|
System pacing micra av
|
$656.93 |
$656.93 |
$23,200.00 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$656.93 |
$656.93 |
$10,400.00 |
|
|
System recell skin grafting/harvesting
|
$8.25 |
$8.25 |
$8.25 |
|
|
T3 (triiodothyronine) free
|
$91.84 |
$91.84 |
$146.25 |
|
|
T3 (triiodothyronine) total
|
$88.00 |
$88.00 |
$94.50 |
|
|
T4 (thyroxine) free
|
$39.36 |
$39.36 |
$60.75 |
|
|
T4 (thyroxine) total
|
$42.75 |
$42.75 |
$57.60 |
|
|
Tacrol astagraf ex rel oral
|
$89.89 |
$89.89 |
$89.89 |
|
|
Tacrol envarsus ex rel oral
|
$88.08 |
$88.08 |
$88.08 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.28 |
$6.28 |
$6,904.89 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$600.52 |
$600.52 |
$600.52 |
|
|
Tacrolimus therapeutic drug level
|
$94.50 |
$94.50 |
$142.40 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,300.09 |
$3,300.09 |
$3,300.09 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$1,638.43 |
$1,638.43 |
$1,638.43 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$24,988.30 |
$24,988.30 |
$24,988.30 |
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$7.30 |
$7.30 |
$7.30 |
|
|
Target gsa panel hmtlmph neop
|
$96.00 |
$96.00 |
$2,025.00 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,868.16 |
$1,868.16 |
$1,868.16 |
|
|
Target gsa panel organ neop
|
$384.00 |
$384.00 |
$384.00 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$32,433.75 |
$32,433.75 |
$32,433.75 |
|
|
Tavr perq femoral
|
$4,634.25 |
$4,634.25 |
$4,634.25 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$939.48 |
$939.48 |
$939.48 |
|
|
Tbp gene detc abnor alleles
|
$72.25 |
$72.25 |
$72.25 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$85.76 |
$85.76 |
$492.75 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$128.96 |
$128.96 |
$422.25 |
|
|
Tc-99m bicisate
|
$129.38 |
$129.38 |
$129.38 |
|
|
Tc-99m diag per dose
|
$47.36 |
$47.36 |
$47.36 |
|
|
Tc-99m disofenin
|
$29.76 |
$29.76 |
$131.37 |
|
|
Tc-99m exametazime diag
|
$384.64 |
$384.64 |
$4,214.97 |
|
|
Tc-99m gluceptate
|
$32.64 |
$32.64 |
$41.99 |
|
|
Tc-99m labeled rbc
|
$57.60 |
$57.60 |
$1,852.52 |
|
|
Tc-99m maa
|
$989.12 |
$989.12 |
$1,788.75 |
|
|
Tc-99m mebrofenin
|
$49.60 |
$49.60 |
$911.25 |
|
|
Tc-99m medronate
|
$54.72 |
$54.72 |
$794.25 |
|
|
Tc-99m mertiatide
|
$42.01 |
$42.01 |
$162.88 |
|
|
Tc-99m oxidronate
|
$55.68 |
$55.68 |
$876.03 |
|
|
Tc-99m pentetate dtpa
|
$302.04 |
$302.04 |
$782.08 |
|
|
Tc-99m pertechnetate per mci
|
$43.20 |
$43.20 |
$14,398.71 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$43.84 |
$43.84 |
$735.61 |
|
|
Tc-99m sestamibi p study dose
|
$116.48 |
$116.48 |
$1,457.39 |
|
|
Tc-99m succimer (dmsa)
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
|
|
Tc-99m sulfur colloid
|
$50.56 |
$50.56 |
$5,006.25 |
|
|
Tc-99m tetrofosmin p study dose
|
$89.28 |
$89.28 |
$5,735.16 |
|
|
Tc-99m tilmanocept diag
|
$2,202.42 |
$2,202.42 |
$2,202.42 |
|
|
T cells absolute cd4/cd8 including ratio
|
$176.00 |
$176.00 |
$311.25 |
|
|
T cells absolute cd 4 count
|
$16.64 |
$16.64 |
$176.25 |
|
|
T cells total count
|
$176.00 |
$176.00 |
$249.75 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$45,372.15 |
$45,372.15 |
$45,372.15 |
|
|
Telavancin injection
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
|
|
Telehealth original site facility fee
|
$16.00 |
$16.00 |
$16.00 |
|
|
Telethx isodose plan cplx
