|
Target gsa panel organ/hmtlmph neop
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,871.05 |
$2,871.05 |
$2,871.05 |
$1,701.91
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$51,948.00 |
$51,948.00 |
$51,948.00 |
$24,217.20
|
|
Tavr perq femoral
|
$53,077.70 |
$53,077.70 |
$53,077.70 |
$15,454.40
|
|
Tbp gene detc abnor alleles
|
$79.95 |
$79.95 |
$79.95 |
$225.42
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$194.35 |
$194.35 |
$194.35 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$399.10 |
$399.10 |
$399.10 |
$179.95
|
|
Tc-99m bicisate
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$2,503.15 |
$2,503.15 |
$2,503.15 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$211.25 |
$211.25 |
$211.25 |
$306.00
|
|
Tc-99m maa
|
$324.35 |
$324.35 |
$324.35 |
$312.06
|
|
Tc-99m mebrofenin
|
$115.05 |
$115.05 |
$115.05 |
$157.65
|
|
Tc-99m medronate
|
$66.95 |
$66.95 |
$66.95 |
$111.01
|
|
Tc-99m mertiatide
|
$143.65 |
$143.65 |
$143.65 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$66.30 |
$66.30 |
$66.30 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$66.95 |
$66.95 |
$66.95 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$190.45 |
$190.45 |
$190.45 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$321.75 |
$321.75 |
$321.75 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$357.50 |
$357.50 |
$357.50 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$319.80 |
$319.80 |
$319.80 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$322.40 |
$322.40 |
$322.40 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,044.55 |
$1,044.55 |
$1,044.55 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$319.15 |
$319.15 |
$319.15 |
$184.00
|
|
T cells absolute cd 4 count
|
$65.65 |
$65.65 |
$65.65 |
$111.20
|
|
T cells total count
|
$256.10 |
$256.10 |
$256.10 |
$130.20
|
|
Telavancin injection
|
$1,686.52 |
$1,686.52 |
$1,686.52 |
$1,191.80
|
|
Telehealth original site facility fee
|
$25.35 |
$25.35 |
$25.35 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,085.85 |
$2,085.85 |
$2,085.85 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,843.40 |
$1,843.40 |
$1,843.40 |
$880.61
|
|
Temozolomide
|
$923.77 |
$923.77 |
$923.77 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$6,128.45 |
$6,128.45 |
$6,128.45 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$28,735.07 |
$28,735.07 |
$28,735.07 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$89.29 |
$89.29 |
$89.29 |
$39.33
|
|
Tert gene targeted seq alys
|
$308.75 |
$308.75 |
$308.75 |
$335.00
|
|
Test pathogen(s) for platelets reference
|
$74.75 |
$74.75 |
$74.75 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,658.80 |
$1,658.80 |
$1,658.80 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,926.93 |
$1,926.93 |
$1,926.93 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$7,464.92 |
$7,464.92 |
$7,464.92 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$139.10 |
$139.10 |
$139.10 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$139.75 |
$139.75 |
$139.75 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$139.75 |
$139.75 |
$139.75 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$72.15 |
$72.15 |
$72.15 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$40.95 |
$40.95 |
$40.95 |
$50.40
|
|
Ther/proph/diag inj ia
|
$275.60 |
$275.60 |
$275.60 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$221.90 |
$221.90 |
$221.90 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$563.55 |
$563.55 |
$563.55 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,664.65 |
$1,664.65 |
$1,664.65 |
$1,724.25
|
|
Thor rib belt custom fabrica
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
$225.50
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$11,740.30 |
$11,740.30 |
$11,740.30 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,585.90 |
$10,585.90 |
