|
T4 (thyroxine) free
|
$21.60 |
$21.60 |
$21.60 |
$88.44
|
|
T4 (thyroxine) total
|
$16.80 |
$16.80 |
$16.80 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$1.60 |
$1.60 |
$1.60 |
$62.32
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$15.20 |
$15.20 |
$15.20 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$33.60 |
$33.60 |
$33.60 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$133.80 |
$133.80 |
$133.80 |
$289.90
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$0.20 |
$0.20 |
$0.20 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,246.30
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.60 |
$3.60 |
$3.60 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$479.40 |
$479.40 |
$479.40 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$152.40 |
$152.40 |
$152.40 |
$180.80
|
|
Tc-99m exametazime diag
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$141.60 |
$141.60 |
$141.60 |
$306.00
|
|
Tc-99m maa
|
$46.20 |
$46.20 |
$46.20 |
$312.06
|
|
Tc-99m mebrofenin
|
$112.20 |
$112.20 |
$112.20 |
$157.65
|
|
Tc-99m medronate
|
$61.20 |
$61.20 |
$61.20 |
$111.01
|
|
Tc-99m mertiatide
|
$358.20 |
$358.20 |
$358.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$6.50
|
|
Tc-99m pentetate dtpa aerosol
|
$89.40 |
$89.40 |
$89.40 |
$191.50
|
|
Tc-99m sestamibi p study dose
|
$427.20 |
$427.20 |
$427.20 |
$287.20
|
|
Tc-99m sulfur colloid
|
$70.80 |
$70.80 |
$70.80 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$5,843.40 |
$5,843.40 |
$5,843.40 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$175.20 |
$175.20 |
$175.20 |
$185.28
|
|
T cells absolute cd 4 count
|
$66.00 |
$66.00 |
$66.00 |
$111.20
|
|
T cells total count
|
$133.80 |
$133.80 |
$133.80 |
$130.35
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$13,621.20 |
$13,621.20 |
$13,621.20 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,422.60 |
$1,422.60 |
$1,422.60 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$8.60 |
$8.60 |
$8.60 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$509.40 |
$509.40 |
$509.40 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$34.80 |
$34.80 |
$34.80 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$96.00 |
$96.00 |
$96.00 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$75.00 |
$75.00 |
$75.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.00 |
$27.00 |
$27.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.40 |
$20.40 |
$20.40 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$22.60 |
$22.60 |
$22.60 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$122.40 |
$122.40 |
$122.40 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$360.60 |
$360.60 |
$360.60 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$540.00 |
$540.00 |
$540.00 |
$1,684.80
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,197.00 |
$13,197.00 |
$13,197.00 |
$14,465.94
|
|
Thrombin time
|
$52.80 |
$52.80 |
$52.80 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$15.60 |
$15.60 |
$15.60 |
$61.52
|
|
Thyroglobulin antibody
|
$90.60 |
$90.60 |
$90.60 |
$82.73
|
|
Thyroid imaging
|
$420.00 |
$420.00 |
$420.00 |
$696.75
|
|
Thyroid (TSH) Test
|
$41.40 |
$41.40 |
$41.40 |
$112.67
|
|
Thyroid Ultrasound
|
$181.80 |
$181.80 |
$181.80 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$63.60 |
$63.60 |
$63.60 |
$64.51
|
|
Tigecycline injection
|
$9.60 |
$9.60 |
$9.60 |
$235.29
|
|
Tilt table study
|
$535.80 |
$535.80 |
$535.80 |
$1,561.82
|
|
Tissue culture skin/biopsy
|
$346.20 |
$346.20 |
$346.20 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$10.20 |
$10.20 |
$10.20 |
$47.40
|
|
Tissue transglutaminase iga
|
$26.40 |
$26.40 |
$26.40 |
$44.80
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$117.00 |
$117.00 |
$117.00 |
$80.10
|
|
Tobramycin comp unit
|
$820.00 |
$820.00 |
$820.00 |
$810.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$90.40 |
$90.40 |
$90.40 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$39.60 |
$39.60 |
$39.60 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,158.20 |
$5,158.20 |
$5,158.20 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$108.60 |
$108.60 |
$108.60 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$123.00 |
$123.00 |
$123.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$45.00 |
$45.00 |
$45.00 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$129.60 |
$129.60 |
$129.60 |
$316.84
|
|
Total tau
|
$31.80 |
$31.80 |
$31.80 |
$312.50
|
|
Toxoplasma antibody igg
|
$35.40 |
$35.40 |
$35.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$35.40 |
$35.40 |
$35.40 |
$88.00
|
|
Tpmt gene com vrnts
|
$450.00 |
$450.00 |
$450.00 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$103.20
|
|
Transferrin
|
$31.20 |
$31.20 |
$31.20 |
$82.00
|
|
Transparent film >16<=48 in
|
$4.20 |
$4.20 |
$4.20 |
$12.95
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$181.80 |
$181.80 |
$181.80 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$181.80 |
$181.80 |
$181.80 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$228.60 |
$228.60 |
$228.60 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$205.20 |
$205.20 |
$205.20 |
$5,846.40
|
|
Treat ankle dislocation
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$2,358.40
|
|
Treat elbow fracture
|
$730.20 |
$730.20 |
$730.20 |
$2,027.40
|
|
Treat eyelid by injection
|
$7,089.60 |
$7,089.60 |
$7,089.60 |
$481.44
|
|
Treat finger fracture each
|
$102.00 |
$102.00 |
$102.00 |
$1,592.00
|
|
Treat fracture of radius
|
$388.80 |
$388.80 |
$388.80 |
$1,821.60
|
|
Treat hip dislocation
|
$982.80 |
$982.80 |
$982.80 |
$2,211.05
|
|
Treat humerus fracture
|
$388.80 |
$388.80 |
$388.80 |
$1,790.00
|
|
Treat humerus fracture
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,790.00
|
|
Treat knuckle dislocation
|
$5,418.60 |
$5,418.60 |
$5,418.60 |
$4,332.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$218.40 |
$218.40 |
$218.40 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$80.40 |
$80.40 |
$80.40 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$102.00 |
$102.00 |
$102.00 |
$528.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$262.80 |
$262.80 |
$262.80 |
$73,346.25
|
|
Treponema pallidum antibody
|
$32.40 |
$32.40 |
$32.40 |
$72.05
|
|
Trg gene rearrangement anal
|
$991.80 |
$991.80 |
$991.80 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$12.20 |
$12.20 |
$12.20 |
$43.00
|
|
Trichinella antibody
|
$331.80 |
$331.80 |
$331.80 |
$70.65
|
|
Triglycerides
|
$13.80 |
$13.80 |
$13.80 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$93.60 |
$93.60 |
$93.60 |
$117.49
|
|
Trim nail(s)
|
$109.20 |
$109.20 |
$109.20 |
$78.40
|
|
Trim nondyst nails
|
$47.40 |
$47.40 |
$47.40 |
$114.48
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$686.40 |
$686.40 |
$686.40 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$4,350.00
|
