|
T3 (triiodothyronine) total
|
$18.06 |
$18.06 |
$18.06 |
$93.52
|
|
T4 (thyroxine) free
|
$27.72 |
$27.72 |
$27.72 |
$89.60
|
|
T4 (thyroxine) total
|
$23.52 |
$23.52 |
$23.52 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$26.88 |
$26.88 |
$26.88 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$78.96 |
$78.96 |
$78.96 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,678.78 |
$3,678.78 |
$3,678.78 |
$3,746.70
|
|
Target gsa panel organ neop
|
$753.48 |
$753.48 |
$753.48 |
$1,701.91
|
|
Tavr perq femoral
|
$3,499.44 |
$3,499.44 |
$3,499.44 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$126.00 |
$126.00 |
$126.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$78.12 |
$78.12 |
$78.12 |
$179.95
|
|
Tc-99m bicisate
|
$1,425.90 |
$1,425.90 |
$1,425.90 |
$2,070.00
|
|
Tc-99m disofenin
|
$106.26 |
$106.26 |
$106.26 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$2,702.28 |
$2,702.28 |
$2,702.28 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$761.46 |
$761.46 |
$761.46 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$257.88 |
$257.88 |
$257.88 |
$306.00
|
|
Tc-99m maa
|
$215.46 |
$215.46 |
$215.46 |
$312.06
|
|
Tc-99m mebrofenin
|
$173.46 |
$173.46 |
$173.46 |
$157.65
|
|
Tc-99m medronate
|
$148.81 |
$148.81 |
$148.81 |
$111.01
|
|
Tc-99m mertiatide
|
$259.98 |
$259.98 |
$259.98 |
$756.00
|
|
Tc-99m pentetate dtpa aerosol
|
$244.02 |
$244.02 |
$244.02 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$5.46 |
$5.46 |
$5.46 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$69.30 |
$69.30 |
$69.30 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$116.72 |
$116.72 |
$116.72 |
$287.20
|
|
Tc-99m sulfur colloid
|
$255.36 |
$255.36 |
$255.36 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$115.50 |
$115.50 |
$115.50 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,007.79 |
$1,007.79 |
$1,007.79 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$59.22 |
$59.22 |
$59.22 |
$184.00
|
|
T cells absolute cd 4 count
|
$46.62 |
$46.62 |
$46.62 |
$111.20
|
|
T cells total count
|
$47.88 |
$47.88 |
$47.88 |
$130.20
|
|
Team conf without pat by hc pro
|
$47.88 |
$47.88 |
$47.88 |
$112.86
|
|
Team conf without pat by phys
|
$68.46 |
$68.46 |
$68.46 |
$140.25
|
|
Team conf w/pat by hc prof
|
$54.60 |
$54.60 |
$54.60 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$438.48 |
$438.48 |
$438.48 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$432.18 |
$432.18 |
$432.18 |
$1,692.44
|
|
Telethx isodose plan cplx
|
$667.80 |
$667.80 |
$667.80 |
$1,526.85
|
|
Telethx isodose plan simple
|
$277.62 |
$277.62 |
$277.62 |
$880.61
|
|
Testicular imaging w/vasc flow
|
$253.26 |
$253.26 |
$253.26 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$100.80 |
$100.80 |
$100.80 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$434.28 |
$434.28 |
$434.28 |
$953.40
|
|
Thaw preserved stem cells
|
$464.94 |
$464.94 |
$464.94 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$18.06 |
$18.06 |
$18.06 |
$108.00
|
|
Therapeutic procd strg endur
|
$45.78 |
$45.78 |
$45.78 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$64.68 |
$64.68 |
$64.68 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$45.78 |
$45.78 |
$45.78 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$20.58 |
$20.58 |
$20.58 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$19.32 |
$19.32 |
$19.32 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$172.20 |
$172.20 |
$172.20 |
$538.88
|
|
Ther/proph/diag inj ia
|
$132.72 |
$132.72 |
$132.72 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$78.96 |
$78.96 |
$78.96 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,087.38 |
