|
Ther nma rdctj intus/obstrcj
|
$523.14 |
$523.14 |
$523.14 |
|
|
Ther/proph/diag inj ia
|
$65.99 |
$76.06 |
$106.11 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.48 |
$12.72 |
$16.02 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$197.78 |
$985.85 |
$1,375.38 |
|
|
Thiotepa injection
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$488.05 |
$1,406.10 |
$1,961.68 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,340.82 |
$1,400.36 |
$1,550.64 |
|
|
Throat x-ray & fluoroscopy
|
$137.56 |
$137.56 |
$191.91 |
|
|
Thrombectmy crnry perq mechanical
|
$1,714.21 |
$1,714.21 |
$1,898.18 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,138.76 |
$3,138.76 |
$3,475.60 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,405.43 |
$6,405.43 |
$7,092.85 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$9,736.27 |
$9,736.27 |
$10,781.14 |
|
|
Thrombin time
|
$26.99 |
$40.59 |
$56.63 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$9.23 |
$10.22 |
$49.65 |
|
|
Thromboxane urine
|
$26.65 |
$29.51 |
$37.18 |
|
|
Th/wght bear quad-lat brim m
|
$1,158.25 |
$1,282.55 |
$1,615.90 |
|
|
Thyroglobulin antibody
|
$12.30 |
$13.62 |
$55.30 |
|
|
Thyroid imaging
|
$420.66 |
$420.66 |
$614.59 |
|
|
Thyroid mets imag whole body
|
$878.63 |
$878.63 |
$972.93 |
|
|
Thyroid (TSH) Test
|
$53.50 |
$257.07 |
$358.65 |
|
|
Thyroid Ultrasound
|
$582.13 |
$679.17 |
$947.52 |
|
|
Thyroid uptake measurement
|
$265.68 |
$265.68 |
$265.68 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Thyroxine binding globulin (tbg)
|
$10.25 |
$11.35 |
$21.69 |
|
|
Tib/per revasc stent & ather 37231
|
$9,083.35 |
$9,083.35 |
$10,058.15 |
|
|
Tib/per revasc stnt & ather
|
$4,541.78 |
$4,541.78 |
$4,541.78 |
|
|
Tib/per revasc w/ather add-on 37233
|
$3,883.52 |
$3,883.52 |
$4,300.29 |
|
|
Tigecycline injection
|
$107.63 |
$119.18 |
$138.43 |
|
|
Tilt table study
|
$813.85 |
$813.85 |
$901.19 |
|
|
Tissue amnio epifix inj 100mg
|
$2,981.93 |
$2,981.93 |
$3,301.95 |
|
|
Tissue culture placenta
|
$97.42 |
$184.50 |
$257.40 |
|
|
Tissue culture skin/biopsy
|
$91.37 |
$172.20 |
$240.24 |
|
|
Tissue exam koh skin/hair/nails
|
$21.12 |
$23.39 |
$114.17 |
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,877.17 |
$3,877.17 |
$4,293.26 |
|
|
Tissue transglutaminase iga
|
$13.53 |
$14.99 |
$33.98 |
|
|
Tl-201 thallium diag per mci
|
$31.57 |
$34.96 |
$44.05 |
|
|
Tlso 2 shl symphys-stern cst
|
$1,042.63 |
$1,154.53 |
$1,454.60 |
|
|
Tlso rigid lined custom fab
|
$1,356.08 |
$1,501.61 |
$1,891.89 |
|
|
Tlso rigid lined pre one pie
|
$1,158.25 |
$1,282.55 |
$1,615.90 |
|
|
Tlso rigid plastic custom fa
|
$1,042.63 |
$1,154.53 |
$1,454.60 |
|
|
Tlso trnk sj-t9 pre cst
|
$471.91 |
$522.56 |
$658.38 |
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$7.44 |
$294.59 |
$326.20 |
|
|
Tobramycin peak therapeutic drug level
|
$23.62 |
$37.72 |
$52.63 |
|
|
Tocilizumab for covid-19
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Toe X-ray (both feet)
|
$131.32 |
$277.98 |
$387.82 |
|
|
Tomosynthesis breast diagnostic left
|
$36.37 |
$36.37 |
$36.37 |
|
|
Tomosynthesis breast screen bilateral
|
$37.93 |
$37.93 |
$37.93 |
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$329.85 |
$329.85 |
$365.25 |
|
|
Torsion straight knee joint
|
$163.80 |
$181.38 |
$228.52 |
|
|
Total tau
|
$217.38 |
$307.50 |
$429.00 |
|
|
Toxoplasma antibody igg
|
$32.39 |
$35.87 |
$45.19 |
|
|
Toxoplasma antibody igm