$10,585.90 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$20,694.05 |
$20,694.05 |
$20,694.05 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$32,429.80 |
$32,429.80 |
$32,429.80 |
$21,413.60
|
|
Thrombin time
|
$70.85 |
$70.85 |
$70.85 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$63.70 |
$63.70 |
$63.70 |
$62.01
|
|
Thromboxane urine
|
$151.45 |
$151.45 |
$151.45 |
$121.92
|
|
Thyroglobulin antibody
|
$133.90 |
$133.90 |
$133.90 |
$82.50
|
|
Thyroid imaging
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$695.60
|
|
Thyroid mets imag whole body
|
$1,766.70 |
$1,766.70 |
$1,766.70 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$131.95 |
$131.95 |
$131.95 |
$112.70
|
|
Thyroid Ultrasound
|
$643.50 |
$643.50 |
$643.50 |
$588.50
|
|
Thyroid uptake measurement
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,147.28 |
$6,147.28 |
$6,147.28 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$29.25 |
$29.25 |
$29.25 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$34,130.85 |
$34,130.85 |
$34,130.85 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$26,193.70 |
$26,193.70 |
$26,193.70 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$21,387.60 |
$21,387.60 |
$21,387.60 |
$10,131.15
|
|
Tigecycline injection
|
$540.26 |
$540.26 |
$540.26 |
$235.29
|
|
Tilt table study
|
$1,927.90 |
$1,927.90 |
$1,927.90 |
$1,561.82
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$21,174.00 |
$21,174.00 |
$21,174.00 |
$13,339.20
|
|
Tissue culture placenta
|
$530.40 |
$530.40 |
$530.40 |
$453.00
|
|
Tissue culture skin/biopsy
|
$309.40 |
$309.40 |
$309.40 |
$488.74
|
|
Tissue culture tumor
|
$268.45 |
$268.45 |
$268.45 |
$486.50
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$133.90 |
$133.90 |
$133.90 |
$537.50
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$12,875.85 |
$12,875.85 |
$12,875.85 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$38.35 |
$38.35 |
$38.35 |
$44.80
|
|
Tixagev and cilgav inj
|
$905.45 |
$905.45 |
$905.45 |
$244.50
|
|
Tl-201 thallium diag per mci
|
$258.05 |
$258.05 |
$258.05 |
$80.10
|
|
Tlso 2 shl symphys-stern cst
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$1,808.59
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$9.75 |
$9.75 |
$9.75 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$332.15 |
$332.15 |
$332.15 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$387.65 |
$387.65 |
$387.65 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$408.85 |
$408.85 |
$408.85 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$145.60 |
$145.60 |
$145.60 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$145.60 |
$145.60 |
$145.60 |
$74.10
|
|
Tongue biopsy; posterior one-third 41105
|
$6,974.50 |
$6,974.50 |
$6,974.50 |
$3,592.74
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$4,008.64 |
$4,008.64 |
$4,008.64 |
$316.84
|
|
Toxoplasma antibody igg
|
$140.40 |
$140.40 |
$140.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$90.35 |
$90.35 |
$90.35 |
$87.75
|
|
Tp53 gene full gene sequence
|
$411.45 |
$411.45 |
$411.45 |
$706.04
|
|
Tpmt gene com vrnts
|
$282.75 |
$282.75 |
$282.75 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$10,057.45 |
$10,057.45 |
$10,057.45 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$10,309.98 |
$10,309.98 |
$10,309.98 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$133.25 |
$133.25 |
$133.25 |
$102.27
|
|
Transcath biopsy
|
$9,434.10 |
$9,434.10 |
$9,434.10 |
$4,285.93
|
|
Transcath closure of asd
|
$31,533.45 |
$31,533.45 |
$31,533.45 |
$17,041.80
|
|
Transcath closure of vsd
|
$29,062.15 |
$29,062.15 |
$29,062.15 |
$17,115.04
|
|
Transcatheter bx s&i
|
$8,326.50 |
$8,326.50 |
$8,326.50 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$16,415.75 |
$16,415.75 |
$16,415.75 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$32,831.50 |
$32,831.50 |
$32,831.50 |
$13,384.80
|
