|
Thrombectomy/inf pq dialysis circuit
|
$6,514.20 |
$6,514.20 |
$6,514.20 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,573.84 |
$6,573.84 |
$6,573.84 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,366.66 |
$21,366.66 |
$21,366.66 |
|
|
Thrombin time
|
$23.52 |
$35.62 |
$38.47 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$43.26 |
$65.51 |
$70.76 |
|
|
Thyroglobulin antibody
|
$66.82 |
$72.58 |
$113.57 |
|
|
Thyroid imaging
|
$480.48 |
$617.22 |
$710.53 |
|
|
Thyroid met imaging
|
$404.04 |
$404.04 |
$404.04 |
|
|
Thyroid mets imag whole body
|
$947.10 |
$947.10 |
$947.10 |
|
|
Thyroid (TSH) Test
|
$22.68 |
$68.26 |
$73.82 |
|
|
Thyroid Ultrasound
|
$169.26 |
$779.25 |
$839.76 |
|
|
Thyroid uptake measurement
|
$278.46 |
$278.46 |
$278.46 |
|
|
Thyroxine binding globulin (tbg)
|
$18.90 |
$18.90 |
$27.68 |
|
|
Tib/per revasc stent & ather 37231
|
$14,667.24 |
$14,667.24 |
$14,667.24 |
|
|
Tib/per revasc stnt & ather
|
$7,752.78 |
$7,752.78 |
$7,752.78 |
|
|
Tib/per revasc w/ather add-on 37233
|
$6,286.14 |
$6,286.14 |
$6,286.14 |
|
|
Tilt table study
|
$506.10 |
$506.10 |
$506.10 |
|
|
Tirofiban 12.5 mg/50 ml
|
$7.69 |
$7.69 |
$7.69 |
|
|
Tissue culture placenta
|
$189.42 |
$189.42 |
$330.13 |
|
|
Tissue culture skin/biopsy
|
$177.66 |
$177.66 |
$177.66 |
|
|
Tissue culture tumor
|
$186.06 |
$186.06 |
$186.06 |
|
|
Tissue exam koh skin/hair/nails
|
$26.88 |
$135.24 |
$152.22 |
|
|
Tissue transglutaminase iga
|
$24.78 |
$41.06 |
$69.80 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$30.58 |
$30.58 |
$30.58 |
|
|
Tobramycin peak therapeutic drug level
|
$20.58 |
$30.13 |
$32.58 |
|
|
Toe X-ray (both feet)
|
$78.96 |
$180.93 |
$196.86 |
|
|
Tomosynthesis breast diagnostic left
|
$41.78 |
$45.82 |
$49.17 |
|
|
Tomosynthesis breast screen bilateral
|
$39.15 |
$40.82 |
$45.82 |
|
|
Total tau
|
$189.42 |
$277.36 |
$299.92 |
|
|
Toxoplasma antibody igg
|
$43.85 |
$47.63 |
$74.53 |
|
|
Toxoplasma antibody igm
|
$25.20 |
$41.76 |
$70.98 |
|
|
Tpmt gene com vrnts
|
$220.50 |
$316.58 |
$563.85 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$54.60 |
$75.89 |
$124.03 |
|
|
Transcath biopsy
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
|
|
Transcath closure of asd
|
$15,297.24 |
$15,297.24 |
$15,297.24 |
|
|
Transcatheter bx s&i
|
$1,027.74 |
$1,027.74 |
$1,027.74 |
|
|
Trans cath replace aortic valve 33366
|
$4,442.76 |
$4,442.76 |
$4,442.76 |
|
|
Transferrin
|
$16.38 |
$23.98 |
$25.94 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$281.40 |
$683.83 |
$736.93 |
|
|
Transvaginal Pregnancy Ultrasound
|
$186.06 |
$576.69 |
$621.48 |
|
|
Trauma partial team response w/critical care services level 4
|
$2,164.89 |
$2,355.21 |
$4,838.40 |
|
|
Treat ankle dislocation
|
$824.37 |
$824.37 |
$942.79 |
|
|
Treat elbow dislocation
|
$791.67 |
$884.72 |
$905.40 |
|
|
Treat finger fracture each
|
$416.90 |
$416.90 |
$426.65 |
|
|
Treat foot dislocation
|
$229.42 |
$229.42 |
$229.42 |
|
|
Treat fracture of radius
|
$767.02 |
$857.17 |
$877.20 |
|
|
Treat fracture of ulna
|
$845.79 |
$845.79 |
$865.56 |
|
|
Treat hip dislocation
|
$1,415.44 |
$1,415.44 |
$1,448.52 |
|
|
Treat hip socket fracture
|
$1,824.55 |
$1,824.55 |
$1,867.20 |
|
|
Treat humerus fracture
|
$948.72 |
$1,060.23 |
$1,085.01 |
|
|
Treat kneecap dislocation
|
$908.68 |
$908.68 |
$908.68 |
|
|
Treat knee dislocation
|
$1,176.44 |
$1,176.44 |
$1,203.93 |
|
|
