|
Tc-99m sulfur colloid
|
$855.40 |
$855.40 |
$855.40 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$198.05 |
$198.05 |
$198.05 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$373.10 |
$373.10 |
$373.10 |
$184.00
|
|
T cells total count
|
$313.95 |
$313.95 |
$313.95 |
$130.20
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$107,550.00 |
$107,550.00 |
$107,550.00 |
$40,114.80
|
|
Temozolomide 100 mg intravenous solution
|
$5,015.55 |
$5,015.55 |
$5,015.55 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,501.70 |
$10,501.70 |
$10,501.70 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$23,582.35 |
$23,582.35 |
$23,582.35 |
$14,951.87
|
|
Tenolysis extensor tendon hand/finger each
|
$24,836.75 |
$24,836.75 |
$24,836.75 |
$2,811.20
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$6.90 |
$6.90 |
$6.90 |
$39.33
|
|
Test pathogen(s) for platelets reference
|
$104.00 |
$104.00 |
$104.00 |
$70.00
|
|
Tetanus immune globulin inj
|
$2,622.15 |
$2,622.15 |
$2,622.15 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$22,937.05 |
$22,937.05 |
$22,937.05 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$72.15 |
$72.15 |
$72.15 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$50,282.56 |
$50,282.56 |
$50,282.56 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$2,624.00 |
$2,624.00 |
$2,624.00 |
$98.58
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.85 |
$9.85 |
$9.85 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$455.65 |
$455.65 |
$455.65 |
$313.60
|
|
Thiotepa 15 mg solution for injection
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,090.00
|
|
Thrombin time
|
$70.20 |
$70.20 |
$70.20 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$70.85 |
$70.85 |
$70.85 |
$62.01
|
|
Thyroglobulin antibody
|
$146.90 |
$146.90 |
$146.90 |
$82.50
|
|
Thyroid (TSH) Test
|
$139.10 |
$139.10 |
$139.10 |
$112.70
|
|
Thyroid Ultrasound
|
$471.25 |
$471.25 |
$471.25 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$10,828.50 |
$10,828.50 |
$10,828.50 |
$4,152.21
|
|
Tigecycline injection
|
$78.20 |
$78.20 |
$78.20 |
$235.29
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$22,202.40 |
$22,202.40 |
$22,202.40 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$2,555.89 |
$2,555.89 |
$2,555.89 |
$4,201.20
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$67.73 |
$67.73 |
$67.73 |
$67.73
|
|
Tissue exam koh skin/hair/nails
|
$36.40 |
$36.40 |
$36.40 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$271.69 |
$271.69 |
$271.69 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$49.04 |
$49.04 |
$49.04 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$38.88 |
$38.88 |
$38.88 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$195.00 |
$195.00 |
$195.00 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$80.10 |
$80.10 |
$80.10 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$3.65 |
$3.65 |
$3.65 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$123.50 |
$123.50 |
$123.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,214.20 |
$12,214.20 |
$12,214.20 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$467.00 |
$467.00 |
$467.00 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$85.80 |
$85.80 |
$85.80 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$85.80 |
$85.80 |
$85.80 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$188.75 |
$188.75 |
$188.75 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$48,786.25 |
$48,786.25 |
$48,786.25 |
$15,383.12
|
|
Total hip arthroplasty
|
$5,700.00 |
$5,700.00 |
$5,700.00 |
$8,249.60
|
|
Total Hip Replacement
|
$55,955.68 |
$55,955.68 |
$55,955.68 |
$9,161.60
|
|
Total Knee Replacement
|
$106,863.76 |
$106,863.76 |
$106,863.76 |
$14,241.77
|
|
Toxoplasma antibody igg
|
$72.15 |
$72.15 |
$72.15 |
$91.65
|
|
Toxoplasma antibody igm
|
$435.50 |
$435.50 |
$435.50 |
$87.75
|
|
Trabectedin 1 mg intravenous solution
|
$11,842.80 |
$11,842.80 |
$11,842.80 |
