|
Thyroid imaging
|
$452.25 |
$452.25 |
$452.25 |
$695.02
|
|
Thyroid mets imag whole body
|
$452.25 |
$452.25 |
$452.25 |
$1,524.99
|
|
Thyroid met uptake
|
$418.80 |
$418.80 |
$418.80 |
$398.40
|
|
Thyroid (TSH) Test
|
$29.40 |
$29.40 |
$29.40 |
$111.00
|
|
Thyroid Ultrasound
|
$101.55 |
$101.55 |
$101.55 |
$588.50
|
|
Thyroid uptake measurement
|
$452.25 |
$452.25 |
$452.25 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,034.01 |
$2,034.01 |
$2,034.01 |
$4,112.43
|
|
Thyrotropin releasing hormone
|
$88.35 |
$88.35 |
$88.35 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$25.05 |
$25.05 |
$25.05 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$7,850.85 |
$7,850.85 |
$7,850.85 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$3,739.95 |
$3,739.95 |
$3,739.95 |
$9,769.65
|
|
Tigecycline injection
|
$229.12 |
$229.12 |
$229.12 |
$234.00
|
|
Tilt table study
|
$450.75 |
$450.75 |
$450.75 |
$1,507.01
|
|
Tissue culture placenta
|
$121.35 |
$121.35 |
$121.35 |
$457.00
|
|
Tissue culture skin/biopsy
|
$130.95 |
$130.95 |
$130.95 |
$484.00
|
|
Tissue culture tumor
|
$121.50 |
$121.50 |
$121.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$7.20 |
$7.20 |
$7.20 |
$47.20
|
|
Tissue transglutaminase iga
|
$74.55 |
$74.55 |
$74.55 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$44.85 |
$44.85 |
$44.85 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$142.03 |
$142.03 |
$142.03 |
$152.36
|
|
Tobramycin non-comp unit
|
$32.21 |
$32.21 |
$32.21 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$28.35 |
$28.35 |
$28.35 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,541.70 |
$3,541.70 |
$3,541.70 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$74.10 |
$74.10 |
$74.10 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$74.10 |
$74.10 |
$74.10 |
$72.68
|
|
Tone decay hearing test
|
$13.20 |
$13.20 |
$13.20 |
$90.37
|
|
Total tau
|
$51.15 |
$51.15 |
$51.15 |
$312.50
|
|
Toxoplasma antibody igg
|
$25.20 |
$25.20 |
$25.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$25.20 |
$25.20 |
$25.20 |
$87.00
|
|
Tp53 gene full gene sequence
|
$823.80 |
$823.80 |
$823.80 |
$709.80
|
|
Tp53 gene known famil vrnt
|
$395.40 |
$395.40 |
$395.40 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$422.85 |
$422.85 |
$422.85 |
$790.68
|
|
Tpmt gene com vrnts
|
$224.40 |
$224.40 |
$224.40 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$269.70 |
$269.70 |
$269.70 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$21.00 |
$21.00 |
$21.00 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$12.64 |
$12.64 |
$12.64 |
$56.38
|
|
Transabdom amnioinfus w/us
|
$195.75 |
$195.75 |
$195.75 |
$678.70
|
|
Transcath biopsy
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$4,285.93
|
|
Transcath closure of asd
|
$3,076.95 |
$3,076.95 |
$3,076.95 |
$16,741.40
|
|
Transcatheter bx s&i
|
$347.25 |
$347.25 |
$347.25 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$2,262.75 |
$2,262.75 |
$2,262.75 |
$12,418.00
|
|
Trans cath replace aortic valve 33366
|
$2,262.75 |
$2,262.75 |
$2,262.75 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,503.90 |
$1,503.90 |
$1,503.90 |
$4,775.16
|
|
Transcutaneous carboxyhb
|
$4.80 |
$4.80 |
$4.80 |
$33.57
|
|
Transferrin
|
$22.05 |
$22.05 |
$22.05 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$119.40 |
$119.40 |
$119.40 |
$983.00
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$1,510.82 |
$1,510.82 |
$1,510.82 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$988.65 |
$988.65 |
$988.65 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$583.37 |
