|
Tc-99m sulfur colloid
|
$18.18 |
$18.18 |
$18.18 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$282.24 |
$282.24 |
$282.24 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$647.82 |
$647.82 |
$647.82 |
$955.60
|
|
Tcd emboli detect w/inj
|
$673.74 |
$673.74 |
$673.74 |
$475.80
|
|
Tcd emboli detect without inj
|
$595.44 |
$595.44 |
$595.44 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$7.48 |
$7.48 |
$7.48 |
$176.40
|
|
T cells absolute cd 4 count
|
$4.28 |
$4.28 |
$4.28 |
$111.20
|
|
T cells total count
|
$6.08 |
$6.08 |
$6.08 |
$126.90
|
|
Teaec w/wo patch graft iliofemoral
|
$532.98 |
$532.98 |
$532.98 |
$5,163.60
|
|
Team conf without pat by phys
|
$24.84 |
$24.84 |
$24.84 |
$140.25
|
|
Telethx isodose plan cplx
|
$364.50 |
$364.50 |
$364.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$129.60 |
$129.60 |
$129.60 |
$873.62
|
|
Temozolomide 100 mg intravenous solution
|
$855.85 |
$855.85 |
$855.85 |
$1,867.28
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$8,154.55 |
$8,154.55 |
$8,154.55 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$412.92 |
$412.92 |
$412.92 |
$5,886.74
|
|
Tenotomy hip flexor open
|
$487.08 |
$487.08 |
$487.08 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$467.82 |
$467.82 |
$467.82 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.31 |
$10.31 |
$10.31 |
$39.33
|
|
Test for chlorohydrocarbons
|
$21.06 |
$21.06 |
$21.06 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$587.16 |
$587.16 |
$587.16 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$707.04 |
$707.04 |
$707.04 |
$949.70
|
|
Tetanus immune globulin inj
|
$231.52 |
$231.52 |
$231.52 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$127.62 |
$127.62 |
$127.62 |
$108.00
|
|
Therapeutic procd strg endur
|
$31.32 |
$31.32 |
$31.32 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$72.18 |
$72.18 |
$72.18 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$53.82 |
$53.82 |
$53.82 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$206.64 |
$206.64 |
$206.64 |
$529.08
|
|
Ther/proph/diag inj ia
|
$190.08 |
$190.08 |
$190.08 |
$240.35
|
|
Ther radiology tx plng cplx
|
$127.80 |
$127.80 |
$127.80 |
$332.00
|
|
Ther radiology tx plng intrm
|
$82.62 |
$82.62 |
$82.62 |
$224.00
|
|
Ther radiology tx plng smpl
|
$53.64 |
$53.64 |
$53.64 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.63 |
$15.63 |
$15.63 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,020.24 |
$1,020.24 |
$1,020.24 |
$1,687.50
|
|
Thorax spine fusion
|
$844.74 |
$844.74 |
$844.74 |
$3,044.00
|
|
Thrombectmy crnry perq mechanical
|
$2,167.92 |
$2,167.92 |
$2,167.92 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,670.34 |
$7,670.34 |
$7,670.34 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,630.00 |
$9,630.00 |
$9,630.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,985.74 |
$12,985.74 |
$12,985.74 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$685.80 |
$685.80 |
$685.80 |
$5,520.00
|
|
Thrombin time
|
$1.73 |
$1.73 |
$1.73 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$495.18 |
$495.18 |
$495.18 |
$3,980.60
|
|
Thromboendarterectomy sfa
|
$3,875.76 |
$3,875.76 |
$3,875.76 |
$4,185.30
|
|
Thromboplastin inhibition
|
$23.40 |
$23.40 |
$23.40 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$84.60 |
$84.60 |
$84.60 |
$61.52
|
|
Thyroglobulin antibody
|
$102.60 |
$102.60 |
$102.60 |
$82.00
|
|
Thyroid imaging
|
$172.80 |
$172.80 |
$172.80 |
$695.02
|
|
Thyroid mets imag whole body
|
$968.58 |
$968.58 |
$968.58 |
$1,524.99
|
|
Thyroid met uptake
|
$162.18 |
$162.18 |
$162.18 |
$398.40
|
|
Thyroid (TSH) Test
|
$102.60 |
$102.60 |
$102.60 |
$111.00
|
|
Thyroid Ultrasound
|
$431.28 |
