|
Tbs techl calculation only
|
$100.98 |
$100.98 |
$100.98 |
$121.05
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$525.25 |
$525.25 |
$525.25 |
$166.46
|
|
Tc-99m bicisate
|
$9,255.40 |
$9,255.40 |
$9,255.40 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$14,473.35 |
$14,473.35 |
$14,473.35 |
$2,393.40
|
|
Tc-99m labeled rbc
|
$1,067.89 |
$1,067.89 |
$1,067.89 |
$322.20
|
|
Tc-99m maa
|
$882.24 |
$882.24 |
$882.24 |
$312.06
|
|
Tc-99m mebrofenin
|
$365.54 |
$365.54 |
$365.54 |
$169.53
|
|
Tc-99m medronate
|
$229.90 |
$229.90 |
$229.90 |
$122.46
|
|
Tc-99m mertiatide
|
$2,034.04 |
$2,034.04 |
$2,034.04 |
$778.13
|
|
Tc-99m pentetate dtpa
|
$948.92 |
$948.92 |
$948.92 |
$239.09
|
|
Tc-99m pentetate dtpa aerosol
|
$1,133.41 |
$1,133.41 |
$1,133.41 |
$245.35
|
|
Tc-99m pertechnetate per mci
|
$138.05 |
$138.05 |
$138.05 |
$27.95
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$361.35 |
$361.35 |
$361.35 |
$145.20
|
|
Tc-99m sestamibi p study dose
|
$637.97 |
$637.97 |
$637.97 |
$221.60
|
|
Tc-99m sulfur colloid
|
$5,286.55 |
$5,286.55 |
$5,286.55 |
$245.20
|
|
Tc-99m tilmanocept diag
|
$3,770.36 |
$3,770.36 |
$3,770.36 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$343.06 |
$343.06 |
$343.06 |
$184.00
|
|
T cells absolute cd 4 count
|
$226.88 |
$226.88 |
$226.88 |
$120.25
|
|
T cells total count
|
$184.94 |
$184.94 |
$184.94 |
$121.90
|
|
Test stress cardiovascular tracing only
|
$1,325.90 |
$1,325.90 |
$1,325.90 |
$1,012.50
|
|
Theophylline therapeutic drug level
|
$239.66 |
$239.66 |
$239.66 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$70.59 |
$70.59 |
$70.59 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$60.31 |
$60.31 |
$60.31 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$477.32 |
$477.32 |
$477.32 |
$530.15
|
|
Ther/proph/diag inj ia
|
$335.78 |
$335.78 |
$335.78 |
$237.75
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,754.94 |
$4,754.94 |
$4,754.94 |
$1,779.06
|
|
Thrombectmy crnry perq mechanical
|
$7,664.20 |
$7,664.20 |
$7,664.20 |
$3,482.76
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,769.88 |
$5,769.88 |
$5,769.88 |
$7,826.12
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,689.84 |
$11,689.84 |
$11,689.84 |
$14,929.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,086.22 |
$15,086.22 |
$15,086.22 |
$24,300.00
|
|
Thrombin time
|
$97.76 |
$97.76 |
$97.76 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$109.59 |
$109.59 |
$109.59 |
$57.17
|
|
Thyroglobulin antibody
|
$269.64 |
$269.64 |
$269.64 |
$84.00
|
|
Thyroid mets imag whole body
|
$2,269.71 |
$2,269.71 |
$2,269.71 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$445.50 |
$445.50 |
$445.50 |
$116.42
|
|
Thyroid Ultrasound
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$586.43
|
|
Thyroxine binding globulin (tbg)
|
$125.26 |
$125.26 |
$125.26 |
$63.05
|
|
Tib/per revasc stent & ather 37231
|
$13,154.52 |
$13,154.52 |
$13,154.52 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$6,961.54 |
$6,961.54 |
$6,961.54 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$4,586.64 |
$4,586.64 |
$4,586.64 |
$9,820.00
|
|
Tilt table study
|
$3,370.44 |
$3,370.44 |
$3,370.44 |
$1,548.30
|
|
Tissue exam koh skin/hair/nails
|
$108.90 |
$108.90 |
$108.90 |
$47.40
|
|
Tissue transglutaminase iga
|
$83.05 |
$83.05 |
$83.05 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$100.10 |
$100.10 |
$100.10 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$480.56 |
$480.56 |
$480.56 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$67.84 |
$67.84 |
$67.84 |
$74.25
|
|
Total tau
|
$137.50 |
$137.50 |
$137.50 |
$293.00
|
|
Toxoplasma antibody igg
|
$121.96 |
$121.96 |
$121.96 |
$84.40
|
|
Toxoplasma antibody igm
|
$244.06 |
$244.06 |
$244.06 |
$83.40
|
|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$133.70 |
$133.70 |
