|
Tb test cell mediated immunity antigen response gamma interferon
|
$332.40 |
$332.40 |
$332.40 |
$178.40
|
|
Tc-99m bicisate
|
$2,398.20 |
$2,398.20 |
$2,398.20 |
$2,398.20
|
|
Tc-99m depreotide
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,937.35
|
|
Tc-99m exame autol wbc diag per dose
|
$2,393.40 |
$2,393.40 |
$2,393.40 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$302.40 |
$302.40 |
$302.40 |
$312.70
|
|
Tc-99m maa
|
$258.60 |
$258.60 |
$258.60 |
$306.60
|
|
Tc-99m mebrofenin
|
$58.80 |
$58.80 |
$58.80 |
$169.53
|
|
Tc-99m medronate
|
$69.00 |
$69.00 |
$69.00 |
$120.35
|
|
Tc-99m mertiatide
|
$465.60 |
$465.60 |
$465.60 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$6.00 |
$6.00 |
$6.00 |
$10.00
|
|
Tc-99m oxidronate
|
$63.60 |
$63.60 |
$63.60 |
$132.05
|
|
Tc-99m pentetate dtpa
|
$222.60 |
$222.60 |
$222.60 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$17.40 |
$17.40 |
$17.40 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$55.80 |
$55.80 |
$55.80 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$1,749.60
|
|
Tc-99m sulfur colloid
|
$239.40 |
$239.40 |
$239.40 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$477.60 |
$477.60 |
$477.60 |
$189.60
|
|
T cells absolute cd 4 count
|
$334.80 |
$334.80 |
$334.80 |
$120.25
|
|
T cells total count
|
$300.60 |
$300.60 |
$300.60 |
$126.90
|
|
Temozolomide
|
$849.67 |
$849.67 |
$849.67 |
$632.98
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$151.94 |
$151.94 |
$151.94 |
$116.48
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$240.21 |
$240.21 |
$240.21 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$131.66 |
$131.66 |
$131.66 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$999.00 |
$999.00 |
$999.00 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,935.61 |
$6,935.61 |
$6,935.61 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$227.40 |
$227.40 |
$227.40 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$47.50
|
|
Ther nma rdctj intus/obstrcj
|
$258.00 |
$258.00 |
$258.00 |
$524.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$42.98 |
$42.98 |
$42.98 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$1,658.70
|
|
Thrombin time
|
$134.40 |
$134.40 |
$134.40 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$189.00 |
$189.00 |
$189.00 |
$56.93
|
|
Thyroglobulin antibody
|
$177.00 |
$177.00 |
$177.00 |
$86.40
|
|
Thyroid imaging
|
$894.00 |
$894.00 |
$894.00 |
$577.80
|
|
Thyroid mets imag whole body
|
$2,743.80 |
$2,743.80 |
$2,743.80 |
$1,320.00
|
|
Thyroid met uptake
|
$709.20 |
$709.20 |
$709.20 |
$380.00
|
|
Thyroid (TSH) Test
|
$301.20 |
$301.20 |
$301.20 |
$101.40
|
|
Thyroid Ultrasound
|
$348.60 |
$348.60 |
$348.60 |
$553.80
|
|
Thyroid uptake measurement
|
$580.20 |
$580.20 |
$580.20 |
$580.20
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,167.70 |
$3,167.70 |
$3,167.70 |
$3,167.70
|
|
Thyrotropin releasing hormone
|
$454.20 |
$454.20 |
$454.20 |
$127.20
|
|
Thyroxine binding globulin (tbg)
|
$162.00 |
$162.00 |
$162.00 |
$75.00
|
|
Tigecycline injection
|
$8.38 |
$8.38 |
$8.38 |
$7.44
|
|
Tirofiban 12.5 mg/50 ml
|
$729.20 |
$729.20 |
$729.20 |
$696.08
|
|
Tissue culture placenta
|
$825.60 |
$825.60 |
$825.60 |
$470.00
|
|
Tissue culture skin/biopsy
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$626.77
|
|
Tissue culture tumor
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$605.60
|
|
Tissue exam koh skin/hair/nails
|
$142.20 |
$142.20 |
$142.20 |
$45.23
|
|
Tissue transglutaminase iga
|
$25.20 |
$25.20 |
$25.20 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$24.60 |
