|
Tacrolimus 1 mg capsule, immediate-release
|
$1.00 |
$1.00 |
$1.00 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$60.45 |
$60.45 |
$60.45 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,272.00 |
$4,272.00 |
$4,272.00 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$244.40 |
$244.40 |
$244.40 |
$289.90
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$35,941.50 |
$35,941.50 |
$35,941.50 |
$21,745.13
|
|
Tape plstc 1inx5yd hosp tb pk
|
$3.02 |
$3.02 |
$3.02 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$934.05 |
$934.05 |
$934.05 |
$2,246.30
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,350.00 |
$46,350.00 |
$46,350.00 |
$24,217.20
|
|
Tavr perq femoral
|
$18,001.75 |
$18,001.75 |
$18,001.75 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$463.10 |
$463.10 |
$463.10 |
$937.50
|
|
Tbs techl calculation only
|
$203.45 |
$203.45 |
$203.45 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$191.75 |
$191.75 |
$191.75 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$191.75 |
$191.75 |
$191.75 |
$180.80
|
|
Tc-99m apcitide diag
|
$1,765.30 |
$1,765.30 |
$1,765.30 |
$1,181.70
|
|
Tc-99m arcitumomab
|
$4,224.15 |
$4,224.15 |
$4,224.15 |
$2,085.68
|
|
Tc-99m bicisate
|
$7,128.20 |
$7,128.20 |
$7,128.20 |
$2,070.00
|
|
Tc-99m depreotide
|
$1,937.35 |
$1,937.35 |
$1,937.35 |
$1,486.80
|
|
Tc-99m diag per dose
|
$575.50 |
$575.50 |
$575.50 |
$470.40
|
|
Tc-99m disofenin
|
$339.80 |
$339.80 |
$339.80 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$8,194.15 |
$8,194.15 |
$8,194.15 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$7,382.05 |
$7,382.05 |
$7,382.05 |
$2,135.70
|
|
Tc-99m fanolesomab diag
|
$17,688.75 |
$17,688.75 |
$17,688.75 |
$2,115.12
|
|
Tc-99m gluceptate
|
$1,105.40 |
$1,105.40 |
$1,105.40 |
$31.35
|
|
Tc-99m labeled rbc
|
$857.40 |
$857.40 |
$857.40 |
$306.00
|
|
Tc-99m maa
|
$760.95 |
$760.95 |
$760.95 |
$312.06
|
|
Tc-99m mebrofenin
|
$308.25 |
$308.25 |
$308.25 |
$157.65
|
|
Tc-99m medronate
|
$210.35 |
$210.35 |
$210.35 |
$111.01
|
|
Tc-99m mertiatide
|
$1,340.90 |
$1,340.90 |
$1,340.90 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$1.00 |
$1.00 |
$1.00 |
$6.50
|
|
Tc-99m oxidronate
|
$199.60 |
$199.60 |
$199.60 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$627.25 |
$627.25 |
$627.25 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$627.25 |
$627.25 |
$627.25 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$99.30 |
$99.30 |
$99.30 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$335.80 |
$335.80 |
$335.80 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$221.60 |
$221.60 |
$221.60 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,988.10 |
$2,988.10 |
$2,988.10 |
$1,128.40
|
|
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
|
$146.25 |
$146.25 |
$146.25 |
$185.28
|
|
T cells absolute cd 4 count
|
$102.70 |
$102.70 |
$102.70 |
$111.20
|
|
T cells total count
|
$73.45 |
$73.45 |
$73.45 |
$130.35
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$107,550.00 |
$107,550.00 |
$107,550.00 |
$40,114.80
|
|
Telavancin injection
|
$3,365.50 |
$3,365.50 |
$3,365.50 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$982.80 |
$982.80 |
$982.80 |
$1,526.85
|
|
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
|
|
Tenodesis biceps tdn at elbw
|
$53,277.60 |
$53,277.60 |
$53,277.60 |
$6,653.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$90.60 |
$90.60 |
$90.60 |
$39.33
|
|
Test for chlorohydrocarbons
|
$68.90 |
$68.90 |
$68.90 |
$61.60
|
|
Test pathogen(s) for platelets reference
|
$104.00 |
$104.00 |
$104.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$709.15 |
$709.15 |
$709.15 |
$953.40
|
|
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
|
$96.20 |
$96.20 |
$96.20 |
$108.00
|
|
Therapeutic pulpotomy
|
$44,598.30 |
$44,598.30 |
$44,598.30 |
$744.80
|
|
Therapy Activity Training (each 15 minutes)
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$34.00 |
$34.00 |
$34.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$19.50 |
$19.50 |
$19.50 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$421.00 |
$421.00 |
$421.00 |
$314.50
|
|
Ther radiology tx plng cplx
|
$544.00 |
$544.00 |
$544.00 |
$332.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$8.30 |
$8.30 |
$8.30 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$325.65 |
$325.65 |
$325.65 |
$314.50
|
|
Thiotepa 15 mg solution for injection
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,090.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,169.50 |
$3,169.50 |
$3,169.50 |
$1,733.65
|
|
Thorax spine fusion
|
$4,285.00 |
$4,285.00 |
$4,285.00 |
$3,044.00
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,855.10 |
$1,855.10 |
$1,855.10 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$2,627.30 |
$2,627.30 |
$2,627.30 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$43,513.72 |
$43,513.72 |
$43,513.72 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,104.30 |
$25,104.30 |
$25,104.30 |
$21,413.60
|
|
Thrombin time
|
$161.20 |
$161.20 |
$161.20 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$133.25 |
$133.25 |
$133.25 |
$61.52
|
|
Thyroglobulin antibody
|
$100.75 |
$100.75 |
$100.75 |
$82.73
|
|
Thyroid mets imag whole body
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$112.67
|
|
Thyroid Ultrasound
|
$492.70 |
$492.70 |
$492.70 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$10,828.50 |
$10,828.50 |
$10,828.50 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$53.30 |
$53.30 |
$53.30 |
$64.51
|
|
Tigecycline injection
|
$78.20 |
$78.20 |
$78.20 |
$235.29
|
|
Tilt table study
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$359.50 |
$359.50 |
$359.50 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$69,616.25 |
$69,616.25 |
$69,616.25 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$2,555.89 |
$2,555.89 |
$2,555.89 |
$4,201.20
|
|
Tissue culture placenta
|
$737.75 |
$737.75 |
$737.75 |
$440.50
|
|
Tissue culture skin/biopsy
|
$748.80 |
$748.80 |
$748.80 |
$484.00
|
|
Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm
|
$67.73 |
$67.73 |
$67.73 |
$67.73
|
|
Tissue exam koh skin/hair/nails
|
$55.90 |
$55.90 |
$55.90 |
$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
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$80.10 |
$80.10 |
$80.10 |
$80.10
|
|
Tlh uterus 250 g or less
|
$67,575.53 |
$67,575.53 |
$67,575.53 |
$12,320.22
|
|
Tlh w/t/o 250 g or less
|
$67,330.14 |
$67,330.14 |
$67,330.14 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$70,167.33 |
$70,167.33 |
$70,167.33 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$354.15 |
$354.15 |
$354.15 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$76.05 |
$76.05 |
$76.05 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,214.20 |
$12,214.20 |
$12,214.20 |
$5,258.52
|