|
Tacrolimus therapeutic drug level
|
$96.82 |
$96.82 |
$96.82 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$180.91 |
$180.91 |
$180.91 |
$1,928.40
|
|
Target gsa panel organ neop
|
$166.82 |
$166.82 |
$166.82 |
$1,913.00
|
|
Tavr perq femoral
|
$19,786.68 |
$19,786.68 |
$19,786.68 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$494.39 |
$494.39 |
$494.39 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$116.07 |
$116.07 |
$116.07 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$8.37 |
$8.37 |
$8.37 |
$166.46
|
|
Tc-99m apcitide diag
|
$356.01 |
$356.01 |
$356.01 |
$1,765.30
|
|
Tc-99m diag per dose
|
$564.70 |
$564.70 |
$564.70 |
$279.95
|
|
Tc-99m disofenin
|
$29.58 |
$29.58 |
$29.58 |
$151.32
|
|
Tc-99m exametazime diag
|
$881.37 |
$881.37 |
$881.37 |
$2,166.26
|
|
Tc-99m gluceptate
|
$32.65 |
$32.65 |
$32.65 |
$1,105.40
|
|
Tc-99m labeled rbc
|
$92.07 |
$92.07 |
$92.07 |
$323.01
|
|
Tc-99m maa
|
$54.97 |
$54.97 |
$54.97 |
$312.06
|
|
Tc-99m mebrofenin
|
$62.78 |
$62.78 |
$62.78 |
$169.53
|
|
Tc-99m medronate
|
$57.20 |
$57.20 |
$57.20 |
$122.46
|
|
Tc-99m mertiatide
|
$239.67 |
$239.67 |
$239.67 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$40.46 |
$40.46 |
$40.46 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$254.17 |
$254.17 |
$254.17 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$54.97 |
$54.97 |
$54.97 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$54.97 |
$54.97 |
$54.97 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$124.44 |
$124.44 |
$124.44 |
$221.60
|
|
Tc-99m sulfur colloid
|
$60.83 |
$60.83 |
$60.83 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$418.50 |
$418.50 |
$418.50 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$6.28 |
$6.28 |
$6.28 |
$186.00
|
|
T cells absolute cd 4 count
|
$8.37 |
$8.37 |
$8.37 |
$120.25
|
|
T cells total count
|
$8.15 |
$8.15 |
$8.15 |
$124.11
|
|
Telehealth original site facility fee
|
$24.84 |
$24.84 |
$24.84 |
$60.80
|
|
Telethx isodose plan cplx
|
$1,773.33 |
$1,773.33 |
$1,773.33 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,256.34 |
$1,256.34 |
$1,256.34 |
$848.72
|
|
Temozolomide
|
$488.25 |
$488.25 |
$488.25 |
$374.66
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,681.56 |
$5,681.56 |
$5,681.56 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$33.76 |
$33.76 |
$33.76 |
$46.10
|
|
Teriparatide injection
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$7,403.20
|
|
Testicular imaging w/vasc flow
|
$814.41 |
$814.41 |
$814.41 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,258.57 |
$1,258.57 |
$1,258.57 |
$1,001.55
|
|
Test urine urobilinogen
|
$21.49 |
$21.49 |
$21.49 |
$6.17
|
|
Tetanus immune globulin inj
|
$488.25 |
$488.25 |
$488.25 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$136.16 |
$136.16 |
$136.16 |
$108.00
|
|
Ther nma rdctj intus/obstrcj
|
$463.14 |
$463.14 |
$463.14 |
$534.32
|
|
Ther/proph/diag inj ia
|
$236.04 |
$236.04 |
$236.04 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.68 |
$13.68 |
$13.68 |
$35.72
|
|
Thiotepa injection
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$1,255.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,114.89 |
$1,114.89 |
$1,114.89 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$2,704.63 |
$2,704.63 |
$2,704.63 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,025.35 |
$5,025.35 |
$5,025.35 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$5,982.60 |
$5,982.60 |
$5,982.60 |
$15,185.00
|
|
Thrombin time
|
$87.89 |
$87.89 |
$87.89 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$48.83 |
$48.83 |
$48.83 |
$56.93
|
|
Thyroglobulin antibody
|
$31.53 |
