|
System sealant biosentry tract
|
$630.26 |
$630.26 |
$630.26 |
$900.00
|
|
T3 (triiodothyronine) free
|
$206.15 |
$206.15 |
$206.15 |
$89.82
|
|
T3 (triiodothyronine) total
|
$211.75 |
$211.75 |
$211.75 |
$94.90
|
|
T4 (thyroxine) free
|
$116.90 |
$116.90 |
$116.90 |
$81.60
|
|
T4 (thyroxine) total
|
$211.75 |
$211.75 |
$211.75 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.73 |
$1.73 |
$1.73 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$916.63 |
$916.63 |
$916.63 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$16.86 |
$16.86 |
$16.86 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,944.71 |
$4,944.71 |
$4,944.71 |
$3,817.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$18,025.00 |
$18,025.00 |
$18,025.00 |
$31,080.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$790.27 |
$790.27 |
$790.27 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$109.90 |
$109.90 |
$109.90 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$38.52 |
$38.52 |
$38.52 |
$186.00
|
|
T cells total count
|
$30.99 |
$30.99 |
$30.99 |
$124.11
|
|
Telethx isodose plan cplx
|
$518.70 |
$518.70 |
$518.70 |
$1,617.00
|
|
Telethx isodose plan simple
|
$249.20 |
$249.20 |
$249.20 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,009.84 |
$3,009.84 |
$3,009.84 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$29,822.42 |
$29,822.42 |
$29,822.42 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$33.14 |
$33.14 |
$33.14 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$69.65 |
$69.65 |
$69.65 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,026.90 |
$1,026.90 |
$1,026.90 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$2,048.35 |
$2,048.35 |
$2,048.35 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$96.95 |
$96.95 |
$96.95 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$52.85 |
$52.85 |
$52.85 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$52.85 |
$52.85 |
$52.85 |
$50.40
|
|
Ther/proph/diag inj ia
|
$252.35 |
$252.35 |
$252.35 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$34.02 |
$34.02 |
$34.02 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,246.70 |
$1,246.70 |
$1,246.70 |
$1,804.00
|
|
Thoracotomy w/expl
|
$2,709.35 |
$2,709.35 |
$2,709.35 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,709.35 |
$2,709.35 |
$2,709.35 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$396.20 |
$396.20 |
$396.20 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,491.90 |
$4,491.90 |
$4,491.90 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,103.15 |
$9,103.15 |
$9,103.15 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$8,088.50 |
$8,088.50 |
$8,088.50 |
$24,605.30
|
|
Thrombin time
|
$100.10 |
$100.10 |
$100.10 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$191.10 |
$191.10 |
$191.10 |
$56.93
|
|
Thyroid imaging
|
$252.35 |
$252.35 |
$252.35 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,020.25 |
$1,020.25 |
$1,020.25 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$242.20 |
$242.20 |
$242.20 |
$120.00
|
|
Thyroid Ultrasound
|
$442.05 |
$442.05 |
$442.05 |
$589.96
|
|
Thyroid uptake measurement
|
$252.35 |
$252.35 |
$252.35 |
$653.60
|
|
Tib/per revasc w/ather add-on 37233
|
$1,417.15 |
$1,417.15 |
$1,417.15 |
$10,406.14
|
|
Tigecycline injection
|
$93.77 |
$93.77 |
$93.77 |
$277.31
|
|
Tilt table study
|
$1,057.70 |
$1,057.70 |
$1,057.70 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$237.92 |
$237.92 |
$237.92 |
$384.17
|
|
Tissue culture tumor
|
$32.81 |
$32.81 |
$32.81 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$70.35 |
$70.35 |
$70.35 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,655.64 |
$3,655.64 |
$3,655.64 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$913.66 |
$913.66 |
$913.66 |
$1,525.91
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$70.09 |
$70.09 |
$70.09 |
$141.75
|
|
Tobramycin non-comp unit
|
