|
Tissue exam koh skin/hair/nails
|
$17.49 |
$17.49 |
$17.49 |
$47.40
|
|
Tissue transglutaminase iga
|
$10.07 |
$10.07 |
$10.07 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$41.87 |
$41.87 |
$41.87 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$4.34 |
$4.34 |
$4.34 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$128.26 |
$128.26 |
$128.26 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.64 |
$10.64 |
$10.64 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$74.20 |
$74.20 |
$74.20 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$21.73 |
$21.73 |
$21.73 |
$73.45
|
|
Tone decay hearing test
|
$49.82 |
$49.82 |
$49.82 |
$64.80
|
|
Tongue biopsy; posterior one-third 41105
|
$146.81 |
$146.81 |
$146.81 |
$3,589.62
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1.59 |
$1.59 |
$1.59 |
$404.20
|
|
Toxoplasma antibody igg
|
$89.57 |
$89.57 |
$89.57 |
$84.35
|
|
Toxoplasma antibody igm
|
$93.81 |
$93.81 |
$93.81 |
$83.20
|
|
Tpmt gene com vrnts
|
$1,428.88 |
$1,428.88 |
$1,428.88 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$120.84 |
$120.84 |
$120.84 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$76.85 |
$76.85 |
$76.85 |
$104.50
|
|
Transcath biopsy
|
$7,436.96 |
$7,436.96 |
$7,436.96 |
$4,298.05
|
|
Transcath closure of asd
|
$19,715.47 |
$19,715.47 |
$19,715.47 |
$18,772.00
|
|
Transcath closure of vsd
|
$16,398.73 |
$16,398.73 |
$16,398.73 |
$18,837.00
|
|
Transcatheter bx s&i
|
$1,268.82 |
$1,268.82 |
$1,268.82 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$15,183.44 |
$15,183.44 |
$15,183.44 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$30,366.88 |
$30,366.88 |
$30,366.88 |
$17,106.18
|
|
Transcath occlusion cns
|
$11,881.54 |
$11,881.54 |
$11,881.54 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$30,492.49 |
$30,492.49 |
$30,492.49 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$97,915.38 |
$97,915.38 |
$97,915.38 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,923.50 |
$7,923.50 |
$7,923.50 |
$4,627.00
|
|
Transcutaneous hgb 88738
|
$10.60 |
$10.60 |
$10.60 |
$11.40
|
|
Transferrin
|
$101.23 |
$101.23 |
$101.23 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$887.22 |
$887.22 |
$887.22 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$113.95 |
$113.95 |
$113.95 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$207.23 |
$207.23 |
$207.23 |
$7,191.23
|
|
Treat eyelid lesion 67850
|
$173.84 |
$173.84 |
$173.84 |
$1,146.13
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$202.46 |
$202.46 |
$202.46 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$101.23 |
$101.23 |
$101.23 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$135.68 |
$135.68 |
$135.68 |
$210.00
|
|
Treatment of anal fissure w/dilat 46940
|
$169.60 |
$169.60 |
$169.60 |
$2,997.10
|
|
Treatment of foot infection
|
$280.90 |
$280.90 |
$280.90 |
$1,893.86
|
|
Treatment of foot infection
|
$285.14 |
$285.14 |
$285.14 |
$3,594.44
|
|
Treatment of mouth lesion physical 40820
|
$235.85 |
$235.85 |
$235.85 |
$3,544.29
|
|
Treat sesamoid bone fracture
|
$368.88 |
$368.88 |
$368.88 |
$5,855.00
|
|
Treat thigh fracture
|
$850.12 |
$850.12 |
$850.12 |
$716.95
|
|
Treat toe fracture
|
$369.94 |
$369.94 |
$369.94 |
$3,981.06
|
|
Treponema pallidum antibody
|
$54.06 |
$54.06 |
$54.06 |
$72.80
|
|
Trg gene rearrangement anal
|
$899.41 |
$899.41 |
$899.41 |
$455.70
|
|
Trh stimulation panel
|
$254.40 |
$254.40 |
$254.40 |
$73.93
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$5.23 |
$5.23 |
$5.23 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$15.37 |
$15.37 |
$15.37 |
$1,309.80
|
|
Triamcinolone diacetate inj
|
$0.27 |
$0.27 |
$0.27 |
$0.80
|
|
Trichinella antibody
|
$43.46 |
$43.46 |
$43.46 |
$70.65
|
|
Triglycerides
|
$46.64 |
$46.64 |
$46.64 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$91.49 |
$91.49 |
$91.49 |
$128.00
