|
System pacing micra av
|
$19,789.91 |
$19,789.91 |
$19,789.91 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$10,980.00
|
|
System recell skin grafting/harvesting
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$13,777.23
|
|
System sealant biosentry tract
|
$301.79 |
$301.79 |
$301.79 |
$900.00
|
|
T3 (triiodothyronine) free
|
$44.81 |
$44.81 |
$44.81 |
$89.82
|
|
T3 (triiodothyronine) total
|
$37.08 |
$37.08 |
$37.08 |
$94.90
|
|
T4 (thyroxine) free
|
$117.94 |
$117.94 |
$117.94 |
$81.60
|
|
T4 (thyroxine) total
|
$267.29 |
$267.29 |
$267.29 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$14.42 |
$14.42 |
$14.42 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$362.05 |
$362.05 |
$362.05 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$38.11 |
$38.11 |
$38.11 |
$122.40
|
|
Tavr perq femoral
|
$69,210.85 |
$69,210.85 |
$69,210.85 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,045.45 |
$1,045.45 |
$1,045.45 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$18.03 |
$18.03 |
$18.03 |
$166.46
|
|
Tc-99m bicisate
|
$5.15 |
$5.15 |
$5.15 |
$1,969.45
|
|
Tc-99m depreotide
|
$2,106.87 |
$2,106.87 |
$2,106.87 |
$1,937.35
|
|
Tc-99m diag per dose
|
$32.96 |
$32.96 |
$32.96 |
$279.95
|
|
Tc-99m exame autol wbc diag per dose
|
$2,099.14 |
$2,099.14 |
$2,099.14 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,168.54 |
$1,168.54 |
$1,168.54 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$437.75 |
$437.75 |
$437.75 |
$323.01
|
|
Tc-99m maa
|
$356.90 |
$356.90 |
$356.90 |
$312.06
|
|
Tc-99m mebrofenin
|
$702.98 |
$702.98 |
$702.98 |
$169.53
|
|
Tc-99m medronate
|
$204.46 |
$204.46 |
$204.46 |
$122.46
|
|
Tc-99m mertiatide
|
$356.90 |
$356.90 |
$356.90 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$321.36 |
$321.36 |
$321.36 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$208.06 |
$208.06 |
$208.06 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$98.37 |
$98.37 |
$98.37 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$289.43 |
$289.43 |
$289.43 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$483.59 |
$483.59 |
$483.59 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$84.98 |
$84.98 |
$84.98 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$98.37 |
$98.37 |
$98.37 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$121.54 |
$121.54 |
$121.54 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$511.91 |
$511.91 |
$511.91 |
$930.54
|
|
Tcd emboli detect w/inj
|
$150.38 |
$150.38 |
$150.38 |
$404.68
|
|
Tcd emboli detect without inj
|
$150.38 |
$150.38 |
$150.38 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$11.59 |
$11.59 |
$11.59 |
$186.00
|
|
T cells absolute cd 4 count
|
$19.99 |
$19.99 |
$19.99 |
$120.25
|
|
T cells total count
|
$11.59 |
$11.59 |
$11.59 |
$124.11
|
|
Telehealth original site facility fee
|
$63.35 |
$63.35 |
$63.35 |
$60.80
|
|
Telethx isodose plan cplx
|
$594.31 |
$594.31 |
$594.31 |
$1,617.00
|
|
Telethx isodose plan simple
|
$594.31 |
$594.31 |
$594.31 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,838.30 |
$3,838.30 |
$3,838.30 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,119.62 |
$9,119.62 |
$9,119.62 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$43.78 |
$43.78 |
$43.78 |
$46.10
|
|
Test for chlorohydrocarbons
|
$51.50 |
$51.50 |
$51.50 |
$71.04
|
|
Testicular imaging w/vasc flow
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$53.56 |
$53.56 |
$53.56 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,408.53 |
$1,408.53 |
$1,408.53 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$910.52 |
$910.52 |
$910.52 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$4,490.80 |
$4,490.80 |
