|
Thrombin time
|
$27.00 |
$27.00 |
$27.00 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$30.00 |
$30.00 |
$30.00 |
$62.01
|
|
Thyroglobulin antibody
|
$74.00 |
$74.00 |
$74.00 |
$82.50
|
|
Thyroid imaging
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$695.60
|
|
Thyroid mets imag whole body
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$84.00 |
$84.00 |
$84.00 |
$112.70
|
|
Thyroid Ultrasound
|
$606.00 |
$606.00 |
$606.00 |
$588.50
|
|
Thyroid uptake measurement
|
$1,594.00 |
$1,594.00 |
$1,594.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,853.10 |
$4,853.10 |
$4,853.10 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$68.00 |
$68.00 |
$68.00 |
$64.51
|
|
Tigecycline injection
|
$655.20 |
$655.20 |
$655.20 |
$235.29
|
|
Tilt table study
|
$2,643.00 |
$2,643.00 |
$2,643.00 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$1,003.63 |
$1,003.63 |
$1,003.63 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$17,761.92 |
$17,761.92 |
$17,761.92 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$647.00 |
$647.00 |
$647.00 |
$488.74
|
|
Tissue culture tumor
|
$679.00 |
$679.00 |
$679.00 |
$486.50
|
|
Tissue transglutaminase iga
|
$58.00 |
$58.00 |
$58.00 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$350.70 |
$350.70 |
$350.70 |
$152.36
|
|
Tobramycin non-comp unit
|
$577.31 |
$577.31 |
$577.31 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,373.96 |
$6,373.96 |
$6,373.96 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$440.00 |
$440.00 |
$440.00 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$108.00 |
$108.00 |
$108.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$156.00 |
$156.00 |
$156.00 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,253.88 |
$1,253.88 |
$1,253.88 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$22,854.04 |
$22,854.04 |
$22,854.04 |
$15,383.12
|
|
Toxoplasma antibody igg
|
$67.00 |
$67.00 |
$67.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$67.00 |
$67.00 |
$67.00 |
$87.75
|
|
Tp53 gene full gene sequence
|
$2,953.00 |
$2,953.00 |
$2,953.00 |
$706.04
|
|
Tpmt gene com vrnts
|
$804.00 |
$804.00 |
$804.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$8,854.42 |
$8,854.42 |
$8,854.42 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$426.00 |
$426.00 |
$426.00 |
$102.27
|
|
Transcatheter bx s&i
|
$2,473.00 |
$2,473.00 |
$2,473.00 |
$1,950.85
|
|
Transferrin
|
$59.00 |
$59.00 |
$59.00 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$606.00 |
$606.00 |
$606.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$606.00 |
$606.00 |
$606.00 |
$499.20
|
|
Trastuzumab 150 mg intravenous solution
|
$3,740.20 |
$3,740.20 |
$3,740.20 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$14,120.74 |
$14,120.74 |
$14,120.74 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$12,574.14 |
$12,574.14 |
$12,574.14 |
$5,846.40
|
|
Treat ankle dislocation
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,360.00
|
|
Treat ankle dislocation
|
$28,831.00 |
$28,831.00 |
$28,831.00 |
$7,913.97
|
|
Treat clavicle dislocation 23545
|
$858.00 |
$858.00 |
$858.00 |
$692.80
|
|
Treat elbow dislocation
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,272.50
|
|
Treat finger fracture each
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,592.00
|
|
Treat foot dislocation
|
$858.00 |
$858.00 |
$858.00 |
$405.60
|
|
Treat foot dislocation
|
$961.00 |
$961.00 |
$961.00 |
$534.05
|
|
Treat fracture of radius
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,790.00
|
|
Treat fracture of ulna
|
$858.00 |
$858.00 |
$858.00 |
$731.04
|
|
Treat hand dislocation
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,771.43
|
|
Treat hip dislocation
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$2,211.05
|
|
