|
Ther radiology tx plng cplx
|
$755.20 |
$755.20 |
$755.20 |
$332.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$36.68 |
$36.68 |
$36.68 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,687.50
|
|
Thoracic pad
|
$66.00 |
$66.00 |
$66.00 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$75.20 |
$75.20 |
$75.20 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$9,761.60 |
$9,761.60 |
$9,761.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,998.00 |
$3,998.00 |
$3,998.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,905.60 |
$7,905.60 |
$7,905.60 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$9,987.20 |
$9,987.20 |
$9,987.20 |
$21,413.60
|
|
Thrombin time
|
$14.40 |
$14.40 |
$14.40 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$16.00 |
$16.00 |
$16.00 |
$61.52
|
|
Thromboxane urine
|
$49.20 |
$49.20 |
$49.20 |
$95.00
|
|
Th/wght bear quad-lat brim m
|
$472.80 |
$472.80 |
$472.80 |
$1,695.23
|
|
Thyroglobulin antibody
|
$39.60 |
$39.60 |
$39.60 |
$82.00
|
|
Thyroid imaging
|
$542.40 |
$542.40 |
$542.40 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,478.00 |
$1,478.00 |
$1,478.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$42.00 |
$42.00 |
$42.00 |
$111.00
|
|
Thyroid Ultrasound
|
$447.20 |
$447.20 |
$447.20 |
$588.50
|
|
Thyroid uptake measurement
|
$412.00 |
$412.00 |
$412.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$20.40 |
$20.40 |
$20.40 |
$64.35
|
|
Tibial length sock fx or equ
|
$124.80 |
$124.80 |
$124.80 |
$88.92
|
|
Tilt table study
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$5.78 |
$5.78 |
$5.78 |
$458.85
|
|
Tissue culture placenta
|
$331.20 |
$331.20 |
$331.20 |
$457.00
|
|
Tissue culture skin/biopsy
|
$316.00 |
$316.00 |
$316.00 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$11.20 |
$11.20 |
$11.20 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$17,883.60 |
$17,883.60 |
$17,883.60 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$26.00 |
$26.00 |
$26.00 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$58.80 |
$58.80 |
$58.80 |
$78.40
|
|
Tlso 2mod symphis-xipho pre
|
$545.20 |
$545.20 |
$545.20 |
$1,874.66
|
|
Tlso 2 shl symphys-stern cst
|
$614.00 |
$614.00 |
$614.00 |
$1,808.59
|
|
Tlso rigid lined custom fab
|
$993.60 |
$993.60 |
$993.60 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$1,041.20 |
$1,041.20 |
$1,041.20 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$975.20 |
$975.20 |
$975.20 |
$2,788.42
|
|
Tlso trnk sj-t9 pre cst
|
$207.20 |
$207.20 |
$207.20 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$31.24 |
$31.24 |
$31.24 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$46.00 |
$46.00 |
$46.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$46.00 |
$46.00 |
$46.00 |
$72.68
|
|
Torsion ank & half solid sti
|
$64.80 |
$64.80 |
$64.80 |
$291.13
|
|
Torsion straight knee joint
|
$71.60 |
$71.60 |
$71.60 |
$253.84
|
|
Toxoplasma antibody igg
|
$33.60 |
$33.60 |
$33.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$36.00 |
$36.00 |
$36.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$557.20 |
$557.20 |
$557.20 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$585.20 |
$585.20 |
$585.20 |
$790.68
|
|
Tpmt gene com vrnts
|
$246.00 |
$246.00 |
$246.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$4,193.20 |
$4,193.20 |
$4,193.20 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,788.40 |
$1,788.40 |
$1,788.40 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$75.20 |
$75.20 |
$75.20 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.72 |
$0.72 |
$0.72 |
$56.38
|
|
Transcath biopsy
|
$3,668.00 |
$3,668.00 |
$3,668.00 |
$4,285.93
|
|
Transcath closure of asd
|
$14,122.40 |
$14,122.40 |
$14,122.40 |
$16,741.40
|
|
Transcath closure of vsd
|
$36,396.80 |
$36,396.80 |
$36,396.80 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$4,520.00 |
$4,520.00 |
$4,520.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$5,897.60 |
$5,897.60 |
$5,897.60 |
$10,031.28
|
|
Transcath rmvl perm ldss pmkr rv
|
$24,827.20 |
$24,827.20 |
$24,827.20 |
$4,775.16
|
|
Transferrin
|
$32.00 |
$32.00 |
$32.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$983.00
|
|
Transperi needle place pros
|
$8,209.60 |
$8,209.60 |
$8,209.60 |
$6,015.75
|
|
Transplt autol hct/donor
|
$4,472.80 |
$4,472.80 |
$4,472.80 |
$3,786.00
|
|
Trans shoe solid stirrup exi
|
$46.80 |
$46.80 |
$46.80 |
$141.41
|
|
Trauma partial team response w/critical care services level 4
|
$6,783.20 |
$6,783.20 |
$6,783.20 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,214.80 |
$1,214.80 |
$1,214.80 |
$940.80
|
|
Treatment incomplete abortion completed surgically any trimester
|
$4,176.80 |
$4,176.80 |
$4,176.80 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$252.40 |
$252.40 |
$252.40 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$169.60 |
$169.60 |
$169.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$479.20 |
$479.20 |
$479.20 |
$203.35
|
|
Treatment radiation delivery level 2
|
$1,404.80 |
$1,404.80 |
$1,404.80 |
$767.65
|
|
Treatment x10sv retinopathy
|
$1,475.20 |
$1,475.20 |
$1,475.20 |
$1,513.20
|
|
Treponema pallidum antibody
|
$32.40 |
$32.40 |
$32.40 |
$70.40
|
|
Treprostinil injection
|
$45.86 |
$45.86 |
$45.86 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$352.00 |
$352.00 |
$352.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$30.88 |
$30.88 |
$30.88 |
$43.21
|
|
Trichinella antibody
|
$32.00 |
$32.00 |
$32.00 |
$70.20
|
|
Trichomonas assay w/optic
|
$29.20 |
$29.20 |
$29.20 |
$55.50
|
|
#tricyclicantidprssnt
|
$122.00 |
$122.00 |
$122.00 |
$50.86
|
|
Triglycerides
|
$14.40 |
$14.40 |
$14.40 |
$58.05
|
|
Trim nondyst nails
|
$50.40 |
$50.40 |
$50.40 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$6,790.00 |
$6,790.00 |
$6,790.00 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$5,551.60 |
$5,551.60 |
$5,551.60 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,376.80 |
$4,376.80 |
$4,376.80 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,346.00 |
$3,346.00 |
$3,346.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$10,439.20 |
$10,439.20 |
$10,439.20 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,821.60 |
$2,821.60 |
$2,821.60 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$1,782.40 |
$1,782.40 |
$1,782.40 |
$3,866.70
|
|
Troponin quantitative
|
$35.60 |
$35.60 |
$35.60 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$518.40 |
$518.40 |
$518.40 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$366.40 |
$366.40 |
$366.40 |
$155.98
|
|
Tx atrial fib pulm vein isol
|
$21,050.80 |
$21,050.80 |
$21,050.80 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$2,378.00 |
$2,378.00 |
$2,378.00 |
$6,769.00
|
|
Ua w/micro/comp poc
|
$9.20 |
$9.20 |
$9.20 |
$23.00
|
