|
T3 (triiodothyronine) total
|
$62.50 |
$62.50 |
$62.50 |
$93.52
|
|
T4 (thyroxine) free
|
$65.00 |
$65.00 |
$65.00 |
$88.51
|
|
T4 (thyroxine) total
|
$85.00 |
$85.00 |
$85.00 |
$70.05
|
|
Tacrol envarsus ex rel oral
|
$11.11 |
$11.11 |
$11.11 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$20.97 |
$20.97 |
$20.97 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$237.50 |
$237.50 |
$237.50 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,270.00 |
$2,270.00 |
$2,270.00 |
$1,701.91
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$3,820.00 |
$3,820.00 |
$3,820.00 |
$6,003.27
|
|
Tavr perq femoral
|
$14,800.00 |
$14,800.00 |
$14,800.00 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$290.00 |
$290.00 |
$290.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$247.50 |
$247.50 |
$247.50 |
$180.80
|
|
Tc-99m maa
|
$232.19 |
$232.19 |
$232.19 |
$312.06
|
|
Tc-99m mertiatide
|
$720.00 |
$720.00 |
$720.00 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$5.00 |
$6.60
|
|
Tc-99m sestamibi p study dose
|
$252.50 |
$252.50 |
$252.50 |
$287.20
|
|
Tc-99m tilmanocept diag
|
$605.00 |
$605.00 |
$605.00 |
$985.60
|
|
Tcd emboli detect w/inj
|
$895.00 |
$895.00 |
$895.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$885.00 |
$885.00 |
$885.00 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$237.50 |
$237.50 |
$237.50 |
$185.04
|
|
T cells absolute cd 4 count
|
$95.00 |
$95.00 |
$95.00 |
$111.20
|
|
T cells total count
|
$187.50 |
$187.50 |
$187.50 |
$130.35
|
|
Team conf without pat by hc pro
|
$130.00 |
$130.00 |
$130.00 |
$110.62
|
|
Team conf without pat by phys
|
$145.00 |
$145.00 |
$145.00 |
$139.10
|
|
Team conf w/pat by hc prof
|
$130.00 |
$130.00 |
$130.00 |
$105.70
|
|
Telehealth original site facility fee
|
$37.50 |
$37.50 |
$37.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$960.00 |
$960.00 |
$960.00 |
$877.09
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$312.71 |
$312.71 |
$312.71 |
$14,951.87
|
|
Tert gene targeted seq alys
|
$327.50 |
$327.50 |
$327.50 |
$335.00
|
|
Test for chlorohydrocarbons
|
$95.00 |
$95.00 |
$95.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$60.00 |
$60.00 |
$60.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$385.00 |
$385.00 |
$385.00 |
$953.40
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.77 |
$50.77 |
$50.77 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$3,505.00 |
$3,505.00 |
$3,505.00 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$60.00 |
$60.00 |
$60.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$55.00 |
$55.00 |
$55.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$47.50 |
$47.50 |
$47.50 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$500.00 |
$500.00 |
$500.00 |
$534.32
|
|
Ther/proph/diag inj ia
|
$320.00 |
$320.00 |
$320.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$32.40 |
$32.40 |
$32.40 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$215.00 |
$215.00 |
$215.00 |
$314.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$1,733.65
|
|
Thoracotomy w/expl
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,696.10
|
|
Thrombectmy crnry perq mechanical
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,740.00 |
$4,740.00 |
$4,740.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$15,640.00 |
$15,640.00 |
$15,640.00 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,150.00 |
$18,150.00 |
$18,150.00 |
$21,413.60
|
|
Thrombin time
|
$40.00 |
$40.00 |
$40.00 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$47.50 |
$47.50 |
$47.50 |
$61.52
|
|
Thyroglobulin antibody
|
$72.50 |
$72.50 |
$72.50 |
$82.73
|
|
Thyroid imaging
|
$795.00 |
$795.00 |
$795.00 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,524.99
|
|
Thyroid met uptake
|
$380.00 |
$380.00 |
$380.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$110.00 |
$110.00 |
$110.00 |
$112.67
|
|
Thyroid Ultrasound
|
$615.00 |
$615.00 |
$615.00 |
$588.50
|
|
Thyroid uptake measurement
|
$720.00 |
$720.00 |
$720.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,490.50 |
$4,490.50 |
$4,490.50 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$90.00 |
$90.00 |
$90.00 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$12,115.00 |
$12,115.00 |
$12,115.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$5,690.00 |
$5,690.00 |
$5,690.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$10,165.00
|
|
Tilt table study
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,551.60
|
|
Tirofiban 12.5 mg/50 ml
|
$15.44 |
$15.44 |
$15.44 |
$458.85
|
|
Tis cgen car anomal 1st shnt
|
$5,775.00 |
$5,775.00 |
$5,775.00 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$2,885.00 |
$2,885.00 |
$2,885.00 |
$6,546.38
|
|
Tissue culture placenta
|
$470.00 |
$470.00 |
$470.00 |
$444.00
|
|
Tissue culture skin/biopsy
|
$775.00 |
$775.00 |
$775.00 |
$484.00
|
|
Tissue culture tumor
|
$740.00 |
$740.00 |
$740.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$22.50 |
$22.50 |
$22.50 |
$47.40
|
|
Tissue transglutaminase iga
|
$75.00 |
$75.00 |
$75.00 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$119.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$15.78 |
$15.78 |
$15.78 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$265.00 |
$265.00 |
$265.00 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$152.50 |
$152.50 |
$152.50 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$152.50 |
$152.50 |
$152.50 |
$74.10
|
|
Tone decay hearing test
|
$130.00 |
$130.00 |
$130.00 |
$90.37
|
|
Total tau
|
$312.50 |
$312.50 |
$312.50 |
$312.50
|
|
Toxoplasma antibody igg
|
$97.50 |
$97.50 |
$97.50 |
$91.65
|
|
Toxoplasma antibody igm
|
$90.00 |
$90.00 |
$90.00 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$804.00
|
|
Tpmt gene com vrnts
|
$307.50 |
$307.50 |
$307.50 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$4,555.00 |
$4,555.00 |
$4,555.00 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$874.34 |
$874.34 |
$874.34 |
$6,684.23
|
|
Tracheobrnchsc thru est trachs incisn
|
$580.00 |
$580.00 |
$580.00 |
$1,421.00
|
|
Transcath biopsy
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$4,285.93
|
|
Transcath closure of asd
|
$12,900.00 |
$12,900.00 |
$12,900.00 |
$17,041.80
|
|
Transcath closure of vsd
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$16,520.00
|
|
Transcatheter bx s&i
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,950.85
|
|
Transcath mv repair addl prosthesis
|
$7,720.00 |
$7,720.00 |
$7,720.00 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$7,065.00 |
$7,065.00 |
$7,065.00 |
$13,093.20
|