Treat hip dislocation
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,641.60
|
|
Treat kneecap dislocation
|
$858.00 |
$858.00 |
$858.00 |
$1,068.06
|
|
Treat knee dislocation
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$2,220.89
|
|
Treat knee fracture 27530
|
$858.00 |
$858.00 |
$858.00 |
$550.73
|
|
Treat knuckle dislocation
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,726.01
|
|
Treat lower leg dislocation
|
$858.00 |
$858.00 |
$858.00 |
$532.60
|
|
Treat lower leg dislocation
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$3,908.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$476.00 |
$476.00 |
$476.00 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$252.00 |
$252.00 |
$252.00 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$858.00 |
$858.00 |
$858.00 |
$523.20
|
|
Treatment of fibula fracture 27780
|
$858.00 |
$858.00 |
$858.00 |
$501.20
|
|
Treatment of heel fracture 28400
|
$858.00 |
$858.00 |
$858.00 |
$473.00
|
|
Treatment of thigh fracture
|
$864.00 |
$864.00 |
$864.00 |
$477.75
|
|
Treatment of thigh fracture
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$1,749.06
|
|
Treatment of thigh fracture
|
$858.00 |
$858.00 |
$858.00 |
$549.00
|
|
Treatment of thigh fracture
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$858.00 |
$858.00 |
$858.00 |
$371.40
|
|
Treat thigh fracture
|
$858.00 |
$858.00 |
$858.00 |
$661.00
|
|
Treat thigh fracture
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,893.86
|
|
Treat thigh fracture
|
$858.00 |
$858.00 |
$858.00 |
$618.80
|
|
Treat thigh fx growth plate
|
$858.00 |
$858.00 |
$858.00 |
$478.40
|
|
Treat thigh fx growth plate
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$1,938.38
|
|
Treat thumb fracture
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$3,839.54
|
|
Treat vaginal bleeding
|
$716.00 |
$716.00 |
$716.00 |
$379.60
|
|
Treat wrist dislocation
|
$858.00 |
$858.00 |
$858.00 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$99,329.07 |
$99,329.07 |
$99,329.07 |
$73,346.25
|
|
Treponema pallidum antibody
|
$66.00 |
$66.00 |
$66.00 |
$72.05
|
|
Treprostinil injection
|
$29,031.72 |
$29,031.72 |
$29,031.72 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$28.10 |
$28.10 |
$28.10 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$927.00 |
$927.00 |
$927.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$39.31 |
$39.31 |
$39.31 |
$43.09
|
|
Triamcinolone a inj prs-free
|
$676.59 |
$676.59 |
$676.59 |
$223.56
|
|
Triglycerides
|
$29.00 |
$29.00 |
$29.00 |
$58.50
|
|
Trimethobenzamide hcl inj
|
$221.42 |
$221.42 |
$221.42 |
$117.49
|
|
Trim nondyst nails
|
$130.00 |
$130.00 |
$130.00 |
$113.88
|
|
Triptorelin pamoate
|
$13,158.10 |
$13,158.10 |
$13,158.10 |
$4,619.39
|
|
Trmt of fracture (femoral shaft) 27500
|
$858.00 |
$858.00 |
$858.00 |
$754.80
|
|
Troponin quantitative
|
$58.00 |
$58.00 |
$58.00 |
$127.60
|
|
Tte w or without fol w/con,stres
|
$5,523.00 |
$5,523.00 |
$5,523.00 |
$1,632.80
|
|
Tx atrial fib pulm vein isol
|
$64,184.00 |
$64,184.00 |
$64,184.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$858.00 |
$858.00 |
$858.00 |
$586.40
|
|
Tx closed tib shaft fx without manip
|
$858.00 |
$858.00 |
$858.00 |
$535.60
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$11,959.00 |
$11,959.00 |
$11,959.00 |
$4,499.12
|
|
Tx tarsal bone fx without manip 28450
|
$858.00 |
$858.00 |
$858.00 |
$419.04
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$38,832.03 |
$38,832.03 |
$38,832.03 |
$21,992.26
|
|
Ultrasound breast complete
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$475.00 |
$475.00 |
$475.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$404.00 |
$404.00 |
$404.00 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$576.00 |
$576.00 |
$576.00 |
$180.00
|
