|
Surgical pathology level 3 gross & microscopic examination
|
$184.62 |
$184.62 |
$184.62 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$339.15 |
$339.15 |
$339.15 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$419.22 |
$419.22 |
$419.22 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$913.92 |
$913.92 |
$913.92 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$68.34 |
$68.34 |
$68.34 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$221.85 |
$221.85 |
$221.85 |
$34.48
|
|
Susceptibility mic per plate
|
$242.25 |
$242.25 |
$242.25 |
$94.38
|
|
Svc venogram s&i
|
$3,893.34 |
$3,893.34 |
$3,893.34 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$1.49 |
$1.49 |
$1.49 |
$44.85
|
|
System cardiomems hosp electronics
|
$72,374.00 |
$72,374.00 |
$72,374.00 |
$41,518.75
|
|
System pacing micra av
|
$43,113.87 |
$43,113.87 |
$43,113.87 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,860.64 |
$21,860.64 |
$21,860.64 |
$10,980.00
|
|
System sealant biosentry tract
|
$1,199.52 |
$1,199.52 |
$1,199.52 |
$900.00
|
|
T3 (triiodothyronine) free
|
$178.50 |
$178.50 |
$178.50 |
$89.82
|
|
T3 (triiodothyronine) total
|
$63.50 |
$63.50 |
$63.50 |
$94.90
|
|
T4 (thyroxine) free
|
$157.59 |
$157.59 |
$157.59 |
$81.60
|
|
T4 (thyroxine) total
|
$148.92 |
$148.92 |
$148.92 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$24.17 |
$24.17 |
$24.17 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$787.16 |
$787.16 |
$787.16 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$349.86 |
$349.86 |
$349.86 |
$122.40
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$34,329.38 |
$34,329.38 |
$34,329.38 |
$27,030.00
|
|
Tavr perq femoral
|
$21,679.08 |
$21,679.08 |
$21,679.08 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$607.41 |
$607.41 |
$607.41 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$159.96 |
$159.96 |
$159.96 |
$186.00
|
|
T cells absolute cd 4 count
|
$65.10 |
$65.10 |
$65.10 |
$120.25
|
|
T cells total count
|
$47.89 |
$47.89 |
$47.89 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$8,951.52 |
$8,951.52 |
$8,951.52 |
$5,030.40
|
|
Telethx isodose plan cplx
|
$6,722.31 |
$6,722.31 |
$6,722.31 |
$1,617.00
|
|
Telethx isodose plan simple
|
$3,426.69 |
$3,426.69 |
$3,426.69 |
$848.72
|
|
Temozolomide
|
$77.09 |
$77.09 |
$77.09 |
$374.66
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,531.64 |
$16,531.64 |
$16,531.64 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,839.54
|
|
Tension based scoliosis orth
|
$3,843.36 |
$3,843.36 |
$3,843.36 |
$2,851.20
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$84.15 |
$84.15 |
$84.15 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$62.22 |
$62.22 |
$62.22 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$599.76 |
$599.76 |
$599.76 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,440.92 |
$1,440.92 |
$1,440.92 |
$1,204.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$164.73 |
$164.73 |
$164.73 |
$50.40
|
|
Ther/proph/diag inj ia
|
$551.31 |
$551.31 |
$551.31 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,991.26 |
$3,991.26 |
$3,991.26 |
$1,804.00
|
|
Thoracotomy w/expl
|
$5,675.28 |
$5,675.28 |
$5,675.28 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$5,371.32 |
$5,371.32 |
$5,371.32 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$2,974.32 |
$2,974.32 |
$2,974.32 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,198.58 |
$11,198.58 |
$11,198.58 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,905.08 |
$17,905.08 |
$17,905.08 |
$24,605.30
|
|
Thrombin time
|
$262.14 |
$262.14 |
$262.14 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$35.02 |
$35.02 |
$35.02 |
$56.93
|
|
Thyroglobulin antibody
|
$30.57 |
$30.57 |
$30.57 |
$84.00
|
|
Thyroid imaging
|
$572.22 |
$572.22 |
