|
Tc-99m arcitumomab
|
$809.51 |
$809.51 |
$809.51 |
$2,085.68
|
|
Tc-99m bicisate
|
$683.80 |
$683.80 |
$683.80 |
$1,984.80
|
|
Tc-99m exame autol wbc diag per dose
|
$1,040.32 |
$1,040.32 |
$1,040.32 |
$2,486.31
|
|
Tc-99m exametazime diag
|
$802.34 |
$802.34 |
$802.34 |
$2,135.70
|
|
Tc-99m graphite crucible
|
$328.60 |
$328.60 |
$328.60 |
$742.50
|
|
Tc-99m non-heu per study dose
|
$10.00 |
$10.00 |
$10.00 |
$6.50
|
|
Tca peel dermal 15789
|
$678.13 |
$678.13 |
$678.13 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$117.81 |
$117.81 |
$117.81 |
$475.80
|
|
Tcd emboli detect without inj
|
$117.81 |
$117.81 |
$117.81 |
$475.28
|
|
T-cell depletion of harvest
|
$484.32 |
$484.32 |
$484.32 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$46.98 |
$46.98 |
$46.98 |
$185.28
|
|
T cells absolute cd 4 count
|
$26.78 |
$26.78 |
$26.78 |
$111.20
|
|
T cells total count
|
$37.73 |
$37.73 |
$37.73 |
$132.63
|
|
Tcranial magn stim tx deli
|
$344.98 |
$344.98 |
$344.98 |
$389.22
|
|
Tcranial magn stim tx plan
|
$344.98 |
$344.98 |
$344.98 |
$437.22
|
|
Tcran magn stim redetemine
|
$344.98 |
$344.98 |
$344.98 |
$457.60
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$217.09 |
$217.09 |
$217.09 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$875.24 |
$875.24 |
$875.24 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$875.24 |
$875.24 |
$875.24 |
$1,692.44
|
|
Telavancin injection
|
$7.47 |
$7.47 |
$7.47 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$405.54 |
$405.54 |
$405.54 |
$1,526.85
|
|
Telethx isodose plan simple
|
$405.54 |
$405.54 |
$405.54 |
$889.80
|
|
Temozolomide 100 mg intravenous solution
|
$10.39 |
$10.39 |
$10.39 |
$1,867.28
|
|
Temperature gradient studies
|
$173.33 |
$173.33 |
$173.33 |
$242.25
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$32.29 |
$32.29 |
$32.29 |
$3,723.60
|
|
Tendon lengthening
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,986.00
|
|
Tendon lngth upr a/e ea tdn
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Tendon shortening
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,786.00
|
|
Tendon transfer with graft
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$171.94 |
$171.94 |
$171.94 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$2,811.20
|
|
Tenolysis triceps
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$4,350.00
|
|
Tenoplasty elbow to sho 1
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,807.24
|
|
Tenosynovectomy radic 26145
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$2,211.05
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$2,211.05
|
|
Tert gene targeted seq alys
|
$185.20 |
$185.20 |
$185.20 |
$335.00
|
|
Test for chlorohydrocarbons
|
$6.01 |
$6.01 |
$6.01 |
$61.60
|
|
Test for porphobilinogen
|
$5.82 |
$5.82 |
$5.82 |
$29.25
|
|
Test for urine cystines
|
$9.55 |
$9.55 |
$9.55 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$445.16 |
$445.16 |
$445.16 |
$842.56
|
|
Testosterone response panel
|
$51.64 |
$51.64 |
$51.64 |
$129.60
|
|
Testosterone undecanoate 1mg
|
$1.99 |
$1.99 |
$1.99 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$65.80 |
$65.80 |
$65.80 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$344.98 |
$344.98 |
$344.98 |
$949.70
|
|
Test urine for lactose
|
$11.25 |
$11.25 |
$11.25 |
$23.20
|
|
Test urine for porphyrins
|
$13.36 |
$13.36 |
$13.36 |
$49.98
|
|
Test urine urobilinogen
|
$4.47 |
$4.47 |
$4.47 |
$9.75
|
|
Tetanus immune globulin inj
|
$577.05 |
$577.05 |
$577.05 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$18.30 |
$18.30 |
$18.30 |
$8,737.05
|
|
Tgfbi gene common variants
|
