|
Tc-99m maa
|
$245.85 |
$245.85 |
$245.85 |
$312.06
|
|
Tc-99m mebrofenin
|
$131.49 |
$131.49 |
$131.49 |
$169.53
|
|
Tc-99m medronate
|
$266.08 |
$266.08 |
$266.08 |
$122.46
|
|
Tc-99m mertiatide
|
$825.46 |
$825.46 |
$825.46 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$245.85 |
$245.85 |
$245.85 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$313.54 |
$313.54 |
$313.54 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$59.13 |
$59.13 |
$59.13 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$258.30 |
$258.30 |
$258.30 |
$221.60
|
|
Tc-99m sulfur colloid
|
$231.85 |
$231.85 |
$231.85 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$2,839.70 |
$2,839.70 |
$2,839.70 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$114.60 |
$114.60 |
$114.60 |
$186.00
|
|
T cells absolute cd 4 count
|
$30.19 |
$30.19 |
$30.19 |
$120.25
|
|
T cells total count
|
$114.37 |
$114.37 |
$114.37 |
$124.11
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$10,332.62 |
$10,332.62 |
$10,332.62 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$170.39 |
$170.39 |
$170.39 |
$46.10
|
|
Test stress cardiovascular tracing only
|
$1,009.07 |
$1,009.07 |
$1,009.07 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$2,467.82 |
$2,467.82 |
$2,467.82 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$223.29 |
$223.29 |
$223.29 |
$108.00
|
|
Therapeutic procd strg endur
|
$87.92 |
$87.92 |
$87.92 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.23 |
$27.23 |
$27.23 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$27.23 |
$27.23 |
$27.23 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$68.47 |
$68.47 |
$68.47 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,422.97 |
$1,422.97 |
$1,422.97 |
$1,804.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,038.78 |
$12,038.78 |
$12,038.78 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,115.80 |
$12,115.80 |
$12,115.80 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,115.80 |
$12,115.80 |
$12,115.80 |
$24,605.30
|
|
Thrombin time
|
$14.65 |
$14.65 |
$14.65 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$10.99 |
$10.99 |
$10.99 |
$56.93
|
|
Thyroglobulin antibody
|
$5.06 |
$5.06 |
$5.06 |
$84.00
|
|
Thyroid imaging
|
$395.23 |
$395.23 |
$395.23 |
$670.80
|
|
Thyroid mets imag whole body
|
$560.16 |
$560.16 |
$560.16 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$297.98 |
$297.98 |
$297.98 |
$120.00
|
|
Thyroid Ultrasound
|
$813.01 |
$813.01 |
$813.01 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$11.11 |
$11.11 |
$11.11 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$24,666.49 |
$24,666.49 |
$24,666.49 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$12,422.33 |
$12,422.33 |
$12,422.33 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$10,469.55 |
$10,469.55 |
$10,469.55 |
$10,406.14
|
|
Tissue culture skin/biopsy
|
$427.90 |
$427.90 |
$427.90 |
$558.87
|
|
Tissue culture tumor
|
$160.37 |
$160.37 |
$160.37 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$17.99 |
$17.99 |
$17.99 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$10,345.85 |
$10,345.85 |
$10,345.85 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$22,751.84 |
$22,751.84 |
$22,751.84 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$9.34 |
$9.34 |
$9.34 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$42.79 |
$42.79 |
$42.79 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$163.38 |
$163.38 |
$163.38 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$250.52 |
$250.52 |
$250.52 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$46.68 |
$46.68 |
$46.68 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$65.36 |
$65.36 |
$65.36 |
$73.45
|
|
Total tau
|
$258.05 |
$258.05 |
$258.05 |
$293.00
|
|
Toxoplasma antibody igg
|
$163.38 |
$163.38 |
$163.38 |
$84.35
|
|
Toxoplasma antibody igm
