|
Target gsa panel organ neop
|
$2,941.00 |
$2,941.00 |
$2,941.00 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$5,250.00 |
$5,250.00 |
$5,250.00 |
$27,030.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,128.54 |
$1,128.54 |
$1,128.54 |
$959.55
|
|
Tbs techl calculation only
|
$302.00 |
$302.00 |
$302.00 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$41.00 |
$41.00 |
$41.00 |
$166.46
|
|
Tc-99m bicisate
|
$15,281.00 |
$15,281.00 |
$15,281.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$6,225.80 |
$6,225.80 |
$6,225.80 |
$2,393.40
|
|
Tc-99m gluceptate
|
$157.50 |
$157.50 |
$157.50 |
$1,105.40
|
|
Tc-99m graphite crucible
|
$1,150.10 |
$1,150.10 |
$1,150.10 |
$328.60
|
|
Tc-99m labeled rbc
|
$1,837.50 |
$1,837.50 |
$1,837.50 |
$323.01
|
|
Tc-99m maa
|
$449.96 |
$449.96 |
$449.96 |
$312.06
|
|
Tc-99m mebrofenin
|
$160.58 |
$160.58 |
$160.58 |
$169.53
|
|
Tc-99m medronate
|
$122.61 |
$122.61 |
$122.61 |
$122.46
|
|
Tc-99m mertiatide
|
$0.35 |
$0.35 |
$0.35 |
$757.25
|
|
Tc-99m oxidronate
|
$262.50 |
$262.50 |
$262.50 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$367.50 |
$367.50 |
$367.50 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$457.31 |
$457.31 |
$457.31 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$0.35 |
$0.35 |
$0.35 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$457.31 |
$457.31 |
$457.31 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$0.04 |
$0.04 |
$0.04 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$651.00 |
$651.00 |
$651.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$109.90 |
$109.90 |
$109.90 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$0.04 |
$0.04 |
$0.04 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$2,438.70 |
$2,438.70 |
$2,438.70 |
$930.54
|
|
Tcd emboli detect w/inj
|
$616.00 |
$616.00 |
$616.00 |
$404.68
|
|
Tcd emboli detect without inj
|
$576.00 |
$576.00 |
$576.00 |
$397.15
|
|
T-cell depletion of harvest
|
$32,589.00 |
$32,589.00 |
$32,589.00 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$331.00 |
$331.00 |
$331.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$146.00 |
$146.00 |
$146.00 |
$120.25
|
|
T cells total count
|
$270.00 |
$270.00 |
$270.00 |
$124.11
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$141,820.00 |
$141,820.00 |
$141,820.00 |
$40,985.00
|
|
Telavancin injection
|
$1,676.91 |
$1,676.91 |
$1,676.91 |
$1,216.45
|
|
Telehealth original site facility fee
|
$579.00 |
$579.00 |
$579.00 |
$60.80
|
|
Telethx isodose plan cplx
|
$5,135.00 |
$5,135.00 |
$5,135.00 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$848.72
|
|
Temozolomide
|
$293.60 |
$293.60 |
$293.60 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$3,423.11 |
$3,423.11 |
$3,423.11 |
$3,129.70
|
|
Temperature gradient studies
|
$329.00 |
$329.00 |
$329.00 |
$173.33
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$93.96 |
$93.96 |
$93.96 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$25,615.84 |
$25,615.84 |
$25,615.84 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$11.78 |
$11.78 |
$11.78 |
$46.10
|
|
Tert gene targeted seq alys
|
$907.00 |
$907.00 |
$907.00 |
$304.59
|
|
Testicular imaging w/vasc flow
|
$2,674.00 |
$2,674.00 |
$2,674.00 |
$780.48
|
|
Testosterone undecanoate 1mg
|
$2,306.05 |
$2,306.05 |
$2,306.05 |
$1.99
|
|
Test stress cardiovascular tracing only
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,834.91 |
$1,834.91 |
$1,834.91 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$7,623.93 |
$7,623.93 |
$7,623.93 |
$9,460.16
|
|
Tgsap so neo 5-50 rna alys
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$816.27
|
|
Thaw preserved stem cells
|
$697.00 |
$697.00 |
$697.00 |
$900.90
|
|
Theophylline therapeutic drug level
|
$131.00 |
$131.00 |
$131.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$318.00 |
$318.00 |
