|
Swallowing Evaluation (Bedside)
|
$298.25 |
$298.25 |
$298.25 |
$316.80
|
|
Swallowing Therapy Session
|
$341.45 |
$341.45 |
$341.45 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$86.35 |
$86.35 |
$86.35 |
$42.24
|
|
T3 (triiodothyronine) free
|
$198.45 |
$198.45 |
$198.45 |
$100.32
|
|
T3 (triiodothyronine) total
|
$175.50 |
$175.50 |
$175.50 |
$93.52
|
|
T4 (thyroxine) free
|
$132.30 |
$132.30 |
$132.30 |
$89.60
|
|
T4 (thyroxine) total
|
$114.05 |
$114.05 |
$114.05 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.13 |
$2.13 |
$2.13 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$118.75 |
$118.75 |
$118.75 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,674.21 |
$3,674.21 |
$3,674.21 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$473.75 |
$473.75 |
$473.75 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$3,765.15 |
$3,765.15 |
$3,765.15 |
$2,246.30
|
|
Target gsa panel organ neop
|
$3,429.55 |
$3,429.55 |
$3,429.55 |
$1,701.91
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,690.56 |
$1,690.56 |
$1,690.56 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$305.25 |
$305.25 |
$305.25 |
$179.95
|
|
Tc-99m disofenin
|
$188.95 |
$188.95 |
$188.95 |
$124.32
|
|
Tc-99m labeled rbc
|
$170.05 |
$170.05 |
$170.05 |
$306.00
|
|
Tc-99m maa
|
$357.65 |
$357.65 |
$357.65 |
$312.06
|
|
Tc-99m mebrofenin
|
$102.60 |
$102.60 |
$102.60 |
$157.65
|
|
Tc-99m medronate
|
$85.00 |
$85.00 |
$85.00 |
$111.01
|
|
Tc-99m pentetate dtpa aerosol
|
$259.05 |
$259.05 |
$259.05 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$85.00 |
$85.00 |
$85.00 |
$18.67
|
|
Tc-99m sulfur colloid
|
$236.15 |
$236.15 |
$236.15 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$182.35 |
$182.35 |
$182.35 |
$193.28
|
|
T cells absolute cd4/cd8 including ratio
|
$169.35 |
$169.35 |
$169.35 |
$184.00
|
|
T cells total count
|
$153.15 |
$153.15 |
$153.15 |
$130.20
|
|
Telehealth original site facility fee
|
$76.95 |
$76.95 |
$76.95 |
$51.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$12.15 |
$12.15 |
$12.15 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$2,411.90 |
$2,411.90 |
$2,411.90 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$981.20 |
$981.20 |
$981.20 |
$953.40
|
|
Tetanus immune globulin inj
|
$2,300.27 |
$2,300.27 |
$2,300.27 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$12,041.87 |
$12,041.87 |
$12,041.87 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$175.50 |
$175.50 |
$175.50 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$155.20 |
$155.20 |
$155.20 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$140.35 |
$140.35 |
$140.35 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$54.05 |
$54.05 |
$54.05 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$54.05 |
$54.05 |
$54.05 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,004.15 |
$1,004.15 |
$1,004.15 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.93 |
$25.93 |
$25.93 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$473.75 |
$473.75 |
$473.75 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$713.95 |
$713.95 |
$713.95 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,967.90 |
$1,967.90 |
$1,967.90 |
$1,703.45
|
|
Thrombin time
|
$107.95 |
$107.95 |
$107.95 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$240.55 |
$240.55 |
$240.55 |
$62.01
|
|
Thyroglobulin antibody
|
$180.60 |
$180.60 |
$180.60 |
$82.50
|
|
Thyroid (TSH) Test
|
$197.05 |
$197.05 |
$197.05 |
$112.70
|
|
Thyroid Ultrasound
|
$858.35 |
$858.35 |
$858.35 |
$588.50
|
|
Thyroid uptake measurement
|
$1,048.70 |
$1,048.70 |
$1,048.70 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,322.66 |
$5,322.66 |
$5,322.66 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$152.10 |
$152.10 |
$152.10 |
$64.51
|
|