$31.53 |
$31.53 |
$84.00
|
|
Thyroid imaging
|
$996.31 |
$996.31 |
$996.31 |
$670.80
|
|
Thyroid mets imag whole body
|
$2,020.24 |
$2,020.24 |
$2,020.24 |
$1,524.99
|
|
Thyroid met uptake
|
$525.36 |
$525.36 |
$525.36 |
$380.00
|
|
Thyroid (TSH) Test
|
$160.43 |
$160.43 |
$160.43 |
$120.00
|
|
Thyroid Ultrasound
|
$785.67 |
$785.67 |
$785.67 |
$589.96
|
|
Thyroid uptake measurement
|
$554.66 |
$554.66 |
$554.66 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,367.10 |
$1,367.10 |
$1,367.10 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$3.99 |
$3.99 |
$3.99 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$9,821.36 |
$9,821.36 |
$9,821.36 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$5,609.02 |
$5,609.02 |
$5,609.02 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$5,609.02 |
$5,609.02 |
$5,609.02 |
$10,406.14
|
|
Tigecycline injection
|
$116.07 |
$116.07 |
$116.07 |
$277.31
|
|
Tilt table study
|
$904.80 |
$904.80 |
$904.80 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$319.74 |
$319.74 |
$319.74 |
$384.17
|
|
Tissue culture skin/biopsy
|
$202.28 |
$202.28 |
$202.28 |
$558.87
|
|
Tissue culture tumor
|
$211.77 |
$211.77 |
$211.77 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$65.29 |
$65.29 |
$65.29 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,513.88 |
$5,513.88 |
$5,513.88 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$5,513.88 |
$5,513.88 |
$5,513.88 |
$1,525.91
|
|
Tissue transglutaminase iga
|
$3.35 |
$3.35 |
$3.35 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$24.56 |
$24.56 |
$24.56 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$344.57 |
$344.57 |
$344.57 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$95.14 |
$95.14 |
$95.14 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,311.03 |
$1,311.03 |
$1,311.03 |
$4,711.84
|
|
Tocilizumab for covid-19
|
$1,435.46 |
$1,435.46 |
$1,435.46 |
$21.60
|
|
Tomosynthesis breast diagnostic left
|
$30.69 |
$30.69 |
$30.69 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$33.76 |
$33.76 |
$33.76 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$385.86 |
$385.86 |
$385.86 |
$404.20
|
|
Total tau
|
$92.54 |
$92.54 |
$92.54 |
$293.00
|
|
Toxoplasma antibody igg
|
$21.97 |
$21.97 |
$21.97 |
$84.35
|
|
Toxoplasma antibody igm
|
$2.79 |
$2.79 |
$2.79 |
$83.20
|
|
Tp53 gene full gene sequence
|
$40.61 |
$40.61 |
$40.61 |
$706.04
|
|
Tpmt gene com vrnts
|
$41.85 |
$41.85 |
$41.85 |
$381.55
|
|
Transabdom amnioinfus w/us
|
$452.82 |
$452.82 |
$452.82 |
$791.05
|
|
Transcath biopsy
|
$2,306.50 |
$2,306.50 |
$2,306.50 |
$4,298.05
|
|
Transcath closure of asd
|
$15,748.44 |
$15,748.44 |
$15,748.44 |
$18,772.00
|
|
Transcath closure of vsd
|
$8,627.24 |
$8,627.24 |
$8,627.24 |
$18,837.00
|
|
Transcatheter bx s&i
|
$2,959.08 |
$2,959.08 |
$2,959.08 |
$1,875.96
|
|
Transcath occlusion cns
|
$2,508.77 |
$2,508.77 |
$2,508.77 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$6,539.49 |
$6,539.49 |
$6,539.49 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$21,653.19 |
$21,653.19 |
$21,653.19 |
$17,848.35
|
|
Transferrin
|
$110.49 |
$110.49 |
$110.49 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,462.52 |
$1,462.52 |
$1,462.52 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$105.19 |
$105.19 |
$105.19 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$20,888.18 |
$20,888.18 |
$20,888.18 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$304.67 |
$304.67 |
$304.67 |
$977.62
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$120.53 |
$120.53 |
$120.53 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$126.67 |
$126.67 |
$126.67 |
$149.00
|