|
Tenolysis extensor tendon hand/finger each
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$2,811.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,139.67
|
|
Testicular imaging w/vasc flow
|
$918.50 |
$918.50 |
$918.50 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$819.00 |
$819.00 |
$819.00 |
$949.70
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.50 |
$50.50 |
$50.50 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$99.50 |
$99.50 |
$99.50 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$96.00 |
$96.00 |
$96.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$35.50 |
$35.50 |
$35.50 |
$50.00
|
|
Ther/proph/diag inj ia
|
$166.50 |
$166.50 |
$166.50 |
$240.35
|
|
Ther radiology tx plng cplx
|
$643.00 |
$643.00 |
$643.00 |
$332.00
|
|
Ther radiology tx plng intrm
|
$433.50 |
$433.50 |
$433.50 |
$224.00
|
|
Ther radiology tx plng smpl
|
$289.00 |
$289.00 |
$289.00 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$3.50 |
$3.50 |
$3.50 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$5,527.50 |
$5,527.50 |
$5,527.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,965.50 |
$7,965.50 |
$7,965.50 |
$14,277.20
|
|
Thrombin time
|
$25.00 |
$25.00 |
$25.00 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$167.00 |
$167.00 |
$167.00 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$159.50 |
$159.50 |
$159.50 |
$61.52
|
|
Thyroglobulin antibody
|
$92.50 |
$92.50 |
$92.50 |
$82.00
|
|
Thyroid imaging
|
$546.00 |
$546.00 |
$546.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$81.50 |
$81.50 |
$81.50 |
$111.00
|
|
Thyroid Ultrasound
|
$349.00 |
$349.00 |
$349.00 |
$588.50
|
|
Thyroid uptake measurement
|
$406.00 |
$406.00 |
$406.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,550.00 |
$4,550.00 |
$4,550.00 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$48.00 |
$48.00 |
$48.00 |
$64.35
|
|
Tissue culture placenta
|
$440.50 |
$440.50 |
$440.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$253.00 |
$253.00 |
$253.00 |
$484.00
|
|
Tissue culture tumor
|
$199.50 |
$199.50 |
$199.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$144.50 |
$144.50 |
$144.50 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$196.00 |
$196.00 |
$196.00 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$74.00 |
$74.00 |
$74.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$244.50 |
$244.50 |
$244.50 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$55.50 |
$55.50 |
$55.50 |
$78.40
|
|
Tlso 2mod symphis-xipho pre
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,151.50 |
$2,151.50 |
$2,151.50 |
$2,117.57
|
|
Tobramycin peak therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$89.50 |
$89.50 |
$89.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$66.50 |
$66.50 |
$66.50 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,544.29
|
|
Total tau
|
$431.00 |
$431.00 |
$431.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$94.50 |
$94.50 |
$94.50 |
$89.40
|
|
Toxoplasma antibody igm
|
$88.00 |
$88.00 |
$88.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$126.00 |
$126.00 |
$126.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$871.00 |
$871.00 |
$871.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$175.00 |
$175.00 |
$175.00 |
$371.80
|
|
Trabeculoplasty laser surg
|
$632.50 |
$632.50 |
$632.50 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$620.00 |
$620.00 |
$620.00 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$52.00 |
$52.00 |
$52.00 |
$101.25
|
|
Transcath biopsy
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$4,285.93
|
|
Transcatheter bx s&i
|
$4,047.50 |
$4,047.50 |
$4,047.50 |
$1,915.00
|
|
Transcath occlusion cns
|
$11,647.00 |
$11,647.00 |
$11,647.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$7,644.00 |
$7,644.00 |
$7,644.00 |
$10,031.28
|
|
Transferrin
|
$82.00 |
$82.00 |
$82.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$923.00 |
$923.00 |
$923.00 |
$983.00
|
|
Transparent film >16<=48 in
|
$2.50 |
$2.50 |
$2.50 |
$12.95
|
|
Transperi needle place pros
|
$4,929.00 |
$4,929.00 |
$4,929.00 |
$6,015.75
|
|
Trauma partial team response w/critical care services level 4
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$4,523.04
|
|
Treat ankle dislocation
|
$2,321.50 |
$2,321.50 |
$2,321.50 |
$2,358.40
|
|
Treat elbow dislocation
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,223.20
|
|
Treat elbow fracture
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,919.13
|
|
Treat eyelid by injection
|
$513.50 |
$513.50 |
$513.50 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,146.13
|
|
Treat finger fracture each
|
$3,799.50 |
$3,799.50 |
$3,799.50 |
$4,132.02
|
|
Treat finger fracture each
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,536.00
|
|
Treat foot dislocation
|
$283.50 |
$283.50 |
$283.50 |
$527.28
|
|
Treat foot dislocation
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Treat fracture of radius
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$338.50 |
$338.50 |
$338.50 |
$726.05
|
|
Treat hip socket fracture
|
$281.50 |
$281.50 |
$281.50 |
$1,392.00
|
|
Treat humerus fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,771.43
|
|
Treat humerus fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,771.43
|
|
Treat knee fracture 27530
|
$284.00 |
$284.00 |
$284.00 |
$550.00
|
|
Treat knee fracture(s)
|
$284.00 |
$284.00 |
$284.00 |
$642.00
|
|
Treat lower leg dislocation
|
$338.50 |
$338.50 |
$338.50 |
$530.75
|
|
Treat lower leg fracture
|
$7,598.50 |
$7,598.50 |
$7,598.50 |
$14,241.77
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,845.50 |
$3,845.50 |
$3,845.50 |
$3,916.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$255.00 |
$255.00 |
$255.00 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$4,476.50 |
$4,476.50 |
$4,476.50 |
$3,982.44
|
|
Treatment of ankle fracture 27786
|
$338.50 |
$338.50 |
$338.50 |
$520.80
|
|
Treatment of corneal lesion
|
$365.00 |
$365.00 |
$365.00 |
$856.80
|
|
Treatment of fibula fracture 27780
|
$284.00 |
$284.00 |
$284.00 |
$491.50
|
|
Treatment of gum lesion
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$338.50 |
$338.50 |
$338.50 |
$473.00
|
|
Treatment of mouth lesion physical 40820
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,589.62
|
|
Treatment of retinal lesion
|
$416.50 |
$416.50 |
$416.50 |
$1,580.87
|
|
Treatment of retinal lesion
|
$632.50 |
$632.50 |
$632.50 |
$1,033.14
|
|
Treatment of thigh fracture
|
$284.00 |
$284.00 |
$284.00 |
$476.16
|
|
Treatment of thigh fracture
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,748.40
|
|
Treatment of thigh fracture
|
$338.50 |
$338.50 |
$338.50 |
$548.90
|
|
Treatment of thigh fracture
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$284.00 |
$284.00 |
$284.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$1,572.50 |
$1,572.50 |
$1,572.50 |
$767.65
|
|
Treatment x10sv retinopathy
|
$632.50 |
$632.50 |
$632.50 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,730.00 |
$3,730.00 |
$3,730.00 |
$5,464.97
|
|
Treat midfoot fracture each
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,851.78
|
|
Treat thigh fracture
|
$284.00 |
$284.00 |
$284.00 |
$661.00
|
