|
Streptomycin injection
|
$231.56 |
$231.56 |
$231.56 |
$26.21
|
|
Stress tte complete
|
$1,452.75 |
$1,452.75 |
$1,452.75 |
$1,989.60
|
|
Str markers specimen anal
|
$679.25 |
$679.25 |
$679.25 |
$978.25
|
|
St treatment speech individual
|
$267.15 |
$267.15 |
$267.15 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$292.50 |
$292.50 |
$292.50 |
$221.00
|
|
Subtalar arthro w/fb rmvl
|
$8,068.61 |
$8,068.61 |
$8,068.61 |
$3,406.76
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$37.54 |
$37.54 |
$37.54 |
$0.60
|
|
Sulfonylurea screen qn-sendout
|
$67.60 |
$67.60 |
$67.60 |
$151.45
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$151.29 |
$151.29 |
$151.29 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$5.85 |
$5.85 |
$5.85 |
$105.75
|
|
Surgical pathology level 1 gross examination only
|
$7,011.87 |
$7,011.87 |
$7,011.87 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$13,436.36 |
$13,436.36 |
$13,436.36 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$5,878.05 |
$5,878.05 |
$5,878.05 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,974.53 |
$2,974.53 |
$2,974.53 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$8,168.42 |
$8,168.42 |
$8,168.42 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$16,052.93 |
$16,052.93 |
$16,052.93 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$35.10 |
$35.10 |
$35.10 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$40.95 |
$40.95 |
$40.95 |
$31.85
|
|
Susceptibility mic per plate
|
$88.40 |
$88.40 |
$88.40 |
$89.70
|
|
Suscept studies macrobroth dilution ea
|
$99.45 |
$99.45 |
$99.45 |
$47.17
|
|
Svc venogram s&i
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$63.05 |
$63.05 |
$63.05 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$58.50 |
$58.50 |
$58.50 |
$45.70
|
|
T3 (triiodothyronine) free
|
$60.45 |
$60.45 |
$60.45 |
$91.20
|
|
T3 (triiodothyronine) total
|
$43.55 |
$43.55 |
$43.55 |
$88.00
|
|
T4 (thyroxine) free
|
$48.10 |
$48.10 |
$48.10 |
$65.00
|
|
T4 (thyroxine) total
|
$20.80 |
$20.80 |
$20.80 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$811.02 |
$811.02 |
$811.02 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$122.20 |
$122.20 |
$122.20 |
$137.15
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,246.10 |
$3,246.10 |
$3,246.10 |
$5,161.23
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$27,262.12 |
$27,262.12 |
$27,262.12 |
$72.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$35.75 |
$35.75 |
$35.75 |
$35.75
|
|
Target gsa panel hmtlmph neop
|
$1,740.05 |
$1,740.05 |
$1,740.05 |
$1,928.40
|
|
Target gsa panel organ neop
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$35,155.25 |
$35,155.25 |
$35,155.25 |
$1,567.49
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$805.77 |
$805.77 |
$805.77 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$159.90 |
$159.90 |
$159.90 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$81.90 |
$81.90 |
$81.90 |
$178.40
|
|
Tc-99m bicisate
|
$794.30 |
$794.30 |
$794.30 |
$2,398.20
|
|
Tc-99m exame autol wbc diag per dose
|
$2,614.95 |
$2,614.95 |
$2,614.95 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,477.45 |
$1,477.45 |
$1,477.45 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$185.25 |
$185.25 |
$185.25 |
$312.70
|
|
Tc-99m maa
|
$108.55 |
$108.55 |
$108.55 |
$306.60
|
|
Tc-99m mebrofenin
|
$105.30 |
$105.30 |
$105.30 |
$169.53
|
|
Tc-99m medronate
|
$38.35 |
$38.35 |
$38.35 |
$120.35
|
|
Tc-99m mertiatide
|
$362.05 |
$362.05 |
$362.05 |
$757.25
|
|
Tc-99m oxidronate
|
$105.30 |
$105.30 |
$105.30 |
$132.05
|
|
Tc-99m pentetate dtpa
|
$91.65 |
$91.65 |
$91.65 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$37.05 |
$37.05 |
$37.05 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$100.75 |
