|
Thoracotomy w/expl
|
$558.80 |
$558.80 |
$558.80 |
$2,045.17
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$6,144.20 |
$6,144.20 |
$6,144.20 |
$21,413.60
|
|
Thrombin time
|
$30.40 |
$30.40 |
$30.40 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$91.20 |
$91.20 |
$91.20 |
$61.52
|
|
Thyroglobulin antibody
|
$98.80 |
$98.80 |
$98.80 |
$82.00
|
|
Thyroid imaging
|
$269.80 |
$269.80 |
$269.80 |
$695.02
|
|
Thyroid mets imag whole body
|
$307.80 |
$307.80 |
$307.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$48.00 |
$48.00 |
$48.00 |
$111.00
|
|
Thyroid Ultrasound
|
$196.60 |
$196.60 |
$196.60 |
$588.50
|
|
Thyroid uptake measurement
|
$244.40 |
$244.40 |
$244.40 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$130.40 |
$130.40 |
$130.40 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$14,711.20 |
$14,711.20 |
$14,711.20 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$12,903.60 |
$12,903.60 |
$12,903.60 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$8,070.00 |
$8,070.00 |
$8,070.00 |
$9,769.65
|
|
Tigecycline injection
|
$145.77 |
$145.77 |
$145.77 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$126.00 |
$126.00 |
$126.00 |
$458.85
|
|
Tissue exam koh skin/hair/nails
|
$16.80 |
$16.80 |
$16.80 |
$47.20
|
|
Tissue transglutaminase iga
|
$7.40 |
$7.40 |
$7.40 |
$44.16
|
|
Tixagev and cilgav inj
|
$97.80 |
$97.80 |
$97.80 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$68.96 |
$68.96 |
$68.96 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$106.85 |
$106.85 |
$106.85 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$71.60 |
$71.60 |
$71.60 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$20.20 |
$20.20 |
$20.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$20.20 |
$20.20 |
$20.20 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$259.00 |
$259.00 |
$259.00 |
$325.00
|
|
Toxoplasma antibody igg
|
$39.20 |
$39.20 |
$39.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$45.20 |
$45.20 |
$45.20 |
$87.00
|
|
Tp53 gene full gene sequence
|
$416.60 |
$416.60 |
$416.60 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$214.00 |
$214.00 |
$214.00 |
$790.68
|
|
Tracheobrnchsc thru est trachs incisn
|
$244.40 |
$244.40 |
$244.40 |
$1,420.44
|
|
Transcath biopsy
|
$1,568.20 |
$1,568.20 |
$1,568.20 |
$4,285.93
|
|
Transcatheter bx s&i
|
$487.40 |
$487.40 |
$487.40 |
$1,915.00
|
|
Transferrin
|
$38.60 |
$38.60 |
$38.60 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$233.80 |
$233.80 |
$233.80 |
$983.00
|
|
Treat ankle dislocation
|
$837.80 |
$837.80 |
$837.80 |
$2,358.40
|
|
Treat clavicle dislocation 23545
|
$149.60 |
$149.60 |
$149.60 |
$705.60
|
|
Treat elbow dislocation
|
$837.20 |
$837.20 |
$837.20 |
$2,223.20
|
|
Treat elbow fracture
|
$818.40 |
$818.40 |
$818.40 |
$1,919.13
|
|
Treat finger fracture each
|
$362.40 |
$362.40 |
$362.40 |
$1,536.00
|
|
Treat foot dislocation
|
$48.00 |
$48.00 |
$48.00 |
$396.30
|
|
Treat foot dislocation
|
$149.60 |
$149.60 |
$149.60 |
$527.28
|
|
Treat foot dislocation
|
$78.20 |
$78.20 |
$78.20 |
$445.80
|
|
Treat fracture of radius
|
$362.40 |
$362.40 |
$362.40 |
$1,790.00
|
|
Treat fracture of radius
|
$861.80 |
$861.80 |
$861.80 |
$1,849.00
|
|
Treat fracture of ulna
|
$126.40 |
$126.40 |
$126.40 |
$726.05
|
|
Treat hip dislocation
|
$931.00 |
$931.00 |
$931.00 |
$2,192.80
|
|
Treat humerus fracture
|
$362.40 |
$362.40 |
$362.40 |
$1,771.43
|
|
Treat knee dislocation
|
$415.60 |
$415.60 |
$415.60 |
$2,220.89
|
|
Treat knee fracture 27530
|
$136.20 |
$136.20 |
$136.20 |
$550.00
|
|
Treat knuckle dislocation
|
$362.40 |
