|
System cardiomems hosp electronics
|
$21,500.00 |
$21,500.00 |
$21,500.00 |
$38,234.70
|
|
System pacing micra av
|
$12,650.00 |
$12,650.00 |
$12,650.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,910.00 |
$4,910.00 |
$4,910.00 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$6,875.00 |
$6,875.00 |
$6,875.00 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$431.00 |
$431.00 |
$431.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$494.40 |
$494.40 |
$494.40 |
$93.52
|
|
T4 (thyroxine) free
|
$387.20 |
$387.20 |
$387.20 |
$88.44
|
|
T4 (thyroxine) total
|
$190.55 |
$190.55 |
$190.55 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$32.58 |
$32.58 |
$32.58 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.34 |
$9.34 |
$9.34 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$617.25 |
$617.25 |
$617.25 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,107.06 |
$5,107.06 |
$5,107.06 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$607.60 |
$607.60 |
$607.60 |
$289.90
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$15,169.70 |
$15,169.70 |
$15,169.70 |
$21,745.13
|
|
Tap block uni by cont infusion 64487
|
$1,626.10 |
$1,626.10 |
$1,626.10 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$6,125.50 |
$6,125.50 |
$6,125.50 |
$2,246.30
|
|
Target gsa panel organ neop
|
$4,768.95 |
$4,768.95 |
$4,768.95 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$19,167.08 |
$19,167.08 |
$19,167.08 |
$24,217.20
|
|
Tas congenital car anomal
|
$35,777.80 |
$35,777.80 |
$35,777.80 |
$6,003.27
|
|
Tavr perq femoral
|
$24,457.95 |
$24,457.95 |
$24,457.95 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$4,856.60 |
$4,856.60 |
$4,856.60 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$552.80 |
$552.80 |
$552.80 |
$180.80
|
|
Tc-99m bicisate
|
$3,957.40 |
$3,957.40 |
$3,957.40 |
$2,070.00
|
|
Tc-99m disofenin
|
$129.15 |
$129.15 |
$129.15 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$4,307.70 |
$4,307.70 |
$4,307.70 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$315.35 |
$315.35 |
$315.35 |
$306.00
|
|
Tc-99m maa
|
$358.85 |
$358.85 |
$358.85 |
$312.06
|
|
Tc-99m mebrofenin
|
$315.35 |
$315.35 |
$315.35 |
$157.65
|
|
Tc-99m medronate
|
$315.35 |
$315.35 |
$315.35 |
$111.01
|
|
Tc-99m mertiatide
|
$945.90 |
$945.90 |
$945.90 |
$756.00
|
|
Tc-99m oxidronate
|
$395.85 |
$395.85 |
$395.85 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$1,453.35 |
$1,453.35 |
$1,453.35 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$315.35 |
$315.35 |
$315.35 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$102.10 |
$102.10 |
$102.10 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$395.85 |
$395.85 |
$395.85 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$131.05 |
$131.05 |
$131.05 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,350.05 |
$1,350.05 |
$1,350.05 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$449.95 |
$449.95 |
$449.95 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$304.90 |
$304.90 |
$304.90 |
$193.28
|
|
T cells absolute cd4/cd8 including ratio
|
$216.05 |
$216.05 |
$216.05 |
$185.28
|
|
T cells total count
|
$180.00 |
$180.00 |
$180.00 |
$130.35
|
|
Team conf without pat by phys
|
$405.05 |
$405.05 |
$405.05 |
$139.10
|
|
Team conf w/pat by hc prof
|
$61.65 |
$61.65 |
$61.65 |
$104.59
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$24,813.33 |
$24,813.33 |
$24,813.33 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$3,333.05 |
$3,333.05 |
$3,333.05 |
$2,101.65
|
|
Telehealth original site facility fee
|
$117.75 |
$117.75 |
$117.75 |
$51.00
|
|
Telethx isodose plan cplx
|
$5,019.90 |
$5,019.90 |
$5,019.90 |
$1,526.85
|
|
Telethx isodose plan simple
|
$2,241.70 |
$2,241.70 |
$2,241.70 |
$877.09
|
|
Temozolomide
|
$244.33 |
$244.33 |
$244.33 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$4,701.50 |
$4,701.50 |
$4,701.50 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,862.28 |
