|
Tc-99m labeled rbc
|
$121.43 |
$121.43 |
$160.42 |
$323.01
|
|
Tc-99m maa
|
$130.15 |
$130.15 |
$171.94 |
$312.06
|
|
Tc-99m mebrofenin
|
$33.14 |
$33.14 |
$43.78 |
$169.53
|
|
Tc-99m medronate
|
$21.37 |
$21.37 |
$28.23 |
$122.46
|
|
Tc-99m mertiatide
|
$231.08 |
$231.08 |
$305.28 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$20.06 |
$20.06 |
$26.50 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$87.20 |
$87.20 |
$115.20 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$0.88 |
$0.88 |
$1.16 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$37.28 |
$37.28 |
$49.25 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$56.68 |
$56.68 |
$74.88 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$397.20 |
$397.20 |
$524.74 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$77.83 |
$77.83 |
$102.82 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$61.26 |
$61.26 |
$80.93 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$795.70 |
$795.70 |
$1,051.20 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$4.91 |
$4.91 |
$6.48 |
$186.00
|
|
T cells absolute cd 4 count
|
$6.11 |
$6.11 |
$8.07 |
$120.25
|
|
T cells total count
|
$4.91 |
$4.91 |
$6.48 |
$124.11
|
|
Telavancin injection
|
$198.82 |
$198.82 |
$945.80 |
$1,216.45
|
|
Temozolomide
|
$474.05 |
$474.05 |
$627.63 |
$374.66
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,720.69 |
$7,720.69 |
$10,199.81 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$18.97 |
$18.97 |
$25.06 |
$46.10
|
|
Teriparatide injection
|
$2,298.81 |
$2,298.81 |
$3,036.96 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$45.78 |
$45.78 |
$60.48 |
$304.59
|
|
Test stress cardiovascular tracing only
|
$486.80 |
$486.80 |
$643.11 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$395.24 |
$395.24 |
$522.15 |
$1,204.50
|
|
Tgsap so neo 5-50 rna alys
|
$218.00 |
$218.00 |
$288.00 |
$816.27
|
|
Theophylline therapeutic drug level
|
$15.70 |
$15.70 |
$20.74 |
$108.00
|
|
Therapeutic procd strg endur
|
$37.06 |
$37.06 |
$48.96 |
$85.80
|
|
Therapy activation ipnss
|
$737.06 |
$737.06 |
$973.73 |
$228.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$52.54 |
$52.54 |
$69.41 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$44.91 |
$44.91 |
$59.33 |
$50.40
|
|
Ther/proph/diag inj ia
|
$174.40 |
$174.40 |
$230.40 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$10.90 |
$10.90 |
$14.40 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$917.78 |
$917.78 |
$1,212.48 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$5,764.58 |
$5,764.58 |
$7,615.59 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,304.82 |
$5,304.82 |
$7,008.20 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$5,835.21 |
$5,835.21 |
$7,708.90 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$5,410.98 |
$5,410.98 |
$7,148.45 |
$24,605.30
|
|
Thrombin time
|
$10.58 |
$10.58 |
$13.97 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$42.73 |
$42.73 |
$56.45 |
$56.93
|
|
Thyroglobulin antibody
|
$1.42 |
$1.42 |
$1.88 |
$84.00
|
|
Thyroid mets imag whole body
|
$1,209.90 |
$1,209.90 |
$1,598.40 |
$1,524.99
|
|
Thyroid met uptake
|
$205.58 |
$205.58 |
$271.59 |
$380.00
|
|
Thyroid (TSH) Test
|
$54.94 |
$54.94 |
$72.58 |
$120.00
|
|
Thyroid Ultrasound
|
$408.54 |
$408.54 |
$539.72 |
$589.96
|
|
Thyroid uptake measurement
|
$1,106.57 |
$1,106.57 |
$1,461.89 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,857.58 |
$1,857.58 |
$1,857.58 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$3.12 |
$3.12 |
$4.12 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$8,310.60 |
$8,310.60 |
$10,979.14 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$1,025.69 |
$1,025.69 |
$1,355.04 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$6,390.89 |
$6,390.89 |
