|
Tetanus immune globulin inj
|
$1,913.96 |
$1,913.96 |
$1,913.96 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,424.22 |
$10,424.22 |
$10,424.22 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$178.50 |
$178.50 |
$178.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$169.00 |
$169.00 |
$169.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$34.50 |
$34.50 |
$34.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.50 |
$34.50 |
$34.50 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$37.04 |
$37.04 |
$37.04 |
$25.54
|
|
Thiotepa injection
|
$810.10 |
$810.10 |
$810.10 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,140.50 |
$3,140.50 |
$3,140.50 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$9,224.50 |
$9,224.50 |
$9,224.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$19,439.00 |
$19,439.00 |
$19,439.00 |
$14,277.20
|
|
Thrombin time
|
$36.00 |
$36.00 |
$36.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$71.50 |
$71.50 |
$71.50 |
$61.52
|
|
Thyroglobulin antibody
|
$86.00 |
$86.00 |
$86.00 |
$82.00
|
|
Thyroid imaging
|
$624.00 |
$624.00 |
$624.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$92.50 |
$92.50 |
$92.50 |
$111.00
|
|
Thyroid Ultrasound
|
$450.00 |
$450.00 |
$450.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,213.25 |
$5,213.25 |
$5,213.25 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$150.00 |
$150.00 |
$150.00 |
$64.35
|
|
Tigecycline injection
|
$197.14 |
$197.14 |
$197.14 |
$234.00
|
|
Tilt table study
|
$901.00 |
$901.00 |
$901.00 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$578.62 |
$578.62 |
$578.62 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$17,166.00 |
$17,166.00 |
$17,166.00 |
$13,339.20
|
|
Tissue exam koh skin/hair/nails
|
$50.00 |
$50.00 |
$50.00 |
$47.20
|
|
Tissue transglutaminase iga
|
$71.50 |
$71.50 |
$71.50 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$567.22 |
$567.22 |
$567.22 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$568.61 |
$568.61 |
$568.61 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$210.50 |
$210.50 |
$210.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,433.20 |
$6,433.20 |
$6,433.20 |
$5,258.52
|
|
Tomosynthesis breast screen bilateral
|
$41.00 |
$41.00 |
$41.00 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$114.92 |
$114.92 |
$114.92 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$22,700.68 |
$22,700.68 |
$22,700.68 |
$15,383.12
|
|
Total tau
|
$248.50 |
$248.50 |
$248.50 |
$312.50
|
|
Toxoplasma antibody igg
|
$129.00 |
$129.00 |
$129.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$142.00 |
$142.00 |
$142.00 |
$87.00
|
|
Tpmt gene com vrnts
|
$419.00 |
$419.00 |
$419.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$8,645.95 |
$8,645.95 |
$8,645.95 |
$6,827.00
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$76.00 |
$76.00 |
$76.00 |
$101.25
|
|
Transcath biopsy
|
$2,752.50 |
$2,752.50 |
$2,752.50 |
$4,285.93
|
|
Transcath closure of asd
|
$19,050.00 |
$19,050.00 |
$19,050.00 |
$16,741.40
|
|
Transcatheter bx s&i
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,915.00
|
|
Transcath mv repair init prosthesis
|
$22,453.00 |
$22,453.00 |
$22,453.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$8,699.50 |
$8,699.50 |
$8,699.50 |
$7,157.76
|
|
Transferrin
|
$69.50 |
$69.50 |
$69.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,223.50 |
$1,223.50 |
$1,223.50 |
$983.00
|
|
Trastuzumab 150 mg intravenous solution
|
$3,921.88 |
$3,921.88 |
$3,921.88 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,169.45 |
$9,169.45 |
$9,169.45 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$5,316.26 |
$5,316.26 |
$5,316.26 |
$5,835.15
|
|
Trauma partial team response w/critical care services level 4
|
$4,246.50 |
$4,246.50 |
$4,246.50 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$1,799.44 |
$1,799.44 |
$1,799.44 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$50.50 |
$50.50 |