|
|
Trim nail(s)
|
$130.38 |
$130.38 |
$130.38 |
$70.29
|
|
Trim nondyst nails
|
$167.48 |
$167.48 |
$167.48 |
$124.22
|
|
Triptorelin pamoate
|
$442.02 |
$442.02 |
$442.02 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$7,103.06 |
$7,103.06 |
$7,103.06 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$14,984.69 |
$14,984.69 |
$14,984.69 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$6,047.83 |
$6,047.83 |
$6,047.83 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$6,231.21 |
$6,231.21 |
$6,231.21 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$6,231.21 |
$6,231.21 |
$6,231.21 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$12,462.42 |
$12,462.42 |
$12,462.42 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$8,040.10 |
$8,040.10 |
$8,040.10 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$12,930.94 |
$12,930.94 |
$12,930.94 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,359.36 |
$5,359.36 |
$5,359.36 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,357.44 |
$2,357.44 |
$2,357.44 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$12,999.84 |
$12,999.84 |
$12,999.84 |
$4,329.36
|
|
Troponin quantitative
|
$80.56 |
$80.56 |
$80.56 |
$123.75
|
|
Trurl dstrj prst8 tiss rf wv
|
$2,970.65 |
$2,970.65 |
$2,970.65 |
$4,385.60
|
|
Tubular dressing
|
$1.06 |
$1.06 |
$1.06 |
$20.93
|
|
Tx atrial fib pulm vein isol
|
$56,211.80 |
$56,211.80 |
$56,211.80 |
$32,426.20
|
|
Tx contour defects >10.0 cc
|
$200.87 |
$200.87 |
$200.87 |
$755.08
|
|
Tx contour defects 1.1-5.0cc 11951
|
$103.88 |
$103.88 |
$103.88 |
$724.37
|
|
Tx l/r atrial fib addl
|
$28,105.90 |
$28,105.90 |
$28,105.90 |
$7,717.80
|
|
Tx open nsl fx uncomp
|
$1,079.08 |
$1,079.08 |
$1,079.08 |
$4,007.22
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$157.94 |
$157.94 |
$157.94 |
$911.43
|
|
Ua w/micro/comp poc
|
$14.84 |
$14.84 |
$14.84 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$863.90 |
$863.90 |
$863.90 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$467.99 |
$467.99 |
$467.99 |
$403.26
|
|
Ultrasound bone density measure
|
$138.86 |
$138.86 |
$138.86 |
$117.81
|
|
Ultrasound breast complete
|
$528.41 |
$528.41 |
$528.41 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$498.73 |
$498.73 |
$498.73 |
$449.35
|
|
Ultrasound chest
|
$504.03 |
$504.03 |
$504.03 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$284.08 |
$284.08 |
$284.08 |
$340.14
|
|
Ultrasound encephalogram
|
$485.48 |
$485.48 |
$485.48 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$610.03 |
$610.03 |
$610.03 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$346.09 |
$346.09 |
$346.09 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$351.92 |
$351.92 |
$351.92 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$520.99 |
$520.99 |
$520.99 |
$701.35
|
|
Ultrasound guide intraoperative
|
$400.15 |
$400.15 |
$400.15 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$289.91 |
$289.91 |
$289.91 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$586.71 |
$586.71 |
$586.71 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$535.30 |
$535.30 |
$535.30 |
$321.35
|
|
Ultrasound joint complete left
|
$513.57 |
$513.57 |
$513.57 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$239.03 |
$239.03 |
$239.03 |
$448.50
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$38.69 |
$38.69 |
$38.69 |
$280.02
|
|
Ultrasound ob >=14wks ea addl gest
|
$311.11 |
$311.11 |
$311.11 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$310.05 |
$310.05 |
$310.05 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$652.96 |
$652.96 |
$652.96 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$390.61 |
$390.61 |
$390.61 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$410.22 |
$410.22 |
$410.22 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$515.16 |
$515.16 |
$515.16 |
$485.48
|