$583.37 |
$583.37 |
$940.80
|
|
Treat clavicle dislocation 23545
|
$211.95 |
$211.95 |
$211.95 |
$705.60
|
|
Treat elbow dislocation
|
$723.45 |
$723.45 |
$723.45 |
$2,223.20
|
|
Treat elbow fracture
|
$723.45 |
$723.45 |
$723.45 |
$1,919.13
|
|
Treat finger fracture each
|
$63.30 |
$63.30 |
$63.30 |
$1,536.00
|
|
Treat foot dislocation
|
$101.55 |
$101.55 |
$101.55 |
$527.28
|
|
Treat fracture of radius
|
$205.50 |
$205.50 |
$205.50 |
$1,790.00
|
|
Treat fracture of radius
|
$723.45 |
$723.45 |
$723.45 |
$1,849.00
|
|
Treat fracture of ulna
|
$211.95 |
$211.95 |
$211.95 |
$726.05
|
|
Treat hip dislocation
|
$723.45 |
$723.45 |
$723.45 |
$2,192.80
|
|
Treat humerus fracture
|
$211.95 |
$211.95 |
$211.95 |
$1,771.43
|
|
Treat humerus fracture
|
$283.95 |
$283.95 |
$283.95 |
$1,771.43
|
|
Treat knee dislocation
|
$659.25 |
$659.25 |
$659.25 |
$2,220.89
|
|
Treat knee fracture 27530
|
$109.20 |
$109.20 |
$109.20 |
$550.00
|
|
Treat lower leg dislocation
|
$211.95 |
$211.95 |
$211.95 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$834.75 |
$834.75 |
$834.75 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$43.50 |
$43.50 |
$43.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$39.60 |
$39.60 |
$39.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$98.55 |
$98.55 |
$98.55 |
$203.35
|
|
Treatment of ankle fracture
|
$3,081.15 |
$3,081.15 |
$3,081.15 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$241.50 |
$241.50 |
$241.50 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$221.40 |
$221.40 |
$221.40 |
$491.50
|
|
Treatment of thigh fracture
|
$124.05 |
$124.05 |
$124.05 |
$476.16
|
|
Treatment of thigh fracture
|
$629.10 |
$629.10 |
$629.10 |
$1,748.40
|
|
Treatment of toe fracture 28510
|
$63.30 |
$63.30 |
$63.30 |
$369.70
|
|
Treatment radiation delivery level 2
|
$173.40 |
$173.40 |
$173.40 |
$767.65
|
|
Treat midfoot fracture each
|
$76.05 |
$76.05 |
$76.05 |
$1,851.78
|
|
Treat sternum fracture
|
$124.05 |
$124.05 |
$124.05 |
$423.00
|
|
Treat thigh fracture
|
$124.05 |
$124.05 |
$124.05 |
$1,893.86
|
|
Treat thigh fracture
|
$124.05 |
$124.05 |
$124.05 |
$618.80
|
|
Treat thigh fx growth plate
|
$96.75 |
$96.75 |
$96.75 |
$475.68
|
|
Treat ulnar fracture
|
$211.95 |
$211.95 |
$211.95 |
$1,662.00
|
|
Treat wrist bone fracture
|
$211.95 |
$211.95 |
$211.95 |
$1,548.40
|
|
Treat wrist dislocation
|
$211.95 |
$211.95 |
$211.95 |
$656.25
|
|
Treponema pallidum antibody
|
$23.10 |
$23.10 |
$23.10 |
$70.40
|
|
Trg gene rearrangement anal
|
$352.80 |
$352.80 |
$352.80 |
$455.70
|
|
Trh stimulation panel
|
$117.75 |
$117.75 |
$117.75 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$22.89 |
$22.89 |
$22.89 |
$43.21
|
|
Trichinella antibody
|
$22.05 |
$22.05 |
$22.05 |
$70.20
|
|
Trichomonas assay w/optic
|
$19.95 |
$19.95 |
$19.95 |
$55.50
|
|
#tricyclicantidprssnt
|
$29.70 |
$29.70 |
$29.70 |
$50.86
|
|
Triglycerides
|
$10.05 |
$10.05 |
$10.05 |
$58.05
|
|
Trim nail(s)
|
$12.15 |
$12.15 |
$12.15 |
$79.00
|
|
Trim nondyst nails
|
$12.15 |
$12.15 |
$12.15 |
$113.40
|
|
Trmt of fracture (femoral shaft) 27500
|
$124.05 |
$124.05 |
$124.05 |
$754.80
|
|
Trnscath plc stent crv crtd without prtct
|
$2,812.05 |
$2,812.05 |
$2,812.05 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$2,812.05 |
$2,812.05 |
$2,812.05 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$5,874.15 |
$5,874.15 |
$5,874.15 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$3,699.90 |
$3,699.90 |
$3,699.90 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,708.70 |
$2,708.70 |
$2,708.70 |
$8,990.80
|
