|
Thyroid met imaging
|
$1,028.30 |
$1,028.30 |
$1,028.30 |
$838.25
|
|
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 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$44.20 |
$44.20 |
$44.20 |
$458.85
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$2,066.35 |
$2,066.35 |
$2,066.35 |
$715.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$2,066.35 |
$2,066.35 |
$2,066.35 |
$780.00
|
|
Tis cltr skn agrft t/a/l add
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$978.50
|
|
Tis cltr skn agrft t/a/l ea
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$650.00
|
|
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 |
$440.50
|
|
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 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$33.80 |
$33.80 |
$33.80 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$483.60 |
$483.60 |
$483.60 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$162.50 |
$162.50 |
$162.50 |
$74.10
|
|
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 |
$88.00
|
|
Tp53 gene trgt sequence alys
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$804.00
|
|
Tpmt gene com vrnts
|
$456.95 |
$456.95 |
$456.95 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$6,684.23
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$189.80 |
$189.80 |
$189.80 |
$56.38
|
|
Transcath biopsy
|
$10,631.40 |
$10,631.40 |
$10,631.40 |
$4,285.93
|
|
Transcath closure of asd
|
$28,775.50 |
$28,775.50 |
$28,775.50 |
$17,088.00
|
|
Transcath closure of vsd
|
$28,505.75 |
$28,505.75 |
$28,505.75 |
$17,115.04
|
|
Transcatheter bx s&i
|
$9,384.05 |
$9,384.05 |
$9,384.05 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$18,499.65 |
$18,499.65 |
$18,499.65 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$36,998.00 |
$36,998.00 |
$36,998.00 |
$13,093.20
|
|
Transcath occlusion cns
|
$10,881.65 |
$10,881.65 |
$10,881.65 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$23,717.20 |
$23,717.20 |
$23,717.20 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$62,238.80 |
$62,238.80 |
$62,238.80 |
$14,593.50
|
|
Transcath rmvl perm ldss pmkr rv
|
$9,775.35 |
$9,775.35 |
$9,775.35 |
$4,822.00
|
|
Transferrin
|
$446.55 |
$446.55 |
$446.55 |
$82.00
|
|
Transparent film <= 16 sq in
|
$5,064.15 |
$5,064.15 |
$5,064.15 |
$4.50
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$880.10 |
$880.10 |
$880.10 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$525.20 |
$525.20 |
$525.20 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$458.25 |
$458.25 |
$458.25 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$380.25 |
$380.25 |
$380.25 |
$5,846.40
|
|
Tray bonemarrw oncontrol 102mm
|
$2,813.20 |
$2,813.20 |
$2,813.20 |
$940.80
|
|
Treat foot bone lesion
|
$5,892.90 |
$5,892.90 |
$5,892.90 |
$3,839.54
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$224.90 |
$224.90 |
$224.90 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$224.90 |
$224.90 |
$224.90 |
$147.48
|
|
Treatment of toe fracture 28510
|
$651.95 |
$651.95 |
$651.95 |
$371.40
|
|
Treat pelvic ring fracture
|
$11,095.50 |
$11,095.50 |
$11,095.50 |
$2,223.20
|
|
Treat spinal cord lesion
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$1,337.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$558.35 |
$558.35 |
$558.35 |
$73,346.25
|
|
Treponema pallidum antibody
|
$40.95 |
$40.95 |
$40.95 |
$72.05
|
|
Treprostinil injection
|
$533.65 |
$533.65 |
$533.65 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$436.80 |
$436.80 |
$436.80 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$87.10 |
$87.10 |
$87.10 |
$43.00
|
|
Trichomonas assay w/optic
|
$107.25 |
$107.25 |
$107.25 |
$57.40
|
|
#tricyclicantidprssnt
|
$7.15 |
$7.15 |
$7.15 |
$50.54
|
|
Triglycerides
|
$54.60 |
$54.60 |
$54.60 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$24.70 |
$24.70 |
$24.70 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$420.55 |
$420.55 |
$420.55 |
$117.49
|
|
Trim nondyst nails
|
$297.70 |
$297.70 |
$297.70 |
$114.48
|
|
Triptorelin pamoate
|
$4,533.75 |
$4,533.75 |
$4,533.75 |
$4,619.39
|
|
Trnscath plc stent crv crtd without prtct
|
$13,240.50 |
$13,240.50 |
$13,240.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$13,510.90 |
$13,510.90 |
$13,510.90 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$38,714.00 |
$38,714.00 |
$38,714.00 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$31,728.45 |
$31,728.45 |
$31,728.45 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$31,728.45 |
$31,728.45 |
$31,728.45 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$47,288.80 |
$47,288.80 |
$47,288.80 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,302.40 |
$6,302.40 |
$6,302.40 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$9,096.10 |
$9,096.10 |
$9,096.10 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,294.65 |
$8,294.65 |
$8,294.65 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$8,294.65 |
$8,294.65 |
$8,294.65 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$8,175.70 |
$8,175.70 |
$8,175.70 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$9,480.25 |
$9,480.25 |
$9,480.25 |
$4,727.52
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$4,966.00 |
$4,966.00 |
$4,966.00 |
$2,377.62
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$5,376.15 |
$5,376.15 |
$5,376.15 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$5,376.15 |
$5,376.15 |
$5,376.15 |
$3,091.20
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$5,376.15 |
$5,376.15 |
$5,376.15 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$3,727.75 |
$3,727.75 |
$3,727.75 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$2,406.77
|
|
Troponin quantitative
|
$347.75 |
$347.75 |
$347.75 |
$127.20
|
|
Truskin, per sq centimeter
|
$9,502.35 |
$9,502.35 |
$9,502.35 |
$1.00
|
|
Tte w or without contr, cont ecg
|
$2,978.95 |
$2,978.95 |
$2,978.95 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$2,438.80 |
$2,438.80 |
$2,438.80 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$915.20 |
$915.20 |
$915.20 |
$1,254.50
|