$8,443.01 |
$10,406.14
|
|
Tigecycline injection
|
$163.29 |
$163.29 |
$215.72 |
$277.31
|
|
Tilt table study
|
$895.11 |
$895.11 |
$1,182.53 |
$1,495.00
|
|
Tissue amnio epifix inj 100mg
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$3,846.61
|
|
Tissue culture placenta
|
$20.71 |
$20.71 |
$27.36 |
$520.91
|
|
Tissue culture skin/biopsy
|
$43.17 |
$43.17 |
$57.03 |
$558.87
|
|
Tissue culture tumor
|
$20.71 |
$20.71 |
$27.36 |
$529.23
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$1,578.39
|
|
Tissue transglutaminase iga
|
$2.62 |
$2.62 |
$3.46 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$18.75 |
$18.75 |
$24.77 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$190.75 |
$190.75 |
$252.00 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$85.90 |
$85.90 |
$113.48 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,184.80 |
$2,184.80 |
$2,886.34 |
$4,711.84
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,139.05 |
$1,139.05 |
$1,139.05 |
$404.20
|
|
Toxoplasma antibody igg
|
$2.18 |
$2.18 |
$2.88 |
$84.35
|
|
Toxoplasma antibody igm
|
$2.18 |
$2.18 |
$2.88 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$176.58 |
$176.58 |
$233.28 |
$919.10
|
|
Trabectedin 1 mg intravenous solution
|
$3,115.22 |
$3,115.22 |
$3,115.22 |
$7,403.70
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$35.54 |
$35.54 |
$46.95 |
$104.50
|
|
Transcath biopsy
|
$3,997.69 |
$3,997.69 |
$5,281.35 |
$4,298.05
|
|
Transcath closure of asd
|
$10,445.26 |
$10,445.26 |
$13,799.24 |
$18,772.00
|
|
Transcatheter bx s&i
|
$766.93 |
$766.93 |
$1,013.19 |
$1,875.96
|
|
Transcath occlusion cns
|
$2,857.77 |
$2,857.77 |
$3,775.40 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$1,114.42 |
$1,114.42 |
$1,472.26 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$1,844.50 |
$1,844.50 |
$2,436.77 |
$4,627.00
|
|
Transferrin
|
$75.21 |
$75.21 |
$99.36 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$675.80 |
$675.80 |
$892.80 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$1,492.43 |
$1,492.43 |
$1,492.43 |
$3,900.04
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$1,267.46 |
$1,267.46 |
$1,267.46 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$4,927.89 |
$4,927.89 |
$6,510.24 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$611.49 |
$611.49 |
$807.84 |
$977.62
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$245.04 |
$245.04 |
$323.72 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$173.97 |
$173.97 |
$229.83 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$309.13 |
$309.13 |
$408.39 |
$210.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$40,809.60 |
$40,809.60 |
$40,809.60 |
$101,032.80
|
|
Treponema pallidum antibody
|
$20.28 |
$20.28 |
$26.79 |
$72.80
|
|
Treprostinil injection
|
$63.44 |
$63.44 |
$63.44 |
$841.84
|
|
Trg gene rearrangement anal
|
$56.68 |
$56.68 |
$74.88 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$47.53 |
$47.53 |
$62.79 |
$55.80
|
|
Triglycerides
|
$33.14 |
$33.14 |
$43.78 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$14.17 |
$14.17 |
$14.17 |
$128.00
|
|
Triptorelin pamoate
|
$3,372.77 |
$3,372.77 |
$3,372.77 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$1,051.85 |
$1,051.85 |
$1,389.60 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$9,562.36 |
$9,562.36 |
$12,632.84 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,415.48 |
$1,415.48 |
$1,869.99 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$1,854.97 |
$1,854.97 |
$2,450.60 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$7,473.04 |
$7,473.04 |
$9,872.64 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,825.03 |
$3,825.03 |
$5,053.25 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,298.19 |
$1,298.19 |
$1,715.04 |
$6,156.00
|
