|
Tb test cell mediated immunity antigen response gamma interferon
|
$106.02 |
$106.02 |
$106.02 |
$166.46
|
|
Tc-99m labeled rbc
|
$234.27 |
$234.27 |
$234.27 |
$323.01
|
|
Tc-99m maa
|
$319.20 |
$319.20 |
$319.20 |
$312.06
|
|
Tc-99m mebrofenin
|
$109.44 |
$109.44 |
$109.44 |
$169.53
|
|
Tc-99m medronate
|
$248.52 |
$248.52 |
$248.52 |
$122.46
|
|
Tc-99m pentetate dtpa aerosol
|
$226.86 |
$226.86 |
$226.86 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$2.28 |
$2.28 |
$2.28 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$87.78 |
$87.78 |
$87.78 |
$147.24
|
|
Tc-99m tilmanocept diag
|
$1,136.58 |
$1,136.58 |
$1,136.58 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$160.74 |
$160.74 |
$160.74 |
$186.00
|
|
T cells absolute cd 4 count
|
$95.19 |
$95.19 |
$95.19 |
$120.25
|
|
T cells total count
|
$127.68 |
$127.68 |
$127.68 |
$124.11
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,202.13 |
$1,202.13 |
$1,202.13 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$12.35 |
$12.35 |
$12.35 |
$46.10
|
|
Test for urine cystines
|
$16.53 |
$16.53 |
$16.53 |
$26.00
|
|
Testosterone undecanoate 1mg
|
$2.28 |
$2.28 |
$2.28 |
$1.99
|
|
Test stress cardiovascular tracing only
|
$437.76 |
$437.76 |
$437.76 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$675.45 |
$675.45 |
$675.45 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$51.30 |
$51.30 |
$51.30 |
$108.00
|
|
Therapeutic procd strg endur
|
$72.39 |
$72.39 |
$72.39 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$63.84 |
$63.84 |
$63.84 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$55.29 |
$55.29 |
$55.29 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.20 |
$12.20 |
$12.20 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,658.70 |
$1,658.70 |
$1,658.70 |
$1,804.00
|
|
Thrombin time
|
$40.47 |
$40.47 |
$40.47 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$21.09 |
$21.09 |
$21.09 |
$56.93
|
|
Thyroglobulin antibody
|
$46.74 |
$46.74 |
$46.74 |
$84.00
|
|
Thyroid (TSH) Test
|
$87.21 |
$87.21 |
$87.21 |
$120.00
|
|
Thyroid Ultrasound
|
$518.13 |
$518.13 |
$518.13 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,366.64 |
$2,366.64 |
$2,366.64 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$43.32 |
$43.32 |
$43.32 |
$63.60
|
|
Tissue exam koh skin/hair/nails
|
$17.10 |
$17.10 |
$17.10 |
$47.40
|
|
Tissue transglutaminase iga
|
$75.24 |
$75.24 |
$75.24 |
$48.57
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.99 |
$10.99 |
$10.99 |
$4,711.84
|
|
Total Hip Replacement
|
$2,561.01 |
$2,561.01 |
$2,561.01 |
$6,675.20
|
|
Total Knee Replacement
|
$4,798.83 |
$4,798.83 |
$4,798.83 |
$6,668.80
|
|
Toxoplasma antibody igg
|
$52.44 |
$52.44 |
$52.44 |
$84.35
|
|
Toxoplasma antibody igm
|
$46.74 |
$46.74 |
$46.74 |
$83.20
|
|
Transab esoph hiat hern repair 43332
|
$2,368.35 |
$2,368.35 |
$2,368.35 |
$2,835.20
|
|
Transcutaneous hgb 88738
|
$11.40 |
$11.40 |
$11.40 |
$11.40
|
|
Transferrin
|
$46.74 |
$46.74 |
$46.74 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$378.48 |
$378.48 |
$378.48 |
$988.24
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$161.45 |
$161.45 |
$161.45 |
$7,191.23
|
|
Treat finger fracture each
|
$757.53 |
$757.53 |
$757.53 |
$1,815.75
|
|
Treat fracture of radius
|
$1,465.47 |
$1,465.47 |
$1,465.47 |
$2,030.33
|
|
Treat heel fracture
|
$1,857.06 |
$1,857.06 |
$1,857.06 |
$7,907.11
|
|
Treat humerus fracture
|
$1,381.68 |
$1,381.68 |
$1,381.68 |
$6,311.00
|
|
Treat humerus fracture
|
$1,731.66 |
$1,731.66 |
$1,731.66 |
$10,742.40
|
|
Treat kneecap dislocation
|
$441.18 |
$441.18 |
$441.18 |
$1,351.35
|
|
Treat kneecap fracture
|
$1,188.45 |
$1,188.45 |
$1,188.45 |
$5,741.00
|
|
Treat knee dislocation
|
$3,024.99 |
$3,024.99 |
$3,024.99 |
$2,592.08
|
|
Treat knee fracture
|
$1,570.35 |
