|
Symes type ptb brim design s
|
$426.89 |
$426.89 |
$426.89 |
$266.00
|
|
Syme typ expandabl wall sckt
|
$870.46 |
$870.46 |
$870.46 |
$621.60
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$42.34 |
$42.34 |
$42.34 |
$42.24
|
|
System cardiomems hosp electronics
|
$36,331.62 |
$36,331.62 |
$36,331.62 |
$38,234.70
|
|
System pacing micra av
|
$17,200.96 |
$17,200.96 |
$17,200.96 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,297.89 |
$11,297.89 |
$11,297.89 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$31.58 |
$31.58 |
$31.58 |
$100.32
|
|
T3 (triiodothyronine) total
|
$29.74 |
$29.74 |
$29.74 |
$93.52
|
|
T4 (thyroxine) free
|
$31.58 |
$31.58 |
$31.58 |
$89.60
|
|
T4 (thyroxine) total
|
$33.04 |
$33.04 |
$33.04 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$15.42 |
$15.42 |
$15.42 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$106.18 |
$106.18 |
$106.18 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$171.81 |
$171.81 |
$171.81 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$4,649.74 |
$4,649.74 |
$4,649.74 |
$2,246.30
|
|
Target gsa panel organ neop
|
$872.09 |
$872.09 |
$872.09 |
$1,701.91
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$903.46 |
$903.46 |
$903.46 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$247.80 |
$247.80 |
$247.80 |
$179.95
|
|
Tc-99m bicisate
|
$1,747.76 |
$1,747.76 |
$1,747.76 |
$2,070.00
|
|
Tc-99m depreotide
|
$1,934.86 |
$1,934.86 |
$1,934.86 |
$1,486.80
|
|
Tc-99m disofenin
|
$71.40 |
$71.40 |
$71.40 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,303.16 |
$3,303.16 |
$3,303.16 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$1,611.90 |
$1,611.90 |
$1,611.90 |
$2,135.70
|
|
Tc-99m gluceptate
|
$45.70 |
$45.70 |
$45.70 |
$31.35
|
|
Tc-99m labeled rbc
|
$161.56 |
$161.56 |
$161.56 |
$306.00
|
|
Tc-99m maa
|
$235.09 |
$235.09 |
$235.09 |
$312.06
|
|
Tc-99m mebrofenin
|
$58.46 |
$58.46 |
$58.46 |
$157.65
|
|
Tc-99m medronate
|
$25.87 |
$25.87 |
$25.87 |
$111.01
|
|
Tc-99m mertiatide
|
$523.38 |
$523.38 |
$523.38 |
$756.00
|
|
Tc-99m oxidronate
|
$46.03 |
$46.03 |
$46.03 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$172.14 |
$172.14 |
$172.14 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$26.43 |
$26.43 |
$26.43 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$11.93 |
$11.93 |
$11.93 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$58.97 |
$58.97 |
$58.97 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$128.07 |
$128.07 |
$128.07 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$470.23 |
$470.23 |
$470.23 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$121.41 |
$121.41 |
$121.41 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$120.01 |
$120.01 |
$120.01 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$569.91 |
$569.91 |
$569.91 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$222.15 |
$222.15 |
$222.15 |
$184.00
|
|
T cells total count
|
$222.15 |
$222.15 |
$222.15 |
$130.20
|
|
Team conf w/pat by hc prof
|
$117.77 |
$117.77 |
$117.77 |
$107.10
|
|
Teflon or equal cable lining
|
$72.63 |
$72.63 |
$72.63 |
$56.00
|
|
Telehealth original site facility fee
|
$35.34 |
$35.34 |
$35.34 |
$51.00
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,425.28 |
$3,425.28 |
$3,425.28 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$12,222.29 |
$12,222.29 |
$12,222.29 |
$14,951.87
|
|
Tension based scoliosis orth
|
$4,895.91 |
$4,895.91 |
$4,895.91 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.57 |
$22.57 |
$22.57 |
$39.33
|
|
Test socket above knee
|
$633.02 |
$633.02 |
$633.02 |
$467.60
|
|
Test socket below knee
|
$470.01 |
$470.01 |
$470.01 |
$535.15
|
|
Test socket hemipelvectomy
|
$1,014.78 |
$1,014.78 |
$1,014.78 |
$546.00
|
|
