|
Thyroid imaging
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$695.02
|
|
Thyroid met imaging
|
$20.47 |
$20.47 |
$20.47 |
$838.25
|
|
Thyroid met imaging/studies
|
$21.16 |
$21.16 |
$21.16 |
$767.93
|
|
Thyroid mets imag whole body
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,524.99
|
|
Thyroid met uptake
|
$1,033.34 |
$1,033.34 |
$1,033.34 |
$407.40
|
|
Thyroid (TSH) Test
|
$110.11 |
$110.11 |
$110.11 |
$111.75
|
|
Thyroid Ultrasound
|
$583.66 |
$583.66 |
$583.66 |
$588.50
|
|
Thyroid uptake measurement
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$589.22
|
|
Thyrotropin releasing hormone
|
$34.96 |
$34.96 |
$34.96 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$97.02 |
$97.02 |
$97.02 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$508.76 |
$508.76 |
$508.76 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$646.07 |
$646.07 |
$646.07 |
$10,629.07
|
|
Tib/per revasc stent & ather 37231
|
$52,541.72 |
$52,541.72 |
$52,541.72 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$39,406.29 |
$39,406.29 |
$39,406.29 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$39,406.29 |
$39,406.29 |
$39,406.29 |
$10,165.00
|
|
Tilt table study
|
$57.96 |
$57.96 |
$57.96 |
$1,507.01
|
|
Tis cgen car anomal 1st shnt
|
$678.04 |
$678.04 |
$678.04 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$270.94 |
$270.94 |
$270.94 |
$6,546.38
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$96.83 |
$96.83 |
$96.83 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$105.34 |
$105.34 |
$105.34 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$70.15 |
$70.15 |
$70.15 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$92.92 |
$92.92 |
$92.92 |
$650.00
|
|
Tiss ex molecul study add-on
|
$14.95 |
$14.95 |
$14.95 |
$45.53
|
|
Tissue culture placenta
|
$439.67 |
$439.67 |
$439.67 |
$453.00
|
|
Tissue culture skin/biopsy
|
$411.95 |
$411.95 |
$411.95 |
$498.40
|
|
Tissue culture tumor
|
$101.66 |
$101.66 |
$101.66 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$27.72 |
$27.72 |
$27.72 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$0.77 |
$0.77 |
$0.77 |
$537.50
|
|
Tissue transglutaminase iga
|
$76.23 |
$76.23 |
$76.23 |
$45.60
|
|
Tixagev and cilgav inj
|
$103.73 |
$103.73 |
$103.73 |
$241.92
|
|
Tlh uterus 250 g or less
|
$522.33 |
$522.33 |
$522.33 |
$12,320.22
|
|
Tlh uterus over 250 g
|
$672.98 |
$672.98 |
$672.98 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$586.73 |
$586.73 |
$586.73 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$787.06 |
$787.06 |
$787.06 |
$12,320.22
|
|
Tmvr w/prosthetic ring 33426
|
$1,513.86 |
$1,513.86 |
$1,513.86 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$1,547.90 |
$1,547.90 |
$1,547.90 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$309.12 |
$309.12 |
$309.12 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$141.61 |
$141.61 |
$141.61 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$106.26 |
$106.26 |
$106.26 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,137.94 |
$2,137.94 |
$2,137.94 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$1,068.97 |
$1,068.97 |
$1,068.97 |
$20.55
|
|
Toe joint transfer
|
$2,187.30 |
$2,187.30 |
$2,187.30 |
$7,413.38
|
|
Toe X-ray (both feet)
|
$354.20 |
$354.20 |
$354.20 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$18.40 |
$18.40 |
$18.40 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$149.38 |
$149.38 |
$149.38 |
$74.10
|
|
Tongue and neck surgery
|
$1,377.01 |
$1,377.01 |
$1,377.01 |
$2,745.01
|
|
Tongue base vol reduction
|
$239.89 |
$239.89 |
$239.89 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$71.30 |
$71.30 |
$71.30 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$1,897.04 |
$1,897.04 |
$1,897.04 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$1,395.64 |
$1,395.64 |
