|
St cognitve performance testing healthcare professional each hour
|
$494.45 |
$494.45 |
$494.45 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$20,641.50 |
$20,641.50 |
$20,641.50 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,982.32 |
$3,982.32 |
$3,982.32 |
$39,270.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$401.95 |
$401.95 |
$401.95 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,367.47 |
$1,367.47 |
$1,367.47 |
$18,472.24
|
|
Stent iliac/open or perc/uni/init 37221
|
$10,552.30 |
$10,552.30 |
$10,552.30 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,784.50 |
$9,784.50 |
$9,784.50 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,025.85 |
$11,025.85 |
$11,025.85 |
$19,765.20
|
|
St evaluate speech sound production
|
$492.25 |
$492.25 |
$492.25 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$569.80 |
$569.80 |
$569.80 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$506.00 |
$506.00 |
$506.00 |
$406.40
|
|
St evaluation swallow function
|
$246.95 |
$246.95 |
$246.95 |
$336.60
|
|
Strapping of hip
|
$138.60 |
$138.60 |
$138.60 |
$170.08
|
|
Strapping of knee
|
$307.45 |
$307.45 |
$307.45 |
$224.80
|
|
Strep a ag ia
|
$123.75 |
$123.75 |
$123.75 |
$75.40
|
|
Strep b dna amp probe
|
$201.85 |
$201.85 |
$201.85 |
$139.20
|
|
Stress test pulmonary
|
$522.50 |
$522.50 |
$522.50 |
$327.20
|
|
St treatment speech individual
|
$163.90 |
$163.90 |
$163.90 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$363.00 |
$363.00 |
$363.00 |
$261.60
|
|
Sulfonylurea screen qn-sendout
|
$258.50 |
$258.50 |
$258.50 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$125.40 |
$125.40 |
$125.40 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$131.45 |
$131.45 |
$131.45 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$274.45 |
$274.45 |
$274.45 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$271.70 |
$271.70 |
$271.70 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$384.45 |
$384.45 |
$384.45 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$372.35 |
$372.35 |
$372.35 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$30.80 |
$30.80 |
$30.80 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$51.70 |
$51.70 |
$51.70 |
$34.48
|
|
Susceptibility mic per plate
|
$118.80 |
$118.80 |
$118.80 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$210.65 |
$210.65 |
$210.65 |
$48.30
|
|
Svc venogram s&i
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$35.20 |
$35.20 |
$35.20 |
$44.85
|
|
System cardiomems hosp electronics
|
$31,779.69 |
$31,779.69 |
$31,779.69 |
$41,360.00
|
|
System pacing micra av
|
$6,863.20 |
$6,863.20 |
$6,863.20 |
$22,733.55
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,180.35 |
$4,180.35 |
$4,180.35 |
$9,363.28
|
|
T3 (triiodothyronine) free
|
$106.70 |
$106.70 |
$106.70 |
$89.82
|
|
T3 (triiodothyronine) total
|
$122.10 |
$122.10 |
$122.10 |
$94.90
|
|
T4 (thyroxine) free
|
$81.40 |
$81.40 |
$81.40 |
$81.60
|
|
T4 (thyroxine) total
|
$67.10 |
$67.10 |
$67.10 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$122.65 |
$122.65 |
$122.65 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$2,020.70 |
$2,020.70 |
$2,020.70 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$6,937.15 |
$6,937.15 |
$6,937.15 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,037.30 |
$1,037.30 |
$1,037.30 |
$1,913.00
|
|
Tavr perq femoral
|
$16,500.00 |
$16,500.00 |
$16,500.00 |
$16,357.00
|
|
Tbs techl calculation only
|
$144.65 |
$144.65 |
$144.65 |
$123.30
|
|
Tbs techl prep&transmis data
|
$144.65 |
$144.65 |
$144.65 |
$104.19
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$202.40 |
$202.40 |
$202.40 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$784.85 |
$784.85 |
$784.85 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$717.20 |
$717.20 |
$717.20 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$245.30 |
$245.30 |
$245.30 |
$323.01
|
|
Tc-99m maa
|
$476.85 |
$476.85 |
$476.85 |
$312.06
|
|
Tc-99m mebrofenin
|
$121.00 |
$121.00 |
$121.00 |
$169.53
|
|
Tc-99m medronate
|
$99.55 |
$99.55 |
$99.55 |
$122.46
|
|
Tc-99m mertiatide
|
$452.10 |
$452.10 |
$452.10 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$12.65 |
$12.65 |
$12.65 |
$10.00
|
|
Tc-99m pentetate dtpa
|
$172.70 |
$172.70 |
$172.70 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$173.80 |
$173.80 |
$173.80 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$11.55 |
$11.55 |
$11.55 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$190.85 |
$190.85 |
$190.85 |
$221.60
|
|
Tc-99m sulfur colloid
|
$118.25 |
$118.25 |
$118.25 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$177.65 |
$177.65 |
$177.65 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$306.90 |
$306.90 |
$306.90 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$389.40 |
$389.40 |
$389.40 |
$186.00
|
|
T cells absolute cd 4 count
|
$226.05 |
$226.05 |
$226.05 |
$120.25
|
|
T cells total count
|
$312.95 |
$312.95 |
$312.95 |
$124.11
|
|
Telehealth original site facility fee
|
$43.45 |
$43.45 |
$43.45 |
$44.85
|
|
Telethx isodose plan cplx
|
$2,137.30 |
$2,137.30 |
$2,137.30 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,590.05 |
$1,590.05 |
$1,590.05 |
$848.72
|
|
Testicular imaging w/vasc flow
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,001.55 |
$1,001.55 |
$1,001.55 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$121.00 |
$121.00 |
$121.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$49.50 |
$49.50 |
$49.50 |
$81.36
|
|
Therapy activity per session >= 45 minutes
|
$81.95 |
$81.95 |
$81.95 |
$210.44
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$65.45 |
$65.45 |
$65.45 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$53.90 |
$53.90 |
$53.90 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$365.20 |
$365.20 |
$365.20 |
$534.32
|
|
Ther/proph/diag inj ia
|
$105.60 |
$105.60 |
$105.60 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$1,294.70 |
$1,294.70 |
$1,294.70 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,672.25 |
$4,672.25 |
$4,672.25 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,442.40 |
$9,442.40 |
$9,442.40 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,459.30 |
$16,459.30 |
$16,459.30 |
$24,605.30
|
|
Thrombin time
|
$49.50 |
$49.50 |
$49.50 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$53.90 |
$53.90 |
$53.90 |
$56.93
|
|
Thyroglobulin antibody
|
$138.60 |
$138.60 |
$138.60 |
$84.00
|
|
Thyroid imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$138.60 |
$138.60 |
$138.60 |
$120.00
|
|
Thyroid Ultrasound
|
$409.20 |
$409.20 |
$409.20 |
$589.96
|
|
Tib/per revasc stent & ather 37231
|
$16,951.00 |
$16,951.00 |
$16,951.00 |
$21,900.00
|
|
Tilt table study
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$40.70 |
$40.70 |
$40.70 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$41.80 |
$41.80 |
$41.80 |
$47.40
|
|
Tissue transglutaminase iga
|
$64.35 |
$64.35 |
$64.35 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$41.25 |
$41.25 |
$41.25 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$139.15 |
$139.15 |
$139.15 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$19.25 |
$19.25 |
$19.25 |
$73.45
|
|
Toxoplasma antibody igg
|
$107.25 |
$107.25 |
$107.25 |
$84.35
|
|
Toxoplasma antibody igm
|
$94.60 |
$94.60 |
$94.60 |
$83.20
|
