|
T3 (triiodothyronine) free
|
$103.00 |
$103.00 |
$103.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$187.00 |
$187.00 |
$187.00 |
$93.52
|
|
T4 (thyroxine) free
|
$77.50 |
$77.50 |
$77.50 |
$85.20
|
|
T4 (thyroxine) total
|
$128.00 |
$128.00 |
$128.00 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$134.00 |
$134.00 |
$134.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,387.50 |
$1,387.50 |
$1,387.50 |
$1,655.52
|
|
Tas congenital car anomal
|
$2,802.00 |
$2,802.00 |
$2,802.00 |
$6,003.27
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$49.50 |
$49.50 |
$49.50 |
$177.65
|
|
Tc-99m bicisate
|
$948.00 |
$948.00 |
$948.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$998.00 |
$998.00 |
$998.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$543.50 |
$543.50 |
$543.50 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$120.50 |
$120.50 |
$120.50 |
$302.40
|
|
Tc-99m maa
|
$941.50 |
$941.50 |
$941.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$103.50 |
$103.50 |
$103.50 |
$157.65
|
|
Tc-99m medronate
|
$63.00 |
$63.00 |
$63.00 |
$111.01
|
|
Tc-99m mertiatide
|
$378.00 |
$378.00 |
$378.00 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$6.50 |
$6.50 |
$6.50 |
$6.60
|
|
Tc-99m oxidronate
|
$26.00 |
$26.00 |
$26.00 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$706.00 |
$706.00 |
$706.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$145.00 |
$145.00 |
$145.00 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$7.50 |
$7.50 |
$7.50 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$63.50 |
$63.50 |
$63.50 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$367.50 |
$367.50 |
$367.50 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$383.00 |
$383.00 |
$383.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$99.00 |
$99.00 |
$99.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$170.00 |
$170.00 |
$170.00 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$472.50 |
$472.50 |
$472.50 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$127.50 |
$127.50 |
$127.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$117.50 |
$117.50 |
$117.50 |
$111.20
|
|
T cells total count
|
$135.50 |
$135.50 |
$135.50 |
$126.90
|
|
Tcranial magn stim tx deli
|
$494.50 |
$494.50 |
$494.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$494.50 |
$494.50 |
$494.50 |
$437.22
|
|
Tcran magn stim redetemine
|
$469.00 |
$469.00 |
$469.00 |
$457.60
|
|
Telethx isodose plan cplx
|
$905.50 |
$905.50 |
$905.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$788.00 |
$788.00 |
$788.00 |
$873.62
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$2,139.67
|
|
Tert gene targeted seq alys
|
$161.00 |
$161.00 |
$161.00 |
$335.00
|
|
Test for chlorohydrocarbons
|
$56.00 |
$56.00 |
$56.00 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$774.00 |
$774.00 |
$774.00 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$43.50 |
$43.50 |
$43.50 |
$70.00
|
|
Test sock wrist disart/bel e
|
$172.84 |
$172.84 |
$172.84 |
$350.00
|
|
Test stress cardiovascular tracing only
|
$751.00 |
$751.00 |
$751.00 |
$949.70
|
|
Theophylline therapeutic drug level
|
$158.50 |
$158.50 |
$158.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$58.00 |
$58.00 |
$58.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$313.00 |
$313.00 |
$313.00 |
$240.35
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,363.00 |
$2,363.00 |
$2,363.00 |
$1,687.50
|
|
Thoracotomy w/expl
|
$3,990.00 |
$3,990.00 |
$3,990.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$507.00 |
$507.00 |
$507.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$393.30 |
$393.30 |
$393.30 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$5,105.50 |
$5,105.50 |
$5,105.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,690.50 |
$8,690.50 |
$8,690.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,562.50 |
$17,562.50 |
$17,562.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$26,618.50 |
$26,618.50 |
$26,618.50 |
$21,413.60
|
|
Thrombin time
|
$32.50 |
$32.50 |
$32.50 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$90.50 |
$90.50 |
$90.50 |
$61.52
|
|
Thyroglobulin antibody
|
$84.50 |
$84.50 |
$84.50 |
$82.00
|
|
Thyroid imaging
|
$573.50 |
$573.50 |
$573.50 |
$695.02
|
|
Thyroid met imaging
|
$760.00 |
$760.00 |
$760.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$106.00 |
$106.00 |
$106.00 |
$111.00
|
|
Thyroid Ultrasound
|
$588.50 |
$588.50 |
$588.50 |
$588.50
|
|
Thyroid uptake measurement
|
$347.00 |
$347.00 |
$347.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$82.00 |
$82.00 |
$82.00 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$21,678.50 |
$21,678.50 |
$21,678.50 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$19,293.00 |
$19,293.00 |
$19,293.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$11,243.00 |
$11,243.00 |
$11,243.00 |
$9,769.65
|
|
Tilt table study
|
$754.50 |
$754.50 |
$754.50 |
$1,507.01
|
|
Tissue culture placenta
|
$314.50 |
$314.50 |
$314.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$484.00
|
|
Tissue culture tumor
|
$830.00 |
$830.00 |
$830.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$89.50 |
$89.50 |
$89.50 |
$47.20
|
|
Tissue transglutaminase iga
|
$61.00 |
$61.00 |
$61.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$75.25 |
$75.25 |
$75.25 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$68.00 |
$68.00 |
$68.00 |
$78.40
|
|
Tlso 3mod sacro-scap pre
|
$987.91 |
$987.91 |
$987.91 |
$2,117.57
|
|
Tlso rigid lined custom fab
|
$1,252.35 |
$1,252.35 |
$1,252.35 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$800.06 |
$800.06 |
$800.06 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$1,344.46 |
$1,344.46 |
$1,344.46 |
$2,347.16
|
|
Tobramycin peak therapeutic drug level
|
$151.00 |
$151.00 |
$151.00 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$23.50 |
$23.50 |
$23.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$18.50 |
$18.50 |
$18.50 |
$72.68
|
|
Torsion straight knee joint
|
$96.26 |
$96.26 |
$96.26 |
$253.84
|
|
Toxoplasma antibody igg
|
$76.00 |
$76.00 |
$76.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$18.00 |
$18.00 |
$18.00 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$823.00 |
$823.00 |
$823.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$373.00 |
$373.00 |
$373.00 |
$371.80
|
|
Trabeculoplasty laser surg
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$628.00 |
$628.00 |
$628.00 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$35.00 |
$35.00 |
$35.00 |
$101.25
|
|
Transabdom amnioinfus w/us
|
$271.00 |
$271.00 |
$271.00 |
$678.70
|
|
Transcath biopsy
|
$3,166.00 |
$3,166.00 |
$3,166.00 |
$4,285.93
|
|
Transcath closure of asd
|
$13,795.00 |
$13,795.00 |
$13,795.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$13,795.00 |
$13,795.00 |
$13,795.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$12,922.50 |
$12,922.50 |
$12,922.50 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$25,572.00 |
$25,572.00 |
$25,572.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$3,301.00 |
$3,301.00 |
$3,301.00 |
$7,157.76
|
