|
Tcd emboli detect w/inj
|
$147.92 |
$147.92 |
$147.92 |
$404.68
|
|
Tcd emboli detect without inj
|
$149.21 |
$149.21 |
$149.21 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$9.68 |
$9.68 |
$9.68 |
$186.00
|
|
T cells absolute cd 4 count
|
$12.90 |
$12.90 |
$12.90 |
$120.25
|
|
T cells total count
|
$12.58 |
$12.58 |
$12.58 |
$124.11
|
|
Telavancin injection
|
$2,826.39 |
$2,826.39 |
$2,826.39 |
$1,216.45
|
|
Telehealth original site facility fee
|
$47.30 |
$47.30 |
$47.30 |
$60.80
|
|
Telethx isodose plan cplx
|
$1,087.47 |
$1,087.47 |
$1,087.47 |
$1,617.00
|
|
Telethx isodose plan simple
|
$577.06 |
$577.06 |
$577.06 |
$848.72
|
|
Temozolomide
|
$1,708.39 |
$1,708.39 |
$1,708.39 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$3,451.18 |
$3,451.18 |
$3,451.18 |
$3,129.70
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,710.83 |
$5,710.83 |
$5,710.83 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$132.44 |
$132.44 |
$132.44 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$1,084.03 |
$1,084.03 |
$1,084.03 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$67.94 |
$67.94 |
$67.94 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$961.48 |
$961.48 |
$961.48 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,921.24 |
$1,921.24 |
$1,921.24 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$129.00 |
$129.00 |
$129.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$143.19 |
$143.19 |
$143.19 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$89.44 |
$89.44 |
$89.44 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$53.32 |
$53.32 |
$53.32 |
$50.40
|
|
Ther/proph/diag inj ia
|
$306.16 |
$306.16 |
$306.16 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$52.89 |
$52.89 |
$52.89 |
$35.72
|
|
Thrombectmy crnry perq mechanical
|
$2,958.40 |
$2,958.40 |
$2,958.40 |
$3,580.00
|
|
Thrombin time
|
$8.10 |
$8.10 |
$8.10 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$65.79 |
$65.79 |
$65.79 |
$56.93
|
|
Thyroglobulin antibody
|
$43.43 |
$43.43 |
$43.43 |
$84.00
|
|
Thyroid imaging
|
$390.44 |
$390.44 |
$390.44 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,017.38 |
$1,017.38 |
$1,017.38 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$128.57 |
$128.57 |
$128.57 |
$120.00
|
|
Thyroid Ultrasound
|
$348.73 |
$348.73 |
$348.73 |
$589.96
|
|
Thyroid uptake measurement
|
$288.10 |
$288.10 |
$288.10 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$6.15 |
$6.15 |
$6.15 |
$63.60
|
|
Tigecycline injection
|
$456.66 |
$456.66 |
$456.66 |
$277.31
|
|
Tilt table study
|
$890.10 |
$890.10 |
$890.10 |
$1,495.00
|
|
Tissue culture placenta
|
$97.44 |
$97.44 |
$97.44 |
$520.91
|
|
Tissue culture skin/biopsy
|
$128.02 |
$128.02 |
$128.02 |
$558.87
|
|
Tissue culture tumor
|
$97.44 |
$97.44 |
$97.44 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$52.89 |
$52.89 |
$52.89 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$21,676.30 |
$21,676.30 |
$21,676.30 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$9,864.20 |
$9,864.20 |
$9,864.20 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$5.16 |
$5.16 |
$5.16 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$51.60 |
$51.60 |
$51.60 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$1,356.65 |
$1,356.65 |
$1,356.65 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$113.52 |
$113.52 |
$113.52 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$42.57 |
$42.57 |
$42.57 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$58.05 |
$58.05 |
$58.05 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,519.19 |
$1,519.19 |
$1,519.19 |
$404.20
|
|
Toxoplasma antibody igg
|
$33.86 |
$33.86 |
$33.86 |
$84.35
|
|
Toxoplasma antibody igm
|
$29.80 |
$29.80 |
$29.80 |
$83.20
|
|
Tpmt gene com vrnts
|
$43.00 |
$43.00 |
$43.00 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$77.40 |
$77.40 |
$77.40 |
$104.50
|
|
Transcath closure of asd
|
$19,453.63 |
$19,453.63 |
$19,453.63 |
$18,772.00
|
|
Transcatheter bx s&i
|
$2,164.62 |
$2,164.62 |
$2,164.62 |
$1,875.96
|
|
Transferrin
|
$30.53 |
$30.53 |
$30.53 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$515.14 |
$515.14 |
$515.14 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$10,070.60 |
$10,070.60 |
$10,070.60 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,206.15 |
$1,206.15 |
$1,206.15 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$148.35 |
$148.35 |
$148.35 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$148.35 |
$148.35 |
$148.35 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$181.46 |
$181.46 |
$181.46 |
$210.00
|
|
Treatment radiation delivery level 2
|
$453.22 |
$453.22 |
$453.22 |
$735.00
|
|
Treponema pallidum antibody
|
$48.59 |
$48.59 |
$48.59 |
$72.80
|
|
Trg gene rearrangement anal
|
$129.00 |
$129.00 |
$129.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$221.02 |
$221.02 |
$221.02 |
$55.80
|
|
Trichinella antibody
|
$32.17 |
$32.17 |
$32.17 |
$70.65
|
|
Triglycerides
|
$67.08 |
$67.08 |
$67.08 |
$54.60
|
|
Troponin quantitative
|
$50.31 |
$50.31 |
$50.31 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$1,754.83 |
$1,754.83 |
$1,754.83 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,754.83 |
$1,754.83 |
$1,754.83 |
$1,582.75
|
|
Tx atrial fib pulm vein isol
|
$17,003.92 |
$17,003.92 |
$17,003.92 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$3,062.89 |
$3,062.89 |
$3,062.89 |
$7,717.80
|
|
Ua w/micro/comp poc
|
$16.34 |
$16.34 |
$16.34 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$87.84 |
$87.84 |
$87.84 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$239.94 |
$239.94 |
$239.94 |
$403.26
|
|
Ultrasound chest
|
$214.57 |
$214.57 |
$214.57 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$127.71 |
$127.71 |
$127.71 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$146.63 |
$146.63 |
$146.63 |
$330.40
|
|
Ultrasound elastography ea l target les
|
$96.75 |
$96.75 |
$96.75 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$183.18 |
$183.18 |
$183.18 |
$284.25
|
|
Ultrasound encephalogram
|
$195.22 |
$195.22 |
$195.22 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$205.11 |
$205.11 |
$205.11 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$219.30 |
$219.30 |
$219.30 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$514.28 |
$514.28 |
$514.28 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$357.33 |
$357.33 |
$357.33 |
$701.35
|
|
Ultrasound guide intraoperative
|
$352.60 |
$352.60 |
$352.60 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$505.25 |
$505.25 |
$505.25 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$122.55 |
$122.55 |
$122.55 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$83.42 |
$83.42 |
$83.42 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$175.01 |
$175.01 |
$175.01 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$120.40 |
$120.40 |
$120.40 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$382.70 |
$382.70 |
$382.70 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$219.73 |
$219.73 |
$219.73 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$219.73 |
$219.73 |
$219.73 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$191.35 |
$191.35 |
$191.35 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$368.94 |
$368.94 |
$368.94 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$218.87 |
$218.87 |
$218.87 |
$498.00
|
|
Ultrasound scrotum and contents
|
$460.10 |
$460.10 |
$460.10 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$178.45 |
$178.45 |
$178.45 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$230.05 |
$230.05 |
$230.05 |
$425.10
|
