|
Telavancin injection
|
$6,203.12 |
$6,203.12 |
$6,203.12 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$11,127.57 |
$11,127.57 |
$31,701.45 |
$1,617.00
|
|
Telethx isodose plan simple
|
$9,986.14 |
$9,986.14 |
$22,454.30 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,746.24 |
$9,746.24 |
$9,746.24 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$22,420.00 |
$22,420.00 |
$22,420.00 |
$16,531.64
|
|
Tenodesis biceps tdn at elbw
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,594.44
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,840.91 |
$2,840.91 |
$2,840.91 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$58.44 |
$58.44 |
$1,425.20 |
$46.10
|
|
Tert gene targeted seq alys
|
$131.68 |
$131.68 |
$131.68 |
$304.59
|
|
Test for porphobilinogen
|
$1,073.07 |
$1,073.07 |
$1,073.07 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$10,547.00 |
$10,547.00 |
$10,547.00 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$163.08 |
$163.08 |
$163.08 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$5,090.34 |
$5,090.34 |
$8,602.00 |
$1,001.55
|
|
Test urine for porphyrins
|
$977.59 |
$977.59 |
$977.59 |
$27.30
|
|
Tetanus immune globulin inj
|
$7,999.60 |
$7,999.60 |
$7,999.60 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$19,645.50 |
$19,645.50 |
$19,645.50 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$249.45 |
$249.45 |
$923.88 |
$108.00
|
|
Therapeutic procd strg endur
|
$1,071.56 |
$1,071.56 |
$1,321.10 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$55.98 |
$55.98 |
$325.50 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$87.97 |
$87.97 |
$285.50 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,569.61 |
$1,569.61 |
$4,430.80 |
$534.32
|
|
Ther/proph/diag inj ia
|
$69.50 |
$69.50 |
$69.50 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$465.37 |
$465.37 |
$505.68 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,893.55 |
$4,893.55 |
$4,893.55 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$5,123.03 |
$5,123.03 |
$5,123.03 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$21,635.99 |
$21,635.99 |
$21,635.99 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$34,440.07 |
$34,440.07 |
$34,440.07 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$46,932.15 |
$46,932.15 |
$46,932.15 |
$24,605.30
|
|
Thrombin time
|
$245.25 |
$245.25 |
$858.24 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$18,214.07 |
$18,214.07 |
$18,214.07 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$404.30 |
$404.30 |
$1,192.96 |
$56.93
|
|
Thromboxane urine
|
$162.26 |
$162.26 |
$162.26 |
$52.22
|
|
Thyroglobulin antibody
|
$254.25 |
$254.25 |
$1,930.76 |
$84.00
|
|
Thyroid imaging
|
$2,001.65 |
$2,001.65 |
$12,375.50 |
$670.80
|
|
Thyroid mets imag whole body
|
$5,662.10 |
$5,662.10 |
$11,704.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$269.06 |
$269.06 |
$1,417.01 |
$120.00
|
|
Thyroid Ultrasound
|
$1,602.55 |
$1,602.55 |
$1,602.55 |
$589.96
|
|
Thyroid uptake measurement
|
$1,075.86 |
$1,075.86 |
$2,813.50 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$188.35 |
$188.35 |
$1,495.13 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$51,099.23 |
$51,099.23 |
$51,099.23 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$24,009.25 |
$24,009.25 |
$24,009.25 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$15,717.67 |
$15,717.67 |
$15,717.67 |
$10,406.14
|
|
Tigecycline injection
|
$2,473.52 |
$2,473.52 |
$2,473.52 |
$277.31
|
|
Tilt table study
|
$3,997.05 |
$3,997.05 |
$3,997.05 |
$1,495.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$30,845.36 |
$30,845.36 |
$30,845.36 |
$14,271.00
|
|
Tissue amnio epifix inj 100mg
|
$190.00 |
$190.00 |
$190.00 |
$3,846.61
|
|
Tissue culture placenta
|
$1,358.33 |
$1,358.33 |
$1,358.33 |
$520.91
|
|
Tissue culture skin/biopsy
|
$1,180.87 |
$1,180.87 |
$2,399.48 |
$558.87
|
|
Tissue culture tumor
|
$2,318.36 |
$2,318.36 |
$2,838.36 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$117.37 |
$117.37 |
