|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$31,833.20 |
$31,833.20 |
$31,833.20 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$2,246.30 |
$2,246.30 |
$2,246.30 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,585.20 |
$7,585.20 |
$7,585.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,076.90 |
$2,076.90 |
$2,076.90 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$41,330.97 |
$41,330.97 |
$41,330.97 |
$24,217.20
|
|
Tas congenital car anomal
|
$11,511.50 |
$11,511.50 |
$11,511.50 |
$6,003.27
|
|
Tavr perq femoral
|
$16,935.80 |
$16,935.80 |
$16,935.80 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,158.10 |
$2,158.10 |
$2,158.10 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$355.60 |
$355.60 |
$355.60 |
$225.42
|
|
Tbs techl calculation only
|
$196.00 |
$196.00 |
$196.00 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$227.50 |
$227.50 |
$227.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$321.30 |
$321.30 |
$321.30 |
$177.65
|
|
Tc-99m bicisate
|
$5,133.10 |
$5,133.10 |
$5,133.10 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$4,007.50 |
$4,007.50 |
$4,007.50 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$4,383.40 |
$4,383.40 |
$4,383.40 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$581.00 |
$581.00 |
$581.00 |
$302.40
|
|
Tc-99m maa
|
$1,454.60 |
$1,454.60 |
$1,454.60 |
$292.80
|
|
Tc-99m mebrofenin
|
$275.10 |
$275.10 |
$275.10 |
$157.65
|
|
Tc-99m medronate
|
$220.50 |
$220.50 |
$220.50 |
$111.01
|
|
Tc-99m mertiatide
|
$2,244.20 |
$2,244.20 |
$2,244.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$9.10 |
$9.10 |
$9.10 |
$6.60
|
|
Tc-99m oxidronate
|
$256.20 |
$256.20 |
$256.20 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$1,134.70 |
$1,134.70 |
$1,134.70 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$4.20 |
$4.20 |
$4.20 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$333.90 |
$333.90 |
$333.90 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$581.00 |
$581.00 |
$581.00 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,318.10 |
$1,318.10 |
$1,318.10 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$1,098.30 |
$1,098.30 |
$1,098.30 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$339.50 |
$339.50 |
$339.50 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$985.60 |
$985.60 |
$985.60 |
$955.60
|
|
Tcd emboli detect w/inj
|
$1,429.40 |
$1,429.40 |
$1,429.40 |
$475.80
|
|
Tcd emboli detect without inj
|
$835.10 |
$835.10 |
$835.10 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$444.50 |
$444.50 |
$444.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$261.10 |
$261.10 |
$261.10 |
$111.20
|
|
T cells total count
|
$459.90 |
$459.90 |
$459.90 |
$126.90
|
|
Tcranial magn stim tx deli
|
$446.60 |
$446.60 |
$446.60 |
$389.22
|
|
Tcranial magn stim tx plan
|
$543.90 |
$543.90 |
$543.90 |
$437.22
|
|
Teaec w/wo patch graft iliofemoral
|
$8,627.50 |
$8,627.50 |
$8,627.50 |
$5,163.60
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$57,835.92 |
$57,835.92 |
$57,835.92 |
$40,114.80
|
|
Telethx isodose plan cplx
|
$23,011.10 |
$23,011.10 |
$23,011.10 |
$1,526.85
|
|
Telethx isodose plan simple
|
$18,704.00 |
$18,704.00 |
$18,704.00 |
$873.62
|
|
Temozolomide
|
$1,698.02 |
$1,698.02 |
$1,698.02 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$5,143.07 |
$5,143.07 |
$5,143.07 |
$1,867.28
|
|
Temperature gradient studies
|
$614.60 |
$614.60 |
$614.60 |
$242.25
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,826.55 |
$10,826.55 |
$10,826.55 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$21,190.92 |
$21,190.92 |
$21,190.92 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,664.50 |
$3,664.50 |
$3,664.50 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$29.05 |
$29.05 |
$29.05 |
$39.33
|
|
Tert gene targeted seq alys
|
$504.00 |
$504.00 |
$504.00 |
$335.00
|
|
Test for chlorohydrocarbons
|
$136.50 |
$136.50 |
$136.50 |
$65.00
|
|
Test for urine cystines
