|
Thoracoscopy diagnostic 32601
|
$2,128.80 |
$2,128.80 |
$2,128.80 |
$6,442.80
|
|
Thoracoscopy for lvrs
|
$5,411.20 |
$5,411.20 |
$5,411.20 |
$5,411.20
|
|
Thoracoscopy lymph node exc
|
$767.20 |
$767.20 |
$767.20 |
$1,071.20
|
|
Thoracoscopy pneumonectomy
|
$6,321.60 |
$6,321.60 |
$6,321.60 |
$6,238.40
|
|
Thoracoscopy remove cortex
|
$9,046.40 |
$9,046.40 |
$9,046.40 |
$5,332.80
|
|
Thoracoscopy remove segment
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$5,331.20
|
|
Thoracoscopy remov fb/fibrin 32653
|
$6,031.20 |
$6,031.20 |
$6,031.20 |
$2,091.00
|
|
Thoracoscopy resect bullae 32655
|
$10,108.00 |
$10,108.00 |
$10,108.00 |
$4,204.20
|
|
Thoracoscopy surgical 32650
|
$8,724.80 |
$8,724.80 |
$8,724.80 |
$2,251.60
|
|
Thoracoscopy surgical with control of traumatic hemorrhage
|
$9,575.20 |
$9,575.20 |
$9,575.20 |
$5,335.20
|
|
Thoracoscopy/thoracic sympathectomy32664
|
$11,912.80 |
$11,912.80 |
$11,912.80 |
$4,083.95
|
|
Thoracoscopy/tot pulm decortication32652
|
$9,364.80 |
$9,364.80 |
$9,364.80 |
$7,573.80
|
|
Thoracoscopy w/bx med space
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$7,586.80
|
|
Thoracoscopy w/lobectomy
|
$9,219.20 |
$9,219.20 |
$9,219.20 |
$3,408.80
|
|
Thoracoscopy w/mediast exc
|
$8,154.40 |
$8,154.40 |
$8,154.40 |
$2,172.00
|
|
Thoracoscopy w/pericard exc
|
$8,513.60 |
$8,513.60 |
$8,513.60 |
$1,942.40
|
|
Thoracoscopy w/pleurectomy 32656
|
$9,575.20 |
$9,575.20 |
$9,575.20 |
$3,409.02
|
|
Thoracoscopy w/sac drng 32659
|
$7,447.20 |
$7,447.20 |
$7,447.20 |
$1,780.00
|
|
Thoracoscopy w/sac fb remove
|
$7,588.00 |
$7,588.00 |
$7,588.00 |
$1,736.80
|
|
Thoracoscopy w/thymus resect
|
$4,290.40 |
$4,290.40 |
$4,290.40 |
$4,290.40
|
|
Thoracoscopy w/wedge resect
|
$4,668.00 |
$4,668.00 |
$4,668.00 |
$4,232.00
|
|
Thoracoscopy w w resect addl 32667
|
$558.40 |
$558.40 |
$558.40 |
$477.00
|
|
Thoracoscopy w w resect diag 32668
|
$565.60 |
$565.60 |
$565.60 |
$304.20
|
|
Thoracostomy w/flap drng 32036
|
$2,718.40 |
$2,718.40 |
$2,718.40 |
$3,198.00
|
|
Thoracotomy w/expl
|
$4,965.60 |
$4,965.60 |
$4,965.60 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,296.35 |
$1,296.35 |
$2,926.56 |
$2,138.76
|
|
Thorax spine fusion
|
$7,552.00 |
$7,552.00 |
$7,552.00 |
$3,044.00
|
|
Thorcscpy w/biop pleura
|
$936.80 |
$936.80 |
$936.80 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$50.40 |
$50.40 |
$50.40 |
$225.50
|
|
Thrcspy w/diag bp lng inf uni
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$1,883.20 |
$1,883.20 |
$1,883.20 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,418.45 |
$1,418.45 |
$2,435.61 |
$1,708.85
|
|
Thrombectmy crnry perq mechanical
|
$954.80 |
$954.80 |
$7,332.20 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,441.35 |
$3,441.35 |
$18,413.13 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,855.75 |
$6,855.75 |
$31,012.17 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$10,909.80 |
$10,909.80 |
$37,606.30 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$10,778.40 |
$10,778.40 |
$10,778.40 |
$6,422.91
|
|
Thrombin time
|
$43.45 |
$43.45 |
$82.75 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$10,173.90 |
$10,173.90 |
$10,173.90 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$10,965.60 |
$10,965.60 |
$10,965.60 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$20,668.84 |
$20,668.84 |
$20,668.84 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$11,514.40 |
$11,514.40 |
$11,514.40 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$72.88 |
$72.88 |
$93.50 |
$61.52
|
|
Thymectomy prtl/tot without rad medstnl dsj 60521
|
$3,918.40 |
$3,918.40 |
$3,918.40 |
$2,736.00
|
|
Thyroglobulin antibody
|
$27.50 |
$27.50 |
$135.68 |
$83.25
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$5,172.80 |
$5,172.80 |
$5,172.80 |
$2,616.00
|
|
Thyroid imaging
|
$1,084.60 |
$1,084.60 |
$1,782.76 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,126.95 |