$6,684.23
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$41.50 |
$41.50 |
$41.50 |
$56.38
|
|
Transferrin
|
$154.05 |
$154.05 |
$154.05 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$874.90 |
$874.90 |
$874.90 |
$561.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,708.00 |
$4,708.00 |
$4,708.00 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,508.35 |
$10,508.35 |
$10,508.35 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$9,357.40 |
$9,357.40 |
$9,357.40 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$699.55 |
$699.55 |
$699.55 |
$940.80
|
|
Tray trach basic clean/care ster
|
$0.57 |
$0.57 |
$0.57 |
$0.57
|
|
Treat humerus fracture
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$6,839.00
|
|
Treat kneecap fracture
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$7,635.41
|
|
Treat lower leg joint
|
$2,450.00 |
$2,450.00 |
$2,450.00 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$39,485.10 |
$39,485.10 |
$39,485.10 |
$8,797.32
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$41,222.98 |
$41,222.98 |
$41,222.98 |
$8,370.75
|
|
Treatment of ankle fracture
|
$45,384.99 |
$45,384.99 |
$45,384.99 |
$7,913.97
|
|
Treatment of tibia fracture
|
$1,999.00 |
$1,999.00 |
$1,999.00 |
$6,183.84
|
|
Treatment of tibia fracture
|
$3,421.00 |
$3,421.00 |
$3,421.00 |
$7,087.60
|
|
Treat metacarpal fracture
|
$18,896.70 |
$18,896.70 |
$18,896.70 |
$4,313.40
|
|
Treat metacarpal fracture
|
$41,265.16 |
$41,265.16 |
$41,265.16 |
$5,857.86
|
|
Treat radius fracture
|
$2,531.00 |
$2,531.00 |
$2,531.00 |
$9,791.00
|
|
Treat thigh fracture
|
$4,197.00 |
$4,197.00 |
$4,197.00 |
$4,726.80
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$127,265.40 |
$127,265.40 |
$127,265.40 |
$73,346.25
|
|
Treponema pallidum antibody
|
$235.30 |
$235.30 |
$235.30 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$39.10 |
$39.10 |
$39.10 |
$43.09
|
|
Triglycerides
|
$36.40 |
$36.40 |
$36.40 |
$58.50
|
|
Trilaciclib 300 mg intravenous solution
|
$8,065.15 |
$8,065.15 |
$8,065.15 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$279.60 |
$279.60 |
$279.60 |
$117.49
|
|
Troponin quantitative
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$127.60
|
|
Tube drain vert dev st 5-40f
|
$17.68 |
$17.68 |
$17.68 |
$27.60
|
|
Tube trach disp innr can 5 xlt
|
$416.99 |
$416.99 |
$416.99 |
$445.99
|
|
Tube trach disp innr can 6 xlt
|
$2.78 |
$2.78 |
$2.78 |
$16.80
|
|
Tube trach fen sz 6 uncuffed
|
$128.12 |
$128.12 |
$128.12 |
$160.88
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$34,798.95 |
$34,798.95 |
$34,798.95 |
$4,637.36
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$35,496.45 |
$35,496.45 |
$35,496.45 |
$21,992.26
|
|
Ultrasound breast complete
|
$1,293.50 |
$1,293.50 |
$1,293.50 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$713.70 |
$713.70 |
$713.70 |
$452.40
|
|
Ultrasound elastography parenchyma
|
$475.80 |
$475.80 |
$475.80 |
$313.95
|
|
Ultrasound Guidance for a Needle Procedure
|
$2,224.30 |
$2,224.30 |
$2,224.30 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$110.00 |
$110.00 |
$110.00 |
$388.08
|
|
Unit mobile power mpu
|
$11,821.68 |
$11,821.68 |
$11,821.68 |
$14,359.52
|
|
Unlisted procedure microbiology
|
$2,508.35 |
$2,508.35 |
$2,508.35 |
$530.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$719.00 |
$719.00 |
$719.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,623.05 |
$1,623.05 |
$1,623.05 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$6,139.25 |
$6,139.25 |
$6,139.25 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,149.90 |
$3,149.90 |
$3,149.90 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,125.20 |
$3,125.20 |
$3,125.20 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$559.65 |
$559.65 |
$559.65 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$559.65 |
$559.65 |
$559.65 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$446.00 |
$446.00 |
$446.00 |
$1,824.75
|