|
$34.56 |
$39.16 |
$54.63 |
|
|
Tp53 gene full gene sequence
|
$115.62 |
$128.03 |
$161.31 |
|
|
Tp53 gene trgt sequence alys
|
$615.00 |
$681.00 |
$858.00 |
|
|
Tpmt gene com vrnts
|
$107.63 |
$119.18 |
$255.15 |
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$36.78 |
$36.78 |
$86.32 |
|
|
Transabdom amnioinfus w/us
|
$256.97 |
$256.97 |
$256.97 |
|
|
Transcath biopsy
|
$1,621.55 |
$1,621.55 |
$1,795.57 |
|
|
Transcath closure of asd
|
$12,204.68 |
$12,204.68 |
$13,514.45 |
|
|
Transcath closure of vsd
|
$7,302.92 |
$7,302.92 |
$7,302.92 |
|
|
Transcatheter bx s&i
|
$585.07 |
$585.07 |
$647.86 |
|
|
Transcath mv repair addl prosthesis
|
$8,752.07 |
$8,752.07 |
$8,752.07 |
|
|
Transcath mv repair init prosthesis
|
$8,335.30 |
$8,335.30 |
$9,229.82 |
|
|
Transcath occlusion cns
|
$3,541.38 |
$3,541.38 |
$3,921.43 |
|
|
Transcath occlusion non-cns
|
$4,817.50 |
$4,817.50 |
$5,334.50 |
|
|
Transferrin
|
$18.80 |
$20.50 |
$28.60 |
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$437.47 |
$484.42 |
$610.33 |
|
|
Transvaginal Pregnancy Ultrasound
|
$490.00 |
$777.98 |
$1,085.37 |
|
|
Trastuzumab 150 mg intravenous solution
|
$920.45 |
$920.45 |
$920.45 |
|
|
Tray bonemarrw oncontrol 102mm
|
$614.59 |
$614.59 |
$680.55 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$157.24 |
$174.11 |
$219.37 |
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$68.27 |
$75.60 |
$95.24 |
|
|
Treponema pallidum antibody
|
$33.62 |
$37.23 |
$46.91 |
|
|
Treprostinil injection
|
$1,371.08 |
$1,371.08 |
$1,371.08 |
|
|
Trg gene rearrangement anal
|
$294.03 |
$314.88 |
$439.30 |
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$12.30 |
$12.30 |
$13.62 |
|
|
Trichinella antibody
|
$39.74 |
$41.41 |
$57.78 |
|
|
#tricyclicantidprssnt
|
$41.93 |
$41.93 |
$41.93 |
|
|
Triglycerides
|
$26.03 |
$136.53 |
$190.48 |
|
|
Trimethobenzamide hcl inj
|
$28.29 |
$31.33 |
$39.47 |
|
|
Trim nondyst nails
|
$39.36 |
$39.36 |
$39.36 |
|
|
Trnscath plc stent crv crtd without prtct
|
$1,064.77 |
$1,064.77 |
$1,179.04 |
|
|
Trnscath plc stent crv crtd w/prtct
|
$2,087.93 |
$2,087.93 |
$2,312.00 |
|
|
Trnscath plc stnt ante carotid art
|
$501.23 |
$501.23 |
$501.23 |
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,844.99 |
$2,844.99 |
$3,150.31 |
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,386.41 |
$2,386.41 |
$2,642.51 |
|
|
Trnscath plc vas stent w/s&i ini vein
|
$4,971.46 |
$4,971.46 |
$5,504.98 |
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,688.59 |
$1,688.59 |
$1,688.59 |
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,272.02 |
$2,272.02 |
$2,515.85 |
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,411.22 |
$1,411.22 |
$1,562.67 |
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$776.13 |
$776.13 |
$859.43 |
|
|
Trnscath tx thromblytc vein ini day
|
$1,975.79 |
$1,975.79 |
$2,187.83 |
|
|
Troponin quantitative
|
$66.52 |
$241.08 |
$336.34 |
|
|
Tx atrial fib pulm vein isol
|
$20,418.82 |
$20,418.82 |
$22,610.11 |
|
|
Tx l/r atrial fib addl
|
$7,555.07 |
$7,555.07 |
$8,365.86 |
|
|
Ugt1a1 gene analy common variants
|
$341.17 |
$341.17 |
$341.17 |
|
|
Ultrasound breast complete
|
$194.75 |
$215.65 |
$663.80 |
|
|
Ultrasound breast unilateral limited (both sides)
|
$194.75 |
$215.65 |
$544.44 |
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$282.69 |
$282.69 |
$282.69 |
|
|
Ultrasound encephalogram
|
$217.92 |
$241.31 |
$429.97 |
|