|
$7.78 |
$7.78 |
$7.78 |
$83.20
|
|
Tp53 gene full gene sequence
|
$197.12 |
$197.12 |
$197.12 |
$706.04
|
|
Tpmt gene com vrnts
|
$77.80 |
$77.80 |
$77.80 |
$381.55
|
|
Transabdom amnioinfus w/us
|
$1,178.67 |
$1,178.67 |
$1,178.67 |
$791.05
|
|
Transcath biopsy
|
$3,527.46 |
$3,527.46 |
$3,527.46 |
$4,298.05
|
|
Transcatheter bx s&i
|
$2,499.72 |
$2,499.72 |
$2,499.72 |
$1,875.96
|
|
Transcath occlusion cns
|
$1,078.31 |
$1,078.31 |
$1,078.31 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$12,224.72 |
$12,224.72 |
$12,224.72 |
$12,427.79
|
|
Transferrin
|
$129.93 |
$129.93 |
$129.93 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,363.06 |
$1,363.06 |
$1,363.06 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$8,421.08 |
$8,421.08 |
$8,421.08 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$1,643.92 |
$1,643.92 |
$1,643.92 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$150.16 |
$150.16 |
$150.16 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$143.16 |
$143.16 |
$143.16 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$627.85 |
$627.85 |
$627.85 |
$210.00
|
|
Treponema pallidum antibody
|
$30.91 |
$30.91 |
$30.91 |
$72.80
|
|
Trg gene rearrangement anal
|
$233.40 |
$233.40 |
$233.40 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$296.42 |
$296.42 |
$296.42 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$6,169.54 |
$6,169.54 |
$6,169.54 |
$1,309.80
|
|
Trichinella antibody
|
$58.21 |
$58.21 |
$58.21 |
$70.65
|
|
Triglycerides
|
$73.91 |
$73.91 |
$73.91 |
$54.60
|
|
Trnscath plc stent crv crtd without prtct
|
$14,715.10 |
$14,715.10 |
$14,715.10 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$14,715.10 |
$14,715.10 |
$14,715.10 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$14,715.10 |
$14,715.10 |
$14,715.10 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,438.40 |
$13,438.40 |
$13,438.40 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,438.40 |
$13,438.40 |
$13,438.40 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,614.97 |
$16,614.97 |
$16,614.97 |
$15,408.00
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,967.47 |
$10,967.47 |
$10,967.47 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,783.39 |
$6,783.39 |
$6,783.39 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,768.64 |
$3,768.64 |
$3,768.64 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$9,572.52 |
$9,572.52 |
$9,572.52 |
$4,329.36
|
|
Troponin quantitative
|
$186.72 |
$186.72 |
$186.72 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,084.54 |
$1,084.54 |
$1,084.54 |
$1,582.75
|
|
Ugt1a1 gene analy common variants
|
$158.93 |
$158.93 |
$158.93 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$260.63 |
$260.63 |
$260.63 |
$403.26
|
|
Ultrasound chest
|
$1,607.35 |
$1,607.35 |
$1,607.35 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$186.72 |
$186.72 |
$186.72 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$391.34 |
$391.34 |
$391.34 |
$330.40
|
|
Ultrasound elastography parenchyma
|
$192.17 |
$192.17 |
$192.17 |
$284.25
|
|
Ultrasound encephalogram
|
$315.87 |
$315.87 |
$315.87 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$636.41 |
$636.41 |
$636.41 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$995.84 |
$995.84 |
$995.84 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$4,315.57 |
$4,315.57 |
$4,315.57 |
$701.35
|
|
Ultrasound guide intraoperative
|
$959.28 |
$959.28 |
$959.28 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$125.26 |
$125.26 |
$125.26 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$557.05 |
$557.05 |
$557.05 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$632.52 |
$632.52 |
$632.52 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$434.13 |
$434.13 |
$434.13 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$417.79 |
$417.79 |
$417.79 |
$690.48
|