$3.44 |
$3.44 |
$3.44 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$210.35 |
$210.35 |
$210.35 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,542.53 |
$9,542.53 |
$9,542.53 |
$4,711.84
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$493.59 |
$493.59 |
$493.59 |
$404.20
|
|
Trabectedin 1 mg intravenous solution
|
$13,269.48 |
$13,269.48 |
$13,269.48 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$348.25 |
$348.25 |
$348.25 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$146.30 |
$146.30 |
$146.30 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$33.42 |
$33.42 |
$33.42 |
$77.65
|
|
Transcath biopsy
|
$11,704.00 |
$11,704.00 |
$11,704.00 |
$4,298.05
|
|
Transcatheter bx s&i
|
$1,579.90 |
$1,579.90 |
$1,579.90 |
$1,875.96
|
|
Transcath occlusion cns
|
$15,380.75 |
$15,380.75 |
$15,380.75 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$13,121.50 |
$13,121.50 |
$13,121.50 |
$12,427.79
|
|
Transfusion blood/blood component(s)
|
$289.80 |
$289.80 |
$289.80 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$5,625.95 |
$5,625.95 |
$5,625.95 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$12,367.80 |
$12,367.80 |
$12,367.80 |
$7,191.23
|
|
Trauma partial team response w/critical care services level 4
|
$13,826.05 |
$13,826.05 |
$13,826.05 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$977.62
|
|
Treat ankle dislocation
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$2,207.20
|
|
Treat ankle dislocation
|
$6,650.35 |
$6,650.35 |
$6,650.35 |
$7,807.24
|
|
Treat big toe fracture
|
$3,148.95 |
$3,148.95 |
$3,148.95 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$189.00 |
$189.00 |
$189.00 |
$734.00
|
|
Treat elbow dislocation
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$2,326.40
|
|
Treat elbow fracture
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$2,125.60
|
|
Treat elbow fracture
|
$3,786.65 |
$3,786.65 |
$3,786.65 |
$8,453.60
|
|
Treat eyelid by injection
|
$258.65 |
$258.65 |
$258.65 |
$472.21
|
|
Treat finger fracture each
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$4,108.00
|
|
Treat finger fracture each
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$1,815.75
|
|
Treat foot dislocation
|
$164.50 |
$164.50 |
$164.50 |
$435.60
|
|
Treat foot dislocation
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$3,935.24
|
|
Treat foot dislocation
|
$164.50 |
$164.50 |
$164.50 |
$527.28
|
|
Treat foot dislocation
|
$189.00 |
$189.00 |
$189.00 |
$478.40
|
|
Treat foot dislocation
|
$114.45 |
$114.45 |
$114.45 |
$404.04
|
|
Treat fracture of radius
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$2,030.33
|
|
Treat fracture of radius
|
$1,285.90 |
$1,285.90 |
$1,285.90 |
$2,316.75
|
|
Treat fracture of ulna
|
$189.00 |
$189.00 |
$189.00 |
$766.72
|
|
Treat hand dislocation
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$1,893.86
|
|
Treat hip dislocation
|
$1,478.75 |
$1,478.75 |
$1,478.75 |
$2,561.90
|
|
Treat hip dislocation
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$3,152.05
|
|
Treat hip socket fracture
|
$2,614.50 |
$2,614.50 |
$2,614.50 |
$1,340.10
|
|
Treat humerus fracture
|
$6,877.85 |
$6,877.85 |
$6,877.85 |
$11,850.08
|
|
Treat humerus fracture
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$1,950.60
|
|
Treat humerus fracture
|
$6,877.85 |
$6,877.85 |
$6,877.85 |
$12,653.00
|
|
Treat humerus fracture
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$2,045.35
|
|
Treat kneecap dislocation
|
$233.80 |
$233.80 |
$233.80 |
$1,351.35
|
|
Treat knee dislocation
|
$1,478.75 |
$1,478.75 |
$1,478.75 |
$2,592.08
|
|
Treat knee fracture 27530
|
$164.50 |
$164.50 |
$164.50 |
$580.20
|
|
Treat knee fracture(s)
|
$164.50 |
$164.50 |
$164.50 |
$642.00
|
|
Treat knuckle dislocation
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$1,893.86
|
|
Treat lower leg dislocation
|
$189.00 |
$189.00 |
$189.00 |
$532.60
|