|
Tacrol envarsus ex rel oral
|
$7.34 |
$7.34 |
$7.34 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$8.74 |
$8.74 |
$8.74 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$88.82 |
$88.82 |
$88.82 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$139.33 |
$139.33 |
$139.33 |
$289.20
|
|
Tap block bilat cont infusion 64489
|
$2,200.35 |
$2,200.35 |
$2,200.35 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$1,824.87 |
$1,824.87 |
$1,824.87 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$4,321.80 |
$4,321.80 |
$4,321.80 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$673.06 |
$673.06 |
$673.06 |
$3,746.70
|
|
Target gsa panel organ neop
|
$673.06 |
$673.06 |
$673.06 |
$1,701.91
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$625.91 |
$625.91 |
$625.91 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$207.20 |
$207.20 |
$207.20 |
$179.95
|
|
Tc-99m bicisate
|
$1,960.84 |
$1,960.84 |
$1,960.84 |
$2,070.00
|
|
Tc-99m depreotide
|
$2,170.84 |
$2,170.84 |
$2,170.84 |
$1,486.80
|
|
Tc-99m diag per dose
|
$3,585.96 |
$3,585.96 |
$3,585.96 |
$470.40
|
|
Tc-99m disofenin
|
$79.69 |
$79.69 |
$79.69 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,705.91 |
$3,705.91 |
$3,705.91 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$1,808.46 |
$1,808.46 |
$1,808.46 |
$2,135.70
|
|
Tc-99m gluceptate
|
$51.02 |
$51.02 |
$51.02 |
$31.35
|
|
Tc-99m labeled rbc
|
$175.28 |
$175.28 |
$175.28 |
$306.00
|
|
Tc-99m maa
|
$255.02 |
$255.02 |
$255.02 |
$312.06
|
|
Tc-99m mebrofenin
|
$65.24 |
$65.24 |
$65.24 |
$157.65
|
|
Tc-99m medronate
|
$28.90 |
$28.90 |
$28.90 |
$111.01
|
|
Tc-99m mertiatide
|
$587.22 |
$587.22 |
$587.22 |
$756.00
|
|
Tc-99m oxidronate
|
$51.35 |
$51.35 |
$51.35 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$186.76 |
$186.76 |
$186.76 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$29.46 |
$29.46 |
$29.46 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$13.38 |
$13.38 |
$13.38 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$65.86 |
$65.86 |
$65.86 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$138.88 |
$138.88 |
$138.88 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$495.60 |
$495.60 |
$495.60 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$131.77 |
$131.77 |
$131.77 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$130.20 |
$130.20 |
$130.20 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$639.41 |
$639.41 |
$639.41 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$161.06 |
$161.06 |
$161.06 |
$184.00
|
|
T cells total count
|
$161.06 |
$161.06 |
$161.06 |
$130.20
|
|
Team conf without pat by hc pro
|
$146.61 |
$146.61 |
$146.61 |
$112.86
|
|
Team conf w/pat by hc prof
|
$146.61 |
$146.61 |
$146.61 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$4,853.86 |
$4,853.86 |
$4,853.86 |
$2,101.65
|
|
Teflon or equal cable lining
|
$99.18 |
$99.18 |
$99.18 |
$56.00
|
|
Telehealth original site facility fee
|
$145.32 |
$145.32 |
$145.32 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,445.52 |
$2,445.52 |
$2,445.52 |
$1,526.85
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,531.78 |
$3,531.78 |
$3,531.78 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$13,134.82 |
$13,134.82 |
$13,134.82 |
$14,951.87
|
|
Tension based scoliosis orth
|
$6,343.18 |
$6,343.18 |
$6,343.18 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$34.74 |
$34.74 |
$34.74 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$1,441.33 |
$1,441.33 |
$1,441.33 |
$842.56
|
|
Test socket above knee
|
$840.78 |
$840.78 |
$840.78 |
$467.60
|
|
Test socket below knee
|
$624.34 |
$624.34 |
$624.34 |
$535.15
|
|
Test socket hemipelvectomy
|
$1,347.98 |
$1,347.98 |
$1,347.98 |
$546.00
|
|
