|
Telavancin injection
|
$1,011.45 |
$1,011.45 |
$1,011.45 |
$1,216.45
|
|
Telehealth original site facility fee
|
$48.69 |
$48.69 |
$48.69 |
$44.85
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,340.05 |
$2,340.05 |
$2,340.05 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,873.26 |
$19,873.26 |
$19,873.26 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$26.49 |
$26.49 |
$26.49 |
$44.49
|
|
Test for porphobilinogen
|
$56.41 |
$56.41 |
$56.41 |
$33.57
|
|
Test for urine cystines
|
$109.91 |
$109.91 |
$109.91 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$441.57 |
$441.57 |
$441.57 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$60.26 |
$60.26 |
$60.26 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$301.29 |
$301.29 |
$301.29 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$980.11 |
$980.11 |
$980.11 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$11,450.91 |
$11,450.91 |
$11,450.91 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$40.98 |
$40.98 |
$40.98 |
$108.00
|
|
Therapeutic procd strg endur
|
$111.84 |
$111.84 |
$111.84 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.48 |
$27.48 |
$27.48 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$27.48 |
$27.48 |
$27.48 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$38.64 |
$38.64 |
$38.64 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$663.79 |
$663.79 |
$663.79 |
$1,804.00
|
|
Thrombin time
|
$81.95 |
$81.95 |
$81.95 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.30 |
$32.30 |
$32.30 |
$56.93
|
|
Thyroglobulin antibody
|
$56.41 |
$56.41 |
$56.41 |
$84.00
|
|
Thyroid (TSH) Test
|
$74.24 |
$74.24 |
$74.24 |
$120.00
|
|
Thyroid Ultrasound
|
$524.48 |
$524.48 |
$524.48 |
$589.96
|
|
Thyroid uptake measurement
|
$606.43 |
$606.43 |
$606.43 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,864.40 |
$5,864.40 |
$5,864.40 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$62.67 |
$62.67 |
$62.67 |
$63.60
|
|
Tigecycline injection
|
$136.21 |
$136.21 |
$136.21 |
$308.75
|
|
Tirofiban 12.5 mg/50 ml
|
$436.48 |
$436.48 |
$436.48 |
$360.60
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$118.85 |
$118.85 |
$118.85 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$65.08 |
$65.08 |
$65.08 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$40.02 |
$40.02 |
$40.02 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$44.35 |
$44.35 |
$44.35 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$295.36 |
$295.36 |
$295.36 |
$303.88
|
|
Total tau
|
$71.83 |
$71.83 |
$71.83 |
$293.00
|
|
Toxoplasma antibody igg
|
$47.25 |
$47.25 |
$47.25 |
$84.35
|
|
Trabectedin 1 mg intravenous solution
|
$10,177.79 |
$10,177.79 |
$10,177.79 |
$6,133.80
|
|
Trabeculoplasty laser surg
|
$716.82 |
$716.82 |
$716.82 |
$1,224.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$584.74 |
$584.74 |
$584.74 |
$1,459.48
|
|
Transcath biopsy
|
$6,400.24 |
$6,400.24 |
$6,400.24 |
$4,298.05
|
|
Transcath mv repair addl prosthesis
|
$10,959.03 |
$10,959.03 |
$10,959.03 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$17,106.18 |
$17,106.18 |
$17,106.18 |
$17,106.18
|
|
Transferrin
|
$53.03 |
$53.03 |
$53.03 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$510.50 |
$510.50 |
$510.50 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$5,102.36 |
$5,102.36 |
$5,102.36 |
$3,401.26
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,352.08 |
$10,352.08 |
$10,352.08 |
$7,620.16
|
|
Treat ankle dislocation
|
$1,443.76 |
$1,443.76 |
$1,443.76 |
$2,207.20
|
|
Treat elbow dislocation
|
$975.68 |
$975.68 |
$975.68 |
$2,326.40
|
|
Treat elbow dislocation
|
$1,864.11 |
$1,864.11 |
$1,864.11 |
$7,292.92
|
|
Treat elbow fracture
|
$1,285.16 |
$1,285.16 |
$1,285.16 |
$2,125.60
|
|
Treat elbow fracture
|
$1,864.11 |
$1,864.11 |
$1,864.11 |
$8,453.60
|
