|
Tc-99m bicisate
|
$2,930.85 |
$2,930.85 |
$2,930.85 |
$2,070.00
|
|
Tc-99m depreotide
|
$2,213.25 |
$2,213.25 |
$2,213.25 |
$1,486.80
|
|
Tc-99m diag per dose
|
$624.00 |
$624.00 |
$624.00 |
$470.40
|
|
Tc-99m disofenin
|
$277.55 |
$277.55 |
$277.55 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,306.20 |
$2,306.20 |
$2,306.20 |
$2,135.70
|
|
Tc-99m gluceptate
|
$380.25 |
$380.25 |
$380.25 |
$31.35
|
|
Tc-99m labeled rbc
|
$393.90 |
$393.90 |
$393.90 |
$306.00
|
|
Tc-99m maa
|
$483.60 |
$483.60 |
$483.60 |
$312.06
|
|
Tc-99m mebrofenin
|
$167.70 |
$167.70 |
$167.70 |
$157.65
|
|
Tc-99m medronate
|
$171.60 |
$171.60 |
$171.60 |
$111.01
|
|
Tc-99m mertiatide
|
$837.85 |
$837.85 |
$837.85 |
$756.00
|
|
Tc-99m oxidronate
|
$226.20 |
$226.20 |
$226.20 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$362.05 |
$362.05 |
$362.05 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$2.60 |
$2.60 |
$2.60 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$123.50 |
$123.50 |
$123.50 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$172.25 |
$172.25 |
$172.25 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$240.50 |
$240.50 |
$240.50 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$188.50 |
$188.50 |
$188.50 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$985.60
|
|
Tcd emboli detect w/inj
|
$475.80 |
$475.80 |
$475.80 |
$475.80
|
|
T cells absolute cd4/cd8 including ratio
|
$85.15 |
$85.15 |
$85.15 |
$185.04
|
|
T cells absolute cd 4 count
|
$44.85 |
$44.85 |
$44.85 |
$111.20
|
|
T cells total count
|
$85.15 |
$85.15 |
$85.15 |
$130.35
|
|
Tcranial magn stim tx deli
|
$835.90 |
$835.90 |
$835.90 |
$389.22
|
|
Tcranial magn stim tx plan
|
$835.90 |
$835.90 |
$835.90 |
$437.22
|
|
Tcran magn stim redetemine
|
$457.60 |
$457.60 |
$457.60 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$26,857.35 |
$26,857.35 |
$26,857.35 |
$6,120.00
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$2,492.75 |
$2,492.75 |
$2,492.75 |
$1,692.44
|
|
Telavancin injection
|
$61.10 |
$61.10 |
$61.10 |
$1,191.80
|
|
Temozolomide
|
$276.90 |
$276.90 |
$276.90 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$50.70 |
$50.70 |
$50.70 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$314.60 |
$314.60 |
$314.60 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$715.65 |
$715.65 |
$715.65 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$52.00 |
$52.00 |
$52.00 |
$39.33
|
|
Teriparatide injection
|
$18,409.30 |
$18,409.30 |
$18,409.30 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$285.35 |
$285.35 |
$285.35 |
$335.00
|
|
Test for porphobilinogen
|
$23.40 |
$23.40 |
$23.40 |
$29.25
|
|
Testicular imaging w/vasc flow
|
$2,331.55 |
$2,331.55 |
$2,331.55 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,850.55 |
$1,850.55 |
$1,850.55 |
$953.40
|
|
Test urine for porphyrins
|
$27.30 |
$27.30 |
$27.30 |
$49.98
|
|
Tetanus immune globulin inj
|
$4,631.90 |
$4,631.90 |
$4,631.90 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$91.65 |
$91.65 |
$91.65 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$161.85 |
$161.85 |
$161.85 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$161.20 |
$161.20 |
$161.20 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$161.20 |
$161.20 |
$161.20 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,702.35 |
$1,702.35 |
$1,702.35 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$89.70 |
$89.70 |
$89.70 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$627.90 |
$627.90 |
$627.90 |
$314.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,753.75 |
$3,753.75 |
$3,753.75 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$1,696.10
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,687.35 |
$12,687.35 |
$12,687.35 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,164.25 |
$18,164.25 |
$18,164.25 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$9,909.25 |
$9,909.25 |
$9,909.25 |
$6,422.91
|
|
Thrombin time
|
$240.50 |
$240.50 |
$240.50 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$24,408.80 |
$24,408.80 |
$24,408.80 |
$3,987.20
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$10,206.30 |
$10,206.30 |
$10,206.30 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$9,909.25 |
$9,909.25 |
$9,909.25 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$81.25 |
$81.25 |
$81.25 |
$61.52
|
|
Thyroglobulin antibody
|
$111.15 |
$111.15 |
$111.15 |
$82.73
|
|
Thyroid imaging
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$696.75
|
|
Thyroid met imaging
|
$1,028.30 |
$1,028.30 |
$1,028.30 |
$830.09
|
|
Thyroid mets imag whole body
|
$1,985.75 |
$1,985.75 |
$1,985.75 |
$1,524.99
|
|
Thyroid met uptake
|
$546.00 |
$546.00 |
$546.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$165.75 |
$165.75 |
$165.75 |
$112.67
|
|
Thyroid Ultrasound
|
$718.25 |
$718.25 |
$718.25 |
$588.50
|
|
Thyroid uptake measurement
|
$770.25 |
$770.25 |
$770.25 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,056.05 |
$6,056.05 |
$6,056.05 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$15.60 |
$15.60 |
$15.60 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$80,769.00 |
$80,769.00 |
$80,769.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$61,406.15 |
$61,406.15 |
$61,406.15 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$29,671.20 |
$29,671.20 |
$29,671.20 |
$10,165.00
|
|
Tigecycline injection
|
$16.25 |
$16.25 |
$16.25 |
$235.29
|
|
Tilt table study
|
$2,172.30 |
$2,172.30 |
$2,172.30 |
$1,551.60
|
|
Tirofiban 12.5 mg/50 ml
|
$44.20 |
$44.20 |
$44.20 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$708.50 |
$708.50 |
$708.50 |
$13,339.20
|
|
Tissue culture placenta
|
$215.80 |
$215.80 |
$215.80 |
$444.00
|
|
Tissue culture skin/biopsy
|
$562.90 |
$562.90 |
$562.90 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$196.95 |
$196.95 |
$196.95 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$31,844.15 |
$31,844.15 |
$31,844.15 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$41,834.00 |
$41,834.00 |
$41,834.00 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$76,424.40 |
$76,424.40 |
$76,424.40 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$40.95 |
$40.95 |
$40.95 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$71.50 |
$71.50 |
$71.50 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$574.60 |
$574.60 |
$574.60 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$388.05 |
$388.05 |
$388.05 |
$119.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$33.80 |
$33.80 |
$33.80 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$456.95 |
$456.95 |
$456.95 |
$258.65
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$21.45 |
$21.45 |
$21.45 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$351.65 |
$351.65 |
$351.65 |
$15,383.12
|
|
Total tau
|
$297.70 |
$297.70 |
$297.70 |
$312.50
|
|
Toxoplasma antibody igg
|
$35.10 |
$35.10 |
$35.10 |
$91.65
|
|
Toxoplasma antibody igm
|
$35.10 |
$35.10 |
$35.10 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$804.00
|