$1,087.38 |
$1,087.38 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,307.04 |
$1,307.04 |
$1,307.04 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$4,186.56 |
$4,186.56 |
$4,186.56 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,514.20 |
$6,514.20 |
$6,514.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,573.84 |
$6,573.84 |
$6,573.84 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,366.66 |
$21,366.66 |
$21,366.66 |
$21,413.60
|
|
Thrombin time
|
$23.52 |
$23.52 |
$23.52 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$43.26 |
$43.26 |
$43.26 |
$62.01
|
|
Thyroglobulin antibody
|
$89.88 |
$89.88 |
$89.88 |
$82.50
|
|
Thyroid imaging
|
$480.48 |
$480.48 |
$480.48 |
$695.60
|
|
Thyroid met imaging
|
$404.04 |
$404.04 |
$404.04 |
$838.25
|
|
Thyroid mets imag whole body
|
$947.10 |
$947.10 |
$947.10 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$22.68 |
$22.68 |
$22.68 |
$112.70
|
|
Thyroid Ultrasound
|
$169.26 |
$169.26 |
$169.26 |
$588.50
|
|
Thyroid uptake measurement
|
$278.46 |
$278.46 |
$278.46 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$18.90 |
$18.90 |
$18.90 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$14,667.24 |
$14,667.24 |
$14,667.24 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$7,752.78 |
$7,752.78 |
$7,752.78 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,286.14 |
$6,286.14 |
$6,286.14 |
$10,131.15
|
|
Tilt table study
|
$506.10 |
$506.10 |
$506.10 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$7.69 |
$7.69 |
$7.69 |
$458.85
|
|
Tissue culture placenta
|
$189.42 |
$189.42 |
$189.42 |
$453.00
|
|
Tissue culture skin/biopsy
|
$177.66 |
$177.66 |
$177.66 |
$488.74
|
|
Tissue culture tumor
|
$186.06 |
$186.06 |
$186.06 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$26.88 |
$26.88 |
$26.88 |
$47.40
|
|
Tissue transglutaminase iga
|
$24.78 |
$24.78 |
$24.78 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$30.58 |
$30.58 |
$30.58 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$20.58 |
$20.58 |
$20.58 |
$120.60
|
|
Toe X-ray (both feet)
|
$78.96 |
$78.96 |
$78.96 |
$258.65
|
|
Total tau
|
$189.42 |
$189.42 |
$189.42 |
$312.50
|
|
Toxoplasma antibody igg
|
$69.72 |
$69.72 |
$69.72 |
$91.65
|
|
Toxoplasma antibody igm
|
$25.20 |
$25.20 |
$25.20 |
$87.75
|
|
Tpmt gene com vrnts
|
$220.50 |
$220.50 |
$220.50 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$54.60 |
$54.60 |
$54.60 |
$102.27
|
|
Transcath biopsy
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
$4,285.93
|
|
Transcath closure of asd
|
$15,297.24 |
$15,297.24 |
$15,297.24 |
$17,041.80
|
|
Transcatheter bx s&i
|
$1,027.74 |
$1,027.74 |
$1,027.74 |
$1,950.85
|
|
Trans cath replace aortic valve 33366
|
$4,442.76 |
$4,442.76 |
$4,442.76 |
$14,799.50
|
|
Transferrin
|
$16.38 |
$16.38 |
$16.38 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$281.40 |
$281.40 |
$281.40 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$186.06 |
$186.06 |
$186.06 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$4,838.40 |
$4,838.40 |
$4,838.40 |
$4,523.04
|
|
Treatment radiation delivery level 2
|
$294.00 |
$294.00 |
$294.00 |
$830.70
|
|
Treponema pallidum antibody
|
$31.08 |
$31.08 |
$31.08 |
$72.05
|
|
Trg gene rearrangement anal
|
$254.10 |
$254.10 |
$254.10 |
$455.70
|
|
#tricyclicantidprssnt
|
$36.54 |
$36.54 |
$36.54 |
$50.54
|
|
Triglycerides
|
$7.56 |
$7.56 |
$7.56 |
$58.50
|
|
Trim nondyst nails
|
$53.34 |
$53.34 |
$53.34 |
$113.88
|
|
Trnscath plc stent crv crtd without prtct
|
$6,726.30 |
$6,726.30 |
$6,726.30 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,062.72 |
$7,062.72 |
$7,062.72 |
$9,767.25
|
