|
T4 (thyroxine) free
|
$99.80 |
$99.80 |
$99.80 |
$89.60
|
|
T4 (thyroxine) total
|
$78.15 |
$78.15 |
$78.15 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$82.25 |
$82.25 |
$82.25 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$253.35 |
$253.35 |
$253.35 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$6,417.75 |
$6,417.75 |
$6,417.75 |
$2,246.30
|
|
Target gsa panel organ neop
|
$4,575.20 |
$4,575.20 |
$4,575.20 |
$1,701.91
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$45,657.50 |
$45,657.50 |
$45,657.50 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,176.58 |
$2,176.58 |
$2,176.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$386.50 |
$386.50 |
$386.50 |
$179.95
|
|
Tc-99m disofenin
|
$318.20 |
$318.20 |
$318.20 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,946.50 |
$1,946.50 |
$1,946.50 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$444.80 |
$444.80 |
$444.80 |
$306.00
|
|
Tc-99m maa
|
$114.55 |
$114.55 |
$114.55 |
$312.06
|
|
Tc-99m mebrofenin
|
$199.50 |
$199.50 |
$199.50 |
$157.65
|
|
Tc-99m medronate
|
$300.55 |
$300.55 |
$300.55 |
$111.01
|
|
Tc-99m mertiatide
|
$1,291.35 |
$1,291.35 |
$1,291.35 |
$756.00
|
|
Tc-99m oxidronate
|
$152.60 |
$152.60 |
$152.60 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$102.45 |
$102.45 |
$102.45 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$245.35 |
$245.35 |
$245.35 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$129.55 |
$129.55 |
$129.55 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$14.75 |
$14.75 |
$14.75 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$597.10 |
$597.10 |
$597.10 |
$287.20
|
|
Tc-99m sulfur colloid
|
$295.20 |
$295.20 |
$295.20 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$490.70 |
$490.70 |
$490.70 |
$193.28
|
|
T cells absolute cd4/cd8 including ratio
|
$260.35 |
$260.35 |
$260.35 |
$184.00
|
|
T cells total count
|
$126.90 |
$126.90 |
$126.90 |
$130.20
|
|
Team conf w/pat by hc prof
|
$193.15 |
$193.15 |
$193.15 |
$107.10
|
|
Telehealth original site facility fee
|
$90.25 |
$90.25 |
$90.25 |
$51.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$24.34 |
$24.34 |
$24.34 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$1,215.90 |
$1,215.90 |
$1,215.90 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,605.50 |
$1,605.50 |
$1,605.50 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,974.39 |
$1,974.39 |
$1,974.39 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$155.05 |
$155.05 |
$155.05 |
$108.00
|
|
Therapeutic procd strg endur
|
$98.40 |
$98.40 |
$98.40 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$198.15 |
$198.15 |
$198.15 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$199.50 |
$199.50 |
$199.50 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$58.00 |
$58.00 |
$58.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$49.85 |
$49.85 |
$49.85 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.14 |
$15.14 |
$15.14 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$304.60 |
$304.60 |
$304.60 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,733.65 |
$1,733.65 |
$1,733.65 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,807.70 |
$1,807.70 |
$1,807.70 |
$1,703.45
|
|
Thrombin time
|
$66.10 |
$66.10 |
$66.10 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$210.35 |
$210.35 |
$210.35 |
$62.01
|
|
Thyroglobulin antibody
|
$142.55 |
$142.55 |
$142.55 |
$82.50
|
|
Thyroid imaging
|
$707.70 |
$707.70 |
$707.70 |
$695.60
|
|
Thyroid met imaging
|
$1,228.10 |
$1,228.10 |
$1,228.10 |
$838.25
|
|
Thyroid (TSH) Test
|
$183.25 |
$183.25 |
$183.25 |
$112.70
|
|
Thyroid Ultrasound
|
$603.90 |
$603.90 |
$603.90 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,150.11 |
$6,150.11 |
$6,150.11 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$48.40 |