$133.70 |
$91.20
|
|
Transcath closure of asd
|
$16,369.51 |
$16,369.51 |
$16,369.51 |
$18,837.00
|
|
Transcath closure of vsd
|
$16,369.51 |
$16,369.51 |
$16,369.51 |
$18,837.00
|
|
Transcath mv repair addl prosthesis
|
$4,165.42 |
$4,165.42 |
$4,165.42 |
$4,625.79
|
|
Transcath mv repair init prosthesis
|
$9,370.57 |
$9,370.57 |
$9,370.57 |
$17,106.18
|
|
Trans cath replace aortic valve 33366
|
$20,980.93 |
$20,980.93 |
$20,980.93 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,330.94 |
$3,330.94 |
$3,330.94 |
$4,627.00
|
|
Transferrin
|
$303.46 |
$303.46 |
$303.46 |
$84.50
|
|
Transfusion blood/blood component(s)
|
$1,885.43 |
$1,885.43 |
$1,885.43 |
$1,005.00
|
|
Treat clavicle dislocation 23545
|
$255.72 |
$255.72 |
$255.72 |
$759.61
|
|
Treat elbow dislocation
|
$2,565.64 |
$2,565.64 |
$2,565.64 |
$2,326.40
|
|
Treat elbow fracture
|
$2,273.45 |
$2,273.45 |
$2,273.45 |
$2,055.00
|
|
Treat finger fracture each
|
$1,726.01 |
$1,726.01 |
$1,726.01 |
$1,815.75
|
|
Treat fracture of radius
|
$1,726.01 |
$1,726.01 |
$1,726.01 |
$2,030.33
|
|
Treat hip dislocation
|
$2,136.75 |
$2,136.75 |
$2,136.75 |
$2,558.85
|
|
Treat kneecap dislocation
|
$499.76 |
$499.76 |
$499.76 |
$1,554.80
|
|
Treat knuckle dislocation
|
$1,726.01 |
$1,726.01 |
$1,726.01 |
$1,893.86
|
|
Treat lower leg dislocation
|
$3,506.72 |
$3,506.72 |
$3,506.72 |
$4,192.86
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$330.66 |
$330.66 |
$330.66 |
$241.24
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$287.76 |
$287.76 |
$287.76 |
$155.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$344.08 |
$344.08 |
$344.08 |
$204.65
|
|
Treatment of thigh fracture
|
$628.10 |
$628.10 |
$628.10 |
$2,055.00
|
|
Treat trigeminal tract
|
$2,691.15 |
$2,691.15 |
$2,691.15 |
$3,786.00
|
|
Treat ulnar fracture
|
$1,726.01 |
$1,726.01 |
$1,726.01 |
$1,837.55
|
|
Treat wrist dislocation
|
$1,267.39 |
$1,267.39 |
$1,267.39 |
$763.10
|
|
Treponema pallidum antibody
|
$112.20 |
$112.20 |
$112.20 |
$72.05
|
|
Trichinella antibody
|
$82.50 |
$82.50 |
$82.50 |
$72.80
|
|
Triglycerides
|
$97.35 |
$97.35 |
$97.35 |
$54.60
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,104.00 |
$5,104.00 |
$5,104.00 |
$10,333.41
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$7,320.58 |
$7,320.58 |
$7,320.58 |
$8,196.29
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,560.90 |
$6,560.90 |
$6,560.90 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,027.39 |
$11,027.39 |
$11,027.39 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$4,810.30
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$7,258.35 |
$7,258.35 |
$7,258.35 |
$5,983.35
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$4,316.76
|
|
Troponin quantitative
|
$377.57 |
$377.57 |
$377.57 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,887.76 |
$1,887.76 |
$1,887.76 |
$1,411.90
|
|
Tube trach disp innr can 5 xlt
|
$309.95 |
$309.95 |
$309.95 |
$416.99
|
|
Tx atrial fib pulm vein isol
|
$13,763.67 |
$13,763.67 |
$13,763.67 |
$32,208.35
|
|
Tx closed hip disl traumatic without anes
|
$667.12 |
$667.12 |
$667.12 |
$650.45
|
|
Tx l/r atrial fib addl
|
$5,583.35 |
$5,583.35 |
$5,583.35 |
$7,395.60
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,002.51 |
$1,002.51 |
$1,002.51 |
$406.90
|
|
Ultrasound breast complete
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$522.40
|
|
Ultrasound breast unilateral limited (both sides)
|
$2,213.75 |
$2,213.75 |
$2,213.75 |
$455.26
|
|
Ultrasound chest
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$452.40
|
|
Ultrasound encephalogram
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$477.10
|
|
Ultrasound exam k transpl w/doppler
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$556.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$412.50 |
$412.50 |
$412.50 |
$477.10
|
