|
Tc-99m mertiatide
|
$510.76 |
$510.76 |
$510.76 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$41.40 |
$41.40 |
$41.40 |
$245.85
|
|
Tc-99m sestamibi p study dose
|
$146.64 |
$146.64 |
$146.64 |
$221.60
|
|
Tc-99m tetrofosmin p study dose
|
$522.33 |
$522.33 |
$522.33 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,677.11 |
$1,677.11 |
$1,677.11 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$43.75 |
$43.75 |
$43.75 |
$186.00
|
|
T cells absolute cd 4 count
|
$31.25 |
$31.25 |
$31.25 |
$120.25
|
|
T cells total count
|
$40.00 |
$40.00 |
$40.00 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$5,030.40
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$82,329.60 |
$82,329.60 |
$82,329.60 |
$40,985.00
|
|
Telavancin injection
|
$5,138.57 |
$5,138.57 |
$5,138.57 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$500.00 |
$500.00 |
$500.00 |
$1,617.00
|
|
Temozolomide
|
$438.51 |
$438.51 |
$438.51 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$71.35 |
$71.35 |
$71.35 |
$3,129.70
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,563.02 |
$2,563.02 |
$2,563.02 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$33,354.99 |
$33,354.99 |
$33,354.99 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$44.39 |
$44.39 |
$44.39 |
$46.10
|
|
Teriparatide injection
|
$306.41 |
$306.41 |
$306.41 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$115.00 |
$115.00 |
$115.00 |
$304.59
|
|
Testosterone undecanoate 1mg
|
$216.33 |
$216.33 |
$216.33 |
$1.99
|
|
Test pathogen(s) for platelets reference
|
$117.50 |
$117.50 |
$117.50 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$537.50 |
$537.50 |
$537.50 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$410.17 |
$410.17 |
$410.17 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$17,563.22 |
$17,563.22 |
$17,563.22 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$35.00 |
$35.00 |
$35.00 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$18.75 |
$18.75 |
$18.75 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$16.25 |
$16.25 |
$16.25 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.43 |
$24.43 |
$24.43 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$375.00 |
$375.00 |
$375.00 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$24,605.30
|
|
Thrombin time
|
$22.50 |
$22.50 |
$22.50 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$31.25 |
$31.25 |
$31.25 |
$56.93
|
|
Thyroglobulin antibody
|
$40.00 |
$40.00 |
$40.00 |
$84.00
|
|
Thyroid mets imag whole body
|
$500.00 |
$500.00 |
$500.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$66.25 |
$66.25 |
$66.25 |
$120.00
|
|
Thyroid Ultrasound
|
$331.25 |
$331.25 |
$331.25 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$8,128.94 |
$8,128.94 |
$8,128.94 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$35.00 |
$35.00 |
$35.00 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$10,406.14
|
|
Tigecycline injection
|
$176.37 |
$176.37 |
$176.37 |
$277.31
|
|
Tilt table study
|
$750.00 |
$750.00 |
$750.00 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$235.72 |
$235.72 |
$235.72 |
$384.17
|
|
Tisagenlecleucel car-pos t
|
$2,364,000.00 |
$2,364,000.00 |
$2,364,000.00 |
$1,382,069.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$28,634.46 |
$28,634.46 |
$28,634.46 |
$14,271.00
|
|
Tissue culture skin/biopsy
|
$75.00 |
$75.00 |
$75.00 |
$558.87
|
|
Tissue transglutaminase iga
|
$35.00 |
$35.00 |
$35.00 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$301.50 |
$301.50 |
$301.50 |
$141.75
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$904.24 |
$904.24 |
$904.24 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$70.00 |
$70.00 |
$70.00 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,440.25 |
$1,440.25 |
$1,440.25 |
$404.20
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$1,953.53 |
$1,953.53 |
$1,953.53 |
$18,599.40
|
|
Toxoplasma antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$83.20
|
|
Tpmt gene com vrnts
|
$137.50 |
$137.50 |
$137.50 |
$381.55
|
|
Tprnl plmt biodegrdabl matrl
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$6,105.61
|
|
Trabectedin 1 mg intravenous solution
|
$14,831.15 |
$14,831.15 |
$14,831.15 |
$7,403.70
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$42.50 |
$42.50 |
$42.50 |
$104.50
|
|
Transcath biopsy
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$4,298.05
|
|
Transcath closure of asd
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$18,772.00
|
|
Transcatheter bx s&i
|
$512.50 |
$512.50 |
$512.50 |
$1,875.96
|
|
Transcath occlusion cns
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$12,427.79
|
|
Transferrin
|
$35.00 |
$35.00 |
$35.00 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$425.00 |
$425.00 |
$425.00 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$6,264.85 |
$6,264.85 |
$6,264.85 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15,308.89 |
$15,308.89 |
$15,308.89 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$13,632.14 |
$13,632.14 |
$13,632.14 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$975.00 |
$975.00 |
$975.00 |
$5,455.00
|
|
Treat finger fracture each
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,815.75
|
|
Treat foot dislocation
|
$131.25 |
$131.25 |
$131.25 |
$435.60
|
|
Treat foot dislocation
|
$131.25 |
$131.25 |
$131.25 |
$527.28
|
|
Treat foot dislocation
|
$131.25 |
$131.25 |
$131.25 |
$478.40
|
|
Treat fracture of radius
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,030.33
|
|
Treat fracture of radius
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,316.75
|
|
Treat fracture of ulna
|
$131.25 |
$131.25 |
$131.25 |
$766.72
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$56.25 |
$56.25 |
$56.25 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$31.25 |
$31.25 |
$31.25 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$50.00 |
$50.00 |
$50.00 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$131.25 |
$131.25 |
$131.25 |
$580.00
|
|
Treat wrist bone fracture
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,907.64
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$109,554.12 |
$109,554.12 |
$109,554.12 |
$101,032.80
|
|
Treponema pallidum antibody
|
$35.00 |
$35.00 |
$35.00 |
$72.80
|
|
Treprostinil injection
|
$611.61 |
$611.61 |
$611.61 |
$841.84
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.19 |
$44.19 |
$44.19 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$724.96 |
$724.96 |
$724.96 |
$1,309.80
|
|
Trichinella antibody
|
$35.00 |
$35.00 |
$35.00 |
$70.65
|
|
Triglycerides
|
$22.50 |
$22.50 |
$22.50 |
$54.60
|
|
Trilaciclib 300 mg intravenous solution
|
$2,061.29 |
$2,061.29 |
$2,061.29 |
$5.39
|
|
Trimethobenzamide hcl inj
|
$53.10 |
$53.10 |
$53.10 |
$128.00
|
|
Trim nondyst nails
|
$37.50 |
$37.50 |
$37.50 |
$124.22
|
|
Triptorelin pamoate
|
$3,673.28 |
$3,673.28 |
$3,673.28 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$9,781.50
|
|
Trnscath plc stent crv crtd w/prtct
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$8,990.80
|
