|
T4 (thyroxine) total
|
$214.85 |
$214.85 |
$214.85 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$49.54 |
$49.54 |
$49.54 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$7,958.67 |
$7,958.67 |
$7,958.67 |
$1,928.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,171.95 |
$2,171.95 |
$2,171.95 |
$959.55
|
|
Tbs techl calculation only
|
$215.13 |
$215.13 |
$215.13 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$211.00 |
$211.00 |
$211.00 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$62.97 |
$62.97 |
$62.97 |
$186.00
|
|
T cells absolute cd 4 count
|
$207.62 |
$207.62 |
$207.62 |
$120.25
|
|
T cells total count
|
$415.79 |
$415.79 |
$415.79 |
$124.11
|
|
Telethx isodose plan cplx
|
$482.59 |
$482.59 |
$482.59 |
$1,617.00
|
|
Telethx isodose plan simple
|
$482.59 |
$482.59 |
$482.59 |
$848.72
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$13.48 |
$13.48 |
$13.48 |
$44.49
|
|
Test pathogen(s) for platelets reference
|
$149.79 |
$149.79 |
$149.79 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$1,733.00 |
$1,733.00 |
$1,733.00 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$24,495.23 |
$24,495.23 |
$24,495.23 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$213.74 |
$213.74 |
$213.74 |
$108.00
|
|
Therapeutic procd strg endur
|
$234.14 |
$234.14 |
$234.14 |
$81.36
|
|
Ther nma rdctj intus/obstrcj
|
$1,139.02 |
$1,139.02 |
$1,139.02 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$65.79 |
$65.79 |
$65.79 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,893.56 |
$1,893.56 |
$1,893.56 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$9,754.27 |
$9,754.27 |
$9,754.27 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$36,021.97 |
$36,021.97 |
$36,021.97 |
$15,185.00
|
|
Thrombin time
|
$10.02 |
$10.02 |
$10.02 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$337.48 |
$337.48 |
$337.48 |
$56.93
|
|
Thyroglobulin antibody
|
$77.20 |
$77.20 |
$77.20 |
$84.00
|
|
Thyroid (TSH) Test
|
$156.33 |
$156.33 |
$156.33 |
$120.00
|
|
Thyroid Ultrasound
|
$1,493.28 |
$1,493.28 |
$1,493.28 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$26.29 |
$26.29 |
$26.29 |
$63.60
|
|
Tilt table study
|
$4,536.85 |
$4,536.85 |
$4,536.85 |
$1,495.00
|
|
Tissue exam koh skin/hair/nails
|
$114.80 |
$114.80 |
$114.80 |
$47.40
|
|
Tissue transglutaminase iga
|
$39.38 |
$39.38 |
$39.38 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$33.29 |
$33.29 |
$33.29 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$344.84 |
$344.84 |
$344.84 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,407.97 |
$4,407.97 |
$4,407.97 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$103.18 |
$103.18 |
$103.18 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$84.33 |
$84.33 |
$84.33 |
$303.88
|
|
Toxoplasma antibody igg
|
$17.84 |
$17.84 |
$17.84 |
$84.35
|
|
Toxoplasma antibody igm
|
$41.71 |
$41.71 |
$41.71 |
$83.20
|
|
Tpmt gene com vrnts
|
$967.35 |
$967.35 |
$967.35 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$11,956.84 |
$11,956.84 |
$11,956.84 |
$6,105.61
|
|
Transferrin
|
$95.49 |
$95.49 |
$95.49 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,931.76 |
$1,931.76 |
$1,931.76 |
$988.24
|
|
Transperi needle place pros
|
$8,781.33 |
$8,781.33 |
$8,781.33 |
$6,203.00
|
|
Treat finger fracture each
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,815.75
|
|
Treat foot dislocation
|
$731.04 |
$731.04 |
$731.04 |
$435.60
|
|
Treat fracture of radius
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,030.33
|
|
Treat fracture of ulna
|
$731.04 |
$731.04 |
$731.04 |
$766.72
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$190.04 |
$190.04 |
$190.04 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$147.48 |
$147.48 |
$147.48 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$396.63 |
$396.63 |
$396.63 |
$210.00
|
|
Treatment radiation delivery level 2
|
$955.83 |
$955.83 |
