|
Surgical opening of stomach
|
$616.63 |
$616.63 |
$616.63 |
$2,320.80
|
|
Surgical opening of stomach 43500
|
$510.83 |
$510.83 |
$510.83 |
$1,477.80
|
|
Surgical opening of throat
|
$481.62 |
$481.62 |
$481.62 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$71.61 |
$71.61 |
$71.61 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$114.73 |
$114.73 |
$114.73 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$156.31 |
$156.31 |
$156.31 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$156.31 |
$156.31 |
$156.31 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,052.59 |
$1,052.59 |
$1,052.59 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,390.85 |
$2,390.85 |
$2,390.85 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$870.32 |
$870.32 |
$870.32 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$986.47 |
$986.47 |
$986.47 |
$2,864.40
|
|
Surgical revision intestine
|
$696.90 |
$696.90 |
$696.90 |
$2,366.76
|
|
Surg tx anal fistula 2nd stage 46285
|
$276.00 |
$276.00 |
$276.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$31.57 |
$31.57 |
$31.57 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$31.57 |
$31.57 |
$31.57 |
$35.70
|
|
Susceptibility mic per plate
|
$56.98 |
$56.98 |
$56.98 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$4.60 |
$4.60 |
$4.60 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$642.85 |
$642.85 |
$642.85 |
$1,351.05
|
|
Suspension of testis
|
$192.97 |
$192.97 |
$192.97 |
$4,055.01
|
|
Suspension of uterus
|
$526.47 |
$526.47 |
$526.47 |
$1,059.58
|
|
Suspension of uterus 58400
|
$297.62 |
$297.62 |
$297.62 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$679.88 |
$679.88 |
$679.88 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$891.02 |
$891.02 |
$891.02 |
$2,559.60
|
|
Svc venogram s&i
|
$6,250.09 |
$6,250.09 |
$6,250.09 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$285.67 |
$285.67 |
$285.67 |
$314.40
|
|
Swallowing Therapy Session
|
$334.95 |
$334.95 |
$334.95 |
$240.50
|
|
Sweat collection by iontophoresis
|
$351.89 |
$351.89 |
$351.89 |
$121.55
|
|
Sympathectomy cervical
|
$555.22 |
$555.22 |
$555.22 |
$3,934.40
|
|
Sympathectomy digital artery
|
$498.18 |
$498.18 |
$498.18 |
$2,310.83
|
|
Sympathectomy lumbar
|
$506.00 |
$506.00 |
$506.00 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$516.35 |
$516.35 |
$516.35 |
$3,839.54
|
|
Sympathectomy thoracolumbar
|
$713.69 |
$713.69 |
$713.69 |
$1,681.03
|
|
Synch audio-only est high 40
|
$82.34 |
$82.34 |
$82.34 |
$190.77
|
|
Synch audio-only est low 20
|
$37.72 |
$37.72 |
$37.72 |
$90.60
|
|
Synch audio-only est mod 30
|
$55.89 |
$55.89 |
$55.89 |
$136.64
|
|
Synch audio-only est sf 10
|
$20.70 |
$20.70 |
$20.70 |
$53.20
|
|
Synch audio-only new high 60
|
$101.20 |
$101.20 |
$101.20 |
$207.64
|
|
Synch audio-only new low 30
|
$48.76 |
$48.76 |
$48.76 |
$117.00
|
|
Synch audio-only new mod 45
|
$77.05 |
$77.05 |
$77.05 |
$166.70
|
|
Synch audio-only new sf 15
|
$28.06 |
$28.06 |
$28.06 |
$67.80
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.26 |
$29.26 |
$29.26 |
$42.24
|
|
System pacing micra av
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$1,569.75 |
$1,569.75 |
$1,569.75 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$110.88 |
$110.88 |
$110.88 |
$100.00
|
|
T3 (triiodothyronine) total
|
$93.94 |
$93.94 |
$93.94 |
$93.52
|
|
T4 (thyroxine) free
|
$59.29 |
$59.29 |
$59.29 |
$87.30
|
|
T4 (thyroxine) total
|
$45.43 |
$45.43 |
$45.43 |
$68.40
|
|
Tacrolimus therapeutic drug level
|
$90.86 |
$90.86 |
$90.86 |
$122.40
|
|
Tah rad debulk/lymph remove 58954
|
$1,400.93 |
$1,400.93 |
$1,400.93 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$1,294.21 |
$1,294.21 |
