|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$810.19 |
$810.19 |
$810.19 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$205.20 |
$205.20 |
$205.20 |
$180.80
|
|
Tc-99m exame autol wbc diag per dose
|
$5,690.40 |
$5,690.40 |
$5,690.40 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$522.60 |
$522.60 |
$522.60 |
$306.00
|
|
Tc-99m maa
|
$608.40 |
$608.40 |
$608.40 |
$312.06
|
|
Tc-99m mebrofenin
|
$94.80 |
$94.80 |
$94.80 |
$157.65
|
|
Tc-99m medronate
|
$109.80 |
$109.80 |
$109.80 |
$111.01
|
|
Tc-99m mertiatide
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$6.00 |
$6.00 |
$6.00 |
$6.50
|
|
Tc-99m oxidronate
|
$60.00 |
$60.00 |
$60.00 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$406.80 |
$406.80 |
$406.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$435.60 |
$435.60 |
$435.60 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$26.40 |
$26.40 |
$26.40 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$145.20 |
$145.20 |
$145.20 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$153.00 |
$153.00 |
$153.00 |
$287.20
|
|
Tc-99m sulfur colloid
|
$194.40 |
$194.40 |
$194.40 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$986.40 |
$986.40 |
$986.40 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$197.40 |
$197.40 |
$197.40 |
$185.28
|
|
T cells absolute cd 4 count
|
$255.60 |
$255.60 |
$255.60 |
$111.20
|
|
T cells total count
|
$160.80 |
$160.80 |
$160.80 |
$130.35
|
|
Team conf without pat by hc pro
|
$142.80 |
$142.80 |
$142.80 |
$110.62
|
|
Team conf without pat by phys
|
$109.20 |
$109.20 |
$109.20 |
$139.10
|
|
Team conf w/pat by hc prof
|
$123.60 |
$123.60 |
$123.60 |
$104.59
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$303.82 |
$303.82 |
$303.82 |
$40,114.80
|
|
Telethx isodose plan cplx
|
$877.80 |
$877.80 |
$877.80 |
$1,526.85
|
|
Telethx isodose plan simple
|
$485.40 |
$485.40 |
$485.40 |
$877.09
|
|
Temozolomide
|
$849.67 |
$849.67 |
$849.67 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$151.94 |
$151.94 |
$151.94 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$240.21 |
$240.21 |
$240.21 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$5,365.80 |
$5,365.80 |
$5,365.80 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$131.66 |
$131.66 |
$131.66 |
$39.33
|
|
Teriparatide injection
|
$8,625.43 |
$8,625.43 |
$8,625.43 |
$7,403.20
|
|
Test pathogen(s) for platelets reference
|
$136.80 |
$136.80 |
$136.80 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,935.61 |
$6,935.61 |
$6,935.61 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$133.80 |
$133.80 |
$133.80 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$98.40 |
$98.40 |
$98.40 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$97.80 |
$97.80 |
$97.80 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$769.20 |
$769.20 |
$769.20 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$41.86 |
$41.86 |
$41.86 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$281.40 |
$281.40 |
$281.40 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,047.60 |
$10,047.60 |
$10,047.60 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$24,665.40 |
$24,665.40 |
$24,665.40 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$30,825.00 |
$30,825.00 |
$30,825.00 |
$21,413.60
|
|
Thrombin time
|
$95.40 |
$95.40 |
$95.40 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$127.80 |
$127.80 |
$127.80 |
$61.52
|
|
Thyroglobulin antibody
|
$139.80 |
$139.80 |
$139.80 |
$82.73
|
|
Thyroid imaging
|
$873.60 |
$873.60 |
$873.60 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,457.40 |
$1,457.40 |
$1,457.40 |
$1,524.99
|
|
Thyroid met uptake
|
$558.60 |
$558.60 |
$558.60 |
$407.40
|
|
Thyroid (TSH) Test
|
$147.60 |
$147.60 |
$147.60 |
$112.67
|
|
Thyroid Ultrasound
|
$639.60 |
$639.60 |
$639.60 |
$588.50
|
|
Thyroid uptake measurement
|
$566.40 |
$566.40 |
$566.40 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,167.70 |
$3,167.70 |
$3,167.70 |
$4,152.21
|
|
Thyrotropin releasing hormone
|
$330.00 |
$330.00 |
$330.00 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$80.40 |
$80.40 |
$80.40 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$32,149.20 |
$32,149.20 |
$32,149.20 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$12,145.80 |
$12,145.80 |
$12,145.80 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$16,037.40 |
$16,037.40 |
$16,037.40 |
$10,165.00
|
|
Tigecycline injection
|
$8.38 |
$8.38 |
$8.38 |
$235.29
|
|
Tilt table study
|
$937.80 |
$937.80 |
$937.80 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$1,701.30 |
$1,701.30 |
$1,701.30 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$6,767.40 |
$6,767.40 |
$6,767.40 |
$4,201.20
|
|
Tissue culture placenta
|
$362.40 |
$362.40 |
$362.40 |
$440.50
|
|
Tissue culture skin/biopsy
|
$997.80 |
$997.80 |
$997.80 |
$484.00
|
|
Tissue culture tumor
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$81.60 |
$81.60 |
$81.60 |
$47.40
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$21,297.60 |
$21,297.60 |
$21,297.60 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$22.20 |
$22.20 |
$22.20 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$61.80 |
$61.80 |
$61.80 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$66.16 |
$66.16 |
$66.16 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$193.20 |
$193.20 |
$193.20 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,669.70 |
$1,669.70 |
$1,669.70 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$281.40 |
$281.40 |
$281.40 |
$258.65
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$200.93 |
$200.93 |
$200.93 |
$316.84
|
|
Toxoplasma antibody igg
|
$174.60 |
$174.60 |
$174.60 |
$91.65
|
|
Toxoplasma antibody igm
|
$108.00 |
$108.00 |
$108.00 |
$88.00
|
|
Trabectedin 1 mg intravenous solution
|
$6,133.80 |
$6,133.80 |
$6,133.80 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$490.80 |
$490.80 |
$490.80 |
$1,420.44
|
|
Transcath biopsy
|
$2,678.40 |
$2,678.40 |
$2,678.40 |
$4,285.93
|
|
Transcath closure of asd
|
$30,825.00 |
$30,825.00 |
$30,825.00 |
$17,088.00
|
|
Transcath closure of vsd
|
$30,825.00 |
$30,825.00 |
$30,825.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,950.85
|
|
Transcath occlusion cns
|
$924.00 |
$924.00 |
$924.00 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$6,223.20 |
$6,223.20 |
$6,223.20 |
$10,270.00
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$4,822.00
|
|
Transferrin
|
$87.00 |
$87.00 |
$87.00 |
$82.00
|
|
Transplantation heart/lung
|
$8,701.80 |
$8,701.80 |
$8,701.80 |
$6,991.34
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$544.20 |
$544.20 |
$544.20 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$523.80 |
$523.80 |
$523.80 |
$501.60
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$15.70 |
$15.70 |
$15.70 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$14.09 |
$14.09 |
$14.09 |
$5,846.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$215.40 |
$215.40 |
$215.40 |
$228.00
|