$955.83 |
$735.00
|
|
Treat toe dislocation
|
$855.66 |
$855.66 |
$855.66 |
$855.66
|
|
Treat ulnar fracture
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,861.60
|
|
Treat wrist dislocation
|
$849.82 |
$849.82 |
$849.82 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,751.00 |
$127,751.00 |
$127,751.00 |
$120,541.18
|
|
Treponema pallidum antibody
|
$153.44 |
$153.44 |
$153.44 |
$72.80
|
|
Trg gene rearrangement anal
|
$980.19 |
$980.19 |
$980.19 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$114.06 |
$114.06 |
$114.06 |
$48.22
|
|
Triglycerides
|
$152.74 |
$152.74 |
$152.74 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$297.78 |
$297.78 |
$297.78 |
$154.09
|
|
Trim nondyst nails
|
$197.43 |
$197.43 |
$197.43 |
$124.22
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$19,594.04 |
$19,594.04 |
$19,594.04 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$15,408.00
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,164.14 |
$10,164.14 |
$10,164.14 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,669.61 |
$8,669.61 |
$8,669.61 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$8,669.61 |
$8,669.61 |
$8,669.61 |
$4,793.13
|
|
Troponin quantitative
|
$427.82 |
$427.82 |
$427.82 |
$123.75
|
|
Tx closed hip disl traumatic without anes
|
$1,092.69 |
$1,092.69 |
$1,092.69 |
$657.28
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$9,063.30 |
$9,063.30 |
$9,063.30 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$46.52 |
$46.52 |
$46.52 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$812.66 |
$812.66 |
$812.66 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$425.53 |
$425.53 |
$425.53 |
$403.26
|
|
Ultrasound breast complete
|
$470.88 |
$470.88 |
$470.88 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$355.48 |
$355.48 |
$355.48 |
$449.35
|
|
Ultrasound chest
|
$1,004.02 |
$1,004.02 |
$1,004.02 |
$459.55
|
|
Ultrasound encephalogram
|
$1,628.80 |
$1,628.80 |
$1,628.80 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,492.64 |
$1,492.64 |
$1,492.64 |
$570.44
|
|
Ultrasound guidance for vascular access
|
$876.27 |
$876.27 |
$876.27 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,492.64 |
$1,492.64 |
$1,492.64 |
$701.35
|
|
Ultrasound guide intraoperative
|
$1,492.64 |
$1,492.64 |
$1,492.64 |
$632.90
|
|
Ultrasound joint complete left
|
$935.19 |
$935.19 |
$935.19 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$745.94 |
$745.94 |
$745.94 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$941.83 |
$941.83 |
$941.83 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,762.52 |
$1,762.52 |
$1,762.52 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$911.63 |
$911.63 |
$911.63 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$1,762.52 |
$1,762.52 |
$1,762.52 |
$498.00
|
|
Ultrasound scrotum and contents
|
$962.70 |
$962.70 |
$962.70 |
$617.28
|
|
Ultrasound transvaginal non obstetric
|
$1,266.58 |
$1,266.58 |
$1,266.58 |
$567.44
|
|
Unlisted px pelvis/hip joint
|
$1,928.61 |
$1,928.61 |
$1,928.61 |
$2,108.82
|
|
Unlisted transfusion med px
|
$1.48 |
$1.48 |
$1.48 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,360.79 |
$2,360.79 |
$2,360.79 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,145.02 |
$7,145.02 |
$7,145.02 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,977.87 |
$5,977.87 |
$5,977.87 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,841.78 |
$5,841.78 |
$5,841.78 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$3,895.78 |
$3,895.78 |
$3,895.78 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$4,533.34 |
$4,533.34 |
$4,533.34 |
$1,656.60
|
|
Urea nitrogen
|
$140.51 |
$140.51 |
$140.51 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$149.47 |
$149.47 |
$149.47 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$517.22 |
$517.22 |
$517.22 |
$574.40
|
|
Urethrocystography void s&i
|
$2,194.53 |
$2,194.53 |
$2,194.53 |
$634.50
|