|
System pacing micra av
|
$4,903.83 |
$49,463.68 |
$49,463.68 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$0.30 |
$12,193.46 |
$18,818.80 |
|
|
System sealant biosentry tract
|
$616.09 |
$616.09 |
$616.09 |
|
|
T3 (triiodothyronine) free
|
$33.75 |
$239.07 |
$382.00 |
|
|
T3 (triiodothyronine) total
|
$23.39 |
$161.85 |
$824.90 |
|
|
T4 (thyroxine) free
|
$41.00 |
$137.67 |
$537.22 |
|
|
T4 (thyroxine) total
|
$15.40 |
$96.72 |
$474.83 |
|
|
Tacrol envarsus ex rel oral
|
$5.92 |
$5.92 |
$29.20 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$16.58 |
$16.58 |
$138.72 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$246.33 |
$246.33 |
$1,039.92 |
|
|
Tacrolimus therapeutic drug level
|
$63.00 |
$218.40 |
$797.18 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$33.83 |
$33.83 |
$3,350.08 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$220.23 |
$301.14 |
$1,695.72 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$285.38 |
$285.38 |
$285.38 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$177.60 |
$177.60 |
$27,727.28 |
|
|
Tap block bilat cont infusion 64489
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
|
|
Target gsa panel hmtlmph neop
|
$2,819.70 |
$2,819.70 |
$9,046.12 |
|
|
Target gsa panel organ/hmtlmph neop
|
$2,744.04 |
$3,930.35 |
$13,430.00 |
|
|
Target gsa panel organ neop
|
$2,485.00 |
$3,296.28 |
$3,296.28 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$5,297.14 |
$5,297.14 |
$36,000.00 |
|
|
Tas congenital car anomal
|
$6,003.27 |
$6,003.27 |
$37,485.00 |
|
|
Tavr perq femoral
|
$3,217.52 |
$13,308.36 |
$31,476.00 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.60 |
$3.60 |
$6,843.11 |
|
|
Tbp gene detc abnor alleles
|
$225.42 |
$225.42 |
$225.42 |
|
|
Tbs techl calculation only
|
$224.73 |
$224.73 |
$345.07 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$115.05 |
$115.05 |
$768.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$24.87 |
$177.65 |
$768.00 |
|
|
Tc-99m apcitide diag
|
$2,081.04 |
$2,081.04 |
$2,081.04 |
|
|
Tc-99m bicisate
|
$1,357.59 |
$1,357.59 |
$4,057.00 |
|
|
Tc-99m diag per dose
|
$226.98 |
$226.98 |
$8,111.00 |
|
|
Tc-99m disofenin
|
$151.32 |
$151.32 |
$509.00 |
|
|
Tc-99m exame autol wbc diag per dose
|
$312.00 |
$1,304.16 |
$7,787.00 |
|
|
Tc-99m exametazime diag
|
$1,096.68 |
$2,166.26 |
$4,566.00 |
|
|
Tc-99m fanolesomab diag
|
$2,860.65 |
$2,860.65 |
$2,860.65 |
|
|
Tc-99m gluceptate
|
$1,338.87 |
$1,338.87 |
$1,338.87 |
|
|
Tc-99m graphite crucible
|
$742.50 |
$742.50 |
$742.50 |
|
|
Tc-99m labeled rbc
|
$122.55 |
$186.42 |
$2,521.00 |
|
|
Tc-99m maa
|
$96.80 |
$396.63 |
$908.00 |
|
|
Tc-99m mebrofenin
|
$23.39 |
$255.84 |
$4,893.25 |
|
|
Tc-99m medronate
|
$122.46 |
$122.46 |
$4,893.25 |
|
|
Tc-99m mertiatide
|
$218.16 |
$387.66 |
$1,864.00 |
|
|
Tc-99m non-heu per study dose
|
$22.00 |
$22.00 |
$22.00 |
|
|
Tc-99m oxidronate
|
$30.79 |
$80.73 |
$135.00 |
|
|
Tc-99m pentetate dtpa
|
$95.94 |
$95.94 |
$840.00 |
|
|
Tc-99m pentetate dtpa aerosol
|
$65.42 |
$123.24 |
$960.00 |
|
|
Tc-99m pertechnetate per mci
|
$10.44 |
$85.97 |
$85.97 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$128.31 |
$128.31 |
$230.00 |
|
|
Tc-99m sestamibi p study dose
|
$39.37 |
$325.48 |
$387.66 |
|
|
Tc-99m succimer (dmsa)
|
$1,038.96 |
$1,578.33 |
$1,578.33 |
|
|
Tc-99m sulfur colloid
|
$166.36 |
$169.26 |
$1,515.00 |
|
|
