|
Tc-99m pentetate dtpa
|
$13.84 |
$23.84 |
$63.74 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$65.02 |
$65.02 |
$629.36 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$9.44 |
$16.17 |
$33.41 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$48.00 |
$59.11 |
$82.20 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$44.46 |
$71.42 |
$76.14 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,831.36 |
$1,831.36 |
$1,831.36 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$47.43 |
$54.88 |
$93.98 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$172.64 |
$212.80 |
$295.65 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$383.92 |
$616.67 |
$657.46 |
$985.60
|
|
Tcd emboli detect w/inj
|
$151.79 |
$169.60 |
$207.76 |
$475.80
|
|
Tcd emboli detect without inj
|
$138.37 |
$154.60 |
$189.38 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$23.69 |
$26.09 |
$67.68 |
$184.00
|
|
T cells absolute cd 4 count
|
$13.61 |
$14.98 |
$21.14 |
$111.20
|
|
T cells total count
|
$19.15 |
$21.09 |
$68.18 |
$130.20
|
|
Team conf without pat by hc pro
|
$30.69 |
$40.61 |
$41.05 |
$112.86
|
|
Team conf w/pat by hc prof
|
$40.79 |
$53.97 |
$54.55 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$547.46 |
$661.90 |
$757.78 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$612.24 |
$740.23 |
$847.46 |
$1,692.44
|
|
Telethx isodose plan cplx
|
$574.56 |
$574.56 |
$574.56 |
$1,526.85
|
|
Telethx isodose plan simple
|
$373.32 |
$373.32 |
$373.32 |
$880.61
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,654.29 |
$7,654.29 |
$7,654.29 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$45.45 |
$45.45 |
$45.45 |
$39.33
|
|
Tert gene targeted seq alys
|
$392.92 |
$392.92 |
$392.92 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$197.65 |
$413.00 |
$463.15 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$261.58 |
$294.70 |
$359.90 |
$953.40
|
|
Tetanus immune globulin inj
|
$951.45 |
$951.45 |
$951.45 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$918.72 |
$918.72 |
$918.72 |
$1,009.32
|
|
Theophylline therapeutic drug level
|
$3.61 |
$5.46 |
$6.45 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$20.61 |
$24.15 |
$55.33 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$18.30 |
$21.45 |
$65.46 |
$98.58
|
|
Ther nma rdctj intus/obstrcj
|
$375.76 |
$386.50 |
$556.93 |
$538.88
|
|
Ther/proph/diag inj ia
|
$98.89 |
$98.89 |
$217.36 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$103.60 |
$106.56 |
$399.90 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$923.50 |
$957.39 |
$1,106.95 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$558.65 |
$1,167.32 |
$1,309.07 |
$1,703.45
|
|
Throat x-ray & fluoroscopy
|
$147.84 |
$147.84 |
$147.84 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,159.18 |
$2,191.24 |
$2,694.27 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,747.61 |
$5,737.39 |
$5,938.70 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,121.13 |
$8,605.75 |
$8,907.70 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$11,465.18 |
$13,855.45 |
$14,341.60 |
$21,413.60
|
|
Thrombin time
|
$3.58 |
$10.58 |
$25.20 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$1,434.81 |
$1,434.81 |
$1,434.81 |
$3,987.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$6.59 |
$19.47 |
$93.62 |
$62.01
|
|
Thyroglobulin antibody
|
$17.76 |
$25.06 |
$65.21 |
$82.50
|
|
Thyroid imaging
|
$142.17 |
$297.08 |
$333.15 |
$695.60
|
|
Thyroid mets imag whole body
|
$346.52 |
$724.08 |
$812.00 |
$1,524.99
|
|
Thyroid met uptake
|
$72.09 |
$150.64 |
$168.93 |
$407.40
|
|
Thyroid (TSH) Test
|
$27.55 |
$41.66 |
$94.85 |
$112.70
|
|
Thyroid Ultrasound
|
$82.74 |
$189.12 |
$277.14 |
$588.50
|
|
Thyroid uptake measurement
