|
Telethx isodose plan cplx
|
$554.12 |
$554.12 |
$1,688.83 |
$1,526.85
|
|
Telethx isodose plan simple
|
$360.04 |
$360.04 |
$861.03 |
$877.09
|
|
Temozolomide
|
$843.84 |
$843.84 |
$843.84 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,892.13 |
$2,892.13 |
$2,892.13 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,096.49 |
$7,096.49 |
$13,528.92 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,234.39 |
$1,234.39 |
$1,234.39 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$42.14 |
$42.14 |
$47.75 |
$39.33
|
|
Tert gene targeted seq alys
|
$249.15 |
$249.15 |
$565.36 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$311.22 |
$311.22 |
$585.58 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$225.77 |
$225.77 |
$225.77 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$233.42 |
$242.52 |
$677.29 |
$953.40
|
|
Tetanus immune globulin inj
|
$692.57 |
$692.57 |
$882.11 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$2,844.13 |
$2,844.13 |
$2,844.13 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$582.55 |
$582.55 |
$4,736.80 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$6.79 |
$6.88 |
$32.86 |
$108.00
|
|
Therapeutic procd strg endur
|
$27.74 |
$27.74 |
$27.74 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$17.71 |
$22.22 |
$76.40 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$15.73 |
$19.73 |
$89.39 |
$98.58
|
|
Ther nma rdctj intus/obstrcj
|
$350.26 |
$378.44 |
$529.46 |
$538.88
|
|
Ther/proph/diag inj ia
|
$117.02 |
$117.02 |
$201.52 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$18.34 |
$18.34 |
$23.36 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$96.57 |
$104.34 |
$370.76 |
$314.50
|
|
Thigh/wght bear lacer non-mo
|
$515.70 |
$515.70 |
$515.70 |
$464.92
|
|
Thiotepa injection
|
$2,567.04 |
$2,567.04 |
$2,567.04 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,034.68 |
$1,309.22 |
$2,591.49 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$879.66 |
$1,254.49 |
$1,655.09 |
$1,684.80
|
|
Throat x-ray & fluoroscopy
|
$137.81 |
$137.81 |
$148.90 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,020.22 |
$2,832.58 |
$4,314.31 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,005.81 |
$6,492.31 |
$8,095.35 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,008.35 |
$9,738.08 |
$16,521.50 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$14,503.65 |
$15,678.53 |
$25,112.68 |
$21,413.60
|
|
Thrombin time
|
$10.25 |
$12.66 |
$74.11 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$1,962.09 |
$1,962.09 |
$1,962.09 |
$3,987.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$18.85 |
$23.28 |
$127.21 |
$61.52
|
|
Thromboxane urine
|
$309.81 |
$309.81 |
$309.81 |
$119.40
|
|
Thyroglobulin antibody
|
$18.24 |
$23.52 |
$69.53 |
$82.73
|
|
Thyroid imaging
|
$223.87 |
$223.87 |
$421.22 |
$696.75
|
|
Thyroid met imaging
|
$314.39 |
$314.39 |
$314.39 |
$838.25
|
|
Thyroid mets imag whole body
|
$545.65 |
$1,026.64 |
$1,054.71 |
$1,524.99
|
|
Thyroid met uptake
|
$113.52 |
$213.59 |
$422.11 |
$407.40
|
|
Thyroid (TSH) Test
|
$51.82 |
$52.48 |
$170.38 |
$112.67
|
|
Thyroid Ultrasound
|
$206.26 |
$235.22 |
$336.16 |
$588.50
|
|
Thyroid uptake measurement
|
$129.34 |
$129.34 |
$243.36 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,255.03 |
$3,255.03 |
$3,255.03 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$7.11 |
$7.20 |
$35.15 |
$64.51
|
|
Tibial length sock fx or equ
|
$137.52 |
$137.52 |
$137.52 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$12,924.52 |
$12,924.52 |
$13,971.47 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,540.09 |
$8,540.09 |
$9,231.89 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,924.08 |
$6,924.08 |
$7,484.97 |
$10,165.00
|
|
Tigecycline injection
|
$254.03 |
$254.03 |
$254.03 |
$235.29
|
|
Tilt table study
|
$807.21 |