$48.40 |
$48.40 |
$64.51
|
|
Tissue culture placenta
|
$937.85 |
$937.85 |
$937.85 |
$453.00
|
|
Tissue culture skin/biopsy
|
$755.25 |
$755.25 |
$755.25 |
$488.74
|
|
Tissue exam koh skin/hair/nails
|
$24.00 |
$24.00 |
$24.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$82.25 |
$82.25 |
$82.25 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$405.52 |
$405.52 |
$405.52 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$176.65 |
$176.65 |
$176.65 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$8,077.42 |
$8,077.42 |
$8,077.42 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$248.05 |
$248.05 |
$248.05 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$132.10 |
$132.10 |
$132.10 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$638.70 |
$638.70 |
$638.70 |
$316.84
|
|
Total tau
|
$136.45 |
$136.45 |
$136.45 |
$312.50
|
|
Toxoplasma antibody igg
|
$139.05 |
$139.05 |
$139.05 |
$91.65
|
|
Toxoplasma antibody igm
|
$139.05 |
$139.05 |
$139.05 |
$87.75
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$88.95 |
$88.95 |
$88.95 |
$102.27
|
|
Transferrin
|
$140.20 |
$140.20 |
$140.20 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$625.50 |
$625.50 |
$625.50 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$461.00 |
$461.00 |
$461.00 |
$499.20
|
|
Trastuzumab 150 mg intravenous solution
|
$716,654.53 |
$716,654.53 |
$716,654.53 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,582.20 |
$11,582.20 |
$11,582.20 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,313.64 |
$10,313.64 |
$10,313.64 |
$5,846.40
|
|
Treat ankle dislocation
|
$2,224.20 |
$2,224.20 |
$2,224.20 |
$2,360.00
|
|
Treat elbow dislocation
|
$3,038.35 |
$3,038.35 |
$3,038.35 |
$2,272.50
|
|
Treat elbow fracture
|
$4,930.10 |
$4,930.10 |
$4,930.10 |
$2,026.50
|
|
Treat finger fracture each
|
$861.30 |
$861.30 |
$861.30 |
$1,592.00
|
|
Treat foot dislocation
|
$9,573.60 |
$9,573.60 |
$9,573.60 |
$4,192.86
|
|
Treat fracture of radius
|
$4,637.30 |
$4,637.30 |
$4,637.30 |
$1,790.00
|
|
Treat fracture of ulna
|
$1,784.85 |
$1,784.85 |
$1,784.85 |
$731.04
|
|
Treat hip dislocation
|
$2,472.25 |
$2,472.25 |
$2,472.25 |
$2,211.05
|
|
Treat hip dislocation
|
$2,274.05 |
$2,274.05 |
$2,274.05 |
$2,641.60
|
|
Treat hip socket fracture
|
$2,422.10 |
$2,422.10 |
$2,422.10 |
$1,392.00
|
|
Treat humerus fracture
|
$2,015.30 |
$2,015.30 |
$2,015.30 |
$1,790.00
|
|
Treat humerus fracture
|
$4,402.05 |
$4,402.05 |
$4,402.05 |
$1,790.00
|
|
Treat kneecap dislocation
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$1,068.06
|
|
Treat knee fracture(s)
|
$642.55 |
$642.55 |
$642.55 |
$643.26
|
|
Treat lower leg dislocation
|
$138.85 |
$138.85 |
$138.85 |
$532.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$3,046.50 |
$3,046.50 |
$3,046.50 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$366.70 |
$366.70 |
$366.70 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$408.40 |
$408.40 |
$408.40 |
$147.48
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,676.45 |
$8,676.45 |
$8,676.45 |
$4,106.85
|
|
Treatment of ankle fracture 27786
|
$990.80 |
$990.80 |
$990.80 |
$523.20
|
|
Treat toe dislocation
|
$815.80 |
$815.80 |
$815.80 |
$756.39
|
|
Treat ulnar fracture
|
$4,709.60 |
$4,709.60 |
$4,709.60 |
$1,677.20
|
|
Treat vaginal bleeding
|
$593.95 |
$593.95 |
$593.95 |
$379.60
|
|
Treat wrist dislocation
|
$1,387.05 |
$1,387.05 |
$1,387.05 |
$656.25
|
|
Treponema pallidum antibody
|
$118.75 |
$118.75 |
$118.75 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$56.94 |
$56.94 |
$56.94 |
$43.09
|
|
Triglycerides
|
$66.10 |
$66.10 |
$66.10 |
$58.50
|
|
Trim nondyst nails
|
$188.30 |
$188.30 |
$188.30 |
$113.88
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$11,913.45 |
$11,913.45 |
$11,913.45 |
$4,872.75
|
