$6,904.15
|
|
Thrombectmy crnry perq mechanical
|
$3,287.60 |
$3,287.60 |
$3,287.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,084.00 |
$8,084.00 |
$8,084.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$16,338.40 |
$16,338.40 |
$16,338.40 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$24,764.80 |
$24,764.80 |
$24,764.80 |
$21,413.60
|
|
Thrombin time
|
$59.60 |
$59.60 |
$59.60 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$20,169.20 |
$20,169.20 |
$20,169.20 |
$3,980.60
|
|
Thromboplastin inhibition
|
$36.40 |
$36.40 |
$36.40 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$102.80 |
$102.80 |
$102.80 |
$61.52
|
|
Thyroglobulin antibody
|
$100.40 |
$100.40 |
$100.40 |
$82.00
|
|
Thyroid imaging
|
$466.40 |
$466.40 |
$466.40 |
$695.02
|
|
Thyroid met imaging
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,193.20 |
$1,193.20 |
$1,193.20 |
$1,524.99
|
|
Thyroid met uptake
|
$1,193.20 |
$1,193.20 |
$1,193.20 |
$398.40
|
|
Thyroid (TSH) Test
|
$75.20 |
$75.20 |
$75.20 |
$111.00
|
|
Thyroid Ultrasound
|
$436.00 |
$436.00 |
$436.00 |
$588.50
|
|
Thyroid uptake measurement
|
$340.00 |
$340.00 |
$340.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$40.80 |
$40.80 |
$40.80 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$14,540.80 |
$14,540.80 |
$14,540.80 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,636.40 |
$8,636.40 |
$8,636.40 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,020.00 |
$6,020.00 |
$6,020.00 |
$9,769.65
|
|
Tilt table study
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$1,507.01
|
|
Tissue culture placenta
|
$712.00 |
$712.00 |
$712.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$221.20 |
$221.20 |
$221.20 |
$484.00
|
|
Tissue culture tumor
|
$102.40 |
$102.40 |
$102.40 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$17.60 |
$17.60 |
$17.60 |
$47.20
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$666.54 |
$666.54 |
$666.54 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$32.60 |
$32.60 |
$32.60 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$23.20 |
$23.20 |
$23.20 |
$78.40
|
|
Tobramycin peak therapeutic drug level
|
$112.80 |
$112.80 |
$112.80 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$96.40 |
$96.40 |
$96.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$90.00 |
$90.00 |
$90.00 |
$72.68
|
|
Toxoplasma antibody igg
|
$55.60 |
$55.60 |
$55.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$49.20 |
$49.20 |
$49.20 |
$87.00
|
|
Trabeculoplasty laser surg
|
$585.20 |
$585.20 |
$585.20 |
$1,180.80
|
|
Transcath biopsy
|
$2,192.80 |
$2,192.80 |
$2,192.80 |
$4,285.93
|
|
Transcath closure of asd
|
$8,212.80 |
$8,212.80 |
$8,212.80 |
$16,741.40
|
|
Transcath closure of vsd
|
$6,674.40 |
$6,674.40 |
$6,674.40 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,873.20 |
$1,873.20 |
$1,873.20 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$5,754.80 |
$5,754.80 |
$5,754.80 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$13,384.80 |
$13,384.80 |
$13,384.80 |
$12,418.00
|
