|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,442.56 |
$19,442.56 |
$19,442.56 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$16.90 |
$16.90 |
$16.90 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$521.30 |
$521.30 |
$521.30 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$2,770.16 |
$2,770.16 |
$2,770.16 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,207.80 |
$8,207.80 |
$8,207.80 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$88.40 |
$88.40 |
$88.40 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$76.05 |
$76.05 |
$76.05 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$70.85 |
$70.85 |
$70.85 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$36.07 |
$36.07 |
$36.07 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,616.60 |
$3,616.60 |
$3,616.60 |
$1,658.70
|
|
Thrombectmy crnry perq mechanical
|
$4,398.55 |
$4,398.55 |
$4,398.55 |
$3,580.00
|
|
Thrombin time
|
$40.95 |
$40.95 |
$40.95 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$78.65 |
$78.65 |
$78.65 |
$56.93
|
|
Thyroglobulin antibody
|
$148.20 |
$148.20 |
$148.20 |
$86.40
|
|
Thyroid (TSH) Test
|
$138.45 |
$138.45 |
$138.45 |
$101.40
|
|
Thyroid Ultrasound
|
$572.65 |
$572.65 |
$572.65 |
$553.80
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,694.65 |
$3,694.65 |
$3,694.65 |
$3,167.70
|
|
Thyroxine binding globulin (tbg)
|
$111.80 |
$111.80 |
$111.80 |
$75.00
|
|
Tilt table study
|
$719.55 |
$719.55 |
$719.55 |
$1,488.24
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$13,236.73 |
$13,236.73 |
$13,236.73 |
$264.18
|
|
Tissue exam koh skin/hair/nails
|
$38.35 |
$38.35 |
$38.35 |
$45.23
|
|
Tissue transglutaminase iga
|
$105.95 |
$105.95 |
$105.95 |
$48.57
|
|
Tlh uterus 250 g or less
|
$16,642.09 |
$16,642.09 |
$16,642.09 |
$8,196.46
|
|
Tlh w/t/o 250 g or less
|
$19,493.54 |
$19,493.54 |
$19,493.54 |
$10,799.26
|
|
Tlh w/t/o uterus over 250 g
|
$20,996.61 |
$20,996.61 |
$20,996.61 |
$10,700.71
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$352.79 |
$352.79 |
$352.79 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$124.80 |
$124.80 |
$124.80 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$957.25 |
$957.25 |
$957.25 |
$2,743.02
|
|
Tomosynthesis breast diagnostic left
|
$34.45 |
$34.45 |
$34.45 |
$53.92
|
|
Tomosynthesis breast screen bilateral
|
$73.45 |
$73.45 |
$73.45 |
$77.46
|
|
Tonsillectomy (age 12+)
|
$12,331.00 |
$12,331.00 |
$12,331.00 |
$3,544.29
|
|
Total hysterectomy
|
$18,122.32 |
$18,122.32 |
$18,122.32 |
$2,520.80
|
|
Toxoplasma antibody igg
|
$116.35 |
$116.35 |
$116.35 |
$83.20
|
|
Toxoplasma antibody igm
|
$117.00 |
$117.00 |
$117.00 |
$85.80
|
|
Tprnl plmt biodegrdabl matrl
|
$18,966.30 |
$18,966.30 |
$18,966.30 |
$7,438.40
|
|
Trabectedin 1 mg intravenous solution
|
$7,064.12 |
$7,064.12 |
$7,064.12 |
$2,653.88
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$88.72 |
$88.72 |
$88.72 |
$77.65
|
|
Transferrin
|
$143.65 |
$143.65 |
$143.65 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$2,174.90 |
$2,174.90 |
$2,174.90 |
$988.24
|
|
Transperi needle place pros
|
$44,048.86 |
$44,048.86 |
$44,048.86 |
$6,595.85
|
|
Trastuzumab 150 mg intravenous solution
|
$2,793.48 |
$2,793.48 |
$2,793.48 |
$934.80
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$6,814.92 |
$6,814.92 |
$6,814.92 |
$43.28
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,172.64 |
$2,172.64 |
$2,172.64 |
$108.27
|
|
Trauma partial team response w/critical care services level 4
|
$1,407.90 |
$1,407.90 |
$1,407.90 |
$4,523.04
|
|
Treatment incomplete abortion completed surgically any trimester
|
$10,047.45 |
$10,047.45 |
$10,047.45 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$100.10 |
$100.10 |
$100.10 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$48.10 |
$48.10 |
$48.10 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$158.60 |
$158.60 |
$158.60 |
$197.60
|
|
Treatment missed abortion completed surgically 1st trimester
