|
Strapping of hip
|
$58.00 |
$58.00 |
$58.00 |
$164.70
|
|
Strapping of knee
|
$65.50 |
$65.50 |
$65.50 |
$205.20
|
|
Strapping of toes 29550
|
$54.00 |
$54.00 |
$54.00 |
$164.70
|
|
Stress test pulmonary
|
$138.50 |
$138.50 |
$138.50 |
$322.85
|
|
Stress tte complete
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,870.50
|
|
Str markers spec anal addl
|
$335.00 |
$335.00 |
$335.00 |
$479.17
|
|
Str markers specimen anal
|
$275.00 |
$275.00 |
$275.00 |
$751.50
|
|
St treatment speech individual
|
$153.50 |
$153.50 |
$153.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$153.50 |
$153.50 |
$153.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$225.00 |
$225.00 |
$225.00 |
$235.13
|
|
Suction lipectomy trunk
|
$2,357.00 |
$2,357.00 |
$2,357.00 |
$4,332.25
|
|
Sugars single quant
|
$69.50 |
$69.50 |
$69.50 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$240.00 |
$240.00 |
$240.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$114.50 |
$114.50 |
$114.50 |
$94.19
|
|
Surg dx exam anorectal
|
$2,317.50 |
$2,317.50 |
$2,317.50 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$60.50 |
$60.50 |
$60.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$83.50 |
$83.50 |
$83.50 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$162.00 |
$162.00 |
$162.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$275.00 |
$275.00 |
$275.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$276.50 |
$276.50 |
$276.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$424.50 |
$424.50 |
$424.50 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$73.00 |
$73.00 |
$73.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$32.50 |
$32.50 |
$32.50 |
$35.70
|
|
Susceptibility mic per plate
|
$309.00 |
$309.00 |
$309.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$124.00 |
$124.00 |
$124.00 |
$59.28
|
|
Svc venogram s&i
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$128.00 |
$128.00 |
$128.00 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$61.50 |
$61.50 |
$61.50 |
$41.60
|
|
System cardiomems hosp electronics
|
$111,240.00 |
$111,240.00 |
$111,240.00 |
$39,037.95
|
|
System pacing micra av
|
$21,995.50 |
$21,995.50 |
$21,995.50 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$25,946.50 |
$25,946.50 |
$25,946.50 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$11,183.00 |
$11,183.00 |
$11,183.00 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$65.50 |
$65.50 |
$65.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$63.00 |
$63.00 |
$63.00 |
$93.52
|
|
T4 (thyroxine) free
|
$59.50 |
$59.50 |
$59.50 |
$85.20
|
|
T4 (thyroxine) total
|
$38.00 |
$38.00 |
$38.00 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$79.00 |
$79.00 |
$79.00 |
$122.40
|
|
Talymed
|
$199.00 |
$199.00 |
$199.00 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$765.50 |
$765.50 |
$765.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$383.50 |
$383.50 |
$383.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,655.52
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$385.00 |
$385.00 |
$385.00 |
$953.29
|
|
Tavr perq femoral
|
$22,749.50 |
$22,749.50 |
$22,749.50 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$143.00 |
$143.00 |
$143.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$126.00 |
$126.00 |
$126.00 |
$177.65
|
|
Tca peel dermal 15789
|
$608.00 |
$608.00 |
$608.00 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$128.00 |
$128.00 |
$128.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$197.00 |
$197.00 |
$197.00 |
$475.28
|
|
Tcd vasoreactivity study
|
$208.50 |
$208.50 |
$208.50 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$235.50 |
$235.50 |
$235.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$316.00 |
$316.00 |
$316.00 |
$111.20
|
|
T cells total count
|
$429.50 |
$429.50 |
$429.50 |
$126.90
|
|
Tcranial magn stim tx deli
|
$255.50 |
$255.50 |
$255.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$255.50 |
$255.50 |
$255.50 |
$437.22
|
|
Tcran magn stim redetemine
|
$255.50 |
$255.50 |
$255.50 |
$457.60
|
|
Telehealth original site facility fee
|
$32.50 |
$32.50 |
$32.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$324.00 |
$324.00 |
$324.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$324.00 |
$324.00 |
$324.00 |
$873.62
|
|
Test for urine cystines
|
$12.50 |
$12.50 |
$12.50 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$419.50 |
$419.50 |
$419.50 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$3,856.50 |
$3,856.50 |
$3,856.50 |
$4,347.00
|
|
Thaw preserved stem cells
|
$1,755.50 |
$1,755.50 |
$1,755.50 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$66.00 |
$66.00 |
$66.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$65.50 |
$65.50 |
$65.50 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$129.00 |
$129.00 |
$129.00 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$28.50 |
$28.50 |
$28.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$13.50 |
$13.50 |
$13.50 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$117.00 |
$117.00 |
$117.00 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$717.00 |
$717.00 |
$717.00 |
$529.08
|
|
Ther/proph/diag inj ia
|
$54.50 |
$54.50 |
$54.50 |
$240.35
|
|
Thigh/wght bear lacer molded
|
$743.00 |
$743.00 |
$743.00 |
$873.03
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,134.50 |
$1,134.50 |
$1,134.50 |
$1,687.50
|
|
Thoracic aortic graft 33875
|
$2,424.00 |
$2,424.00 |
$2,424.00 |
$6,691.20
|
|
Thoracoscopy surgical 32650
|
$655.50 |
$655.50 |
$655.50 |
$2,815.80
|
|
Thoracotomy with cardiac massage
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$225.50 |
$225.50 |
$225.50 |
$225.50
|
|
Throat x-ray & fluoroscopy
|
$175.50 |
$175.50 |
$175.50 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,492.50 |
$2,492.50 |
$2,492.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,105.50 |
$7,105.50 |
$7,105.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,351.50 |
$13,351.50 |
$13,351.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$20,236.50 |
$20,236.50 |
$20,236.50 |
$21,413.60
|
|
Thrombin time
|
$91.50 |
$91.50 |
$91.50 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$3,009.50 |
$3,009.50 |
$3,009.50 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$70.00 |
$70.00 |
$70.00 |
$61.52
|
|
Thyroglobulin antibody
|
$90.00 |
$90.00 |
$90.00 |
$82.00
|
|
Thyroid imaging
|
$637.50 |
$637.50 |
$637.50 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$1,524.99
|
|
Thyroid met uptake
|
$99.00 |
$99.00 |
$99.00 |
$398.40
|
|
Thyroid (TSH) Test
|
$84.00 |
$84.00 |
$84.00 |
$111.00
|
|
Thyroid Ultrasound
|
$352.50 |
$352.50 |
$352.50 |
$588.50
|
|
Thyroid uptake measurement
|
$554.50 |
$554.50 |
$554.50 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$91.50 |
$91.50 |
$91.50 |
$64.35
|
|
Tibial length sock fx or equ
|
$106.50 |
$106.50 |
$106.50 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$20,532.00 |
$20,532.00 |
$20,532.00 |
$21,249.26
|
|
Tilt table study
|
$438.00 |
$438.00 |
$438.00 |
$1,507.01
|
|
Tissue culture placenta
|
$444.00 |
$444.00 |
$444.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$412.50 |
$412.50 |
$412.50 |
$484.00
|
|
Tissue culture tumor
|
$645.50 |
$645.50 |
$645.50 |
$483.36
|
