|
Tap block bilat cont infusion 64489
|
$4,907.10 |
$4,907.10 |
$4,907.10 |
$1,407.60
|
|
Target gsa panel hmtlmph neop
|
$1,954.92 |
$1,954.92 |
$1,954.92 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,368.54 |
$4,368.54 |
$4,368.54 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$295.02 |
$295.02 |
$295.02 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$415.14 |
$415.14 |
$415.14 |
$177.65
|
|
Tc-99m non-heu per study dose
|
$11.88 |
$11.88 |
$11.88 |
$6.60
|
|
T cells absolute cd4/cd8 including ratio
|
$316.80 |
$316.80 |
$316.80 |
$176.40
|
|
T cells absolute cd 4 count
|
$172.92 |
$172.92 |
$172.92 |
$111.20
|
|
T cells total count
|
$268.62 |
$268.62 |
$268.62 |
$126.90
|
|
Team conf without pat by hc pro
|
$112.86 |
$112.86 |
$112.86 |
$112.86
|
|
Team conf w/pat by hc prof
|
$112.86 |
$112.86 |
$112.86 |
$107.10
|
|
Telehealth original site facility fee
|
$197.34 |
$197.34 |
$197.34 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$322.00 |
$322.00 |
$322.00 |
$15,245.38
|
|
Testicular imaging w/vasc flow
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$990.66 |
$990.66 |
$990.66 |
$949.70
|
|
Tgsap so neo 5-50 rna alys
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$96.36 |
$96.36 |
$96.36 |
$108.00
|
|
Therapeutic procd strg endur
|
$79.20 |
$79.20 |
$79.20 |
$85.68
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.24 |
$24.24 |
$24.24 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,364.88 |
$1,364.88 |
$1,364.88 |
$1,687.50
|
|
Thor rib belt custom fabrica
|
$128.04 |
$128.04 |
$128.04 |
$225.50
|
|
Thrombin time
|
$89.10 |
$89.10 |
$89.10 |
$53.76
|
|
Thromboplastin inhibition
|
$49.50 |
$49.50 |
$49.50 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$68.64 |
$68.64 |
$68.64 |
$61.52
|
|
Thyroglobulin antibody
|
$108.90 |
$108.90 |
$108.90 |
$82.00
|
|
Thyroid imaging
|
$694.98 |
$694.98 |
$694.98 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,493.58 |
$1,493.58 |
$1,493.58 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$114.84 |
$114.84 |
$114.84 |
$111.00
|
|
Thyroid Ultrasound
|
$552.42 |
$552.42 |
$552.42 |
$588.50
|
|
Thyroid uptake measurement
|
$463.98 |
$463.98 |
$463.98 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$65.34 |
$65.34 |
$65.34 |
$64.35
|
|
Tigecycline injection
|
$8.04 |
$8.04 |
$8.04 |
$234.00
|
|
Tissue culture placenta
|
$483.78 |
$483.78 |
$483.78 |
$457.00
|
|
Tissue culture skin/biopsy
|
$320.76 |
$320.76 |
$320.76 |
$484.00
|
|
Tissue culture tumor
|
$520.74 |
$520.74 |
$520.74 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$60.72 |
$60.72 |
$60.72 |
$47.20
|
|
Tissue transglutaminase iga
|
$32.34 |
$32.34 |
$32.34 |
$44.16
|
|
Tixagev and cilgav inj
|
$80.52 |
$80.52 |
$80.52 |
$224.55
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$32.34 |
$32.34 |
$32.34 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$77.88 |
$77.88 |
$77.88 |
$120.60
|
|
Total tau
|
$468.60 |
$468.60 |
$468.60 |
$312.50
|
|
Toxoplasma antibody igg
|
$99.00 |
$99.00 |
$99.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$89.10 |
$89.10 |
$89.10 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,083.72 |
$1,083.72 |
$1,083.72 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$790.68 |
$790.68 |
$790.68 |
$790.68
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$90.42 |
$90.42 |
$90.42 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.17 |
$0.17 |
$0.17 |
$56.38
|
|
Transferrin
|
$43.56 |
$43.56 |
$43.56 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$883.74 |
$883.74 |
$883.74 |
$983.00
|
|
Trauma partial team response w/critical care services level 4
|
$2,693.46 |
$2,693.46 |
$2,693.46 |
$4,523.04
|
|
Treat elbow dislocation
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$2,223.20
|
|
