|
Tbs techl calculation only
|
$139.15 |
$139.15 |
$139.15 |
$123.30
|
|
Tbs techl prep&transmis data
|
$63.25 |
$63.25 |
$63.25 |
$104.19
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$73.70 |
$73.70 |
$73.70 |
$166.46
|
|
Tc-99m labeled rbc
|
$309.20 |
$309.20 |
$309.20 |
$323.01
|
|
Tc-99m maa
|
$212.99 |
$212.99 |
$212.99 |
$312.06
|
|
Tc-99m mebrofenin
|
$261.39 |
$261.39 |
$261.39 |
$169.53
|
|
Tc-99m medronate
|
$66.55 |
$66.55 |
$66.55 |
$122.46
|
|
Tc-99m mertiatide
|
$494.67 |
$494.67 |
$494.67 |
$757.25
|
|
Tc-99m oxidronate
|
$91.90 |
$91.90 |
$91.90 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$130.50 |
$130.50 |
$130.50 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$40.32 |
$40.32 |
$40.32 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$121.00 |
$121.00 |
$121.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$964.10 |
$964.10 |
$964.10 |
$221.60
|
|
Tc-99m sulfur colloid
|
$36.71 |
$36.71 |
$36.71 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$52.25 |
$52.25 |
$52.25 |
$186.00
|
|
T cells absolute cd 4 count
|
$181.50 |
$181.50 |
$181.50 |
$120.25
|
|
T cells total count
|
$52.25 |
$52.25 |
$52.25 |
$124.11
|
|
Test stress cardiovascular tracing only
|
$556.60 |
$556.60 |
$556.60 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$149.60 |
$149.60 |
$149.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$50.05 |
$50.05 |
$50.05 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$100.65 |
$100.65 |
$100.65 |
$55.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,526.80 |
$1,526.80 |
$1,526.80 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$438.90 |
$438.90 |
$438.90 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,531.70 |
$7,531.70 |
$7,531.70 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,929.20 |
$14,929.20 |
$14,929.20 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$23,717.10 |
$23,717.10 |
$23,717.10 |
$24,605.30
|
|
Thrombin time
|
$44.55 |
$44.55 |
$44.55 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$46.75 |
$46.75 |
$46.75 |
$56.93
|
|
Thyroglobulin antibody
|
$10.45 |
$10.45 |
$10.45 |
$84.00
|
|
Thyroid imaging
|
$863.50 |
$863.50 |
$863.50 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,032.35 |
$1,032.35 |
$1,032.35 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$100.65 |
$100.65 |
$100.65 |
$120.00
|
|
Thyroid Ultrasound
|
$491.70 |
$491.70 |
$491.70 |
$589.96
|
|
Thyroid uptake measurement
|
$332.20 |
$332.20 |
$332.20 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$99.00 |
$99.00 |
$99.00 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$12,453.65 |
$12,453.65 |
$12,453.65 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$7,767.10 |
$7,767.10 |
$7,767.10 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$6,472.40 |
$6,472.40 |
$6,472.40 |
$10,406.14
|
|
Tilt table study
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$752.40 |
$752.40 |
$752.40 |
$558.87
|
|
Tissue culture tumor
|
$836.00 |
$836.00 |
$836.00 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$36.30 |
$36.30 |
$36.30 |
$47.40
|
|
Tissue transglutaminase iga
|
$83.60 |
$83.60 |
$83.60 |
$48.57
|
|
Tobramycin peak therapeutic drug level
|
$156.20 |
$156.20 |
$156.20 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$123.75 |
$123.75 |
$123.75 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$247.50 |
$247.50 |
$247.50 |
$73.45
|
|
Total tau
|
$275.00 |
$275.00 |
$275.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$95.15 |
$95.15 |
$95.15 |
$84.35
|
|
Toxoplasma antibody igm
|
$110.00 |
$110.00 |
$110.00 |
$83.20
|
|
Tp53 gene full gene sequence
|
$2,650.45 |
$2,650.45 |