|
$10,146.74 |
$10,146.74 |
$10,146.74 |
$3,820.53
|
|
Treatment radiation delivery level 2
|
$7,753.85 |
$7,753.85 |
$7,753.85 |
$737.25
|
|
Treponema pallidum antibody
|
$119.60 |
$119.60 |
$119.60 |
$74.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$35.91 |
$35.91 |
$35.91 |
$28.90
|
|
Triglycerides
|
$85.15 |
$85.15 |
$85.15 |
$48.75
|
|
Troponin quantitative
|
$118.30 |
$118.30 |
$118.30 |
$112.80
|
|
Trurl dstrj prst8 tiss rf wv
|
$8,767.53 |
$8,767.53 |
$8,767.53 |
$4,385.60
|
|
Tte w or without contr, cont ecg
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,613.95
|
|
Tx atrial fib pulm vein isol
|
$29,148.60 |
$29,148.60 |
$29,148.60 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$8,259.55 |
$8,259.55 |
$8,259.55 |
$6,986.85
|
|
Tympanic membrane repair
|
$8,789.38 |
$8,789.38 |
$8,789.38 |
$1,856.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$483.60 |
$483.60 |
$483.60 |
$394.20
|
|
Ultrasound breast complete
|
$697.45 |
$697.45 |
$697.45 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$697.45 |
$697.45 |
$697.45 |
$427.00
|
|
Ultrasound chest
|
$323.05 |
$323.05 |
$323.05 |
$430.10
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$644.80 |
$644.80 |
$644.80 |
$428.68
|
|
Ultrasound guided needle placement supervision & interpretation
|
$595.40 |
$595.40 |
$595.40 |
$629.64
|
|
Ultrasound joint complete left
|
$440.05 |
$440.05 |
$440.05 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$769.60 |
$769.60 |
$769.60 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$430.30 |
$430.30 |
$430.30 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$428.35 |
$428.35 |
$428.35 |
$304.80
|
|
Ultrasound pregnant uterus follow up per fetus
|
$479.70 |
$479.70 |
$479.70 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$434.20 |
$434.20 |
$434.20 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$571.35 |
$571.35 |
$571.35 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$323.05 |
$323.05 |
$323.05 |
$469.58
|
|
Ultrasound scrotum and contents
|
$548.60 |
$548.60 |
$548.60 |
$558.03
|
|
Ultrasound spinal canal and contents
|
$377.65 |
$377.65 |
$377.65 |
$415.00
|
|
Ultrasound transvaginal non obstetric
|
$491.40 |
$491.40 |
$491.40 |
$523.20
|
|
Unlisted neurological dx px
|
$478.40 |
$478.40 |
$478.40 |
$176.93
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,905.50 |
$2,905.50 |
$2,905.50 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,811.25 |
$2,811.25 |
$2,811.25 |
$1,794.00
|
|
Upper Endoscopy (EGD, diagnostic)
|
$3,806.18 |
$3,806.18 |
$3,806.18 |
$1,760.00
|
|
Upper Endoscopy (EGD, with biopsy)
|
$7,692.01 |
$7,692.01 |
$7,692.01 |
$1,760.00
|
|
Urea nitrogen
|
$36.40 |
$36.40 |
$36.40 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$13.65 |
$13.65 |
$13.65 |
$42.90
|
|
Urethrcystgrphy rtrgrde s&i
|
$907.40 |
$907.40 |
$907.40 |
$554.28
|
|
Urethrocystography void s&i
|
$715.00 |
$715.00 |
$715.00 |
$586.50
|
|
Uric acid blood
|
$48.75 |
$48.75 |
$48.75 |
$44.00
|
|
Uric acid urine
|
$74.10 |
$74.10 |
$74.10 |
$43.20
|
|
Urinalysis microscopic only
|
$36.40 |
$36.40 |
$36.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$83.85 |
$83.85 |
$83.85 |
$37.39
|
|
Urinalysis (without microscopy)
|
$55.25 |
$55.25 |
$55.25 |
$33.00
|
|
Urine Culture Test
|
$128.70 |
$128.70 |
$128.70 |
$63.84
|
|
Urine pregnancy test
|
$111.80 |
$111.80 |
$111.80 |
$57.00
|
|
Urography inf drip &/or bolus
|
$715.00 |
$715.00 |
$715.00 |
$599.82
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$7,964.51 |
$7,964.51 |
$7,964.51 |
$8,225.22
|
|
Vaccine dtap < 7 years im
|
$120.14 |
$120.14 |
$120.14 |
$66.69
|
|
Vaccine dtap-hep b-ipv im
|
$454.02 |
$454.02 |
$454.02 |
$169.85
|
|
Vaccine dtap-ipv 4-6 years im
|
$262.86 |
$262.86 |
$262.86 |
$129.00
|
|
Vaccine dtap-ipv/hib im
|
$535.65 |
$535.65 |
$535.65 |
$199.37
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$129.80 |
$129.80 |
$129.80 |
$70.53
|