|
System cardiomems hosp electronics
|
$141,277.50 |
$141,277.50 |
$141,277.50 |
$39,037.95
|
|
System pacing micra av
|
$109,489.85 |
$109,489.85 |
$109,489.85 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$28,152.00 |
$28,152.00 |
$28,152.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$212.10 |
$212.10 |
$212.10 |
$99.20
|
|
T3 (triiodothyronine) total
|
$177.10 |
$177.10 |
$177.10 |
$93.52
|
|
T4 (thyroxine) free
|
$113.03 |
$113.03 |
$113.03 |
$85.20
|
|
T4 (thyroxine) total
|
$87.38 |
$87.38 |
$87.38 |
$69.00
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,603.90 |
$2,603.90 |
$2,603.90 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$893.85 |
$893.85 |
$893.85 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$14,205.03 |
$14,205.03 |
$14,205.03 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$725.06 |
$725.06 |
$725.06 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$525.71 |
$525.71 |
$525.71 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$6,292.82 |
$6,292.82 |
$6,292.82 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$10,874.98 |
$10,874.98 |
$10,874.98 |
$3,746.70
|
|
Target gsa panel organ neop
|
$9,972.40 |
$9,972.40 |
$9,972.40 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$15,803.55 |
$15,803.55 |
$15,803.55 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,673.46 |
$1,673.46 |
$1,673.46 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$303.32 |
$303.32 |
$303.32 |
$225.42
|
|
Tbs techl calculation only
|
$419.19 |
$419.19 |
$419.19 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$313.20 |
$313.20 |
$313.20 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$778.49 |
$778.49 |
$778.49 |
$177.65
|
|
Tc-99m bicisate
|
$13,186.86 |
$13,186.86 |
$13,186.86 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$19,120.50 |
$19,120.50 |
$19,120.50 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$1,333.86 |
$1,333.86 |
$1,333.86 |
$302.40
|
|
Tc-99m maa
|
$1,286.58 |
$1,286.58 |
$1,286.58 |
$292.80
|
|
Tc-99m mebrofenin
|
$326.91 |
$326.91 |
$326.91 |
$157.65
|
|
Tc-99m medronate
|
$403.79 |
$403.79 |
$403.79 |
$111.01
|
|
Tc-99m mertiatide
|
$3,291.31 |
$3,291.31 |
$3,291.31 |
$756.00
|
|
Tc-99m oxidronate
|
$378.95 |
$378.95 |
$378.95 |
$105.60
|
|
Tc-99m pentetate dtpa aerosol
|
$740.30 |
$740.30 |
$740.30 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$8.41 |
$8.41 |
$8.41 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$649.34 |
$649.34 |
$649.34 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$384.46 |
$384.46 |
$384.46 |
$274.45
|
|
Tc-99m sulfur colloid
|
$977.99 |
$977.99 |
$977.99 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$354.88 |
$354.88 |
$354.88 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$5,721.60 |
$5,721.60 |
$5,721.60 |
$955.60
|
|
Tcd emboli detect w/inj
|
$876.19 |
$876.19 |
$876.19 |
$475.80
|
|
Tcd emboli detect without inj
|
$743.06 |
$743.06 |
$743.06 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$771.46 |
$771.46 |
$771.46 |
$176.40
|
|
T cells absolute cd 4 count
|
$336.83 |
$336.83 |
$336.83 |
$111.20
|
|
T cells total count
|
$771.46 |
$771.46 |
$771.46 |
$126.90
|
|
Telavancin injection
|
$4,717.71 |
$4,717.71 |
$4,717.71 |
$1,191.80
|
|
Telehealth original site facility fee
|
$82.16 |
$82.16 |
$82.16 |
$51.00
|
|
Telethx isodose plan cplx
|
$4,853.46 |
$4,853.46 |
$4,853.46 |
$1,526.85
|
|
Telethx isodose plan simple
|
$3,236.09 |
$3,236.09 |
$3,236.09 |
$873.62
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$20,244.22 |
$20,244.22 |
$20,244.22 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$57,946.25 |
$57,946.25 |
$57,946.25 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$382.01 |
$382.01 |
$382.01 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,922.87 |
$1,922.87 |
$1,922.87 |