$2,650.45 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Tpmt gene com vrnts
|
$217.25 |
$217.25 |
$217.25 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$135.30 |
$135.30 |
$135.30 |
$104.50
|
|
Transcath biopsy
|
$786.50 |
$786.50 |
$786.50 |
$4,298.05
|
|
Transcatheter bx s&i
|
$1,950.85 |
$1,950.85 |
$1,950.85 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$270.05 |
$270.05 |
$270.05 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$17,106.18
|
|
Transferrin
|
$100.65 |
$100.65 |
$100.65 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$187.00 |
$187.00 |
$187.00 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$4,784.45 |
$4,784.45 |
$4,784.45 |
$5,455.00
|
|
Treat ankle dislocation
|
$415.25 |
$415.25 |
$415.25 |
$2,207.20
|
|
Treat elbow dislocation
|
$1,246.85 |
$1,246.85 |
$1,246.85 |
$2,326.40
|
|
Treat elbow fracture
|
$1,436.60 |
$1,436.60 |
$1,436.60 |
$2,125.60
|
|
Treat finger fracture each
|
$101.75 |
$101.75 |
$101.75 |
$1,815.75
|
|
Treat fracture of radius
|
$1,424.50 |
$1,424.50 |
$1,424.50 |
$2,030.33
|
|
Treat hip dislocation
|
$1,653.30 |
$1,653.30 |
$1,653.30 |
$2,561.90
|
|
Treat humerus fracture
|
$419.65 |
$419.65 |
$419.65 |
$1,950.60
|
|
Treat kneecap dislocation
|
$1,464.10 |
$1,464.10 |
$1,464.10 |
$1,351.35
|
|
Treat knuckle dislocation
|
$240.90 |
$240.90 |
$240.90 |
$1,893.86
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$147.40 |
$147.40 |
$147.40 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$73.70 |
$73.70 |
$73.70 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$200.20 |
$200.20 |
$200.20 |
$210.00
|
|
Treat toe dislocation
|
$1,010.90 |
$1,010.90 |
$1,010.90 |
$855.66
|
|
Treat vaginal bleeding
|
$273.90 |
$273.90 |
$273.90 |
$400.86
|
|
Treponema pallidum antibody
|
$144.10 |
$144.10 |
$144.10 |
$72.80
|
|
Trg gene rearrangement anal
|
$966.90 |
$966.90 |
$966.90 |
$455.70
|
|
Trichinella antibody
|
$82.50 |
$82.50 |
$82.50 |
$70.65
|
|
#tricyclicantidprssnt
|
$140.25 |
$140.25 |
$140.25 |
$57.08
|
|
Triglycerides
|
$102.85 |
$102.85 |
$102.85 |
$54.60
|
|
Trnscath plc stent crv crtd without prtct
|
$5,877.30 |
$5,877.30 |
$5,877.30 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,661.15 |
$5,661.15 |
$5,661.15 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$4,153.05 |
$4,153.05 |
$4,153.05 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$101.75 |
$101.75 |
$101.75 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$67.10 |
$67.10 |
$67.10 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$5,442.80 |
$5,442.80 |
$5,442.80 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,461.35 |
$1,461.35 |
$1,461.35 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,902.45 |
$1,902.45 |
$1,902.45 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$747.45 |
$747.45 |
$747.45 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$1,976.15 |
$1,976.15 |
$1,976.15 |
$4,329.36
|
|
Troponin quantitative
|
$75.90 |
$75.90 |
$75.90 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$2,422.20 |
$2,422.20 |
$2,422.20 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
$1,582.75
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,840.85 |
$1,840.85 |
$1,840.85 |
$4,281.00
|
|
Ugt1a1 gene analy common variants
|
$911.90 |
$911.90 |
$911.90 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$106.15 |
$106.15 |
$106.15 |
$403.26
|
|
Ultrasound breast complete
|
$639.10 |
$639.10 |
$639.10 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$489.50 |
$489.50 |
$489.50 |
$449.35
|
|
Ultrasound chest
|
$489.50 |
$489.50 |
$489.50 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$370.70 |
$370.70 |
$370.70 |
$340.14
|
