|
Test stress cardiovascular tracing only
|
$403.10 |
$5,090.34 |
$8,602.00 |
|
|
Test urine for porphyrins
|
$977.59 |
$977.59 |
$1,194.52 |
|
|
Tetanus immune globulin inj
|
$854.52 |
$3,288.00 |
$7,999.60 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$19,645.50 |
$19,645.50 |
$19,645.50 |
|
|
Tgsap so/hl 51/< rna alys
|
$3,783.89 |
$3,783.89 |
$3,783.89 |
|
|
Thaw preserved stem cells
|
$508.11 |
$508.11 |
$508.11 |
|
|
Theophylline therapeutic drug level
|
$9.76 |
$249.45 |
$1,407.00 |
|
|
Therapeutic procd strg endur
|
$43.09 |
$1,071.56 |
$1,321.10 |
|
|
Therapy Activity Training (each 15 minutes)
|
$17.80 |
$255.00 |
$255.00 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$18.35 |
$271.38 |
$271.38 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$25.13 |
$55.98 |
$325.50 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$23.59 |
$87.97 |
$285.50 |
|
|
Ther nma rdctj intus/obstrcj
|
$874.00 |
$1,569.61 |
$4,430.80 |
|
|
Ther/proph/diag inj ia
|
$69.50 |
$69.50 |
$653.00 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$71.75 |
$465.37 |
$505.68 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$49.98 |
$258.50 |
$311.15 |
|
|
Thiotepa injection
|
$3,018.50 |
$3,018.50 |
$3,018.50 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$742.52 |
$4,893.55 |
$4,893.55 |
|
|
Thoracotomy w/expl
|
$849.57 |
$849.57 |
$849.57 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,103.65 |
$5,650.46 |
$13,489.50 |
|
|
Thrombectmy crnry perq mechanical
|
$1,155.60 |
$5,123.03 |
$5,123.03 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,722.37 |
$21,635.99 |
$21,635.99 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,315.26 |
$34,440.07 |
$34,440.07 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,806.46 |
$46,932.15 |
$46,932.15 |
|
|
Thrombin time
|
$5.71 |
$245.25 |
$1,254.50 |
|
|
Thromboendarterectomy common femoral
|
$18,214.07 |
$18,214.07 |
$18,214.07 |
|
|
Thromboplastin inhibition
|
$969.74 |
$969.74 |
$969.74 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$10.51 |
$404.30 |
$1,795.00 |
|
|
Thromboxane urine
|
$162.26 |
$162.26 |
$1,306.35 |
|
|
Thyroglobulin antibody
|
$17.76 |
$254.25 |
$1,930.76 |
|
|
Thyroid imaging
|
$386.86 |
$2,001.65 |
$12,375.50 |
|
|
Thyroid mets imag whole body
|
$885.55 |
$5,662.10 |
$13,258.00 |
|
|
Thyroid (TSH) Test
|
$12.26 |
$269.06 |
$1,746.70 |
|
|
Thyroid Ultrasound
|
$244.43 |
$1,084.19 |
$1,602.55 |
|
|
Thyroid uptake measurement
|
$241.19 |
$1,075.86 |
$4,466.07 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$10,808.13 |
$14,707.95 |
$16,317.50 |
|
|
Thyroxine binding globulin (tbg)
|
$10.21 |
$188.35 |
$1,704.71 |
|
|
Tibial length sock fx or equ
|
$69.55 |
$69.55 |
$1,246.00 |
|
|
Tib/per revasc stent & ather 37231
|
$15,610.13 |
$51,099.23 |
$51,099.23 |
|
|
Tib/per revasc stnt & ather
|
$8,251.17 |
$24,009.25 |
$24,009.25 |
|
|
Tib/per revasc w/ather add-on 37233
|
$3,931.33 |
$15,717.67 |
$15,717.67 |
|
|
Tigecycline injection
|
$549.48 |
$1,027.25 |
$2,473.52 |
|
|
Tilt table study
|
$357.88 |
$3,997.05 |
$6,639.25 |
|
|
Tirofiban 12.5 mg/50 ml
|
$2,048.96 |
$2,048.96 |
$2,048.96 |
|
|
Tisagenlecleucel car-pos t
|
$9,000,000.00 |
$9,000,000.00 |
$9,000,000.00 |
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$30,845.36 |
$30,845.36 |
$30,845.36 |
|
|
Tissue culture placenta
|
$207.01 |
$1,358.33 |
$4,406.00 |
|
|
Tissue culture skin/biopsy
|
$189.50 |
$1,180.87 |
$3,793.00 |
|
|
Tissue culture tumor
|
$203.34 |
$2,318.36 |
$2,838.36 |
|
|
