|
Synch audio-only new low 30
|
$55.12 |
$55.12 |
$55.12 |
$117.00
|
|
Synch audio-only new mod 45
|
$87.10 |
$87.10 |
$87.10 |
$166.70
|
|
Synch audio-only new sf 15
|
$31.72 |
$31.72 |
$31.72 |
$67.80
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$28.12 |
$28.12 |
$28.12 |
$42.24
|
|
System pacing micra av
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$106.56 |
$106.56 |
$106.56 |
$100.00
|
|
T3 (triiodothyronine) total
|
$90.28 |
$90.28 |
$90.28 |
$93.52
|
|
T4 (thyroxine) free
|
$56.98 |
$56.98 |
$56.98 |
$87.30
|
|
T4 (thyroxine) total
|
$43.66 |
$43.66 |
$43.66 |
$68.40
|
|
Tacrolimus therapeutic drug level
|
$87.32 |
$87.32 |
$87.32 |
$122.40
|
|
Tah rad debulk/lymph remove 58954
|
$1,583.66 |
$1,583.66 |
$1,583.66 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$1,463.02 |
$1,463.02 |
$1,463.02 |
$4,964.80
|
|
Tah w/mmk 58152
|
$903.24 |
$903.24 |
$903.24 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$340.40 |
$340.40 |
$340.40 |
$288.60
|
|
Tap block bilat cont infusion 64489
|
$689.68 |
$689.68 |
$689.68 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$173.16 |
$173.16 |
$173.16 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,135.64 |
$2,135.64 |
$2,135.64 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$8,209.56 |
$8,209.56 |
$8,209.56 |
$3,762.00
|
|
Target gsa panel organ neop
|
$1,681.28 |
$1,681.28 |
$1,681.28 |
$1,749.44
|
|
Tas congenital car anomal
|
$536.38 |
$536.38 |
$536.38 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$95.16 |
$95.16 |
$95.16 |
$931.50
|
|
Tavr perq femoral
|
$864.76 |
$864.76 |
$864.76 |
$15,454.40
|
|
Tbp gene detc abnor alleles
|
$107.12 |
$107.12 |
$107.12 |
$225.42
|
|
Tbs i&r fx rsk qhp
|
$7.02 |
$7.02 |
$7.02 |
$61.04
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$632.70 |
$632.70 |
$632.70 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$392.20 |
$392.20 |
$392.20 |
$181.80
|
|
Tc-99m non-heu per study dose
|
$0.75 |
$0.75 |
$0.75 |
$6.50
|
|
Tca peel dermal 15789
|
$300.04 |
$300.04 |
$300.04 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$42.64 |
$42.64 |
$42.64 |
$475.80
|
|
Tcd emboli detect without inj
|
$42.12 |
$42.12 |
$42.12 |
$475.28
|
|
Tcd vasoreactivity study
|
$119.60 |
$119.60 |
$119.60 |
$566.88
|
|
T-cell depletion of harvest
|
$60.58 |
$60.58 |
$60.58 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$297.48 |
$297.48 |
$297.48 |
$185.28
|
|
T cells absolute cd 4 count
|
$169.46 |
$169.46 |
$169.46 |
$111.20
|
|
T cells total count
|
$239.02 |
$239.02 |
$239.02 |
$132.63
|
|
Tdh sdrl/ventr pnxr
|
$345.54 |
$345.54 |
$345.54 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$9,370.62 |
$9,370.62 |
$9,370.62 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$26.78 |
$26.78 |
$26.78 |
$110.62
|
|
Team conf without pat by phys
|
$41.34 |
$41.34 |
$41.34 |
$139.05
|
|
Team conf w/pat by hc prof
|
$30.42 |
$30.42 |
$30.42 |
$105.70
|
|
Telehealth original site facility fee
|
$41.44 |
$41.44 |
$41.44 |
$51.00
|
|
Telethx isodose plan cplx
|
$112.58 |
$112.58 |
$112.58 |
$1,526.85
|
|
Telethx isodose plan simple
|
$54.08 |
$54.08 |
$54.08 |
$889.80
|
|
Temperature gradient studies
|
$5.98 |
$5.98 |
$5.98 |
$242.25
|
|
Tendon lengthening
|
$464.10 |
$464.10 |
$464.10 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$430.30 |
$430.30 |
$430.30 |
$3,591.33
|
|
Tendon shortening
|
$453.70 |
$453.70 |
$453.70 |
$3,786.00
|
|
Tendon transfer with graft
|
$672.88 |
$672.88 |
$672.88 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,550.51 |
$7,550.51 |
$7,550.51 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$448.76 |
$448.76 |
$448.76 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$433.94 |