$1,395.64 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$1,521.68 |
$1,521.68 |
$1,521.68 |
$3,012.36
|
|
Tongue removal neck surgery
|
$1,743.86 |
$1,743.86 |
$1,743.86 |
$3,456.80
|
|
Tongue suspension
|
$423.43 |
$423.43 |
$423.43 |
$4,082.40
|
|
Tongue to lip surgery
|
$287.73 |
$287.73 |
$287.73 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$166.52 |
$166.52 |
$166.52 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$175.03 |
$175.03 |
$175.03 |
$6,056.50
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$874.00 |
$874.00 |
$874.00 |
$3,364.80
|
|
Total hip arthroplasty
|
$1,080.54 |
$1,080.54 |
$1,080.54 |
$7,347.60
|
|
Total Hip Replacement
|
$831.91 |
$831.91 |
$831.91 |
$9,161.60
|
|
Total hysterectomy
|
$658.72 |
$658.72 |
$658.72 |
$3,001.70
|
|
Total Knee Replacement
|
$830.99 |
$830.99 |
$830.99 |
$14,061.89
|
|
Total lung lavage
|
$214.59 |
$214.59 |
$214.59 |
$1,758.40
|
|
Total ob care failed vbac 59618
|
$1,747.54 |
$1,747.54 |
$1,747.54 |
$4,792.80
|
|
Tot disc arthrp 1ntrspc crv
|
$1,053.86 |
$1,053.86 |
$1,053.86 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,129.99 |
$1,129.99 |
$1,129.99 |
$4,365.60
|
|
Tot disc arthrp 2ntrspc lmbr
|
$265.42 |
$265.42 |
$265.42 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$326.37 |
$326.37 |
$326.37 |
$1,230.40
|
|
Tot esophagectomy without thoracotomy 43107
|
$1,897.73 |
$1,897.73 |
$1,897.73 |
$7,284.80
|
|
Tot estradiol response panel
|
$38.64 |
$38.64 |
$38.64 |
$140.80
|
|
Toxoplasma antibody igg
|
$95.48 |
$95.48 |
$95.48 |
$90.00
|
|
Toxoplasma antibody igm
|
$95.48 |
$95.48 |
$95.48 |
$89.05
|
|
Tp53 gene full gene sequence
|
$1,878.03 |
$1,878.03 |
$1,878.03 |
$706.04
|
|
Tp53 gene known famil vrnt
|
$212.52 |
$212.52 |
$212.52 |
$395.40
|
|
Tpmt gene com vrnts
|
$511.28 |
$511.28 |
$511.28 |
$371.80
|
|
Tprnl balo cntnc dev adjmt
|
$23.46 |
$23.46 |
$23.46 |
$551.20
|
|
Tprnl balo cntnc dev bi
|
$504.16 |
$504.16 |
$504.16 |
$15,403.70
|
|
Tprnl balo cntnc dev rmvl ea
|
$428.49 |
$428.49 |
$428.49 |
$5,419.00
|
|
Tprnl balo cntnc dev uni
|
$252.08 |
$252.08 |
$252.08 |
$9,945.60
|
|
Tprnl plmt biodegrdabl matrl
|
$105.80 |
$105.80 |
$105.80 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$130.18 |
$130.18 |
$130.18 |
$1,180.80
|
|
Trachelectomy (cervicectomy) 57530
|
$241.50 |
$241.50 |
$241.50 |
$4,933.66
|
|
Tracheobrnchsc thru est trachs incisn
|
$74.52 |
$74.52 |
$74.52 |
$1,437.45
|
|
Tracheo-esophagoplasty cong
|
$2,005.37 |
$2,005.37 |
$2,005.37 |
$7,181.60
|
|
Tracheoplasty intrathoracic
|
$878.37 |
$878.37 |
$878.37 |
$1,977.86
|
|
Tracheostoma revision; simple, without flap rotation
|
$269.10 |
$269.10 |
$269.10 |
$3,837.72
|
|
Train for caregiver add 15
|
$16.10 |
$16.10 |
$16.10 |
$47.60
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$146.30 |
$146.30 |
$146.30 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$198.95 |
$198.95 |
$198.95 |
$678.70
|
|
Transab esoph hiat hern repair 43332
|
$739.45 |
$739.45 |
$739.45 |
$2,835.20
|
|
Transab esoph hiat hern rpr
|
$812.82 |
$812.82 |
$812.82 |
$3,096.80
|
|
Transcath biopsy
|
$15,817.34 |
$15,817.34 |
$15,817.34 |
$4,285.93
|
|
Transcath closure of asd
|
$615.02 |
$615.02 |
$615.02 |
$17,352.58
|
|
Transcath closure of vsd
|
$835.59 |
$835.59 |
$835.59 |
$17,458.00
|
|
Transcatheter bx s&i
|
$1,983.52 |
$1,983.52 |
$1,983.52 |
$1,954.55
|
|
Transcath mv repair addl prosthesis
|
$267.49 |
$267.49 |
$267.49 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$1,138.73 |
$1,138.73 |
$1,138.73 |
$13,384.80
|
|
Transcath occlusion cns
|
$750.95 |
$750.95 |
$750.95 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$583.97 |
$583.97 |
$583.97 |
$10,452.00
|
|
Trans cath replace aortic valve 33366
|
$993.60 |
$993.60 |
$993.60 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$320.39 |
$320.39 |
$320.39 |
$4,822.00
|