$906.40 |
$993.97 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$396.90 |
$396.90 |
$396.90 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$11,210.94 |
$11,210.94 |
$11,210.94 |
$13,339.20
|
|
Tiss ex molecul study add-on
|
$4.13 |
$4.13 |
$4.13 |
$45.53
|
|
Tissue culture placenta
|
$160.95 |
$179.07 |
$464.13 |
$440.50
|
|
Tissue culture skin/biopsy
|
$150.74 |
$167.71 |
$343.80 |
$484.00
|
|
Tissue culture tumor
|
$146.34 |
$157.84 |
$550.85 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$44.70 |
$47.52 |
$63.67 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$1,685.39 |
$1,685.39 |
$1,685.39 |
$537.50
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$9.78 |
$9.78 |
$8,517.84 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$11.21 |
$14.46 |
$56.11 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$108.07 |
$108.07 |
$108.07 |
$80.10
|
|
Tlso rigid lined custom fab
|
$2,440.98 |
$2,440.98 |
$2,440.98 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$2,110.02
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$0.66 |
$152.80 |
$194.65 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$7.74 |
$7.84 |
$105.05 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,828.41 |
$3,828.41 |
$3,828.41 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$4,227.98 |
$4,227.98 |
$4,227.98 |
$20.55
|
|
Toe X-ray (both feet)
|
$65.51 |
$70.78 |
$211.63 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$23.82 |
$23.82 |
$23.82 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$28.60 |
$28.60 |
$81.37 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$430.90 |
$430.90 |
$430.90 |
$316.84
|
|
Total tau
|
$71.26 |
$71.26 |
$72.16 |
$312.50
|
|
Toxoplasma antibody igg
|
$11.97 |
$15.44 |
$34.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$11.40 |
$14.70 |
$34.00 |
$88.00
|
|
Tp53 gene full gene sequence
|
$286.50 |
$286.50 |
$360.16 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,862.64 |
$1,862.64 |
$1,862.64 |
$804.00
|
|
Tpmt gene com vrnts
|
$157.64 |
$235.20 |
$534.04 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$4,978.99 |
$4,978.99 |
$4,978.99 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$5,458.78 |
$5,458.78 |
$5,458.78 |
$6,684.23
|
|
Transabdom amnioinfus w/us
|
$485.91 |
$485.91 |
$485.91 |
$678.70
|
|
Transcath biopsy
|
$1,042.14 |
$1,126.56 |
$5,689.13 |
$4,285.93
|
|
Transcath closure of asd
|
$6,703.55 |
$7,246.58 |
$16,342.73 |
$17,088.00
|
|
Transcath closure of vsd
|
$4,376.74 |
$4,376.74 |
$13,464.74 |
$17,115.04
|
|
Transcatheter bx s&i
|
$491.72 |
$531.29 |
$955.39 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$3,544.56 |
$3,544.56 |
$20,927.49 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$10,762.91 |
$10,762.91 |
$41,855.36 |
$13,093.20
|
|
Transcath occlusion cns
|
$1,542.62 |
$1,667.58 |
$13,181.30 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$1,484.98 |
$1,605.28 |
$14,103.83 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,679.05 |
$3,679.05 |
$8,471.00 |
$4,822.00
|
|
Transferrin
|
$23.54 |
$23.84 |
$77.17 |
$82.00
|
|
Transperi needle place pros
|
$3,236.31 |
$3,236.31 |
$3,236.31 |
$6,015.75
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$238.02 |
$271.44 |
$501.57 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$200.33 |
$228.45 |
$469.86 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$2,615.18 |
$2,615.18 |
$2,615.18 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$172.29 |
$172.29 |
$172.29 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$523.38 |
$523.38 |
$3,730.33 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$107.51 |
$127.71 |
$765.53 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$134.89 |
$134.89 |
$207.43 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$110.61 |
$110.61 |
$155.48 |
$147.48
|