$433.94 |
$433.94 |
$2,811.20
|
|
Tenolysis triceps
|
$457.08 |
$457.08 |
$457.08 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$576.16 |
$576.16 |
$576.16 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$384.02 |
$384.02 |
$384.02 |
$2,211.05
|
|
Tenotomy hip flexor open
|
$533.26 |
$533.26 |
$533.26 |
$3,342.87
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$217.10 |
$217.10 |
$217.10 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$177.58 |
$177.58 |
$177.58 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$179.27 |
$179.27 |
$179.27 |
$39.33
|
|
Tert gene targeted seq alys
|
$144.56 |
$144.56 |
$144.56 |
$335.00
|
|
Test for chlorohydrocarbons
|
$4.68 |
$4.68 |
$4.68 |
$61.60
|
|
Test for porphobilinogen
|
$4.68 |
$4.68 |
$4.68 |
$29.25
|
|
Test for urine cystines
|
$60.68 |
$60.68 |
$60.68 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$988.64 |
$988.64 |
$988.64 |
$842.56
|
|
Testosterone response panel
|
$40.04 |
$40.04 |
$40.04 |
$129.60
|
|
Test pathogen(s) for platelets reference
|
$375.92 |
$375.92 |
$375.92 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$876.16 |
$876.16 |
$876.16 |
$949.70
|
|
Test urine for lactose
|
$8.84 |
$8.84 |
$8.84 |
$23.20
|
|
Test urine for porphyrins
|
$10.40 |
$10.40 |
$10.40 |
$49.98
|
|
Test urine urobilinogen
|
$3.64 |
$3.64 |
$3.64 |
$9.75
|
|
Tetanus immune globulin inj
|
$337.57 |
$337.57 |
$337.57 |
$1,285.36
|
|
Tgfbi gene common variants
|
$107.12 |
$107.12 |
$107.12 |
$150.70
|
|
Tgsap hl neo 5-50 rna alys
|
$2,135.64 |
$2,135.64 |
$2,135.64 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$8,209.56 |
$8,209.56 |
$8,209.56 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$1,681.28 |
$1,681.28 |
$1,681.28 |
$1,009.32
|
|
Thawing cryopresrved embryo
|
$143.00 |
$143.00 |
$143.00 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$195.00 |
$195.00 |
$195.00 |
$402.80
|
|
Thaw preserved stem cells
|
$21.58 |
$21.58 |
$21.58 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$89.54 |
$89.54 |
$89.54 |
$108.00
|
|
Therapeutic procd strg endur
|
$8.06 |
$8.06 |
$8.06 |
$85.68
|
|
Therapy activation ipnss
|
$30.42 |
$30.42 |
$30.42 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$150.96 |
$150.96 |
$150.96 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$115.44 |
$115.44 |
$115.44 |
$98.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$23.40 |
$23.40 |
$23.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$19.76 |
$19.76 |
$19.76 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$86.06 |
$86.06 |
$86.06 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$688.20 |
$688.20 |
$688.20 |
$534.32
|
|
Ther radiology tx plng cplx
|
$124.02 |
$124.02 |
$124.02 |
$332.00
|
|
Ther radiology tx plng intrm
|
$79.82 |
$79.82 |
$79.82 |
$224.00
|
|
Ther radiology tx plng smpl
|
$51.48 |
$51.48 |
$51.48 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.06 |
$9.06 |
$9.06 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$425.50 |
$425.50 |
$425.50 |
$311.15
|
|
Thorabd diaphr hern repair
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$3,542.40
|
|
Thorabd diaphr hern repair
|
$1,112.54 |
$1,112.54 |
$1,112.54 |
$6,837.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,738.26 |
$1,738.26 |
$1,738.26 |
$1,748.50
|
|
Thoracic aortic graft 33875
|
$1,963.52 |
$1,963.52 |
$1,963.52 |
$5,329.20
|
|
Thoracic duct procedure
|
$424.58 |
$424.58 |
$424.58 |
$1,406.40
|
|
Thoracic duct procedure
|
$587.60 |
$587.60 |
$587.60 |
$1,958.40
|
|
Thoracic duct procedure
|
$496.08 |
$496.08 |
$496.08 |
$1,656.80
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$153.66 |
$153.66 |
$153.66 |
$499.80
|
