|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.08 |
$0.08 |
$0.08 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$131.40 |
$131.40 |
$131.40 |
$166.46
|
|
Tc-99m bicisate
|
$727.52 |
$727.52 |
$727.52 |
$1,969.45
|
|
Tc-99m disofenin
|
$136.66 |
$136.66 |
$136.66 |
$151.32
|
|
Tc-99m exametazime diag
|
$1,243.49 |
$1,243.49 |
$1,243.49 |
$2,166.26
|
|
Tc-99m gluceptate
|
$136.66 |
$136.66 |
$136.66 |
$1,105.40
|
|
Tc-99m labeled rbc
|
$243.09 |
$243.09 |
$243.09 |
$323.01
|
|
Tc-99m maa
|
$136.66 |
$136.66 |
$136.66 |
$312.06
|
|
Tc-99m mebrofenin
|
$136.66 |
$136.66 |
$136.66 |
$169.53
|
|
Tc-99m medronate
|
$136.66 |
$136.66 |
$136.66 |
$122.46
|
|
Tc-99m mertiatide
|
$262.80 |
$262.80 |
$262.80 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$136.66 |
$136.66 |
$136.66 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$148.05 |
$148.05 |
$148.05 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$191.85 |
$191.85 |
$191.85 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$393.33 |
$393.33 |
$393.33 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$136.66 |
$136.66 |
$136.66 |
$221.60
|
|
Tc-99m sulfur colloid
|
$139.73 |
$139.73 |
$139.73 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$800.23 |
$800.23 |
$800.23 |
$930.54
|
|
Tcd emboli detect w/inj
|
$298.72 |
$298.72 |
$298.72 |
$404.68
|
|
Tcd emboli detect without inj
|
$298.72 |
$298.72 |
$298.72 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$8.30 |
$8.30 |
$8.30 |
$186.00
|
|
T cells absolute cd 4 count
|
$15.77 |
$15.77 |
$15.77 |
$120.25
|
|
T cells total count
|
$8.31 |
$8.31 |
$8.31 |
$124.11
|
|
Telethx isodose plan cplx
|
$557.14 |
$557.14 |
$557.14 |
$1,617.00
|
|
Telethx isodose plan simple
|
$354.78 |
$354.78 |
$354.78 |
$848.72
|
|
Temozolomide
|
$529.55 |
$529.55 |
$529.55 |
$374.66
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$114.21 |
$114.21 |
$114.21 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$8,531.81 |
$8,531.81 |
$8,531.81 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$29.35 |
$29.35 |
$29.35 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$707.37 |
$707.37 |
$707.37 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$595.68 |
$595.68 |
$595.68 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$127.90 |
$127.90 |
$127.90 |
$108.00
|
|
Therapeutic procd strg endur
|
$35.92 |
$35.92 |
$35.92 |
$85.80
|
|
Ther nma rdctj intus/obstrcj
|
$199.29 |
$199.29 |
$199.29 |
$534.32
|
|
Ther/proph/diag inj ia
|
$239.59 |
$239.59 |
$239.59 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$29.35 |
$29.35 |
$29.35 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$734.53 |
$734.53 |
$734.53 |
$1,804.00
|
|
Throat x-ray & fluoroscopy
|
$154.62 |
$154.62 |
$154.62 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$3,174.63 |
$3,174.63 |
$3,174.63 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,082.99 |
$5,082.99 |
$5,082.99 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,267.60 |
$10,267.60 |
$10,267.60 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,553.82 |
$15,553.82 |
$15,553.82 |
$24,605.30
|
|
Thrombin time
|
$8.25 |
$8.25 |
$8.25 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$8.50 |
$8.50 |
$8.50 |
$56.93
|
|
Thyroglobulin antibody
|
$78.84 |
$78.84 |
$78.84 |
$84.00
|
|
Thyroid imaging
|
$392.89 |
$392.89 |
$392.89 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,403.36 |
$1,403.36 |
$1,403.36 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$177.39 |
$177.39 |
$177.39 |
$120.00
|
|
Thyroid Ultrasound
|
$840.96 |
$840.96 |
$840.96 |
$589.96
|
|
Thyroid uptake measurement
|
$503.27 |
$503.27 |
$503.27 |
$653.60
|
|
Tib/per revasc stent & ather 37231
|
$21,131.75 |
$21,131.75 |
