|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$6,441.29 |
$6,441.29 |
$6,441.29 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$57.72 |
$57.72 |
$57.72 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$1,650.46 |
$1,650.46 |
$1,650.46 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$76.63 |
$76.63 |
$76.63 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$939.45 |
$939.45 |
$939.45 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,204.74 |
$1,204.74 |
$1,204.74 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$125.13 |
$125.13 |
$125.13 |
$108.00
|
|
Ther/proph/diag inj ia
|
$333.68 |
$333.68 |
$333.68 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$33.47 |
$33.47 |
$33.47 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,295.92 |
$1,295.92 |
$1,295.92 |
$1,804.00
|
|
Thoracoscopy w/sac drng 32659
|
$9,249.44 |
$9,249.44 |
$9,249.44 |
$1,780.00
|
|
Thrombectmy crnry perq mechanical
|
$3,646.72 |
$3,646.72 |
$3,646.72 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,007.70 |
$6,007.70 |
$6,007.70 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,102.48 |
$9,102.48 |
$9,102.48 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$9,102.48 |
$9,102.48 |
$9,102.48 |
$24,605.30
|
|
Thrombin time
|
$81.48 |
$81.48 |
$81.48 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$3.42 |
$3.42 |
$3.42 |
$56.93
|
|
Thyroglobulin antibody
|
$24.25 |
$24.25 |
$24.25 |
$84.00
|
|
Thyroid imaging
|
$479.18 |
$479.18 |
$479.18 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,503.50 |
$1,503.50 |
$1,503.50 |
$1,524.99
|
|
Thyroid met uptake
|
$390.91 |
$390.91 |
$390.91 |
$380.00
|
|
Thyroid (TSH) Test
|
$177.51 |
$177.51 |
$177.51 |
$120.00
|
|
Thyroid Ultrasound
|
$970.49 |
$970.49 |
$970.49 |
$589.96
|
|
Thyroid uptake measurement
|
$344.35 |
$344.35 |
$344.35 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$6.93 |
$6.93 |
$6.93 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$16,222.77 |
$16,222.77 |
$16,222.77 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$6,472.81 |
$6,472.81 |
$6,472.81 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$11,230.18 |
$11,230.18 |
$11,230.18 |
$10,406.14
|
|
Tigecycline injection
|
$286.15 |
$286.15 |
$286.15 |
$277.31
|
|
Tilt table study
|
$537.87 |
$537.87 |
$537.87 |
$1,495.00
|
|
Tissue culture placenta
|
$79.76 |
$79.76 |
$79.76 |
$520.91
|
|
Tissue culture skin/biopsy
|
$96.03 |
$96.03 |
$96.03 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$63.54 |
$63.54 |
$63.54 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$5.82 |
$5.82 |
$5.82 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$46.08 |
$46.08 |
$46.08 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$558.24 |
$558.24 |
$558.24 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$155.69 |
$155.69 |
$155.69 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$61.60 |
$61.60 |
$61.60 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$53.35 |
$53.35 |
$53.35 |
$73.45
|
|
Toxoplasma antibody igg
|
$38.19 |
$38.19 |
$38.19 |
$84.35
|
|
Toxoplasma antibody igm
|
$4.85 |
$4.85 |
$4.85 |
$83.20
|
|
Transabdom amnioinfus w/us
|
$563.09 |
$563.09 |
$563.09 |
$791.05
|
|
Transcath biopsy
|
$7,774.07 |
$7,774.07 |
$7,774.07 |
$4,298.05
|
|
Transcath closure of asd
|
$17,253.39 |
$17,253.39 |
$17,253.39 |
$18,772.00
|
|
Transcatheter bx s&i
|
$961.27 |
$961.27 |
$961.27 |
$1,875.96
|
|
Transcath occlusion cns
|
$3,394.52 |
$3,394.52 |
$3,394.52 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$19,546.47 |
$19,546.47 |
$19,546.47 |
$12,427.79
|
|
Transferrin
|
$20.37 |
$20.37 |
$20.37 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$875.43 |
$875.43 |
$875.43 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$10,615.68 |
$10,615.68 |
$10,615.68 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,360.43 |
$1,360.43 |
$1,360.43 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$89.73 |
$89.73 |
$89.73 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$52.87 |
$52.87 |
$52.87 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$119.80 |
$119.80 |
$119.80 |
$210.00
|
|
Treponema pallidum antibody
|
$10.67 |
$10.67 |
$10.67 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$138.71 |
$138.71 |
$138.71 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$3,010.88 |
$3,010.88 |
$3,010.88 |
$1,309.80
|
|
Triglycerides
|
$79.54 |
$79.54 |
$79.54 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$81.48 |
$81.48 |
$81.48 |
$128.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$14,228.93 |
$14,228.93 |
$14,228.93 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$14,228.93 |
$14,228.93 |
$14,228.93 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$14,228.93 |
$14,228.93 |
$14,228.93 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$4,592.47 |
$4,592.47 |
$4,592.47 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,359.32 |
$6,359.32 |
$6,359.32 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,904.32 |
$4,904.32 |
$4,904.32 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,904.32 |
$4,904.32 |
$4,904.32 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$5,874.32 |
$5,874.32 |
$5,874.32 |
$4,329.36
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$3,314.98 |
$3,314.98 |
$3,314.98 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$1,664.04 |
$1,664.04 |
$1,664.04 |
$2,328.30
|
|
Troponin quantitative
|
$287.12 |
$287.12 |
$287.12 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$789.10 |
$789.10 |
$789.10 |
$1,582.75
|
|
Tx atrial fib pulm vein isol
|
$20,889.92 |
$20,889.92 |
$20,889.92 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$417.59 |
$417.59 |
$417.59 |
$7,717.80
|
|
Ultrasound bone density measure
|
$232.32 |
$232.32 |
$232.32 |
$117.81
|
|
Ultrasound chest
|
$725.56 |
$725.56 |
$725.56 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$365.69 |
$365.69 |
$365.69 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$794.92 |
$794.92 |
$794.92 |
$330.40
|
|
Ultrasound encephalogram
|
$698.40 |
$698.40 |
$698.40 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$615.47 |
$615.47 |
$615.47 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$851.66 |
$851.66 |
$851.66 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$264.33 |
$264.33 |
$264.33 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$893.37 |
$893.37 |
$893.37 |
$701.35
|
|
Ultrasound guide intraoperative
|
$1,051.97 |
$1,051.97 |
$1,051.97 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$2,608.82 |
$2,608.82 |
$2,608.82 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$961.76 |
$961.76 |
$961.76 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$692.58 |
$692.58 |
$692.58 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$600.43 |
$600.43 |
$600.43 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$418.56 |
$418.56 |
$418.56 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$920.05 |
$920.05 |
$920.05 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,011.71 |
$1,011.71 |
$1,011.71 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$782.79 |
$782.79 |
$782.79 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$879.79 |
$879.79 |
$879.79 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$561.15 |
$561.15 |
$561.15 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$558.24 |
$558.24 |
$558.24 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,023.84 |
$1,023.84 |
$1,023.84 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$278.39 |
$278.39 |
$278.39 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$1,049.06 |
$1,049.06 |
$1,049.06 |
$425.10
|