|
Treat finger fracture each
|
$251.16 |
$251.16 |
$251.16 |
$1,815.75
|
|
Treat foot dislocation
|
$255.49 |
$255.49 |
$255.49 |
$435.60
|
|
Treat foot dislocation
|
$698.50 |
$698.50 |
$698.50 |
$527.28
|
|
Treat fracture of radius
|
$698.50 |
$698.50 |
$698.50 |
$2,030.33
|
|
Treat fracture of radius
|
$1,477.02 |
$1,477.02 |
$1,477.02 |
$2,316.75
|
|
Treat fracture of ulna
|
$241.51 |
$241.51 |
$241.51 |
$766.72
|
|
Treat hip dislocation
|
$1,832.29 |
$1,832.29 |
$1,832.29 |
$2,561.90
|
|
Treat humerus fracture
|
$698.50 |
$698.50 |
$698.50 |
$1,950.60
|
|
Treat humerus fracture
|
$241.51 |
$241.51 |
$241.51 |
$2,045.35
|
|
Treat kneecap dislocation
|
$925.07 |
$925.07 |
$925.07 |
$1,351.35
|
|
Treat knuckle dislocation
|
$253.57 |
$253.57 |
$253.57 |
$1,893.86
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,266.36 |
$1,266.36 |
$1,266.36 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$138.84 |
$138.84 |
$138.84 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$109.43 |
$109.43 |
$109.43 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$42.43 |
$42.43 |
$42.43 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,311.19 |
$1,311.19 |
$1,311.19 |
$3,820.53
|
|
Treatment of ankle fracture 27786
|
$256.94 |
$256.94 |
$256.94 |
$580.00
|
|
Treatment of retinal lesion
|
$1,082.70 |
$1,082.70 |
$1,082.70 |
$1,522.19
|
|
Treatment of thigh fracture
|
$789.61 |
$789.61 |
$789.61 |
$2,055.00
|
|
Treat midfoot fracture each
|
$1,599.46 |
$1,599.46 |
$1,599.46 |
$1,893.86
|
|
Treat toe dislocation
|
$1,108.73 |
$1,108.73 |
$1,108.73 |
$855.66
|
|
Treat ulnar fracture
|
$241.51 |
$241.51 |
$241.51 |
$1,861.60
|
|
Treat wrist bone fracture
|
$698.50 |
$698.50 |
$698.50 |
$1,907.64
|
|
Treat wrist dislocation
|
$256.94 |
$256.94 |
$256.94 |
$760.00
|
|
Treponema pallidum antibody
|
$34.23 |
$34.23 |
$34.23 |
$72.80
|
|
Treprostinil injection
|
$714.09 |
$714.09 |
$714.09 |
$528.60
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.76 |
$44.76 |
$44.76 |
$48.22
|
|
Triamcinolone a inj prs-free
|
$296.52 |
$296.52 |
$296.52 |
$225.43
|
|
#tricyclicantidprssnt
|
$5.79 |
$5.79 |
$5.79 |
$57.08
|
|
Triglycerides
|
$69.42 |
$69.42 |
$69.42 |
$54.60
|
|
Trmt of fracture (femoral shaft) 27500
|
$256.46 |
$256.46 |
$256.46 |
$777.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$5,588.94 |
$5,588.94 |
$5,588.94 |
$8,244.55
|
|
Troponin quantitative
|
$79.06 |
$79.06 |
$79.06 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,725.76 |
$1,725.76 |
$1,725.76 |
$1,446.48
|
|
Tx closed hip disl traumatic without anes
|
$232.84 |
$232.84 |
$232.84 |
$657.28
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,452.92 |
$1,452.92 |
$1,452.92 |
$4,499.12
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,433.63 |
$1,433.63 |
$1,433.63 |
$4,281.00
|
|
Tx open nsl sptl fx
|
$1,721.90 |
$1,721.90 |
$1,721.90 |
$4,289.04
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$2,351.47 |
$2,351.47 |
$2,351.47 |
$4,499.12
|
|
Ultrasound abdomen aorta screening study aaa
|
$248.74 |
$248.74 |
$248.74 |
$403.26
|
|
Ultrasound breast complete
|
$467.60 |
$467.60 |
$467.60 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$245.37 |
$245.37 |
$245.37 |
$449.35
|
|
Ultrasound chest
|
$255.98 |
$255.98 |
$255.98 |
$459.55
|
|
Ultrasound encephalogram
|
$479.17 |
$479.17 |
$479.17 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$140.76 |
$140.76 |
$140.76 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$215.00 |
$215.00 |
$215.00 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$421.80 |
$421.80 |
$421.80 |
$701.35
|
|
Ultrasound guide intraoperative
|
$207.77 |
$207.77 |
$207.77 |
$632.90
|
|
Ultrasound joint complete left
|
$469.04 |
$469.04 |
$469.04 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$336.48 |
$336.48 |
$336.48 |
$448.50
|