$4,490.80 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$123.09 |
$123.09 |
$123.09 |
$108.00
|
|
Ther nma rdctj intus/obstrcj
|
$439.81 |
$439.81 |
$439.81 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.24 |
$25.24 |
$25.24 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,182.06 |
$2,182.06 |
$2,182.06 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$6,550.80 |
$6,550.80 |
$6,550.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$13,412.15 |
$13,412.15 |
$13,412.15 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$15,762.09 |
$15,762.09 |
$15,762.09 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$20,315.21 |
$20,315.21 |
$20,315.21 |
$24,605.30
|
|
Thrombin time
|
$6.75 |
$6.75 |
$6.75 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$191.58 |
$191.58 |
$191.58 |
$56.93
|
|
Thyroglobulin antibody
|
$4.12 |
$4.12 |
$4.12 |
$84.00
|
|
Thyroid imaging
|
$756.02 |
$756.02 |
$756.02 |
$670.80
|
|
Thyroid met imaging
|
$573.20 |
$573.20 |
$573.20 |
$549.70
|
|
Thyroid met imaging/studies
|
$1,158.24 |
$1,158.24 |
$1,158.24 |
$607.23
|
|
Thyroid mets imag whole body
|
$1,158.24 |
$1,158.24 |
$1,158.24 |
$1,524.99
|
|
Thyroid met uptake
|
$215.79 |
$215.79 |
$215.79 |
$380.00
|
|
Thyroid (TSH) Test
|
$217.85 |
$217.85 |
$217.85 |
$120.00
|
|
Thyroid Ultrasound
|
$1,375.05 |
$1,375.05 |
$1,375.05 |
$589.96
|
|
Thyroid uptake measurement
|
$555.69 |
$555.69 |
$555.69 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$7.36 |
$7.36 |
$7.36 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$22,737.25 |
$22,737.25 |
$22,737.25 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$11,461.84 |
$11,461.84 |
$11,461.84 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$9,665.01 |
$9,665.01 |
$9,665.01 |
$10,406.14
|
|
Tigecycline injection
|
$376.47 |
$376.47 |
$376.47 |
$277.31
|
|
Tilt table study
|
$507.28 |
$507.28 |
$507.28 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$1,248.36 |
$1,248.36 |
$1,248.36 |
$384.17
|
|
Tissue culture placenta
|
$116.70 |
$116.70 |
$116.70 |
$520.91
|
|
Tissue culture skin/biopsy
|
$101.97 |
$101.97 |
$101.97 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$11.91 |
$11.91 |
$11.91 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$6.18 |
$6.18 |
$6.18 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$83.95 |
$83.95 |
$83.95 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$439.81 |
$439.81 |
$439.81 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$142.14 |
$142.14 |
$142.14 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$209.09 |
$209.09 |
$209.09 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$161.20 |
$161.20 |
$161.20 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$2,623.41 |
$2,623.41 |
$2,623.41 |
$404.20
|
|
Toxoplasma antibody igg
|
$40.55 |
$40.55 |
$40.55 |
$84.35
|
|
Toxoplasma antibody igm
|
$18.96 |
$18.96 |
$18.96 |
$83.20
|
|
Tprnl plmt biodegrdabl matrl
|
$7,702.86 |
$7,702.86 |
$7,702.86 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$99.91 |
$99.91 |
$99.91 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$504.70 |
$504.70 |
$504.70 |
$791.05
|
|
Transcath biopsy
|
$4,322.40 |
$4,322.40 |
$4,322.40 |
$4,298.05
|
|
Transcath closure of asd
|
$16,416.66 |
$16,416.66 |
$16,416.66 |
$18,772.00
|
|
Transcath closure of vsd
|
$18,768.66 |
$18,768.66 |
$18,768.66 |
$18,837.00
|
|
Transcatheter bx s&i
|
$1,712.38 |
$1,712.38 |
$1,712.38 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$8,125.67 |
$8,125.67 |
$8,125.67 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$8,125.67 |
$8,125.67 |
$8,125.67 |
$17,106.18
|
|
Transcath occlusion cns
|
$2,894.30 |
$2,894.30 |
$2,894.30 |
$8,944.39
|