$1,294.21 |
$4,964.80
|
|
Tah w/mmk 58152
|
$799.02 |
$799.02 |
$799.02 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$354.20 |
$354.20 |
$354.20 |
$288.60
|
|
Tap block bilat cont infusion 64489
|
$717.64 |
$717.64 |
$717.64 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$38.64 |
$38.64 |
$38.64 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,222.22 |
$2,222.22 |
$2,222.22 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$8,542.38 |
$8,542.38 |
$8,542.38 |
$3,762.00
|
|
Target gsa panel organ neop
|
$1,749.44 |
$1,749.44 |
$1,749.44 |
$1,749.44
|
|
Tas congenital car anomal
|
$474.49 |
$474.49 |
$474.49 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$84.18 |
$84.18 |
$84.18 |
$931.50
|
|
Tavr perq femoral
|
$764.98 |
$764.98 |
$764.98 |
$15,454.40
|
|
Tbp gene detc abnor alleles
|
$94.76 |
$94.76 |
$94.76 |
$225.42
|
|
Tbs i&r fx rsk qhp
|
$6.21 |
$6.21 |
$6.21 |
$61.04
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$69.00 |
$69.00 |
$69.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$408.10 |
$408.10 |
$408.10 |
$181.80
|
|
Tc-99m non-heu per study dose
|
$0.78 |
$0.78 |
$0.78 |
$6.50
|
|
Tca peel dermal 15789
|
$265.42 |
$265.42 |
$265.42 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$37.72 |
$37.72 |
$37.72 |
$475.80
|
|
Tcd emboli detect without inj
|
$37.26 |
$37.26 |
$37.26 |
$475.28
|
|
Tcd vasoreactivity study
|
$105.80 |
$105.80 |
$105.80 |
$566.88
|
|
T-cell depletion of harvest
|
$53.59 |
$53.59 |
$53.59 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$309.54 |
$309.54 |
$309.54 |
$185.28
|
|
T cells absolute cd 4 count
|
$176.33 |
$176.33 |
$176.33 |
$111.20
|
|
T cells total count
|
$248.71 |
$248.71 |
$248.71 |
$132.63
|
|
Tdh sdrl/ventr pnxr
|
$305.67 |
$305.67 |
$305.67 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$650.67 |
$650.67 |
$650.67 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$23.69 |
$23.69 |
$23.69 |
$110.62
|
|
Team conf without pat by phys
|
$36.57 |
$36.57 |
$36.57 |
$139.05
|
|
Team conf w/pat by hc prof
|
$26.91 |
$26.91 |
$26.91 |
$105.70
|
|
Telehealth original site facility fee
|
$43.12 |
$43.12 |
$43.12 |
$51.00
|
|
Telethx isodose plan cplx
|
$99.59 |
$99.59 |
$99.59 |
$1,526.85
|
|
Telethx isodose plan simple
|
$47.84 |
$47.84 |
$47.84 |
$889.80
|
|
Temperature gradient studies
|
$5.29 |
$5.29 |
$5.29 |
$242.25
|
|
Tendon lengthening
|
$410.55 |
$410.55 |
$410.55 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$380.65 |
$380.65 |
$380.65 |
$3,591.33
|
|
Tendon shortening
|
$401.35 |
$401.35 |
$401.35 |
$3,786.00
|
|
Tendon transfer with graft
|
$595.24 |
$595.24 |
$595.24 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$6,679.29 |
$6,679.29 |
$6,679.29 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$396.98 |
$396.98 |
$396.98 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$383.87 |
$383.87 |
$383.87 |
$2,811.20
|
|
Tenolysis triceps
|
$404.34 |
$404.34 |
$404.34 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$509.68 |
$509.68 |
$509.68 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$339.71 |
$339.71 |
$339.71 |
$2,211.05
|
|
Tenotomy hip flexor open
|
$471.73 |
$471.73 |
$471.73 |
$3,342.87
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$192.05 |
$192.05 |
$192.05 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$157.09 |
$157.09 |
$157.09 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$158.58 |
$158.58 |
$158.58 |
$39.33
|
|
Tert gene targeted seq alys
|
$127.88 |
$127.88 |
$127.88 |
$335.00
|
|
Test for chlorohydrocarbons
|
$4.14 |
$4.14 |
$4.14 |
$61.60
|
|
Test for porphobilinogen
|
$4.14 |
$4.14 |
$4.14 |
$29.25
|
|
Test for urine cystines
|
$63.14 |
$63.14 |
$63.14 |
$26.00
|