$318.00 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$194.00 |
$194.00 |
$194.00 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$164.00 |
$164.00 |
$164.00 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$6.71 |
$6.71 |
$6.71 |
$35.72
|
|
Thiotepa injection
|
$641.62 |
$641.62 |
$641.62 |
$1,255.50
|
|
Thoracotomy with cardiac massage
|
$5,657.00 |
$5,657.00 |
$5,657.00 |
$2,926.56
|
|
Thrombin time
|
$118.00 |
$118.00 |
$118.00 |
$48.75
|
|
Thromboplastin inhibition
|
$285.00 |
$285.00 |
$285.00 |
$52.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$307.00 |
$307.00 |
$307.00 |
$56.93
|
|
Thyroglobulin antibody
|
$264.00 |
$264.00 |
$264.00 |
$84.00
|
|
Thyroid mets imag whole body
|
$5,086.00 |
$5,086.00 |
$5,086.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$160.00 |
$160.00 |
$160.00 |
$120.00
|
|
Thyroid Ultrasound
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$589.96
|
|
Thyroid uptake measurement
|
$1,946.00 |
$1,946.00 |
$1,946.00 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,920.34 |
$6,920.34 |
$6,920.34 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$18.00 |
$18.00 |
$18.00 |
$63.60
|
|
Tic-brn enceph vac 0.5ml im
|
$2,026.01 |
$2,026.01 |
$2,026.01 |
$197.60
|
|
Tigecycline injection
|
$171.48 |
$171.48 |
$171.48 |
$277.31
|
|
Tirofiban 12.5 mg/50 ml
|
$9.12 |
$9.12 |
$9.12 |
$384.17
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$24,930.50 |
$24,930.50 |
$24,930.50 |
$14,271.00
|
|
Tissue culture placenta
|
$712.00 |
$712.00 |
$712.00 |
$520.91
|
|
Tissue culture skin/biopsy
|
$396.00 |
$396.00 |
$396.00 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$156.00 |
$156.00 |
$156.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$16.00 |
$16.00 |
$16.00 |
$48.57
|
|
Tixagev and cilgav inj
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$309.60
|
|
Tl-201 thallium diag per mci
|
$8,055.78 |
$8,055.78 |
$8,055.78 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$210.53 |
$210.53 |
$210.53 |
$141.75
|
|
Tobramycin non-comp unit
|
$27.66 |
$27.66 |
$27.66 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$169.00 |
$169.00 |
$169.00 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$464.77 |
$464.77 |
$464.77 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$321.00 |
$321.00 |
$321.00 |
$73.45
|
|
Tongue biopsy; posterior one-third 41105
|
$10,262.00 |
$10,262.00 |
$10,262.00 |
$3,589.62
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$124.95 |
$124.95 |
$124.95 |
$404.20
|
|
Topotecan oral
|
$1,656.75 |
$1,656.75 |
$1,656.75 |
$172.62
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$5,290.76 |
$5,290.76 |
$5,290.76 |
$18,599.40
|
|
Toxoplasma antibody igg
|
$269.00 |
$269.00 |
$269.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$53.00 |
$53.00 |
$53.00 |
$83.20
|
|
Tpmt gene com vrnts
|
$137.00 |
$137.00 |
$137.00 |
$381.55
|
|
Trabectedin 1 mg intravenous solution
|
$12,067.93 |
$12,067.93 |
$12,067.93 |
$7,403.70
|
|
Trabeculoplasty laser surg
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$1,224.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
$1,459.48
|
|
Transcatheter bx s&i
|
$355.00 |
$355.00 |
$355.00 |
$1,875.96
|
|
Transferrin
|
$106.00 |
$106.00 |
$106.00 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$5,770.00 |
$5,770.00 |
$5,770.00 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$36.36 |
$36.36 |
$36.36 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,695.88 |
$11,695.88 |
$11,695.88 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$8,563.35 |
$8,563.35 |
$8,563.35 |
$4,500.03
|
|
Trauma partial team response w/critical care services level 4
|
$10,791.00 |
$10,791.00 |
$10,791.00 |
$5,104.55
|
|
Treat clavicle dislocation 23545
|
$734.00 |
$734.00 |
$734.00 |
$734.00
|
|
Treat elbow fracture
|
$573.00 |
$573.00 |
$573.00 |
$2,125.60
|