$50.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$50.50 |
$50.50 |
$50.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$126.00 |
$126.00 |
$126.00 |
$203.35
|
|
Treatment radiation delivery level 2
|
$4,214.00 |
$4,214.00 |
$4,214.00 |
$767.65
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$99,476.00 |
$99,476.00 |
$99,476.00 |
$73,346.25
|
|
Treponema pallidum antibody
|
$98.50 |
$98.50 |
$98.50 |
$70.40
|
|
Treprostinil injection
|
$10,371.45 |
$10,371.45 |
$10,371.45 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$7,365.50 |
$7,365.50 |
$7,365.50 |
$3,894.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$82.74 |
$82.74 |
$82.74 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$3,116.36 |
$3,116.36 |
$3,116.36 |
$223.56
|
|
Triglycerides
|
$37.00 |
$37.00 |
$37.00 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$3,903.74 |
$3,903.74 |
$3,903.74 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$262.24 |
$262.24 |
$262.24 |
$117.49
|
|
Trim nail(s)
|
$271.50 |
$271.50 |
$271.50 |
$79.00
|
|
Triptorelin pamoate
|
$10,504.62 |
$10,504.62 |
$10,504.62 |
$4,619.39
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$7,850.00 |
$7,850.00 |
$7,850.00 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$3,377.00 |
$3,377.00 |
$3,377.00 |
$7,354.00
|
|
Trnscath plc stent crv crtd without prtct
|
$12,901.50 |
$12,901.50 |
$12,901.50 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$12,901.50 |
$12,901.50 |
$12,901.50 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$11,164.00 |
$11,164.00 |
$11,164.00 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$11,164.00 |
$11,164.00 |
$11,164.00 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,677.50 |
$7,677.50 |
$7,677.50 |
$4,523.96
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,006.50 |
$5,006.50 |
$5,006.50 |
$5,069.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$5,006.50 |
$5,006.50 |
$5,006.50 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$5,006.50 |
$5,006.50 |
$5,006.50 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$5,006.50 |
$5,006.50 |
$5,006.50 |
$3,866.70
|
|
Troponin quantitative
|
$157.00 |
$157.00 |
$157.00 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$2,365.50 |
$2,365.50 |
$2,365.50 |
$2,012.40
|
|
Tx atrial fib pulm vein isol
|
$23,668.00 |
$23,668.00 |
$23,668.00 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$7,057.50 |
$7,057.50 |
$7,057.50 |
$6,769.00
|
|
Tympanometry & reflex thresh
|
$365.00 |
$365.00 |
$365.00 |
$170.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$26,207.26 |
$26,207.26 |
$26,207.26 |
$20,945.01
|
|
Ultrasound abdomen aorta screening study aaa
|
$271.00 |
$271.00 |
$271.00 |
$394.20
|
|
Ultrasound breast complete
|
$631.00 |
$631.00 |
$631.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$503.50 |
$503.50 |
$503.50 |
$449.35
|
|
Ultrasound chest
|
$379.00 |
$379.00 |
$379.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$391.00 |
$391.00 |
$391.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$352.50 |
$352.50 |
$352.50 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$214.50 |
$214.50 |
$214.50 |
$307.00
|
|
Ultrasound encephalogram
|
$584.00 |
$584.00 |
$584.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$522.00 |
$522.00 |
$522.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$423.00 |
$423.00 |
$423.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$355.50 |
$355.50 |
$355.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$413.00 |
$413.00 |
$413.00 |
$720.15
|
|
Ultrasound guide intraoperative
|
$536.00 |
$536.00 |
$536.00 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$618.00 |
$618.00 |
$618.00 |
$403.88
|
|
Ultrasound joint/nonvascular extremity limited left
|
$462.50 |
$462.50 |
$462.50 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$362.50 |
$362.50 |
$362.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$348.00 |
$348.00 |
$348.00 |
$331.50
|