$21,131.75 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$26,927.37 |
$26,927.37 |
$26,927.37 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$27,640.87 |
$27,640.87 |
$27,640.87 |
$10,406.14
|
|
Tigecycline injection
|
$141.48 |
$141.48 |
$141.48 |
$277.31
|
|
Tilt table study
|
$1,588.63 |
$1,588.63 |
$1,588.63 |
$1,495.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$257.33 |
$257.33 |
$257.33 |
$14,271.00
|
|
Tissue culture skin/biopsy
|
$86.73 |
$86.73 |
$86.73 |
$558.87
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,638.47 |
$3,638.47 |
$3,638.47 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$5.26 |
$5.26 |
$5.26 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$224.70 |
$224.70 |
$224.70 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$275.94 |
$275.94 |
$275.94 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$83.22 |
$83.22 |
$83.22 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,155.40 |
$2,155.40 |
$2,155.40 |
$4,711.84
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$19.71 |
$19.71 |
$19.71 |
$404.20
|
|
Toxoplasma antibody igg
|
$5.55 |
$5.55 |
$5.55 |
$84.35
|
|
Toxoplasma antibody igm
|
$5.77 |
$5.77 |
$5.77 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$1,292.10 |
$1,292.10 |
$1,292.10 |
$919.10
|
|
Trabectedin 1 mg intravenous solution
|
$615.18 |
$615.18 |
$615.18 |
$7,403.70
|
|
Transabdom amnioinfus w/us
|
$283.39 |
$283.39 |
$283.39 |
$791.05
|
|
Transcath biopsy
|
$2,638.52 |
$2,638.52 |
$2,638.52 |
$4,298.05
|
|
Transcath closure of asd
|
$30,233.83 |
$30,233.83 |
$30,233.83 |
$18,772.00
|
|
Transcatheter bx s&i
|
$854.98 |
$854.98 |
$854.98 |
$1,875.96
|
|
Transcath mv repair init prosthesis
|
$48,155.48 |
$48,155.48 |
$48,155.48 |
$17,106.18
|
|
Transcath occlusion cns
|
$4,599.88 |
$4,599.88 |
$4,599.88 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$7,865.61 |
$7,865.61 |
$7,865.61 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$3,147.03 |
$3,147.03 |
$3,147.03 |
$4,627.00
|
|
Transcrv abltj utrn fibrd rf
|
$8,452.09 |
$8,452.09 |
$8,452.09 |
$8,708.57
|
|
Transferrin
|
$84.54 |
$84.54 |
$84.54 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$800.67 |
$800.67 |
$800.67 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$214.47 |
$214.47 |
$214.47 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$86.69 |
$86.69 |
$86.69 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$61.02 |
$61.02 |
$61.02 |
$4,500.03
|
|
Tray bonemarrw oncontrol 102mm
|
$977.62 |
$977.62 |
$977.62 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$217.69 |
$217.69 |
$217.69 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$147.17 |
$147.17 |
$147.17 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$394.64 |
$394.64 |
$394.64 |
$210.00
|
|
Treatment radiation delivery level 2
|
$356.10 |
$356.10 |
$356.10 |
$735.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$213.23 |
$213.23 |
$213.23 |
$101,032.80
|
|
Treponema pallidum antibody
|
$57.82 |
$57.82 |
$57.82 |
$72.80
|
|
Trg gene rearrangement anal
|
$131.40 |
$131.40 |
$131.40 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$29.35 |
$29.35 |
$29.35 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$1,488.77 |
$1,488.77 |
$1,488.77 |
$1,309.80
|
|
Triglycerides
|
$133.59 |
$133.59 |
$133.59 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$40.30 |
$40.30 |
$40.30 |
$128.00
|
|
Trim nail(s)
|
$90.89 |
$90.89 |
$90.89 |
$72.00
|
|
Trim nondyst nails
|
$38.18 |
$38.18 |
$38.18 |
$124.22
|
|
Triptorelin pamoate
|
$373.99 |
$373.99 |
$373.99 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$5,657.65 |
$5,657.65 |
$5,657.65 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,657.65 |
$5,657.65 |
$5,657.65 |
$11,099.98
|