Tissue exam koh skin/hair/nails
|
$31.17 |
$117.37 |
$459.35 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$275.55 |
$275.55 |
$1,147.00 |
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$13.65 |
$13.65 |
$13.65 |
|
|
Tissue transglutaminase iga
|
$10.91 |
$172.10 |
$172.10 |
|
|
Tixagev and cilgav inj
|
$248.75 |
$337.85 |
$337.85 |
|
|
Tl-201 thallium diag per mci
|
$674.00 |
$733.50 |
$1,287.91 |
|
|
Tlh w/t/o 250 g or less
|
$26,485.84 |
$26,485.84 |
$26,485.84 |
|
|
Tlso 2mod symphis-xipho pre
|
$11,346.00 |
$11,346.00 |
$11,346.00 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$221.70 |
$221.70 |
$635.20 |
|
|
Tobramycin non-comp unit
|
$23.25 |
$1,121.51 |
$3,286.08 |
|
|
Tobramycin peak therapeutic drug level
|
$11.12 |
$331.33 |
$565.12 |
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,545.32 |
$3,545.32 |
$3,545.32 |
|
|
Tocilizumab for covid-19
|
$6,844.51 |
$6,844.51 |
$6,844.51 |
|
|
Toe X-ray (both feet)
|
$55.62 |
$885.99 |
$885.99 |
|
|
Tomosynthesis breast diagnostic left
|
$22.61 |
$43.74 |
$187.83 |
|
|
Tomosynthesis breast screen bilateral
|
$33.51 |
$46.33 |
$47.56 |
|
|
Tone decay hearing test
|
$92.42 |
$92.42 |
$196.75 |
|
|
Tongue biopsy; posterior one-third 41105
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
|
|
Tonsillectomy (age 12+)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
|
|
Tonsillectomy (child under 12)
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$0.02 |
$310.78 |
$14,935.00 |
|
|
Total tau
|
$102.38 |
$148.83 |
$293.00 |
|
|
Toxoplasma antibody igg
|
$11.65 |
$233.45 |
$819.04 |
|
|
Toxoplasma antibody igm
|
$11.10 |
$251.69 |
$1,043.75 |
|
|
Tp53 gene trgt sequence alys
|
$137.47 |
$427.25 |
$3,615.76 |
|
|
Tpmt gene com vrnts
|
$72.98 |
$278.43 |
$2,023.25 |
|
|
Tprnl plmt biodegrdabl matrl
|
$3,541.83 |
$11,682.65 |
$11,682.65 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$58.97 |
$69.75 |
$597.00 |
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$23.35 |
$230.42 |
$2,876.00 |
|
|
Transabdom amnioinfus w/us
|
$1,938.27 |
$1,938.27 |
$1,938.27 |
|
|
Transcath biopsy
|
$3,054.35 |
$6,986.63 |
$6,986.63 |
|
|
Transcath closure of asd
|
$16,484.47 |
$27,539.20 |
$27,539.20 |
|
|
Transcath closure of vsd
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
|
|
Transcatheter bx s&i
|
$745.89 |
$7,330.09 |
$14,429.77 |
|
|
Transcath mv repair addl prosthesis
|
$4,150.84 |
$10,746.21 |
$10,746.21 |
|
|
Transcath mv repair init prosthesis
|
$16,603.37 |
$46,722.62 |
$46,722.62 |
|
|
Transcath occlusion cns
|
$2,319.48 |
$14,549.12 |
$14,549.12 |
|
|
Transcath occlusion non-cns
|
$2,203.26 |
$19,727.96 |
$19,727.96 |
|
|
Transcath rmvl perm ldss pmkr rv
|
$11,776.79 |
$11,776.79 |
$18,243.41 |
|
|
Transcrv abltj utrn fibrd rf
|
$4,364.34 |
$4,364.34 |
$4,951.42 |
|
|
Transferrin
|
$8.85 |
$204.48 |
$1,735.16 |
|
|
Transperi needle place pros
|
$3,237.62 |
$23,879.03 |
$23,879.03 |
|
|
Transplant hand tendon
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
|
|
Transplj hematopoietic boost
|
$8,984.00 |
$8,984.00 |
$8,984.00 |
|
|
Transplt allo lymphocytes
|
$10,356.50 |
$10,356.50 |
$10,356.50 |
|
|
Transplt autol hct/donor
|
$8,984.00 |
$8,984.00 |
$8,984.00 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$252.72 |
$744.95 |
$1,842.92 |
|
|
Transvaginal Pregnancy Ultrasound
|
$244.98 |
$1,602.55 |
$1,602.55 |
|
|
Trastuzumab 150 mg intravenous solution
|
$783.69 |
$877.00 |
$1,360.56 |
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,497.75 |
$2,497.75 |
$2,497.75 |
|
