|
Terbutaline 1 mg/ml subcutaneous solution
|
$13.00 |
$13.00 |
$13.00 |
$39.33
|
|
Test for porphobilinogen
|
$57.20 |
$57.20 |
$57.20 |
$33.57
|
|
Test pathogen(s) for platelets reference
|
$48.75 |
$48.75 |
$48.75 |
$52.00
|
|
Test stress cardiovascular tracing only
|
$1,052.35 |
$1,052.35 |
$1,052.35 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$2,130.89 |
$2,130.89 |
$2,130.89 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$11,994.05 |
$11,994.05 |
$11,994.05 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$116.35 |
$116.35 |
$116.35 |
$101.40
|
|
Ther/proph/diag inj ia
|
$54.60 |
$54.60 |
$54.60 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$32.34 |
$32.34 |
$32.34 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$453.70 |
$453.70 |
$453.70 |
$1,658.70
|
|
Thrombin time
|
$74.10 |
$74.10 |
$74.10 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$94.90 |
$94.90 |
$94.90 |
$56.93
|
|
Thyroglobulin antibody
|
$119.60 |
$119.60 |
$119.60 |
$86.40
|
|
Thyroid (TSH) Test
|
$133.90 |
$133.90 |
$133.90 |
$101.40
|
|
Thyroid Ultrasound
|
$611.00 |
$611.00 |
$611.00 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$105.30 |
$105.30 |
$105.30 |
$75.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$19,345.44 |
$19,345.44 |
$19,345.44 |
$264.18
|
|
Tissue culture placenta
|
$410.80 |
$410.80 |
$410.80 |
$470.00
|
|
Tissue culture skin/biopsy
|
$516.10 |
$516.10 |
$516.10 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$55.25 |
$55.25 |
$55.25 |
$45.23
|
|
Tissue transglutaminase iga
|
$131.95 |
$131.95 |
$131.95 |
$48.57
|
|
Tobramycin peak therapeutic drug level
|
$143.00 |
$143.00 |
$143.00 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,946.81 |
$6,946.81 |
$6,946.81 |
$2,743.02
|
|
Tomosynthesis breast diagnostic left
|
$68.90 |
$68.90 |
$68.90 |
$53.92
|
|
Tomosynthesis breast screen bilateral
|
$105.95 |
$105.95 |
$105.95 |
$77.46
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$381.89 |
$381.89 |
$381.89 |
$200.93
|
|
Toxoplasma antibody igg
|
$112.45 |
$112.45 |
$112.45 |
$83.20
|
|
Toxoplasma antibody igm
|
$137.15 |
$137.15 |
$137.15 |
$85.80
|
|
Tpmt gene com vrnts
|
$462.15 |
$462.15 |
$462.15 |
$402.35
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$85.80 |
$85.80 |
$85.80 |
$90.35
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$77.65
|
|
Transferrin
|
$118.30 |
$118.30 |
$118.30 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$3,262.35 |
$3,262.35 |
$3,262.35 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$4,079.30 |
$4,079.30 |
$4,079.30 |
$934.80
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,957.93 |
$9,957.93 |
$9,957.93 |
$43.28
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$8,868.05 |
$8,868.05 |
$8,868.05 |
$108.27
|
|
Treat clavicle dislocation 23545
|
$795.60 |
$795.60 |
$795.60 |
$759.61
|
|
Treat elbow dislocation
|
$1,230.45 |
$1,230.45 |
$1,230.45 |
$2,326.40
|
|
Treat elbow fracture
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$2,055.00
|
|
Treat finger fracture each
|
$787.80 |
$787.80 |
$787.80 |
$1,808.00
|
|
Treat foot dislocation
|
$592.80 |
$592.80 |
$592.80 |
$422.45
|
|
Treat fracture of radius
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$1,884.74
|
|
Treat hip dislocation
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$2,644.00
|
|
Treat humerus fracture
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$2,055.00
|
|
Treat kneecap dislocation
|
$993.85 |
$993.85 |
$993.85 |
$1,931.40
|
|
Treat knee fracture 27530
|
$974.35 |
$974.35 |
$974.35 |
$576.13
|
|
Treat knuckle dislocation
|
$949.00 |
$949.00 |
$949.00 |
$1,796.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$139.75 |
$139.75 |
$139.75 |
$224.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$139.75 |
$139.75 |
$139.75 |
$197.60
|
|
Treatment of ankle fracture 27786
|
$521.30 |
$521.30 |
$521.30 |
