|
Tacrolimus 5 mg/ml intravenous solution
|
$596.76 |
$596.76 |
$2,284.00 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$80.60 |
$80.60 |
$407.00 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,355.10 |
$4,355.10 |
$4,355.10 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$538.20 |
$538.20 |
$538.20 |
$291.20
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$21,795.67 |
$21,795.67 |
$21,795.67 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$36,045.46 |
$36,045.46 |
$36,045.46 |
$21,745.13
|
|
Talymed
|
$1.00 |
$1.00 |
$1.00 |
$199.00
|
|
Tap block bilat cont infusion 64489
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,468.70 |
$2,468.70 |
$2,468.70 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,058.90 |
$3,058.90 |
$3,058.90 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,234.70 |
$2,234.70 |
$2,234.70 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,800.00 |
$46,800.00 |
$46,800.00 |
$24,217.20
|
|
Tavr perq femoral
|
$12,282.40 |
$12,282.40 |
$12,282.40 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,169.67 |
$1,169.67 |
$1,169.67 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$523.90 |
$523.90 |
$523.90 |
$225.42
|
|
Tbs dxa cal w/i&r fx risk
|
$57.20 |
$57.20 |
$57.20 |
$127.12
|
|
Tbs i&r fx rsk qhp
|
$57.20 |
$57.20 |
$57.20 |
$61.04
|
|
Tbs techl calculation only
|
$454.30 |
$454.30 |
$494.00 |
$153.60
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$102.05 |
$102.05 |
$102.05 |
$181.80
|
|
Tc-99m bicisate
|
$2,692.95 |
$2,692.95 |
$7,259.00 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,236.65 |
$2,236.65 |
$21,481.00 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$250.25 |
$250.25 |
$2,026.00 |
$306.00
|
|
Tc-99m maa
|
$780.65 |
$780.65 |
$7,518.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$44.20 |
$44.20 |
$1,255.00 |
$157.65
|
|
Tc-99m medronate
|
$40.30 |
$40.30 |
$676.00 |
$111.01
|
|
Tc-99m mertiatide
|
$406.25 |
$406.25 |
$4,485.00 |
$756.00
|
|
Tc-99m oxidronate
|
$58.50 |
$58.50 |
$58.50 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$276.90 |
$276.90 |
$1,285.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$171.60 |
$171.60 |
$171.60 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$24.05 |
$24.05 |
$477.00 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$84.50 |
$84.50 |
$937.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$47.45 |
$47.45 |
$2,718.00 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$187.20 |
$187.20 |
$187.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$143.00 |
$143.00 |
$2,026.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$44.20 |
$44.20 |
$1,868.00 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$850.85 |
$850.85 |
$850.85 |
$985.60
|
|
Tca peel dermal 15789
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$496.60 |
$496.60 |
$496.60 |
$475.80
|
|
Tcd emboli detect without inj
|
$496.60 |
$496.60 |
$496.60 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$269.75 |
$269.75 |
$269.75 |
$185.28
|
|
T cells absolute cd 4 count
|
$35.10 |
$35.10 |
$35.10 |
$111.20
|
|
T cells total count
|
$18.00 |
$18.00 |
$71.50 |
$132.63
|
|
Tcranial magn stim tx deli
|
$315.25 |
$315.25 |
$315.25 |
$389.22
|
|
Tcranial magn stim tx plan
|
$315.25 |
$315.25 |
$315.25 |
$437.22
|
|
Tcran magn stim redetemine
|
$334.75 |
$334.75 |
$334.75 |
$457.60
|
|
Tdh sdrl/ventr pnxr
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$5,409.95 |
$5,409.95 |
$5,409.95 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$192.40 |
$192.40 |
$192.40 |
$110.62
|
|
Team conf without pat by phys
|
$286.00 |
$286.00 |