|
$82.14 |
$171.64 |
$192.48 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$3.78 |
$5.72 |
$22.73 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$10,216.87 |
$12,346.88 |
$12,780.11 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$6,750.96 |
$8,158.41 |
$8,444.67 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,473.50 |
$6,614.62 |
$6,846.71 |
$10,131.15
|
|
Tilt table study
|
$272.74 |
$787.93 |
$887.11 |
$1,561.82
|
|
Tis cgen car anomal 1st shnt
|
$3,079.49 |
$3,079.49 |
$3,079.49 |
$9,216.90
|
|
Tiss ex molecul study add-on
|
$4.45 |
$4.45 |
$4.45 |
$45.53
|
|
Tissue culture placenta
|
$39.15 |
$154.42 |
$254.41 |
$453.00
|
|
Tissue culture skin/biopsy
|
$36.67 |
$144.63 |
$222.30 |
$488.74
|
|
Tissue culture tumor
|
$38.39 |
$151.44 |
$198.37 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$35.26 |
$47.94 |
$68.67 |
$47.40
|
|
Tissue transglutaminase iga
|
$9.91 |
$10.91 |
$60.52 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$54.48 |
$54.48 |
$54.48 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$209.95 |
$209.95 |
$209.95 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$4.12 |
$6.22 |
$59.28 |
$120.60
|
|
Toe X-ray (both feet)
|
$70.28 |
$72.29 |
$138.57 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$19.97 |
$19.97 |
$19.97 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$20.18 |
$20.18 |
$20.18 |
$74.10
|
|
Total tau
|
$37.88 |
$57.28 |
$67.65 |
$312.50
|
|
Toxoplasma antibody igg
|
$10.58 |
$11.65 |
$21.99 |
$91.65
|
|
Toxoplasma antibody igm
|
$10.08 |
$11.10 |
$21.99 |
$87.75
|
|
Tp53 gene full gene sequence
|
$847.44 |
$847.44 |
$847.44 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$698.72 |
$698.72 |
$698.72 |
$804.00
|
|
Tpmt gene com vrnts
|
$56.48 |
$183.77 |
$370.92 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$3,391.41 |
$3,391.41 |
$3,391.41 |
$7,144.80
|
|
Transcath biopsy
|
$823.81 |
$995.56 |
$1,030.49 |
$4,285.93
|
|
Transcath closure of asd
|
$5,299.17 |
$6,403.95 |
$6,628.65 |
$17,041.80
|
|
Transcath closure of vsd
|
$3,336.23 |
$3,336.23 |
$3,336.23 |
$17,115.04
|
|
Transcatheter bx s&i
|
$527.52 |
$542.59 |
$781.86 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$2,801.98 |
$2,801.98 |
$3,386.14 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$8,508.11 |
$8,508.11 |
$10,281.89 |
$13,384.80
|
|
Transcath occlusion cns
|
$1,219.45 |
$1,473.68 |
$1,525.39 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$1,173.88 |
$1,418.62 |
$1,468.39 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$6,696.35 |
$6,696.35 |
$8,092.40 |
$4,822.00
|
|
Transferrin
|
$12.52 |
$18.92 |
$52.12 |
$82.00
|
|
Transperi needle place pros
|
$2,511.63 |
$2,511.63 |
$2,511.63 |
$6,203.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$95.48 |
$218.24 |
$342.35 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$80.36 |
$183.68 |
$342.35 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$941.22 |
$941.22 |
$3,346.09 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$92.07 |
$98.60 |
$138.40 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$145.49 |
$145.49 |
$145.49 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$119.31 |
$119.31 |
$119.31 |
$147.48
|
|
Treatment radiation delivery level 2
|
$263.86 |
$263.86 |
$263.86 |
$830.70
|
|
Treat spinal cord lesion
|
$473.65 |
$473.65 |
$473.65 |
$1,142.50
|
|
Treat spinal cord lesion
|
$477.55 |
$477.55 |
$477.55 |
$1,337.00
|
|
Treponema pallidum antibody
|
$12.43 |
$13.69 |
$38.04 |
$72.05
|
|
Trg gene rearrangement anal
|
$65.06 |
$211.68 |
$5,208.99 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$19.76 |
$19.76 |
$19.76 |
$43.09
|
|
Trichinella antibody
|
$11.59 |
$12.77 |
$18.01 |
$70.65
|