$575.25
|
|
Treatment of heel fracture 28400
|
$660.40 |
$660.40 |
$660.40 |
$469.60
|
|
Treatment of thigh fracture
|
$2,026.05 |
$2,026.05 |
$2,026.05 |
$1,771.43
|
|
Treatment of thigh fracture
|
$1,054.30 |
$1,054.30 |
$1,054.30 |
$659.00
|
|
Treatment of toe fracture 28510
|
$289.25 |
$289.25 |
$289.25 |
$362.00
|
|
Treat thigh fracture
|
$1,090.05 |
$1,090.05 |
$1,090.05 |
$661.00
|
|
Treat ulnar fracture
|
$1,149.85 |
$1,149.85 |
$1,149.85 |
$1,771.43
|
|
Treat vaginal bleeding
|
$335.40 |
$335.40 |
$335.40 |
$342.25
|
|
Treat wrist dislocation
|
$715.00 |
$715.00 |
$715.00 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$9,244.50 |
$9,244.50 |
$9,244.50 |
$200.64
|
|
Treponema pallidum antibody
|
$85.15 |
$85.15 |
$85.15 |
$74.40
|
|
Trg gene rearrangement anal
|
$372.45 |
$372.45 |
$372.45 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$17.06 |
$17.06 |
$17.06 |
$28.90
|
|
Trichinella antibody
|
$96.20 |
$96.20 |
$96.20 |
$56.55
|
|
Trichomonas assay w/optic
|
$73.45 |
$73.45 |
$73.45 |
$68.90
|
|
Triglycerides
|
$92.30 |
$92.30 |
$92.30 |
$48.75
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$857.58
|
|
Troponin quantitative
|
$120.90 |
$120.90 |
$120.90 |
$112.80
|
|
Tte w or without contr, cont ecg
|
$1,970.80 |
$1,970.80 |
$1,970.80 |
$1,613.95
|
|
Tte w or without fol w/con,stres
|
$2,107.30 |
$2,107.30 |
$2,107.30 |
$1,108.76
|
|
Tx closed hip disl traumatic without anes
|
$988.00 |
$988.00 |
$988.00 |
$650.45
|
|
Tx closed tib shaft fx without manip
|
$901.55 |
$901.55 |
$901.55 |
$643.75
|
|
Tx open art fx mcp/iphlngl jnt incl int fixtn ea
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$4,239.75
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,695.85 |
$1,695.85 |
$1,695.85 |
$4,468.55
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$1,810.90 |
$1,810.90 |
$1,810.90 |
$3,591.33
|
|
Tx tarsal bone fx without manip 28450
|
$620.10 |
$620.10 |
$620.10 |
$414.00
|
|
Ua w/micro/comp poc
|
$43.55 |
$43.55 |
$43.55 |
$25.72
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$30,924.56 |
$30,924.56 |
$30,924.56 |
$71.90
|
|
Ugt1a1 gene analy common variants
|
$696.15 |
$696.15 |
$696.15 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$308.10 |
$308.10 |
$308.10 |
$394.20
|
|
Ultrasound breast complete
|
$603.20 |
$603.20 |
$603.20 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$529.75 |
$529.75 |
$529.75 |
$427.00
|
|
Ultrasound chest
|
$506.35 |
$506.35 |
$506.35 |
$430.10
|
|
Ultrasound exam k transpl w/doppler
|
$648.70 |
$648.70 |
$648.70 |
$494.00
|
|
Ultrasound joint complete left
|
$731.90 |
$731.90 |
$731.90 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$637.00 |
$637.00 |
$637.00 |
$426.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$465.40 |
$465.40 |
$465.40 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$527.80 |
$527.80 |
$527.80 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$549.90 |
$549.90 |
$549.90 |
$469.58
|
|
Ultrasound scrotum and contents
|
$722.80 |
$722.80 |
$722.80 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$633.75 |
$633.75 |
$633.75 |
$523.20
|
|
Unlisted laparoscopic liver biopy 47379
|
$11,472.80 |
$11,472.80 |
$11,472.80 |
$6,307.38
|
|
Unlisted laps px ovidct ovry
|
$7,485.18 |
$7,485.18 |
$7,485.18 |
$4,713.11
|
|
Unlisted neurological dx px
|
$128.05 |
$128.05 |
$128.05 |
$176.93
|
|
Unlisted procedure microbiology
|
$164.45 |
$164.45 |
$164.45 |
$384.15
|
|
Unlisted px ant segment eye
|
$110.50 |
$110.50 |
$110.50 |
$2,561.65
|
|
Unlisted px arthroscopy
|
$8,651.39 |
$8,651.39 |
$8,651.39 |
$11,433.76
|
|
Unlisted px casting/strpg
|
$97.50 |
$97.50 |
$97.50 |
$223.45
|
|
Unlisted px hands/fingers
|
$349.70 |
$349.70 |
$349.70 |
$3,639.60
|
|
Unlisted px small intestine
|
$618.15 |
$618.15 |
$618.15 |
$2,493.00
|
|
Unlisted px tongue flr mouth
|
$386.75 |
$386.75 |
$386.75 |
$325.68
|
