|
Telavancin injection
|
$1,112.38 |
$1,112.38 |
$1,112.38 |
$1,191.80
|
|
Temozolomide
|
$3,534.16 |
$3,534.16 |
$3,534.16 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$1,650.84 |
$1,650.84 |
$1,650.84 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,174.20 |
$3,174.20 |
$3,174.20 |
$3,723.60
|
|
Tendon shortening
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$3,821.05
|
|
Tendon transfer with graft
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$13,464.07 |
$13,464.07 |
$13,464.07 |
$15,245.38
|
|
Tenolysis extensor tendon hand/finger each
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$2,811.20
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,291.60 |
$3,291.60 |
$3,291.60 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$16.29 |
$16.29 |
$16.29 |
$39.33
|
|
Teriparatide injection
|
$6,962.51 |
$6,962.51 |
$6,962.51 |
$7,403.20
|
|
Test for chlorohydrocarbons
|
$65.00 |
$65.00 |
$65.00 |
$65.00
|
|
Test for porphobilinogen
|
$35.36 |
$35.36 |
$35.36 |
$33.57
|
|
Test for urine cystines
|
$63.44 |
$63.44 |
$63.44 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$842.56
|
|
Testosterone undecanoate 1mg
|
$3,528.08 |
$3,528.08 |
$3,528.08 |
$3,528.08
|
|
Test stress cardiovascular tracing only
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$949.70
|
|
Test urine for lactose
|
$45.24 |
$45.24 |
$45.24 |
$23.20
|
|
Test urine for porphyrins
|
$70.72 |
$70.72 |
$70.72 |
$49.98
|
|
Test urine urobilinogen
|
$26.00 |
$26.00 |
$26.00 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,066.34 |
$1,066.34 |
$1,066.34 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$7,587.60 |
$7,587.60 |
$7,587.60 |
$8,737.05
|
|
Tgsap hl neo 5-50 rna alys
|
$1,322.36 |
$1,322.36 |
$1,322.36 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$4,691.44 |
$4,691.44 |
$4,691.44 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$1,041.04 |
$1,041.04 |
$1,041.04 |
$1,019.60
|
|
Thaw preserved stem cells
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$126.36 |
$126.36 |
$126.36 |
$108.00
|
|
Therapeutic procd strg endur
|
$100.88 |
$100.88 |
$100.88 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$194.48 |
$194.48 |
$194.48 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$114.40 |
$114.40 |
$114.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$89.44 |
$89.44 |
$89.44 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$369.20 |
$369.20 |
$369.20 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$774.80 |
$774.80 |
$774.80 |
$529.08
|
|
Ther/proph/diag inj ia
|
$462.80 |
$462.80 |
$462.80 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.71 |
$23.71 |
$23.71 |
$25.54
|
|
Thorac cont lat support upri
|
$277.16 |
$277.16 |
$277.16 |
$277.16
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$1,687.50
|
|
Thoracoscopy diagnostic 32601
|
$6,442.80 |
$6,442.80 |
$6,442.80 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$3,551.60 |
$3,551.60 |
$3,551.60 |
$1,071.20
|
|
Thoracoscopy surgical 32650
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$10,540.40 |
$10,540.40 |
$10,540.40 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$7,586.80 |
$7,586.80 |
$7,586.80 |
$7,586.80
|
|
Thorcscpy w/biop pleura
|
$7,586.80 |
$7,586.80 |
$7,586.80 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$8,990.80 |
$8,990.80 |
$8,990.80 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$9,448.40 |
$9,448.40 |
$9,448.40 |
$6,120.30
|
|
Throat x-ray & fluoroscopy
|
$452.40 |
$452.40 |
$452.40 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$6,078.80 |
$6,078.80 |
$6,078.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,550.00 |
$17,550.00 |
$17,550.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,413.60 |
$21,413.60 |
$21,413.60 |
$21,413.60
|
|
Thrombin time
|
$64.48 |
$64.48 |
$64.48 |
$53.76
|
|
Thrombin time titer
|
$60.84 |
$60.84 |
$60.84 |
$17.60
|
|
Thromboendarterectomy common femoral
|
$3,666.00 |
$3,666.00 |
$3,666.00 |
$3,980.60
|
|
Thrombomodulin
|
$92.56 |
$92.56 |
$92.56 |
$35.20
|
|
Thromboplastin inhibition
|
$96.72 |
$96.72 |
$96.72 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$62.92 |
$62.92 |
$62.92 |
$61.52
|
|
Thromboxane urine
|
$135.72 |
$135.72 |
$135.72 |
$95.00
|
|
Thyroglobulin antibody
|
$48.88 |
$48.88 |
$48.88 |
$82.00
|
|
Thyroid imaging
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$695.02
|
|
Thyroid met imaging
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$838.25
|
|
Thyroid met imaging/studies
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$763.73
|
|
Thyroid mets imag whole body
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$1,524.99
|
|
Thyroid met uptake
|
$447.20 |
$447.20 |
$447.20 |
$398.40
|
|
Thyroid (TSH) Test
|
$108.68 |
$108.68 |
$108.68 |
$111.00
|
|
Thyroid Ultrasound
|
$826.80 |
$826.80 |
$826.80 |
$588.50
|
|
Thyroid uptake measurement
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,283.30 |
$3,283.30 |
$3,283.30 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$120.12 |
$120.12 |
$120.12 |
$64.35
|
|
Tic-brn enceph vac 0.25ml im
|
$520.31 |
$520.31 |
$520.31 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$520.31 |
$520.31 |
$520.31 |
$520.31
|
|
Tigecycline injection
|
$231.11 |
$231.11 |
$231.11 |
$234.00
|
|
Tilt table study
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$390.29 |
$390.29 |
$390.29 |
$458.85
|
|
Tis cgen car anomal 1st shnt
|
$5,153.20 |
$5,153.20 |
$5,153.20 |
$8,068.54
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,030.46 |
$12,030.46 |
$12,030.46 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$418.08 |
$418.08 |
$418.08 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$37.96 |
$37.96 |
$37.96 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$7,138.56 |
$7,138.56 |
$7,138.56 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$17,642.82 |
$17,642.82 |
$17,642.82 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$17,940.00 |
$17,940.00 |
$17,940.00 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$60.32 |
$60.32 |
$60.32 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$243.20 |
$243.20 |
$243.20 |
$78.40
|
|
Tlh uterus over 250 g
|
$4,659.20 |
$4,659.20 |
$4,659.20 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$15,865.20 |
$15,865.20 |
$15,865.20 |
$12,320.22
|
|
Tnot opn elbw to sho ea tdn
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$152.36 |
$152.36 |
$152.36 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$143.00 |
$143.00 |
$143.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,311.40 |
$4,311.40 |
$4,311.40 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$74.36 |
$74.36 |
$74.36 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$89.44 |
$89.44 |
$89.44 |
$72.68
|
|
Tone decay hearing test
|
$99.32 |
$99.32 |
$99.32 |
$90.37
|
|
Tongue biopsy; posterior one-third 41105
|
$3,400.80 |
$3,400.80 |
$3,400.80 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$248.20 |
$248.20 |
$248.20 |
$325.00
|
|
Topotecan oral
|
$790.26 |
$790.26 |
$790.26 |
$851.05
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$14,284.33 |
$14,284.33 |
$14,284.33 |
$15,383.12
|