$286.00 |
$139.10
|
|
Team conf w/pat by hc prof
|
$219.05 |
$219.05 |
$219.05 |
$104.59
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$130,977.60 |
$130,977.60 |
$130,977.60 |
$40,114.80
|
|
Telehealth original site facility fee
|
$51.35 |
$51.35 |
$51.35 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,882.10 |
$2,882.10 |
$2,882.10 |
$1,526.85
|
|
Telethx isodose plan simple
|
$2,453.10 |
$2,453.10 |
$2,453.10 |
$889.80
|
|
Temozolomide
|
$673.36 |
$673.36 |
$673.36 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$3,129.70 |
$3,129.70 |
$3,129.70 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,914.80 |
$4,914.80 |
$4,914.80 |
$3,723.60
|
|
Tendon lengthening
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$3,591.33
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,998.07 |
$19,998.07 |
$19,998.07 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$1,687.40 |
$1,687.40 |
$1,687.40 |
$2,211.05
|
|
Tenotomy hip flexor open
|
$2,618.20 |
$2,618.20 |
$2,618.20 |
$3,342.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$912.60 |
$912.60 |
$912.60 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$46.10 |
$46.10 |
$143.00 |
$39.33
|
|
Test for chlorohydrocarbons
|
$87.75 |
$87.75 |
$87.75 |
$61.60
|
|
Test for porphobilinogen
|
$9.75 |
$9.75 |
$37.00 |
$29.25
|
|
Testicular imaging w/vasc flow
|
$2,252.90 |
$2,252.90 |
$5,619.00 |
$842.56
|
|
Testosterone pellet 75 mg
|
$168.35 |
$168.35 |
$168.35 |
$102.40
|
|
Testosterone undecanoate 1mg
|
$1,694.94 |
$1,694.94 |
$1,694.94 |
$3,528.08
|
|
Test stress cardiovascular tracing only
|
$1,455.35 |
$1,455.35 |
$7,228.00 |
$953.40
|
|
Test urine for porphyrins
|
$7.00 |
$7.00 |
$18.20 |
$49.98
|
|
Tetanus ig im
|
$265.85 |
$265.85 |
$265.85 |
$250.88
|
|
Tetanus immune globulin inj
|
$1,534.24 |
$1,534.24 |
$3,895.00 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$9,351.55 |
$9,351.55 |
$9,351.55 |
$8,737.05
|
|
Thawing cryopresrved sperm
|
$172.90 |
$172.90 |
$172.90 |
$117.61
|
|
Theophylline therapeutic drug level
|
$118.30 |
$118.30 |
$1,297.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$79.95 |
$79.95 |
$833.00 |
$85.68
|
|
Therapy activation ipnss
|
$514.15 |
$514.15 |
$514.15 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$222.95 |
$222.95 |
$222.95 |
$102.30
|
|
Therapy Exercise Session (each 15 minutes)
|
$209.95 |
$209.95 |
$209.95 |
$98.70
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$137.80 |
$137.80 |
$201.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$117.00 |
$117.00 |
$201.00 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$286.65 |
$286.65 |
$286.65 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$340.60 |
$340.60 |
$340.60 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$997.75 |
$997.75 |
$997.75 |
$538.88
|
|
Ther/proph/diag inj ia
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$247.33
|
|
Ther radiology tx plng cplx
|
$922.35 |
$922.35 |
$922.35 |
$332.00
|
|
Ther radiology tx plng intrm
|
$572.00 |
$572.00 |
$572.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$371.80 |
$371.80 |
$371.80 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.64 |
$11.64 |
$11.64 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$545.35 |
$545.35 |
$545.35 |
$313.60
|
|
Thorabd diaphr hern repair
|
$6,710.60 |
$6,710.60 |
$6,710.60 |
$3,542.40
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,738.26
|
|
Thoracic duct procedure
|
$3,478.80 |
$3,478.80 |
$3,478.80 |
$1,958.40
|
|
Thoracic duct procedure
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$1,656.80
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$499.80
|