$431.28 |
$431.28 |
$588.50
|
|
Thyroid uptake measurement
|
$183.78 |
$183.78 |
$183.78 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$2.37 |
$2.37 |
$2.37 |
$64.35
|
|
Tigecycline injection
|
$77.15 |
$77.15 |
$77.15 |
$234.00
|
|
Tilt table study
|
$1,057.14 |
$1,057.14 |
$1,057.14 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$263.95 |
$263.95 |
$263.95 |
$458.85
|
|
Tissue culture placenta
|
$31.59 |
$31.59 |
$31.59 |
$457.00
|
|
Tissue culture skin/biopsy
|
$42.96 |
$42.96 |
$42.96 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$60.66 |
$60.66 |
$60.66 |
$47.20
|
|
Tissue transglutaminase iga
|
$2.16 |
$2.16 |
$2.16 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$204.12 |
$204.12 |
$204.12 |
$78.40
|
|
Tnot opn elbw to sho ea tdn
|
$323.10 |
$323.10 |
$323.10 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.93 |
$11.93 |
$11.93 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$153.18 |
$153.18 |
$153.18 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$5,258.52
|
|
Tomosynthesis breast screen bilateral
|
$16.20 |
$16.20 |
$16.20 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$110.10 |
$110.10 |
$110.10 |
$325.00
|
|
Total hip arthroplasty
|
$1,096.56 |
$1,096.56 |
$1,096.56 |
$7,347.60
|
|
Total Hip Replacement
|
$1,268.28 |
$1,268.28 |
$1,268.28 |
$9,161.60
|
|
Total Knee Replacement
|
$1,266.66 |
$1,266.66 |
$1,266.66 |
$14,543.50
|
|
Total tau
|
$54.00 |
$54.00 |
$54.00 |
$312.50
|
|
Tot disc arthrp 1ntrspc crv
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$20,154.40
|
|
Tot disc arthrp 1ntrspc lmbr
|
$1,144.62 |
$1,144.62 |
$1,144.62 |
$4,365.60
|
|
Tot disc arthrp 2ntrspc lmbr
|
$259.56 |
$259.56 |
$259.56 |
$470.40
|
|
Tot disc arthrp ant appr disc 2nd level cervi 22858
|
$318.24 |
$318.24 |
$318.24 |
$1,230.40
|
|
Toxoplasma antibody igg
|
$37.80 |
$37.80 |
$37.80 |
$89.40
|
|
Toxoplasma antibody igm
|
$2.30 |
$2.30 |
$2.30 |
$87.00
|
|
Tp53 gene full gene sequence
|
$115.20 |
$115.20 |
$115.20 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$59.40 |
$59.40 |
$59.40 |
$790.68
|
|
Tpmt gene com vrnts
|
$33.30 |
$33.30 |
$33.30 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$2,901.96 |
$2,901.96 |
$2,901.96 |
$7,144.80
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$21.02 |
$21.02 |
$21.02 |
$56.38
|
|
Transcath biopsy
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$4,285.93
|
|
Transcath closure of asd
|
$9,030.24 |
$9,030.24 |
$9,030.24 |
$16,741.40
|
|
Transcath closure of vsd
|
$7,665.48 |
$7,665.48 |
$7,665.48 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$21,224.34 |
$21,224.34 |
$21,224.34 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$42,448.50 |
$42,448.50 |
$42,448.50 |
$12,418.00
|
|
Transcath occlusion cns
|
$10,113.66 |
$10,113.66 |
$10,113.66 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$11,923.02 |
$11,923.02 |
$11,923.02 |
$10,031.28
|
|
Transferrin
|
$77.76 |
$77.76 |
$77.76 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,666.26 |
$1,666.26 |
$1,666.26 |
$983.00
|
|
Transperi needle place pros
|
$517.86 |
$517.86 |
$517.86 |
$6,015.75
|
|
Trastuzumab 150 mg intravenous solution
|
$581.13 |
$581.13 |
$581.13 |
$3,141.85
|
|
Tray bonemarrw oncontrol 102mm
|
$509.04 |
$509.04 |
$509.04 |
$940.80
|
|
Treat ankle dislocation
|
$337.68 |
$337.68 |
$337.68 |
$2,358.40
|
|
Treat ankle dislocation
|
$487.26 |
$487.26 |
$487.26 |
$7,913.97
|
|
Treat ankle dislocation
|
$532.80 |
$532.80 |
$532.80 |
$5,886.74
|
|
Treat each add spine fx
|
$176.04 |
$176.04 |
$176.04 |
$675.20
|
|
Treat elbow dislocation
|
$331.02 |
$331.02 |
$331.02 |
$2,223.20
|
|
Treat elbow dislocation
|
$482.40 |
$482.40 |
$482.40 |
$7,292.92
|