|
$373.12 |
$373.12 |
$1,031.25 |
|
|
Telethx isodose plan simple
|
$1,031.25 |
$1,031.25 |
$1,031.25 |
|
|
Temozolomide
|
$5,097.35 |
$5,097.35 |
$5,097.35 |
|
|
Temozolomide 100 mg intravenous solution
|
$2,381.03 |
$2,381.03 |
$2,381.03 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,578.18 |
$4,578.18 |
$4,578.18 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$6,850.22 |
$6,850.22 |
$19,419.34 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$12.16 |
$12.16 |
$23.49 |
|
|
Teriparatide injection
|
$10,042.09 |
$10,042.09 |
$10,042.09 |
|
|
Test for chlorohydrocarbons
|
$5.44 |
$5.44 |
$36.75 |
|
|
Test for porphobilinogen
|
$29.25 |
$29.25 |
$29.25 |
|
|
Test for urine cystines
|
$50.25 |
$50.25 |
$50.25 |
|
|
Testicular imaging w/vasc flow
|
$503.36 |
$503.36 |
$997.50 |
|
|
Testosterone response panel
|
$315.00 |
$315.00 |
$315.00 |
|
|
Testosterone undecanoate 1mg
|
$5,088.57 |
$5,088.57 |
$5,088.57 |
|
|
Test pathogen(s) for platelets reference
|
$164.25 |
$164.25 |
$164.25 |
|
|
Test stress cardiovascular tracing only
|
$452.80 |
$452.80 |
$517.50 |
|
|
Test urine for lactose
|
$55.50 |
$55.50 |
$55.50 |
|
|
Test urine for porphyrins
|
$66.00 |
$66.00 |
$66.00 |
|
|
Test urine urobilinogen
|
$21.75 |
$21.75 |
$21.75 |
|
|
Tetanus immune globulin inj
|
$1,538.00 |
$1,538.00 |
$1,538.00 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$3,607.01 |
$3,607.01 |
$10,943.65 |
|
|
Theophylline therapeutic drug level
|
$74.24 |
$74.24 |
$89.25 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$11.52 |
$11.52 |
$11.52 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$11.52 |
$11.52 |
$96.75 |
|
|
Ther fx nasal inf turbinate
|
$98.88 |
$98.88 |
$98.88 |
|
|
Ther nma rdctj intus/obstrcj
|
$380.16 |
$380.16 |
$735.75 |
|
|
Ther radiology tx plng cplx
|
$468.00 |
$468.00 |
$468.00 |
|
|
Ther radiology tx plng intrm
|
$300.75 |
$300.75 |
$300.75 |
|
|
Ther radiology tx plng smpl
|
$198.00 |
$198.00 |
$198.00 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.21 |
$15.21 |
$34.20 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$782.40 |
$782.40 |
$1,434.00 |
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$74.56 |
$74.56 |
$74.56 |
|
|
Thoracoscopy bilobectomy 32670
|
$569.92 |
$569.92 |
$569.92 |
|
|
Thoracoscopy diagnostic 32601
|
$109.76 |
$109.76 |
$109.76 |
|
|
Thoracoscopy for lvrs
|
$540.48 |
$540.48 |
$540.48 |
|
|
Thoracoscopy lymph node exc
|
$74.88 |
$74.88 |
$74.88 |
|
|
Thoracoscopy remove cortex
|
$394.24 |
$394.24 |
$394.24 |
|
|
Thoracoscopy resect bullae 32655
|
$345.92 |
$345.92 |
$345.92 |
|
|
Thoracoscopy surgical 32650
|
$516.80 |
$516.80 |
$516.80 |
|
|
Thoracoscopy/tot pulm decortication32652
|
$594.56 |
$594.56 |
$594.56 |
|
|
Thoracoscopy w/lobectomy
|
$1,046.08 |
$1,046.08 |
$1,046.08 |
|
|
Thoracoscopy w/pleurectomy 32656
|
$292.16 |
$292.16 |
$292.16 |
|
|
Thoracoscopy w/sac drng 32659
|
$268.16 |
$268.16 |
$268.16 |
|
|
Thoracoscopy w/wedge resect
|
$662.08 |
$662.08 |
$662.08 |
|
|
Thoracoscopy w w resect addl 32667
|
$54.40 |
$54.40 |
$54.40 |
|
|
Thoracoscopy w w resect diag 32668
|
$54.40 |
$54.40 |
$54.40 |
|
|
Thoracotomy w/expl
|
$620.48 |
$620.48 |
$620.48 |
|
|
Thrcspy w/diag bp lng inf uni
|
$231.04 |
$231.04 |
$231.04 |
|
|
Thrcspy w/diag bp lng nod uni
|
$134.08 |
$134.08 |
$134.08 |
|
|
Throat x-ray & fluoroscopy
|
$135.68 |
$135.68 |
$267.00 |
|