Test socket hip disarticulat
|
$1,002.12 |
$1,002.12 |
$1,002.12 |
$616.00
|
|
Test socket knee disarticula
|
$633.25 |
$633.25 |
$633.25 |
$428.40
|
|
Test socket symes
|
$529.76 |
$529.76 |
$529.76 |
$324.80
|
|
Test stress cardiovascular tracing only
|
$1,052.18 |
$1,052.18 |
$1,052.18 |
$953.40
|
|
Test urine urobilinogen
|
$34.72 |
$34.72 |
$34.72 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,092.20 |
$1,092.20 |
$1,092.20 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$47.88 |
$47.88 |
$47.88 |
$108.00
|
|
Therapeutic procd strg endur
|
$48.72 |
$48.72 |
$48.72 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$192.75 |
$192.75 |
$192.75 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$65.46 |
$65.46 |
$65.46 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$65.46 |
$65.46 |
$65.46 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$56.11 |
$56.11 |
$56.11 |
$57.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.99 |
$24.99 |
$24.99 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$286.33 |
$286.33 |
$286.33 |
$313.60
|
|
Thigh/wght bear high roll cu
|
$538.44 |
$538.44 |
$538.44 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$718.14 |
$718.14 |
$718.14 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$379.51 |
$379.51 |
$379.51 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$495.21 |
$495.21 |
$495.21 |
$657.72
|
|
Thorac cont lat support upri
|
$231.56 |
$231.56 |
$231.56 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$252.39 |
$252.39 |
$252.39 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,345.90 |
$1,345.90 |
$1,345.90 |
$1,724.25
|
|
Thoracic control thoracic ba
|
$283.53 |
$283.53 |
$283.53 |
$387.41
|
|
Thoracic intern lock elbow
|
$7,454.16 |
$7,454.16 |
$7,454.16 |
$5,829.60
|
|
Thoracic pad
|
$171.42 |
$171.42 |
$171.42 |
$234.19
|
|
Thor rib belt custom fabrica
|
$204.46 |
$204.46 |
$204.46 |
$225.50
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$960.96 |
$960.96 |
$960.96 |
$1,703.45
|
|
Thrombin time
|
$64.90 |
$64.90 |
$64.90 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$96.54 |
$96.54 |
$96.54 |
$62.01
|
|
Th/wght bear nar m-l brim cu
|
$1,013.43 |
$1,013.43 |
$1,013.43 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$1,803.59 |
$1,803.59 |
$1,803.59 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$850.58 |
$850.58 |
$850.58 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,276.24 |
$1,276.24 |
$1,276.24 |
$1,695.23
|
|
Thyroglobulin antibody
|
$47.71 |
$47.71 |
$47.71 |
$82.50
|
|
Thyroid (TSH) Test
|
$65.46 |
$65.46 |
$65.46 |
$112.70
|
|
Thyroid Ultrasound
|
$425.21 |
$425.21 |
$425.21 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$69.66 |
$69.66 |
$69.66 |
$64.51
|
|
Tibial length sock fx or equ
|
$68.26 |
$68.26 |
$68.26 |
$88.92
|
|
Tibial tubercle hgt with toe f
|
$3,977.74 |
$3,977.74 |
$3,977.74 |
$2,970.80
|
|
Tilt table locking hip sing
|
$9,548.06 |
$9,548.06 |
$9,548.06 |
$7,711.20
|
|
Tissue amnio epifix inj 100mg
|
$26.88 |
$26.88 |
$26.88 |
$4,201.20
|
|
Tissue culture skin/biopsy
|
$399.28 |
$399.28 |
$399.28 |
$488.74
|
|
Tissue culture tumor
|
$310.91 |
$310.91 |
$310.91 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$51.52 |
$51.52 |
$51.52 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$44.80 |
$44.80 |
$44.80 |
$537.50
|
|
Tissue transglutaminase iga
|
$91.56 |
$91.56 |
$91.56 |
$44.80
|
|
Tixagev and cilgav inj
|
$187.94 |
$187.94 |
$187.94 |
$244.50
|
|
Tl-201 thallium diag per mci
|
$39.54 |
$39.54 |
$39.54 |
$80.10
|
|
Tlso 2mod symphis-xipho pre
|
$1,411.31 |
$1,411.31 |
$1,411.31 |
$1,696.00
|
|
Tlso 2 piece rigid shell
|
$1,215.31 |
$1,215.31 |
$1,215.31 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,588.50 |
$1,588.50 |
$1,588.50 |
$1,808.59
|