Treat finger fracture each
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$1,536.00
|
|
Treat foot bone lesion
|
$3,747.48 |
$3,747.48 |
$3,747.48 |
$3,839.54
|
|
Treat fracture of radius
|
$3,712.50 |
$3,712.50 |
$3,712.50 |
$1,790.00
|
|
Treat fracture of radius
|
$3,754.08 |
$3,754.08 |
$3,754.08 |
$1,849.00
|
|
Treat hip dislocation
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$2,192.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$240.90 |
$240.90 |
$240.90 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$39.60 |
$39.60 |
$39.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$244.20 |
$244.20 |
$244.20 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$487.74 |
$487.74 |
$487.74 |
$520.80
|
|
Treatment of penis lesion
|
$6,753.12 |
$6,753.12 |
$6,753.12 |
$3,515.40
|
|
Treatment of toe fracture 28510
|
$629.64 |
$629.64 |
$629.64 |
$369.70
|
|
Treat vaginal bleeding
|
$1,052.04 |
$1,052.04 |
$1,052.04 |
$379.60
|
|
Treat wrist dislocation
|
$1,022.34 |
$1,022.34 |
$1,022.34 |
$656.25
|
|
Treponema pallidum antibody
|
$38.28 |
$38.28 |
$38.28 |
$70.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$11.40 |
$11.40 |
$11.40 |
$43.21
|
|
Trichinella antibody
|
$96.36 |
$96.36 |
$96.36 |
$70.20
|
|
#tricyclicantidprssnt
|
$91.08 |
$91.08 |
$91.08 |
$50.86
|
|
Triglycerides
|
$35.64 |
$35.64 |
$35.64 |
$58.05
|
|
Trim nail(s)
|
$108.90 |
$108.90 |
$108.90 |
$79.00
|
|
Trim nondyst nails
|
$118.14 |
$118.14 |
$118.14 |
$113.40
|
|
Troponin quantitative
|
$84.48 |
$84.48 |
$84.48 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$1,657.92 |
$1,657.92 |
$1,657.92 |
$1,632.80
|
|
Tx closed hip disl traumatic without anes
|
$662.64 |
$662.64 |
$662.64 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$6,407.94 |
$6,407.94 |
$6,407.94 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$2,983.20 |
$2,983.20 |
$2,983.20 |
$535.60
|
|
Ugt1a1 gene analy common variants
|
$619.08 |
$619.08 |
$619.08 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$386.76 |
$386.76 |
$386.76 |
$394.20
|
|
Ultrasound breast complete
|
$546.48 |
$546.48 |
$546.48 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$392.70 |
$392.70 |
$392.70 |
$449.35
|
|
Ultrasound chest
|
$405.24 |
$405.24 |
$405.24 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$292.38 |
$292.38 |
$292.38 |
$338.00
|
|
Ultrasound exam k transpl w/doppler
|
$573.54 |
$573.54 |
$573.54 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$398.64 |
$398.64 |
$398.64 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$370.26 |
$370.26 |
$370.26 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$699.60 |
$699.60 |
$699.60 |
$720.15
|
|
Ultrasound guide intraoperative
|
$839.52 |
$839.52 |
$839.52 |
$632.85
|
|
Ultrasound joint complete left
|
$566.28 |
$566.28 |
$566.28 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$384.78 |
$384.78 |
$384.78 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$307.56 |
$307.56 |
$307.56 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$251.46 |
$251.46 |
$251.46 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$650.10 |
$650.10 |
$650.10 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$321.42 |
$321.42 |
$321.42 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$335.28 |
$335.28 |
$335.28 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$440.22 |
$440.22 |
$440.22 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$228.36 |
$228.36 |
$228.36 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$517.44 |
$517.44 |
$517.44 |
$486.50
|
|
Ultrasound scrotum and contents
|
$578.16 |
$578.16 |
$578.16 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$349.80 |
$349.80 |
$349.80 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$297.00 |
$297.00 |
$297.00 |
$421.00
|