$137.00 |
$137.00 |
$137.00 |
$150.70
|
|
Tgsap hl neo 5-50 rna alys
|
$759.53 |
$759.53 |
$759.53 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$2,919.60 |
$2,919.60 |
$2,919.60 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$597.91 |
$597.91 |
$597.91 |
$1,009.32
|
|
Thaw cryoprsvrd reprod tiss
|
$189.84 |
$189.84 |
$189.84 |
$234.27
|
|
Thawing cryopresrved embryo
|
$189.84 |
$189.84 |
$189.84 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$189.84 |
$189.84 |
$189.84 |
$402.80
|
|
Thawing cryopresrved sperm
|
$59.19 |
$59.19 |
$59.19 |
$117.61
|
|
Thaw preserved stem cells
|
$484.32 |
$484.32 |
$484.32 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$14.14 |
$14.14 |
$14.14 |
$108.00
|
|
Therapeutic procd strg endur
|
$27.13 |
$27.13 |
$27.13 |
$85.68
|
|
Therapeutic pulpotomy
|
$1,841.89 |
$1,841.89 |
$1,841.89 |
$744.80
|
|
Therapy activation ipnss
|
$101.69 |
$101.69 |
$101.69 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$44.62 |
$44.62 |
$44.62 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$37.06 |
$37.06 |
$37.06 |
$98.15
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$40.94 |
$40.94 |
$40.94 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.61 |
$34.61 |
$34.61 |
$50.00
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$220.12 |
$220.12 |
$220.12 |
$314.50
|
|
Ther fx nasal inf turbinate
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,837.72
|
|
Ther nma rdctj intus/obstrcj
|
$197.21 |
$197.21 |
$197.21 |
$534.32
|
|
Ther/proph/diag inj ia
|
$233.41 |
$233.41 |
$233.41 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$97.54 |
$97.54 |
$97.54 |
$311.15
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$684.92 |
$684.92 |
$684.92 |
$1,748.50
|
|
Thoracoscopy diagnostic 32601
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$6,442.80
|
|
Thoracoscopy w/bx med space
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$6,463.42
|
|
Thoracoscopy wbx sac
|
$11,533.76 |
$11,533.76 |
$11,533.76 |
$7,586.80
|
|
Thorcscpy w/biop pleura
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$11,533.76 |
$11,533.76 |
$11,533.76 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$11,533.76 |
$11,533.76 |
$11,533.76 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$445.16 |
$445.16 |
$445.16 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$97.54 |
$97.54 |
$97.54 |
$259.60
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,563.31 |
$12,563.31 |
$12,563.31 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$19,892.81 |
$19,892.81 |
$19,892.81 |
$21,413.60
|
|
Thrombin time
|
$5.77 |
$5.77 |
$5.77 |
$53.76
|
|
Thrombin time titer
|
$6.85 |
$6.85 |
$6.85 |
$17.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$5,994.11
|
|
Thrombomodulin
|
$17.27 |
$17.27 |
$17.27 |
$23.83
|
|
Thromboplastin inhibition
|
$9.63 |
$9.63 |
$9.63 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$6.47 |
$6.47 |
$6.47 |
$61.52
|
|
Thromboxane urine
|
$35.11 |
$35.11 |
$35.11 |
$119.40
|
|
Thumb fusion with graft
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,907.11
|
|
Thumb fusion with graft
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,807.24
|
|
Thumb tendon transfer
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Thymectomy prtl/tot transcervical appr 60520
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,465.11
|
|
Thyroglobulin antibody
|
$15.91 |
$15.91 |
$15.91 |
$83.25
|
|
Thyroid imaging
|
$445.16 |
$445.16 |
$445.16 |
$695.02
|
|
Thyroid met imaging
|
$445.16 |
$445.16 |
$445.16 |
$838.25
|
|
Thyroid met imaging/studies
|
$445.16 |
$445.16 |
$445.16 |
$767.93
|