|
$25.20 |
$25.20 |
$25.20 |
$26.00
|
|
Test pathogen(s) for platelets reference
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,329.30 |
$1,329.30 |
$1,329.30 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,956.62 |
$2,956.62 |
$2,956.62 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$12,037.02 |
$12,037.02 |
$12,037.02 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$6,744.50 |
$6,744.50 |
$6,744.50 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$147.00 |
$147.00 |
$147.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$102.20 |
$102.20 |
$102.20 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$86.10 |
$86.10 |
$86.10 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$82.60 |
$82.60 |
$82.60 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$35,573.74 |
$35,573.74 |
$35,573.74 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$519.40 |
$519.40 |
$519.40 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$34.12 |
$34.12 |
$34.12 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$7,558.96 |
$7,558.96 |
$7,558.96 |
$1,687.50
|
|
Thoracoscopy diagnostic 32601
|
$11,188.10 |
$11,188.10 |
$11,188.10 |
$6,442.80
|
|
Thrombectmy crnry perq mechanical
|
$2,298.10 |
$2,298.10 |
$2,298.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,159.40 |
$4,159.40 |
$4,159.40 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$4,159.40 |
$4,159.40 |
$4,159.40 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$6,066.20 |
$6,066.20 |
$6,066.20 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$41,493.19 |
$41,493.19 |
$41,493.19 |
$5,520.00
|
|
Thrombin time
|
$56.70 |
$56.70 |
$56.70 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$16,705.50 |
$16,705.50 |
$16,705.50 |
$3,980.60
|
|
Thromboendarterectomy sfa
|
$4,185.30 |
$4,185.30 |
$4,185.30 |
$4,185.30
|
|
Thromboplastin inhibition
|
$104.30 |
$104.30 |
$104.30 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$183.40 |
$183.40 |
$183.40 |
$61.52
|
|
Thromboxane urine
|
$206.50 |
$206.50 |
$206.50 |
$95.00
|
|
Th/wght bear quad-lat brim m
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$1,695.23
|
|
Thyroglobulin antibody
|
$274.40 |
$274.40 |
$274.40 |
$82.00
|
|
Thyroid imaging
|
$865.20 |
$865.20 |
$865.20 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,532.30 |
$1,532.30 |
$1,532.30 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$162.40 |
$162.40 |
$162.40 |
$111.00
|
|
Thyroid Ultrasound
|
$1,343.30 |
$1,343.30 |
$1,343.30 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,915.52 |
$5,915.52 |
$5,915.52 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$254.10 |
$254.10 |
$254.10 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$61,227.51 |
$61,227.51 |
$61,227.51 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$52,769.00 |
$52,769.00 |
$52,769.00 |
$10,629.07
|
|
Tib/per revasc w/ather add-on 37233
|
$9,074.80 |
$9,074.80 |
$9,074.80 |
$9,769.65
|
|
Tigecycline injection
|
$286.82 |
$286.82 |
$286.82 |
$234.00
|
|
Tilt table study
|
$2,136.40 |
$2,136.40 |
$2,136.40 |
$1,507.01
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$20,392.22 |
$20,392.22 |
$20,392.22 |
$13,339.20
|
|
Tissue culture placenta
|
$363.30 |
$363.30 |
$363.30 |
$457.00
|
|
Tissue culture skin/biopsy
|
$2,269.40 |
$2,269.40 |
$2,269.40 |
$484.00
|
|
Tissue culture tumor
|
$658.00 |
$658.00 |
$658.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$86.80 |
$86.80 |
$86.80 |
$47.20
|
|
Tissue transglutaminase iga
|
$163.10 |
$163.10 |
$163.10 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$240.10 |
$240.10 |
$240.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$41,393.84 |
$41,393.84 |
$41,393.84 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$52,934.16 |
$52,934.16 |
$52,934.16 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$63,251.11 |
$63,251.11 |
$63,251.11 |
$12,320.22
|
|
Tlso rigid lined custom fab
|
$6,454.00 |
$6,454.00 |
$6,454.00 |
$2,831.21
|