$1,126.95 |
$1,462.61 |
$1,524.99
|
|
Thyroid met uptake
|
$402.60 |
$402.60 |
$402.60 |
$407.40
|
|
Thyroid (TSH) Test
|
$106.15 |
$106.15 |
$181.64 |
$111.75
|
|
Thyroid Ultrasound
|
$859.65 |
$859.65 |
$1,415.87 |
$588.50
|
|
Thyroid uptake measurement
|
$295.90 |
$295.90 |
$1,222.00 |
$589.22
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$20.35 |
$20.35 |
$82.40 |
$64.51
|
|
Tibial arthroscopy/surgery
|
$5,561.60 |
$5,561.60 |
$5,561.60 |
$5,801.60
|
|
Tib/per revasc stent & ather 37231
|
$11,504.90 |
$11,504.90 |
$20,278.40 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$7,174.75 |
$7,174.75 |
$7,174.75 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,979.05 |
$5,979.05 |
$16,928.05 |
$10,165.00
|
|
Tigecycline injection
|
$3.36 |
$3.36 |
$3.36 |
$235.29
|
|
Tilt table study
|
$1,279.30 |
$1,279.30 |
$2,615.04 |
$1,507.01
|
|
Tissue culture placenta
|
$259.56 |
$259.56 |
$604.45 |
$453.00
|
|
Tissue culture skin/biopsy
|
$372.00 |
$372.00 |
$545.60 |
$498.40
|
|
Tissue culture tumor
|
$240.35 |
$240.35 |
$442.60 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$74.40 |
$74.40 |
$118.80 |
$47.20
|
|
Tissue transglutaminase iga
|
$39.05 |
$39.05 |
$138.30 |
$45.60
|
|
Tl-201 thallium diag per mci
|
$61.60 |
$61.60 |
$344.32 |
$80.10
|
|
Tmvr w/prosthetic ring 33426
|
$18,506.40 |
$18,506.40 |
$18,506.40 |
$5,816.80
|
|
Tmvr w/rad reconst w or without ring 33427
|
$18,506.40 |
$18,506.40 |
$18,506.40 |
$5,969.60
|
|
Tnot opn elbw to sho ea tdn
|
$3,735.20 |
$3,735.20 |
$3,735.20 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$20.91 |
$20.91 |
$20.91 |
$152.36
|
|
Tobramycin non-comp unit
|
$6.56 |
$6.56 |
$6.56 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$189.20 |
$189.20 |
$190.07 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.73 |
$10.73 |
$10.73 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$229.35 |
$229.35 |
$601.04 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$249.60 |
$249.60 |
$249.60 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$146.40 |
$146.40 |
$146.40 |
$74.10
|
|
Tone decay hearing test
|
$103.20 |
$103.20 |
$103.20 |
$90.37
|
|
Tongue and neck surgery
|
$8,785.60 |
$8,785.60 |
$8,785.60 |
$2,745.01
|
|
Tongue base vol reduction
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
$3,837.72
|
|
Tongue biopsy; posterior one-third 41105
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$3,592.74
|
|
Tongue jaw & neck surgery
|
$12,115.20 |
$12,115.20 |
$12,115.20 |
$3,763.81
|
|
Tongue mouth jaw surgery
|
$9,088.00 |
$9,088.00 |
$9,088.00 |
$5,428.00
|
|
Tongue mouth neck surgery
|
$10,300.00 |
$10,300.00 |
$10,300.00 |
$3,012.36
|
|
Tongue removal neck surgery
|
$10,300.00 |
$10,300.00 |
$10,300.00 |
$3,456.80
|
|
Tongue to lip surgery
|
$1,637.60 |
$1,637.60 |
$1,637.60 |
$3,837.72
|
|
Tonsillectomy (age 12+)
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
$4,558.89
|
|
Tonsillectomy (child under 12)
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$6,056.50
|
|
Total hip arthroplasty
|
$11,872.80 |
$11,872.80 |
$11,872.80 |
$7,347.60
|
|
Total Hip Replacement
|
$9,613.60 |
$9,613.60 |
$9,613.60 |
$9,161.60
|
|
Total hysterectomy
|
$12,765.50 |
$12,765.50 |
$12,765.50 |
$3,001.70
|
|
Total Knee Replacement
|
$20,313.60 |
$20,313.60 |
$20,313.60 |
$14,061.89
|
|
Total ob care failed vbac 59618
|
$8,393.60 |
$8,393.60 |
$8,393.60 |
$4,792.80
|
|
Total tau
|
$48.36 |
$48.36 |
$275.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$7,959.20 |
$7,959.20 |
$7,959.20 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$8,954.40 |
$8,954.40 |
$8,954.40 |
$4,365.60
|
|
Toxoplasma antibody igg
|
$9.35 |
$9.35 |
$169.67 |
$90.00
|
|
Toxoplasma antibody igm
|
$9.35 |
$9.35 |
$148.88 |
$89.05
|
|
Tp53 gene full gene sequence
|
$1,906.64 |
$1,906.64 |
$2,413.40 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$790.68
|