Tissue culture placenta
|
$661.65 |
$661.65 |
$661.65 |
$453.00
|
|
Tissue culture skin/biopsy
|
$710.60 |
$710.60 |
$710.60 |
$488.74
|
|
Tissue exam koh skin/hair/nails
|
$38.00 |
$38.00 |
$38.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$96.40 |
$96.40 |
$96.40 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$295.88 |
$295.88 |
$295.88 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$191.65 |
$191.65 |
$191.65 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,495.33 |
$3,495.33 |
$3,495.33 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$473.75 |
$473.75 |
$473.75 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$113.40 |
$113.40 |
$113.40 |
$74.10
|
|
Total tau
|
$295.40 |
$295.40 |
$295.40 |
$312.50
|
|
Toxoplasma antibody igg
|
$149.70 |
$149.70 |
$149.70 |
$91.65
|
|
Toxoplasma antibody igm
|
$149.70 |
$149.70 |
$149.70 |
$87.75
|
|
Tp53 gene trgt sequence alys
|
$758.70 |
$758.70 |
$758.70 |
$804.00
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$179.50 |
$179.50 |
$179.50 |
$102.27
|
|
Transferrin
|
$164.70 |
$164.70 |
$164.70 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$858.35 |
$858.35 |
$858.35 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$665.45 |
$665.45 |
$665.45 |
$499.20
|
|
Trastuzumab 150 mg intravenous solution
|
$620,233.46 |
$620,233.46 |
$620,233.46 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$10,023.90 |
$10,023.90 |
$10,023.90 |
$7,540.20
|
|
Treat elbow dislocation
|
$1,104.05 |
$1,104.05 |
$1,104.05 |
$2,272.50
|
|
Treat finger fracture each
|
$977.15 |
$977.15 |
$977.15 |
$1,592.00
|
|
Treat foot dislocation
|
$4,847.65 |
$4,847.65 |
$4,847.65 |
$4,192.86
|
|
Treat fracture of radius
|
$2,384.65 |
$2,384.65 |
$2,384.65 |
$1,790.00
|
|
Treat fracture of ulna
|
$959.90 |
$959.90 |
$959.90 |
$731.04
|
|
Treat humerus fracture
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,790.00
|
|
Treat kneecap dislocation
|
$2,646.75 |
$2,646.75 |
$2,646.75 |
$1,068.06
|
|
Treat knee dislocation
|
$1,438.80 |
$1,438.80 |
$1,438.80 |
$2,220.89
|
|
Treat knee fracture(s)
|
$325.35 |
$325.35 |
$325.35 |
$643.26
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$275.35 |
$275.35 |
$275.35 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$249.70 |
$249.70 |
$249.70 |
$147.48
|
|
Treatment of thigh fracture
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,790.00
|
|
Treatment of toe fracture 28510
|
$272.65 |
$272.65 |
$272.65 |
$371.40
|
|
Treat toe dislocation
|
$413.10 |
$413.10 |
$413.10 |
$756.39
|
|
Treat wrist dislocation
|
$750.85 |
$750.85 |
$750.85 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$106,803.10 |
$106,803.10 |
$106,803.10 |
$73,346.25
|
|
Treponema pallidum antibody
|
$168.10 |
$168.10 |
$168.10 |
$72.05
|
|
Trg gene rearrangement anal
|
$612.05 |
$612.05 |
$612.05 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$113.72 |
$113.72 |
$113.72 |
$43.09
|
|
Triglycerides
|
$107.95 |
$107.95 |
$107.95 |
$58.50
|
|
Trilaciclib 300 mg intravenous solution
|
$4,186.76 |
$4,186.76 |
$4,186.76 |
$4,043.12
|
|
Trim nondyst nails
|
$92.15 |
$92.15 |
$92.15 |
$113.88
|
|
Troponin quantitative
|
$137.65 |
$137.65 |
$137.65 |
$127.60
|
|
Tx closed distal humerus fx
|
$1,104.05 |
$1,104.05 |
$1,104.05 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$392.80 |
$392.80 |
$392.80 |
$586.40
|
|
Tx tarsal bone fx without manip 28450
|
$435.55 |
$435.55 |
$435.55 |
$419.04
|
|
Ua w/micro/comp poc
|
$77.65 |
$77.65 |
$77.65 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$971.00 |
$971.00 |
$971.00 |
$438.75
|
|
Ultrasound breast complete
|
$768.00 |
$768.00 |
$768.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$665.45 |
$665.45 |
$665.45 |
$452.40
|
|
Ultrasound dx ophth b-scan
|
$594.85 |
$594.85 |
$594.85 |
$296.80
|