$9,862.28 |
$9,862.28 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$23,594.09 |
$23,594.09 |
$23,594.09 |
$14,951.87
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$672.00 |
$672.00 |
$672.00 |
$3,545.97
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$156.60 |
$156.60 |
$156.60 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$879.80 |
$879.80 |
$879.80 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,746.30 |
$1,746.30 |
$1,746.30 |
$953.40
|
|
Tetanus immune globulin inj
|
$4,336.02 |
$4,336.02 |
$4,336.02 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$31,356.05 |
$31,356.05 |
$31,356.05 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$269.15 |
$269.15 |
$269.15 |
$108.00
|
|
Therapeutic procd strg endur
|
$119.60 |
$119.60 |
$119.60 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$194.35 |
$194.35 |
$194.35 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$171.25 |
$171.25 |
$171.25 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$80.30 |
$80.30 |
$80.30 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$73.50 |
$73.50 |
$73.50 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,215.05 |
$1,215.05 |
$1,215.05 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.73 |
$21.73 |
$21.73 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$304.90 |
$304.90 |
$304.90 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,186.25 |
$2,186.25 |
$2,186.25 |
$1,733.65
|
|
Thoracotomy w/expl
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,175.75 |
$2,175.75 |
$2,175.75 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$3,137.35 |
$3,137.35 |
$3,137.35 |
$1,684.80
|
|
Throat x-ray & fluoroscopy
|
$698.80 |
$698.80 |
$698.80 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,415.45 |
$3,415.45 |
$3,415.45 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$22,541.25 |
$22,541.25 |
$22,541.25 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$45,558.65 |
$45,558.65 |
$45,558.65 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$69,053.85 |
$69,053.85 |
$69,053.85 |
$21,413.60
|
|
Thrombin time
|
$103.80 |
$103.80 |
$103.80 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$258.00 |
$258.00 |
$258.00 |
$61.52
|
|
Thyroglobulin antibody
|
$261.70 |
$261.70 |
$261.70 |
$82.73
|
|
Thyroid imaging
|
$1,417.90 |
$1,417.90 |
$1,417.90 |
$696.75
|
|
Thyroid met imaging
|
$1,544.45 |
$1,544.45 |
$1,544.45 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,485.95 |
$1,485.95 |
$1,485.95 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$300.70 |
$300.70 |
$300.70 |
$112.67
|
|
Thyroid Ultrasound
|
$822.90 |
$822.90 |
$822.90 |
$588.50
|
|
Thyroid uptake measurement
|
$678.35 |
$678.35 |
$678.35 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,256.45 |
$7,256.45 |
$7,256.45 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$428.45 |
$428.45 |
$428.45 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$82,998.40 |
$82,998.40 |
$82,998.40 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$27,007.65 |
$27,007.65 |
$27,007.65 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$47,284.90 |
$47,284.90 |
$47,284.90 |
$10,165.00
|
|
Tigecycline injection
|
$1,017.94 |
$1,017.94 |
$1,017.94 |
$235.29
|
|
Tilt table study
|
$2,251.40 |
$2,251.40 |
$2,251.40 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$2,432.88 |
$2,432.88 |
$2,432.88 |
$458.85
|
|
Tis cgen car anomal 1st shnt
|
$17,052.90 |
$17,052.90 |
$17,052.90 |
$8,068.54
|
|
Tissue culture placenta
|
$329.00 |
$329.00 |
$329.00 |
$440.50
|
|
Tissue culture skin/biopsy
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$484.00
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$124.45 |
$124.45 |
$124.45 |
$44.80
|
|
Tlso 2 shl symphys-stern cst
|
$2,918.25 |
$2,918.25 |
$2,918.25 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$4,027.30 |
$4,027.30 |
$4,027.30 |
$2,117.57
|