Tc-99m tetrofosmin p study dose
|
$70.45 |
$212.94 |
$714.00 |
|
|
Tc-99m tilmanocept diag
|
$502.32 |
$930.54 |
$4,893.25 |
|
|
Tca peel dermal 15789
|
$2,531.49 |
$2,531.49 |
$2,531.49 |
|
|
Tcd emboli detect w/inj
|
$182.64 |
$289.00 |
$289.00 |
|
|
Tcd emboli detect without inj
|
$182.64 |
$296.00 |
$296.00 |
|
|
Tcd vasoreactivity study
|
$644.00 |
$644.00 |
$644.00 |
|
|
T-cell depletion of harvest
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
|
|
T cells absolute cd4/cd8 including ratio
|
$69.86 |
$313.20 |
$1,167.00 |
|
|
T cells absolute cd 4 count
|
$38.19 |
$182.91 |
$1,435.29 |
|
|
T cells total count
|
$44.40 |
$145.86 |
$438.00 |
|
|
Tcranial magn stim tx deli
|
$389.22 |
$389.22 |
$389.22 |
|
|
Tcranial magn stim tx plan
|
$386.88 |
$386.88 |
$386.88 |
|
|
Tcran magn stim redetemine
|
$386.88 |
$386.88 |
$386.88 |
|
|
Teaec w/wo patch graft iliofemoral
|
$22,650.00 |
$22,650.00 |
$22,650.00 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$501.11 |
$501.11 |
$50,376.00 |
|
|
Tee w or without fol w/cont,cong
|
$6,055.00 |
$6,055.00 |
$6,055.00 |
|
|
Tee w or without fol w/cont, mon
|
$5,285.00 |
$5,285.00 |
$5,285.00 |
|
|
Telavancin injection
|
$2,367.83 |
$2,367.83 |
$2,367.83 |
|
|
Telehealth original site facility fee
|
$51.00 |
$71.37 |
$71.37 |
|
|
Telethx isodose plan cplx
|
$894.52 |
$1,526.85 |
$5,400.81 |
|
|
Telethx isodose plan simple
|
$456.44 |
$1,368.51 |
$4,916.24 |
|
|
Temozolomide
|
$51.86 |
$51.86 |
$883.02 |
|
|
Temozolomide 100 mg intravenous solution
|
$2,407.46 |
$2,407.46 |
$2,407.46 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$494.48 |
$494.48 |
$14,402.28 |
|
|
Tendon lengthening
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
|
|
Tendon lngth upr a/e ea tdn
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Tendon transfer with graft
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$375.74 |
$375.74 |
$28,179.35 |
|
|
Tenodesis biceps tdn at elbw
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tenolysis extensor tendon hand/finger each
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tenolysis triceps
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tenosynovectomy radic 26145
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Tenotomy hip flexor open
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$17.72 |
$83.65 |
$83.65 |
|
|
Tert gene targeted seq alys
|
$304.59 |
$304.59 |
$304.59 |
|
|
Test for chlorohydrocarbons
|
$866.97 |
$866.97 |
$866.97 |
|
|
Test for porphobilinogen
|
$77.22 |
$77.22 |
$77.22 |
|
|
Test for urine cystines
|
$139.62 |
$139.62 |
$139.62 |
|
|
Testicular imaging w/vasc flow
|
$296.40 |
$296.40 |
$296.40 |
|
|
Test pathogen(s) for platelets reference
|
$15.40 |
$59.67 |
$789.92 |
|
|
Test stress cardiovascular tracing only
|
$839.76 |
$1,275.30 |
$3,786.43 |
|
|
Test urine for porphyrins
|
$66.30 |
$66.30 |
$66.30 |
|
|
Test urine urobilinogen
|
$9.75 |
$9.75 |
$9.75 |
|
|
Tetanus immune globulin inj
|
$686.43 |
$1,604.74 |
$2,407.11 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,715.97 |
$16,029.13 |
$77,357.65 |
|
|
Tgfbi gene common variants
|
$225.42 |
$225.42 |
$225.42 |
|
|
Tgsap so/hl 51/< rna alys
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
|
|
Tgsap so neo 5-50 rna alys
|
$816.27 |
$816.27 |
$816.27 |
|
|
Thaw preserved stem cells
|
$652.08 |
$652.08 |
$2,090.90 |
|