$100.75 |
$100.75 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$230.10 |
$230.10 |
$230.10 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$390.65 |
$390.65 |
$390.65 |
$1,749.60
|
|
Tc-99m sulfur colloid
|
$265.20 |
$265.20 |
$265.20 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$199.55 |
$199.55 |
$199.55 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$694.85 |
$694.85 |
$694.85 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$110.50 |
$110.50 |
$110.50 |
$189.60
|
|
T cells absolute cd 4 count
|
$145.60 |
$145.60 |
$145.60 |
$120.25
|
|
T cells total count
|
$110.50 |
$110.50 |
$110.50 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$9,793.55 |
$9,793.55 |
$9,793.55 |
$217.09
|
|
Telehealth original site facility fee
|
$37.70 |
$37.70 |
$37.70 |
$55.65
|
|
Telethx isodose plan cplx
|
$30,207.45 |
$30,207.45 |
$30,207.45 |
$1,526.85
|
|
Telethx isodose plan simple
|
$5,317.65 |
$5,317.65 |
$5,317.65 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,424.69 |
$4,424.69 |
$4,424.69 |
$116.48
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$17,220.55 |
$17,220.55 |
$17,220.55 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$12.35 |
$12.35 |
$12.35 |
$39.33
|
|
Test for porphobilinogen
|
$57.85 |
$57.85 |
$57.85 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$641.55 |
$641.55 |
$641.55 |
$586.96
|
|
Test pathogen(s) for platelets reference
|
$60.45 |
$60.45 |
$60.45 |
$52.00
|
|
Test stress cardiovascular tracing only
|
$966.55 |
$966.55 |
$966.55 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$2,024.35 |
$2,024.35 |
$2,024.35 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,442.86 |
$10,442.86 |
$10,442.86 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$52.00 |
$52.00 |
$52.00 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$52.00 |
$52.00 |
$52.00 |
$47.50
|
|
Ther nma rdctj intus/obstrcj
|
$757.25 |
$757.25 |
$757.25 |
$524.80
|
|
Ther/proph/diag inj ia
|
$104.00 |
$104.00 |
$104.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$18.52 |
$18.52 |
$18.52 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,162.55 |
$2,162.55 |
$2,162.55 |
$1,658.70
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,541.62 |
$7,541.62 |
$7,541.62 |
$8,395.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,591.58 |
$7,591.58 |
$7,591.58 |
$15,640.00
|
|
Thrombin time
|
$51.35 |
$51.35 |
$51.35 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$71.50 |
$71.50 |
$71.50 |
$56.93
|
|
Thyroglobulin antibody
|
$98.15 |
$98.15 |
$98.15 |
$86.40
|
|
Thyroid mets imag whole body
|
$1,354.60 |
$1,354.60 |
$1,354.60 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$59.80 |
$59.80 |
$59.80 |
$101.40
|
|
Thyroid Ultrasound
|
$403.65 |
$403.65 |
$403.65 |
$553.80
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,698.85 |
$4,698.85 |
$4,698.85 |
$3,167.70
|
|
Thyroxine binding globulin (tbg)
|
$78.00 |
$78.00 |
$78.00 |
$75.00
|
|
Tigecycline injection
|
$254.72 |
$254.72 |
$254.72 |
$7.44
|
|
Tilt table study
|
$1,633.45 |
$1,633.45 |
$1,633.45 |
$1,488.24
|
|
Tirofiban 12.5 mg/50 ml
|
$737.91 |
$737.91 |
$737.91 |
$696.08
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$16,843.32 |
$16,843.32 |
$16,843.32 |
$264.18
|
|
Tissue culture placenta
|
$427.05 |
$427.05 |
$427.05 |
$470.00
|
|
Tissue culture skin/biopsy
|
$321.75 |
$321.75 |
$321.75 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$14.95 |
$14.95 |
$14.95 |
$45.23
|
|
Tissue transglutaminase iga
|
$173.55 |
$173.55 |
$173.55 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$48.10 |
$48.10 |
$48.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$20,561.34 |
$20,561.34 |
$20,561.34 |
$8,196.46
|