$572.22 |
$670.80
|
|
Thyroid mets imag whole body
|
$4,825.11 |
$4,825.11 |
$4,825.11 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$275.91 |
$275.91 |
$275.91 |
$120.00
|
|
Thyroid Ultrasound
|
$1,216.35 |
$1,216.35 |
$1,216.35 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$63.72 |
$63.72 |
$63.72 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$30,382.74 |
$30,382.74 |
$30,382.74 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$12,591.90 |
$12,591.90 |
$12,591.90 |
$10,406.14
|
|
Tilt table study
|
$1,620.27 |
$1,620.27 |
$1,620.27 |
$1,495.00
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$10,042.18 |
$10,042.18 |
$10,042.18 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,525.91
|
|
Tissue transglutaminase iga
|
$61.71 |
$61.71 |
$61.71 |
$48.57
|
|
Tlso 3mod sacro-scap pre
|
$892.50 |
$892.50 |
$892.50 |
$975.00
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$141.75
|
|
Tobramycin non-comp unit
|
$53.10 |
$53.10 |
$53.10 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$473.28 |
$473.28 |
$473.28 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,938.96 |
$5,938.96 |
$5,938.96 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$61.20 |
$61.20 |
$61.20 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$61.20 |
$61.20 |
$61.20 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$613.69 |
$613.69 |
$613.69 |
$404.20
|
|
Toxoplasma antibody igg
|
$45.06 |
$45.06 |
$45.06 |
$84.35
|
|
Toxoplasma antibody igm
|
$36.20 |
$36.20 |
$36.20 |
$83.20
|
|
Tpmt gene com vrnts
|
$76.50 |
$76.50 |
$76.50 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$201.96 |
$201.96 |
$201.96 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$145.35 |
$145.35 |
$145.35 |
$77.65
|
|
Transcath biopsy
|
$6,852.36 |
$6,852.36 |
$6,852.36 |
$4,298.05
|
|
Transcath closure of asd
|
$30,199.65 |
$30,199.65 |
$30,199.65 |
$18,772.00
|
|
Transcath closure of vsd
|
$25,456.65 |
$25,456.65 |
$25,456.65 |
$18,837.00
|
|
Transcatheter bx s&i
|
$2,045.10 |
$2,045.10 |
$2,045.10 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$17,730.15 |
$17,730.15 |
$17,730.15 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$17,730.15 |
$17,730.15 |
$17,730.15 |
$17,106.18
|
|
Transferrin
|
$142.29 |
$142.29 |
$142.29 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,724.31 |
$1,724.31 |
$1,724.31 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$4,702.80 |
$4,702.80 |
$4,702.80 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,721.47 |
$3,721.47 |
$3,721.47 |
$7,191.23
|
|
Trauma partial team response w/critical care services level 4
|
$44,829.51 |
$44,829.51 |
$44,829.51 |
$5,104.55
|
|
Tray bonemarrw oncontrol 102mm
|
$7,854.00 |
$7,854.00 |
$7,854.00 |
$977.62
|
|
Treat ankle dislocation
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,207.20
|
|
Treat ankle dislocation
|
$14,413.11 |
$14,413.11 |
$14,413.11 |
$7,807.24
|
|
Treat big toe fracture
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,981.06
|
|
Treat clavicle dislocation 23545
|
$1,110.78 |
$1,110.78 |
$1,110.78 |
$734.00
|
|
Treat elbow dislocation
|
$3,152.82 |
$3,152.82 |
$3,152.82 |
$2,326.40
|
|
Treat elbow fracture
|
$4,233.51 |
$4,233.51 |
$4,233.51 |
$2,125.60
|
|
Treat elbow fracture
|
$14,413.11 |
$14,413.11 |
$14,413.11 |
$8,453.60
|
|
Treat eyelid by injection
|
$1,144.95 |
$1,144.95 |
$1,144.95 |
$472.21
|
|
Treat finger fracture each
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$4,108.00
|
|
Treat finger fracture each
|
$2,734.11 |
$2,734.11 |
$2,734.11 |
$1,815.75
|
|
Treat foot dislocation
|
$455.94 |
$455.94 |
$455.94 |
$435.60
|
|
Treat foot dislocation
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,935.24
|
|
Treat foot dislocation
|
$448.80 |
$448.80 |
$448.80 |
$527.28
|