$255.52 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$275.55 |
$275.55 |
$14,411.00 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$172.10 |
$172.10 |
$172.10 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$674.00 |
$674.00 |
$674.00 |
$77.22
|
|
Tlh w/t/o 250 g or less
|
$26,485.84 |
$26,485.84 |
$26,485.84 |
$10,799.26
|
|
Tlso rigid plastic cust fab
|
$29,675.00 |
$29,675.00 |
$29,675.00 |
$2,347.16
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$221.70 |
$221.70 |
$221.70 |
$141.75
|
|
Tobramycin non-comp unit
|
$3,286.08 |
$3,286.08 |
$3,286.08 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$331.33 |
$331.33 |
$331.33 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,545.32 |
$3,545.32 |
$3,545.32 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$63.00 |
$63.00 |
$63.00 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$46.33 |
$46.33 |
$46.33 |
$73.45
|
|
Tongue biopsy; posterior one-third 41105
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,589.62
|
|
Tonsillectomy (age 12+)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,837.72
|
|
Tonsillectomy (child under 12)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$4,881.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$310.78 |
$310.78 |
$14,935.00 |
$404.20
|
|
Total tau
|
$293.00 |
$293.00 |
$293.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$233.45 |
$233.45 |
$680.30 |
$84.35
|
|
Toxoplasma antibody igm
|
$251.69 |
$251.69 |
$813.75 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$3,615.76 |
$3,615.76 |
$3,615.76 |
$919.10
|
|
Tpmt gene com vrnts
|
$278.43 |
$278.43 |
$278.43 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$11,682.65 |
$11,682.65 |
$11,682.65 |
$6,105.61
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$58.97 |
$58.97 |
$597.00 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$77.65
|
|
Transabdom amnioinfus w/us
|
$1,938.27 |
$1,938.27 |
$1,938.27 |
$791.05
|
|
Transcath biopsy
|
$6,986.63 |
$6,986.63 |
$6,986.63 |
$4,298.05
|
|
Transcath closure of asd
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$18,772.00
|
|
Transcath closure of vsd
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$18,837.00
|
|
Transcatheter bx s&i
|
$7,330.09 |
$7,330.09 |
$12,922.80 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$10,746.21 |
$10,746.21 |
$10,746.21 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$46,722.62 |
$46,722.62 |
$46,722.62 |
$17,106.18
|
|
Transcath occlusion cns
|
$14,549.12 |
$14,549.12 |
$14,549.12 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$19,727.96 |
$19,727.96 |
$19,727.96 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$11,776.79 |
$11,776.79 |
$11,776.79 |
$4,627.00
|
|
Transferrin
|
$204.48 |
$204.48 |
$1,406.70 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,065.00 |
$2,065.00 |
$3,327.71 |
$988.24
|
|
Transperi needle place pros
|
$23,879.03 |
$23,879.03 |
$23,879.03 |
$6,203.00
|
|
Transplant hand tendon
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,821.05
|
|
Trauma partial team response w/critical care services level 4
|
$20,857.72 |
$20,857.72 |
$20,857.72 |
$5,104.55
|
|
Treat ankle dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,207.20
|
|
Treat ankle fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,004.47
|
|
Treat clavicle dislocation 23545
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$734.00
|
|
Treat elbow dislocation
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,326.40
|
|
Treat elbow fracture
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,125.60
|
|
Treat finger fracture each
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,108.00
|
|
Treat finger fracture each
|
$2,287.11 |
$2,287.11 |
$2,287.11 |
$1,815.75
|
|
Treat foot bone lesion
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$435.60
|
|
Treat foot dislocation
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,935.24
|
|
Treat foot dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$527.28
|