Treat knee fracture 27530
|
$528.92 |
$528.92 |
$528.92 |
|
|
Treat knuckle dislocation
|
$426.66 |
$426.66 |
$426.66 |
|
|
Treat lower leg dislocation
|
$667.29 |
$667.29 |
$667.29 |
|
|
Treat lower leg dislocation
|
$754.74 |
$754.74 |
$754.74 |
|
|
Treatment incomplete abortion completed surgically any trimester
|
$380.36 |
$380.36 |
$380.36 |
|
|
Treatment of ankle fracture 27786
|
$535.51 |
$535.51 |
$535.51 |
|
|
Treatment of fibula fracture 27780
|
$524.12 |
$524.12 |
$524.12 |
|
|
Treatment of heel fracture 28400
|
$425.29 |
$425.29 |
$425.29 |
|
|
Treatment of thigh fracture
|
$1,274.07 |
$1,274.07 |
$1,303.85 |
|
|
Treatment radiation delivery level 2
|
$294.00 |
$294.00 |
$294.00 |
|
|
Treat midfoot fracture each
|
$320.46 |
$320.46 |
$320.46 |
|
|
Treat thigh fracture
|
$887.72 |
$887.72 |
$887.72 |
|
|
Treat thigh fx growth plate
|
$897.30 |
$897.30 |
$897.30 |
|
|
Treat ulnar fracture
|
$778.10 |
$778.10 |
$778.10 |
|
|
Treponema pallidum antibody
|
$31.08 |
$51.50 |
$87.54 |
|
|
Trg gene rearrangement anal
|
$254.10 |
$364.82 |
$649.77 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.00 |
$3.00 |
$3.00 |
|
|
Trichinella antibody
|
$48.02 |
$52.16 |
$81.63 |
|
|
#tricyclicantidprssnt
|
$36.54 |
$36.54 |
$36.54 |
|
|
Triglycerides
|
$7.56 |
$33.21 |
$35.91 |
|
|
Trim nondyst nails
|
$53.34 |
$53.34 |
$53.34 |
|
|
Trnscath plc stent crv crtd without prtct
|
$6,726.30 |
$6,726.30 |
$6,726.30 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$7,062.72 |
$7,062.72 |
$7,062.72 |
|
|
Trnscath plc stnt ante carotid art
|
$3,917.34 |
$3,917.34 |
$3,917.34 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,917.74 |
$2,917.74 |
$2,917.74 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,068.94 |
$3,068.94 |
$3,068.94 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$6,714.96 |
$6,714.96 |
$6,714.96 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,453.66 |
$3,453.66 |
$3,453.66 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,703.62 |
$6,703.62 |
$6,703.62 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,578.02 |
$5,578.02 |
$5,578.02 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,379.34 |
$4,379.34 |
$4,379.34 |
|
|
Trnscath tx thromblytc vein ini day
|
$5,871.18 |
$5,871.18 |
$5,871.18 |
|
|
Troponin quantitative
|
$15.96 |
$84.87 |
$91.77 |
|
|
Tte w or without contr, cont ecg
|
$1,283.49 |
$1,283.49 |
$1,363.21 |
|
|
Tte w or without fol w/con,stres
|
$855.54 |
$855.54 |
$855.54 |
|
|
Tte w or without fol w/cont, com
|
$957.18 |
$957.18 |
$957.18 |
|
|
Tte w or without fol w/cont, f/u
|
$432.18 |
$432.18 |
$432.18 |
|
|
Tx atrial fib pulm vein isol
|
$23,868.60 |
$23,868.60 |
$23,868.60 |
|
|
Tx closed hip disl traumatic without anes
|
$309.81 |
$346.22 |
$354.31 |
|
|
Tx closed tib shaft fx without manip
|
$595.41 |
$595.41 |
$595.41 |
|
|
Tx l/r atrial fib addl
|
$3,594.78 |
$3,594.78 |
$3,594.78 |
|
|
Tx tarsal bone fx without manip 28450
|
$236.60 |
$236.60 |
$236.60 |
|
|
Ugt1a1 gene analy common variants
|
$294.84 |
$423.31 |
$753.95 |
|
|
Ultrasound breast complete
|
$257.04 |
$888.89 |
$957.92 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$210.42 |
$729.86 |
$786.54 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$269.70 |
$269.70 |
$269.70 |
|
|
Ultrasound elastography ea l target les
|
$121.36 |
$121.36 |
$130.79 |
|
|
Ultrasound elastography parenchyma
|
$252.77 |
$252.77 |
$272.40 |
|