Test socket hip disarticulat
|
$1,331.12 |
$1,331.12 |
$1,331.12 |
$616.00
|
|
Test socket knee disarticula
|
$841.18 |
$841.18 |
$841.18 |
$428.40
|
|
Test socket symes
|
$703.70 |
$703.70 |
$703.70 |
$324.80
|
|
Test stress cardiovascular tracing only
|
$949.70 |
$949.70 |
$949.70 |
$953.40
|
|
Test urine urobilinogen
|
$36.12 |
$36.12 |
$36.12 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,125.29 |
$1,125.29 |
$1,125.29 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,855.32 |
$6,855.32 |
$6,855.32 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$44.35 |
$44.35 |
$44.35 |
$108.00
|
|
Therapeutic procd strg endur
|
$58.91 |
$58.91 |
$58.91 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$198.52 |
$198.52 |
$198.52 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$81.48 |
$81.48 |
$81.48 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$81.48 |
$81.48 |
$81.48 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$30.24 |
$30.24 |
$30.24 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$30.24 |
$30.24 |
$30.24 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$275.30 |
$275.30 |
$275.30 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$34.69 |
$34.69 |
$34.69 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$232.18 |
$232.18 |
$232.18 |
$313.60
|
|
Thigh/wght bear high roll cu
|
$715.23 |
$715.23 |
$715.23 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$953.85 |
$953.85 |
$953.85 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$518.50 |
$518.50 |
$518.50 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$657.72 |
$657.72 |
$657.72 |
$657.72
|
|
Thorac cont lat support upri
|
$316.34 |
$316.34 |
$316.34 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$344.85 |
$344.85 |
$344.85 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,395.13 |
$1,395.13 |
$1,395.13 |
$1,724.25
|
|
Thoracic control thoracic ba
|
$387.41 |
$387.41 |
$387.41 |
$387.41
|
|
Thoracic intern lock elbow
|
$9,657.48 |
$9,657.48 |
$9,657.48 |
$5,829.60
|
|
Thoracic pad
|
$234.19 |
$234.19 |
$234.19 |
$234.19
|
|
Thor rib belt custom fabrica
|
$279.27 |
$279.27 |
$279.27 |
$225.50
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,294.05 |
$1,294.05 |
$1,294.05 |
$1,703.45
|
|
Thrombin time
|
$54.21 |
$54.21 |
$54.21 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$105.84 |
$105.84 |
$105.84 |
$62.01
|
|
Th/wght bear nar m-l brim cu
|
$1,346.24 |
$1,346.24 |
$1,346.24 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,395.79 |
$2,395.79 |
$2,395.79 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,695.23 |
$1,695.23 |
$1,695.23 |
$1,695.23
|
|
Thyroglobulin antibody
|
$25.42 |
$25.42 |
$25.42 |
$82.50
|
|
Thyroid imaging
|
$695.02 |
$695.02 |
$695.02 |
$695.60
|
|
Thyroid met imaging
|
$830.09 |
$830.09 |
$830.09 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$1,524.99
|
|
Thyroid met uptake
|
$1,035.10 |
$1,035.10 |
$1,035.10 |
$407.40
|
|
Thyroid (TSH) Test
|
$31.70 |
$31.70 |
$31.70 |
$112.70
|
|
Thyroid Ultrasound
|
$456.57 |
$456.57 |
$456.57 |
$588.50
|
|
Thyroid uptake measurement
|
$1,552.94 |
$1,552.94 |
$1,552.94 |
$591.25
|
|
Thyrotropin releasing hormone
|
$89.15 |
$89.15 |
$89.15 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$64.51 |
$64.51 |
$64.51 |
$64.51
|
|
Tibial length sock fx or equ
|
$93.24 |
$93.24 |
$93.24 |
$88.92
|
|
Tibial tubercle hgt with toe f
|
$4,981.76 |
$4,981.76 |
$4,981.76 |
$2,970.80
|
|
Tigecycline injection
|
$158.74 |
$158.74 |
$158.74 |
$235.29
|
|
Tilt table locking hip sing
|
$12,370.40 |
$12,370.40 |
$12,370.40 |
$7,711.20
|
|
Tissue amnio epifix inj 100mg
|
$30.63 |
$30.63 |
$30.63 |
$4,201.20
|
|
Tissue culture skin/biopsy
|
$307.94 |
$307.94 |
$307.94 |
$488.74
|