$335.00
|
|
Test for chlorohydrocarbons
|
$93.23 |
$93.23 |
$93.23 |
$65.00
|
|
Test for urine cystines
|
$45.47 |
$45.47 |
$45.47 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$3,268.36 |
$3,268.36 |
$3,268.36 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$194.97 |
$194.97 |
$194.97 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$3,059.42 |
$3,059.42 |
$3,059.42 |
$949.70
|
|
Tetanus immune globulin inj
|
$5,638.95 |
$5,638.95 |
$5,638.95 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$242.64 |
$242.64 |
$242.64 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$172.53 |
$172.53 |
$172.53 |
$108.00
|
|
Therapeutic procd strg endur
|
$112.82 |
$112.82 |
$112.82 |
$85.68
|
|
Therapy activation ipnss
|
$462.38 |
$462.38 |
$462.38 |
$226.24
|
|
Therapy activity per session >= 45 minutes
|
$190.40 |
$190.40 |
$190.40 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$18.90 |
$18.90 |
$18.90 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$38.78 |
$38.78 |
$38.78 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$1,425.02 |
$1,425.02 |
$1,425.02 |
$529.08
|
|
Ther/proph/diag inj ia
|
$410.00 |
$410.00 |
$410.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.71 |
$24.71 |
$24.71 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,895.22 |
$2,895.22 |
$2,895.22 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$20,270.20 |
$20,270.20 |
$20,270.20 |
$3,580.00
|
|
Thrombin time
|
$68.76 |
$68.76 |
$68.76 |
$53.76
|
|
Thrombin time titer
|
$166.55 |
$166.55 |
$166.55 |
$17.60
|
|
Thromboplastin inhibition
|
$308.84 |
$308.84 |
$308.84 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$172.53 |
$172.53 |
$172.53 |
$61.52
|
|
Thromboxane urine
|
$578.21 |
$578.21 |
$578.21 |
$95.00
|
|
Thyroglobulin antibody
|
$200.41 |
$200.41 |
$200.41 |
$82.00
|
|
Thyroid imaging
|
$2,595.89 |
$2,595.89 |
$2,595.89 |
$695.02
|
|
Thyroid met imaging
|
$1,068.29 |
$1,068.29 |
$1,068.29 |
$838.25
|
|
Thyroid mets imag whole body
|
$3,243.62 |
$3,243.62 |
$3,243.62 |
$1,524.99
|
|
Thyroid met uptake
|
$148.43 |
$148.43 |
$148.43 |
$398.40
|
|
Thyroid (TSH) Test
|
$212.10 |
$212.10 |
$212.10 |
$111.00
|
|
Thyroid Ultrasound
|
$942.66 |
$942.66 |
$942.66 |
$588.50
|
|
Thyroid uptake measurement
|
$796.17 |
$796.17 |
$796.17 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$21,224.78 |
$21,224.78 |
$21,224.78 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$187.62 |
$187.62 |
$187.62 |
$64.35
|
|
Tigecycline injection
|
$1,428.19 |
$1,428.19 |
$1,428.19 |
$234.00
|
|
Tilt table study
|
$7,614.83 |
$7,614.83 |
$7,614.83 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$2,081.19 |
$2,081.19 |
$2,081.19 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$1,920.51 |
$1,920.51 |
$1,920.51 |
$13,339.20
|
|
Tissue culture placenta
|
$1,618.71 |
$1,618.71 |
$1,618.71 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,648.92 |
$1,648.92 |
$1,648.92 |
$484.00
|
|
Tissue culture tumor
|
$767.96 |
$767.96 |
$767.96 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$289.05 |
$289.05 |
$289.05 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$54,232.98 |
$54,232.98 |
$54,232.98 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$743.90 |
$743.90 |
$743.90 |
$44.16
|
|
Tlso 2 shl symphys-stern cst
|
$6,762.77 |
$6,762.77 |
$6,762.77 |
$1,808.59
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$33.80 |
$33.80 |
$33.80 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$200.41 |
$200.41 |
$200.41 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,194.52 |
$12,194.52 |
$12,194.52 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$37.50 |
$37.50 |
$37.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$37.50 |
$37.50 |
$37.50 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,292.18 |
$1,292.18 |
$1,292.18 |
$325.00
|