$24.60 |
$24.60 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$66.16 |
$66.16 |
$66.16 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$300.60 |
$300.60 |
$300.60 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,669.70 |
$1,669.70 |
$1,669.70 |
$2,743.02
|
|
Tomosynthesis breast screen bilateral
|
$53.40 |
$53.40 |
$53.40 |
$77.46
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$200.93 |
$200.93 |
$200.93 |
$200.93
|
|
Toxoplasma antibody igg
|
$211.80 |
$211.80 |
$211.80 |
$83.20
|
|
Toxoplasma antibody igm
|
$49.20 |
$49.20 |
$49.20 |
$85.80
|
|
Trabectedin 1 mg intravenous solution
|
$6,133.80 |
$6,133.80 |
$6,133.80 |
$2,653.88
|
|
Transferrin
|
$246.00 |
$246.00 |
$246.00 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,739.40 |
$1,739.40 |
$1,739.40 |
$988.24
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15.70 |
$15.70 |
$15.70 |
$43.28
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$14.09 |
$14.09 |
$14.09 |
$108.27
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$219.00 |
$219.00 |
$219.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$48.60 |
$48.60 |
$48.60 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$112.80 |
$112.80 |
$112.80 |
$197.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$200.64 |
$200.64 |
$200.64 |
$200.64
|
|
Treponema pallidum antibody
|
$87.60 |
$87.60 |
$87.60 |
$74.40
|
|
Treprostinil injection
|
$2,174.58 |
$2,174.58 |
$2,174.58 |
$4,774.98
|
|
Trg gene rearrangement anal
|
$752.40 |
$752.40 |
$752.40 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$177.22 |
$177.22 |
$177.22 |
$28.90
|
|
Triamcinolone a inj prs-free
|
$1,309.80 |
$1,309.80 |
$1,309.80 |
$696.00
|
|
Trichinella antibody
|
$165.60 |
$165.60 |
$165.60 |
$56.55
|
|
Trichomonas assay w/optic
|
$105.60 |
$105.60 |
$105.60 |
$68.90
|
|
Triglycerides
|
$114.60 |
$114.60 |
$114.60 |
$48.75
|
|
Trimethobenzamide hcl inj
|
$120.73 |
$120.73 |
$120.73 |
$105.89
|
|
Triptorelin pamoate
|
$4,619.39 |
$4,619.39 |
$4,619.39 |
$4,619.39
|
|
Troponin quantitative
|
$375.00 |
$375.00 |
$375.00 |
$112.80
|
|
Tube trach disp innr can 5 xlt
|
$52.20 |
$52.20 |
$52.20 |
$416.99
|
|
Tympanometry & reflex thresh
|
$273.60 |
$273.60 |
$273.60 |
$170.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$331.20 |
$331.20 |
$331.20 |
$394.20
|
|
Ultrasound breast complete
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$674.40 |
$674.40 |
$674.40 |
$427.00
|
|
Ultrasound chest
|
$235.20 |
$235.20 |
$235.20 |
$430.10
|
|
Ultrasound dx ophth b-scan
|
$324.60 |
$324.60 |
$324.60 |
$335.68
|
|
Ultrasound encephalogram
|
$324.60 |
$324.60 |
$324.60 |
$463.50
|
|
Ultrasound exam k transpl w/doppler
|
$405.00 |
$405.00 |
$405.00 |
$494.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$306.00 |
$306.00 |
$306.00 |
$428.68
|
|
Ultrasound guidance for vascular access
|
$333.60 |
$333.60 |
$333.60 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$324.60 |
$324.60 |
$324.60 |
$629.64
|
|
Ultrasound guide intraoperative
|
$568.20 |
$568.20 |
$568.20 |
$628.80
|
|
Ultrasound infant hips ltd without stress
|
$112.80 |
$112.80 |
$112.80 |
$311.25
|
|
Ultrasound joint complete left
|
$334.80 |
$334.80 |
$334.80 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$281.40 |
$281.40 |
$281.40 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$350.40 |
$350.40 |
$350.40 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$298.20 |
$298.20 |
$298.20 |
$304.80
|
|
Ultrasound pregnant uterus follow up per fetus
|
$301.80 |
$301.80 |
$301.80 |
$393.32
|