$1,570.35 |
$1,570.35 |
$4,424.00
|
|
Treat knee fracture
|
$2,021.79 |
$2,021.79 |
$2,021.79 |
$5,848.00
|
|
Treat knee fracture
|
$1,305.87 |
$1,305.87 |
$1,305.87 |
$3,985.60
|
|
Treat knee fracture 27530
|
$446.31 |
$446.31 |
$446.31 |
$580.20
|
|
Treat lower leg fracture
|
$1,642.74 |
$1,642.74 |
$1,642.74 |
$12,905.86
|
|
Treat lower leg joint
|
$955.89 |
$955.89 |
$955.89 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,248.30 |
$1,248.30 |
$1,248.30 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$1,627.92 |
$1,627.92 |
$1,627.92 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,072.17 |
$1,072.17 |
$1,072.17 |
$8,370.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$255.36 |
$255.36 |
$255.36 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$127.68 |
$127.68 |
$127.68 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$144.21 |
$144.21 |
$144.21 |
$210.00
|
|
Treatment of ankle fracture
|
$1,100.67 |
$1,100.67 |
$1,100.67 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,232.91 |
$1,232.91 |
$1,232.91 |
$7,907.11
|
|
Treatment of ankle fracture
|
$1,235.19 |
$1,235.19 |
$1,235.19 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$603.63 |
$603.63 |
$603.63 |
$580.00
|
|
Treatment of thigh fracture
|
$1,776.69 |
$1,776.69 |
$1,776.69 |
$4,920.00
|
|
Treatment of tibia fracture
|
$1,433.55 |
$1,433.55 |
$1,433.55 |
$5,110.00
|
|
Treatment of tibia fracture
|
$1,676.37 |
$1,676.37 |
$1,676.37 |
$6,347.40
|
|
Treatment of toe fracture 28510
|
$355.68 |
$355.68 |
$355.68 |
$371.40
|
|
Treat metacarpal fracture
|
$616.74 |
$616.74 |
$616.74 |
$3,958.50
|
|
Treat metacarpal fracture
|
$788.88 |
$788.88 |
$788.88 |
$4,627.00
|
|
Treat metatarsal fracture
|
$803.70 |
$803.70 |
$803.70 |
$7,913.97
|
|
Treat thigh fracture
|
$2,042.88 |
$2,042.88 |
$2,042.88 |
$5,883.20
|
|
Treat thigh fracture
|
$2,134.65 |
$2,134.65 |
$2,134.65 |
$6,048.00
|
|
Treat ulnar fracture
|
$949.05 |
$949.05 |
$949.05 |
$5,419.00
|
|
Treponema pallidum antibody
|
$26.22 |
$26.22 |
$26.22 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$5.33 |
$5.33 |
$5.33 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$0.57 |
$0.57 |
$0.57 |
$1,309.80
|
|
#tricyclicantidprssnt
|
$165.30 |
$165.30 |
$165.30 |
$57.08
|
|
Triglycerides
|
$21.66 |
$21.66 |
$21.66 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$51.87 |
$51.87 |
$51.87 |
$128.00
|
|
Trim nondyst nails
|
$54.15 |
$54.15 |
$54.15 |
$124.22
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,028.28 |
$1,028.28 |
$1,028.28 |
$4,805.85
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$510.72 |
$510.72 |
$510.72 |
$2,343.60
|
|
Troponin quantitative
|
$87.78 |
$87.78 |
$87.78 |
$123.75
|
|
Tx closed hip disl traumatic without anes
|
$441.18 |
$441.18 |
$441.18 |
$657.28
|
|
Tx closed tib shaft fx without manip
|
$441.18 |
$441.18 |
$441.18 |
$635.46
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$643.53 |
$643.53 |
$643.53 |
$4,499.12
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$830.49 |
$830.49 |
$830.49 |
$4,499.12
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$462.84 |
$462.84 |
$462.84 |
$911.43
|
|
Ultrasound abdomen aorta screening study aaa
|
$271.89 |
$271.89 |
$271.89 |
$403.26
|
|
Ultrasound breast complete
|
$494.19 |
$494.19 |
$494.19 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$371.07 |
$371.07 |
$371.07 |
$449.35
|
|
Ultrasound chest
|
$314.64 |
$314.64 |
$314.64 |
$459.55
|
|
Ultrasound exam k transpl w/doppler
|
$493.05 |
$493.05 |
$493.05 |
$570.44
|
|
Ultrasound guidance for vascular access
|
$263.91 |
$263.91 |
$263.91 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$720.48 |
$720.48 |
$720.48 |
$701.35
|
|
Ultrasound joint/nonvascular extremity limited left
|
$202.35 |
$202.35 |
$202.35 |
$448.50
|
