|
Tenolysis extensor tendon hand/finger each
|
$3,907.50 |
$3,907.50 |
$3,907.50 |
$2,811.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,083.50 |
$2,083.50 |
$2,083.50 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$0.75 |
$0.75 |
$0.75 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$823.00 |
$823.00 |
$823.00 |
$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
|
$175.50 |
$175.50 |
$175.50 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$41.50 |
$41.50 |
$41.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$41.50 |
$41.50 |
$41.50 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$6.20 |
$6.20 |
$6.20 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$935.50 |
$935.50 |
$935.50 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$3,580.00
|
|
Thrombin time
|
$41.50 |
$41.50 |
$41.50 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$196.00 |
$196.00 |
$196.00 |
$61.52
|
|
Thyroglobulin antibody
|
$77.50 |
$77.50 |
$77.50 |
$82.00
|
|
Thyroid imaging
|
$371.50 |
$371.50 |
$371.50 |
$695.02
|
|
Thyroid (TSH) Test
|
$94.50 |
$94.50 |
$94.50 |
$111.00
|
|
Thyroid Ultrasound
|
$449.00 |
$449.00 |
$449.00 |
$588.50
|
|
Thyroid uptake measurement
|
$196.00 |
$196.00 |
$196.00 |
$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)
|
$73.50 |
$73.50 |
$73.50 |
$64.35
|
|
Tissue culture placenta
|
$440.50 |
$440.50 |
$440.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,337.50 |
$1,337.50 |
$1,337.50 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$20.50 |
$20.50 |
$20.50 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$89.00 |
$89.00 |
$89.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$318.00 |
$318.00 |
$318.00 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$123.50 |
$123.50 |
$123.50 |
$78.40
|
|
Tlso 2mod symphis-xipho pre
|
$1,874.50 |
$1,874.50 |
$1,874.50 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,741.00 |
$1,741.00 |
$1,741.00 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$2,117.57
|
|
Tobramycin peak therapeutic drug level
|
$166.00 |
$166.00 |
$166.00 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$55.00 |
$55.00 |
$55.00 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$55.00 |
$55.00 |
$55.00 |
$72.68
|
|
Total tau
|
$431.00 |
$431.00 |
$431.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$114.00 |
$114.00 |
$114.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$114.00 |
$114.00 |
$114.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$126.00 |
$126.00 |
$126.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$993.00 |
$993.00 |
$993.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$227.50 |
$227.50 |
$227.50 |
$371.80
|
|
Trabeculoplasty laser surg
|
$754.00 |
$754.00 |
$754.00 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$600.00 |
$600.00 |
$600.00 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$52.00 |
$52.00 |
$52.00 |
$101.25
|
|
Transcutaneous carboxyhb
|
$22.50 |
$22.50 |
$22.50 |
$33.57
|
|
Transferrin
|
$71.50 |
$71.50 |
$71.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,733.00 |
$1,733.00 |
$1,733.00 |
$983.00
|
|
Trauma partial team response w/critical care services level 4
|
$2,158.50 |
$2,158.50 |
$2,158.50 |
$4,523.04
|
|
Treat ankle dislocation
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$2,358.40
|
|
Treat elbow dislocation
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$2,223.20
|
|
Treat elbow fracture
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,919.13
|
|
Treat eyelid by injection
|
$496.00 |
$496.00 |
$496.00 |
$481.44
|
|
Treat eyelid lesion 67850
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,146.13
|
|
Treat finger fracture each
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,536.00
|
|
Treat foot dislocation
|
$283.50 |
$283.50 |
$283.50 |
$527.28
|
|
Treat foot dislocation
|
$185.50 |
$185.50 |
$185.50 |
$445.80
|
|
Treat fracture of radius
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$277.50 |
$277.50 |
$277.50 |
$726.05
|
|
Treat hip socket fracture
|
$254.50 |
$254.50 |
$254.50 |
$1,392.00
|
|
Treat humerus fracture
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$1,771.43
|
|
Treat humerus fracture
|
$1,883.00 |
$1,883.00 |
$1,883.00 |
$1,771.43
|
|
Treat kneecap dislocation
|
$301.00 |
$301.00 |
$301.00 |
$1,068.90
|
|
Treat knee fracture 27530
|
$185.50 |
$185.50 |
$185.50 |
$550.00
|
|
Treat lower leg dislocation
|
$277.50 |
$277.50 |
$277.50 |
$530.75
|
|
Treat lower leg fracture
|
$7,416.00 |
$7,416.00 |
$7,416.00 |
$14,241.77
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,827.50 |
$3,827.50 |
$3,827.50 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$261.00 |
$261.00 |
$261.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$261.00 |
$261.00 |
$261.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$189.00 |
$189.00 |
$189.00 |
$520.80
|
|
Treatment of corneal lesion
|
$348.00 |
$348.00 |
$348.00 |
$856.80
|
|
Treatment of fibula fracture 27780
|
$295.50 |
$295.50 |
$295.50 |
$491.50
|
|
Treatment of heel fracture 28400
|
$277.50 |
$277.50 |
$277.50 |
$473.00
|
|
Treatment of mouth lesion physical 40820
|
$3,734.50 |
$3,734.50 |
$3,734.50 |
$3,589.62
|
|
Treatment of retinal lesion
|
$624.00 |
$624.00 |
$624.00 |
$1,033.14
|
|
Treatment of thigh fracture
|
$272.00 |
$272.00 |
$272.00 |
$476.16
|
|
Treatment of thigh fracture
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$1,748.40
|
|
Treatment of thigh fracture
|
$338.00 |
$338.00 |
$338.00 |
$548.90
|
|
Treatment of thigh fracture
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,772.97
|
|
Treatment of toe fracture 28510
|
$167.50 |
$167.50 |
$167.50 |
$369.70
|
|
Treat thigh fracture
|
$185.50 |
$185.50 |
$185.50 |
$661.00
|
|
Treat thigh fracture
|
$1,883.00 |
$1,883.00 |
$1,883.00 |
$1,893.86
|
|
Treat thigh fracture
|
$270.50 |
$270.50 |
$270.50 |
$618.80
|
|
Treat ulnar fracture
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,662.00
|
|
Treponema pallidum antibody
|
$75.00 |
$75.00 |
$75.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$19.65 |
$19.65 |
$19.65 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$54.00 |
$54.00 |
$54.00 |
$223.56
|
|
Trichinella antibody
|
$39.00 |
$39.00 |
$39.00 |
$70.20
|
|
#tricyclicantidprssnt
|
$5.00 |
$5.00 |
$5.00 |
$50.86
|
|
Triglycerides
|
$51.00 |
$51.00 |
$51.00 |
$58.05
|
|
Trim nail(s)
|
$78.50 |
$78.50 |
$78.50 |
$79.00
|
|
Trim nondyst nails
|
$76.00 |
$76.00 |
$76.00 |
$113.40
|
|
Triptorelin pamoate
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$19,739.00 |
$19,739.00 |
$19,739.00 |
$15,226.08
|
|
Trmt of fracture (femoral shaft) 27500
|
$714.00 |
$714.00 |
$714.00 |
$754.80
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$4,351.50 |
$4,351.50 |
$4,351.50 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$1,740.50 |
$1,740.50 |
$1,740.50 |
$2,357.04
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,161.00 |
$2,161.00 |
$2,161.00 |
$3,078.00
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,371.50
|
