|
Surg dx exam anorectal
|
$3,204.50 |
$3,204.50 |
$3,204.50 |
$3,245.23
|
|
Surgical pathology level 2 gross & microscopic examination
|
$87.00 |
$87.00 |
$87.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$124.00 |
$124.00 |
$124.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$195.50 |
$195.50 |
$195.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$341.00 |
$341.00 |
$341.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$524.00 |
$524.00 |
$524.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$100.50 |
$100.50 |
$100.50 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$44.50 |
$44.50 |
$44.50 |
$35.70
|
|
Susceptibility mic per plate
|
$423.50 |
$423.50 |
$423.50 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$170.00 |
$170.00 |
$170.00 |
$59.28
|
|
Svc venogram s&i
|
$2,671.50 |
$2,671.50 |
$2,671.50 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$158.50 |
$158.50 |
$158.50 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$57.50 |
$57.50 |
$57.50 |
$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
|
$90.50 |
$90.50 |
$90.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$87.50 |
$87.50 |
$87.50 |
$93.52
|
|
T4 (thyroxine) free
|
$82.50 |
$82.50 |
$82.50 |
$85.20
|
|
T4 (thyroxine) total
|
$52.50 |
$52.50 |
$52.50 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$98.00 |
$98.00 |
$98.00 |
$122.40
|
|
Talymed
|
$199.00 |
$199.00 |
$199.00 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$530.50 |
$530.50 |
$530.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,544.50 |
$2,544.50 |
$2,544.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,023.50 |
$5,023.50 |
$5,023.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,544.50 |
$2,544.50 |
$2,544.50 |
$1,655.52
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$532.00 |
$532.00 |
$532.00 |
$953.29
|
|
Tavr perq femoral
|
$28,085.50 |
$28,085.50 |
$28,085.50 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$131.50 |
$131.50 |
$131.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$116.50 |
$116.50 |
$116.50 |
$177.65
|
|
Tca peel dermal 15789
|
$840.50 |
$840.50 |
$840.50 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$212.50 |
$212.50 |
$212.50 |
$475.80
|
|
Tcd emboli detect without inj
|
$327.00 |
$327.00 |
$327.00 |
$475.28
|
|
Tcd vasoreactivity study
|
$257.00 |
$257.00 |
$257.00 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$217.50 |
$217.50 |
$217.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$292.50 |
$292.50 |
$292.50 |
$111.20
|
|
T cells total count
|
$397.00 |
$397.00 |
$397.00 |
$126.90
|
|
Tcranial magn stim tx deli
|
$379.00 |
$379.00 |
$379.00 |
$389.22
|
|
Tcranial magn stim tx plan
|
$379.00 |
$379.00 |
$379.00 |
$437.22
|
|
Tcran magn stim redetemine
|
$379.00 |
$379.00 |
$379.00 |
$457.60
|
|
Telehealth original site facility fee
|
$48.00 |
$48.00 |
$48.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$418.50 |
$418.50 |
$418.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$418.50 |
$418.50 |
$418.50 |
$873.62
|
|
Test for urine cystines
|
$17.50 |
$17.50 |
$17.50 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$516.00 |
$516.00 |
$516.00 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$6,144.50 |
$6,144.50 |
$6,144.50 |
$4,347.00
|
|
Thaw preserved stem cells
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$81.50 |
$81.50 |
$81.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$90.50 |
$90.50 |
$90.50 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$191.50 |
$191.50 |
$191.50 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$39.00 |
$39.00 |
$39.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$173.50 |
$173.50 |
$173.50 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$1,188.50 |
$1,188.50 |
$1,188.50 |
$529.08
|
|
Ther/proph/diag inj ia
|
$66.00 |
$66.00 |
$66.00 |
$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)
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$1,687.50
|
|
Thoracic aortic graft 33875
|
$2,993.00 |
$2,993.00 |
$2,993.00 |
$6,691.20
|
|
Thoracoscopy surgical 32650
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$2,815.80
|
|
Thoracotomy with cardiac massage
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$225.50 |
$225.50 |
$225.50 |
$225.50
|
|
Throat x-ray & fluoroscopy
|
$291.00 |
$291.00 |
$291.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,077.00 |
$3,077.00 |
$3,077.00 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,716.00 |
$8,716.00 |
$8,716.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$16,483.50 |
$16,483.50 |
$16,483.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$24,983.50 |
$24,983.50 |
$24,983.50 |
$21,413.60
|
|
Thrombin time
|
$126.50 |
$126.50 |
$126.50 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$3,715.50 |
$3,715.50 |
$3,715.50 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$96.50 |
$96.50 |
$96.50 |
$61.52
|
|
Thyroglobulin antibody
|
$83.50 |
$83.50 |
$83.50 |
$82.00
|
|
Thyroid imaging
|
$837.50 |
$837.50 |
$837.50 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$1,524.99
|
|
Thyroid met uptake
|
$130.00 |
$130.00 |
$130.00 |
$398.40
|
|
Thyroid (TSH) Test
|
$116.50 |
$116.50 |
$116.50 |
$111.00
|
|
Thyroid Ultrasound
|
$392.00 |
$392.00 |
$392.00 |
$588.50
|
|
Thyroid uptake measurement
|
$728.00 |
$728.00 |
$728.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$126.50 |
$126.50 |
$126.50 |
$64.35
|
|
Tibial length sock fx or equ
|
$106.50 |
$106.50 |
$106.50 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$25,348.50 |
$25,348.50 |
$25,348.50 |
$21,249.26
|
|
Tilt table study
|
$605.50 |
$605.50 |
$605.50 |
$1,507.01
|
|
Tis cgen car anomal 1st shnt
|
$11,898.00 |
$11,898.00 |
$11,898.00 |
$8,068.54
|
|
Tissue culture placenta
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$457.00
|
|
Tissue culture skin/biopsy
|
$509.50 |
$509.50 |
$509.50 |
$484.00
|
|
Tissue culture tumor
|
$796.50 |
$796.50 |
$796.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$72.00 |
$72.00 |
$72.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$243.50 |
$243.50 |
$243.50 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$57.00 |
$57.00 |
$57.00 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$17.50 |
$17.50 |
$17.50 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$83.50 |
$83.50 |
$83.50 |
$44.16
|
|
Tixagev and cilgav inj
|
$433.50 |
$433.50 |
$433.50 |
$224.55
|
|
Tlso 2 piece rigid shell
|
$1,451.00 |
$1,451.00 |
$1,451.00 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,183.00 |
$2,183.00 |
$2,183.00 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$2,117.57
|
|
Tlso corset front
|
$246.00 |
$246.00 |
$246.00 |
$244.50
|
|
Tlso r fram soft pre ots
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$910.81
|
|
Tlso rigid lined custom fab
|
$3,121.50 |
$3,121.50 |
$3,121.50 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$4,290.50 |
$4,290.50 |
$4,290.50 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$2,788.42
|