$362.40 |
$362.40 |
$1,523.90
|
|
Treat lower leg dislocation
|
$47.60 |
$47.60 |
$47.60 |
$530.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$70.60 |
$70.60 |
$70.60 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$70.60 |
$70.60 |
$70.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$48.20 |
$48.20 |
$48.20 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$60.40 |
$60.40 |
$60.40 |
$520.80
|
|
Treatment of thigh fracture
|
$60.40 |
$60.40 |
$60.40 |
$548.90
|
|
Treatment of thigh fracture
|
$362.40 |
$362.40 |
$362.40 |
$1,772.97
|
|
Treatment radiation delivery level 2
|
$190.80 |
$190.80 |
$190.80 |
$767.65
|
|
Treat thigh fracture
|
$873.60 |
$873.60 |
$873.60 |
$2,032.10
|
|
Treat ulnar fracture
|
$362.40 |
$362.40 |
$362.40 |
$1,662.00
|
|
Treat vaginal bleeding
|
$102.60 |
$102.60 |
$102.60 |
$379.60
|
|
Treat wrist bone fracture
|
$362.40 |
$362.40 |
$362.40 |
$1,548.40
|
|
Treat wrist dislocation
|
$60.40 |
$60.40 |
$60.40 |
$656.25
|
|
Treponema pallidum antibody
|
$61.00 |
$61.00 |
$61.00 |
$70.40
|
|
Treprostinil injection
|
$6,360.92 |
$6,360.92 |
$6,360.92 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$94.20 |
$94.20 |
$94.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$86.04 |
$86.04 |
$86.04 |
$43.21
|
|
Trichomonas assay w/optic
|
$9.20 |
$9.20 |
$9.20 |
$55.50
|
|
Triglycerides
|
$33.20 |
$33.20 |
$33.20 |
$58.05
|
|
Trim nondyst nails
|
$33.00 |
$33.00 |
$33.00 |
$113.40
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,658.20 |
$2,658.20 |
$2,658.20 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,658.20 |
$2,658.20 |
$2,658.20 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$5,316.60 |
$5,316.60 |
$5,316.60 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,062.20 |
$2,062.20 |
$2,062.20 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,580.40 |
$2,580.40 |
$2,580.40 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$861.80 |
$861.80 |
$861.80 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$2,986.34
|
|
Trnspl rej kdn mrna qpcr 139
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$3,232.32
|
|
Troponin quantitative
|
$91.20 |
$91.20 |
$91.20 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$753.80 |
$753.80 |
$753.80 |
$1,632.80
|
|
Tx closed distal humerus fx
|
$47.60 |
$47.60 |
$47.60 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$60.40 |
$60.40 |
$60.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$60.40 |
$60.40 |
$60.40 |
$535.60
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,931.60 |
$1,931.60 |
$1,931.60 |
$4,421.00
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$1,704.80 |
$1,704.80 |
$1,704.80 |
$4,499.12
|
|
Ultrasound abdomen aorta screening study aaa
|
$77.00 |
$77.00 |
$77.00 |
$394.20
|
|
Ultrasound breast complete
|
$158.40 |
$158.40 |
$158.40 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$121.40 |
$121.40 |
$121.40 |
$449.35
|
|
Ultrasound chest
|
$99.40 |
$99.40 |
$99.40 |
$460.85
|
|
Ultrasound elastography parenchyma
|
$75.60 |
$75.60 |
$75.60 |
$307.00
|
|
Ultrasound encephalogram
|
$147.80 |
$147.80 |
$147.80 |
$488.80
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$237.60 |
$237.60 |
$237.60 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$93.80 |
$93.80 |
$93.80 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$150.60 |
$150.60 |
$150.60 |
$720.15
|
|
Ultrasound hips infant dynamic
|
$165.40 |
$165.40 |
$165.40 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$113.80 |
$113.80 |
$113.80 |
$311.25
|
|
Ultrasound joint complete left
|
$147.80 |
$147.80 |
$147.80 |
$556.14
|
