|
Tc-99m mebrofenin
|
$169.53 |
$169.53 |
$169.53 |
$157.65
|
|
Tc-99m medronate
|
$39.53 |
$39.53 |
$39.53 |
$111.01
|
|
Tc-99m mertiatide
|
$2,324.20 |
$2,324.20 |
$2,324.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$5.00 |
$6.50
|
|
Tc-99m oxidronate
|
$132.05 |
$132.05 |
$132.05 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$93.98 |
$93.98 |
$93.98 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$3.90 |
$3.90 |
$3.90 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$192.15 |
$192.15 |
$192.15 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$354.38 |
$354.38 |
$354.38 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,798.28 |
$1,798.28 |
$1,798.28 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$375.73 |
$375.73 |
$375.73 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$292.43 |
$292.43 |
$292.43 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$8,254.13 |
$8,254.13 |
$8,254.13 |
$985.60
|
|
T-cell depletion of harvest
|
$16,581.25 |
$16,581.25 |
$16,581.25 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$172.38 |
$172.38 |
$172.38 |
$185.28
|
|
T cells total count
|
$119.25 |
$119.25 |
$119.25 |
$130.35
|
|
Tcranial magn stim tx deli
|
$310.43 |
$310.43 |
$310.43 |
$389.22
|
|
Tcranial magn stim tx plan
|
$331.75 |
$331.75 |
$331.75 |
$437.22
|
|
Tcran magn stim redetemine
|
$559.33 |
$559.33 |
$559.33 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$9,039.80 |
$9,039.80 |
$9,039.80 |
$6,120.00
|
|
Team conf w/pat by hc prof
|
$102.48 |
$102.48 |
$102.48 |
$104.59
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$40,985.00 |
$40,985.00 |
$40,985.00 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$2,101.65 |
$2,101.65 |
$2,101.65 |
$2,101.65
|
|
Telavancin injection
|
$1,226.70 |
$1,226.70 |
$1,226.70 |
$1,191.80
|
|
Telehealth original site facility fee
|
$51.85 |
$51.85 |
$51.85 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,350.43 |
$2,350.43 |
$2,350.43 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,029.25 |
$1,029.25 |
$1,029.25 |
$877.09
|
|
Temozolomide
|
$16,596.88 |
$16,596.88 |
$16,596.88 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$1,867.28 |
$1,867.28 |
$1,867.28 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,723.60 |
$3,723.60 |
$3,723.60 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,109.20 |
$16,109.20 |
$16,109.20 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$13.88 |
$13.88 |
$13.88 |
$39.33
|
|
Teriparatide injection
|
$7,403.20 |
$7,403.20 |
$7,403.20 |
$7,403.20
|
|
Test for urine cystines
|
$26.00 |
$26.00 |
$26.00 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$1,424.53 |
$1,424.53 |
$1,424.53 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,737.05 |
$8,737.05 |
$8,737.05 |
$8,737.05
|
|
Tgsap hl neo 5-50 rna alys
|
$1,653.25 |
$1,653.25 |
$1,653.25 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$6,354.93 |
$6,354.93 |
$6,354.93 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$1,301.43 |
$1,301.43 |
$1,301.43 |
$1,019.60
|
|
Thaw cryoprsvrd reprod tiss
|
$72.08 |
$72.08 |
$72.08 |
$234.27
|
|
Thawing cryopresrved embryo
|
$76.38 |
$76.38 |
$76.38 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$72.08 |
$72.08 |
$72.08 |
$402.80
|
|
Thawing cryopresrved sperm
|
$82.50 |
$82.50 |
$82.50 |
$117.61
|
|
Thaw preserved stem cells
|
$2,588.88 |
$2,588.88 |
$2,588.88 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$91.70 |
$91.70 |
$91.70 |
$108.00
|
|
Therapeutic procd strg endur
|
$74.13 |
$74.13 |
$74.13 |
$85.68
|
|
Therapy activation ipnss
|
$761.83 |
$761.83 |
$761.83 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$101.38 |
$101.38 |
$101.38 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$95.65 |
$95.65 |
$95.65 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$44.40 |
$44.40 |
$44.40 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$35.55 |
$35.55 |
$35.55 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$693.30 |
$693.30 |
$693.30 |
$538.88
|
|
Ther/proph/diag inj ia
|
$140.15 |
$140.15 |
$140.15 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$19.73 |
$19.73 |
$19.73 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$207.70 |
$207.70 |
$207.70 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,556.53 |
$2,556.53 |
$2,556.53 |
$1,733.65
|
|
Thoracotomy w/expl
|
$509.93 |
$509.93 |
$509.93 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,393.93 |
$1,393.93 |
$1,393.93 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$5,182.25 |
$5,182.25 |
$5,182.25 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,434.08 |
$4,434.08 |
$4,434.08 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,773.20 |
$8,773.20 |
$8,773.20 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,731.75 |
$25,731.75 |
$25,731.75 |
$21,413.60
|
|
Thrombin time
|
$74.70 |
$74.70 |
$74.70 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$11,435.33 |
$11,435.33 |
$11,435.33 |
$3,987.20
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$9,039.80 |
$9,039.80 |
$9,039.80 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$2,741.50 |
$2,741.50 |
$2,741.50 |
$5,472.00
|
|
Thromboplastin inhibition
|
$36.95 |
$36.95 |
$36.95 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$56.93 |
$56.93 |
$56.93 |
$61.52
|
|
Thyroglobulin antibody
|
$92.75 |
$92.75 |
$92.75 |
$82.73
|
|
Thyroid imaging
|
$478.75 |
$478.75 |
$478.75 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,294.15 |
$1,294.15 |
$1,294.15 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$186.98 |
$186.98 |
$186.98 |
$112.67
|
|
Thyroid Ultrasound
|
$544.80 |
$544.80 |
$544.80 |
$588.50
|
|
Thyroid uptake measurement
|
$671.33 |
$671.33 |
$671.33 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,044.25 |
$4,044.25 |
$4,044.25 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$126.43 |
$126.43 |
$126.43 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$20,812.90 |
$20,812.90 |
$20,812.90 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$14,729.18 |
$14,729.18 |
$14,729.18 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,098.30 |
$5,098.30 |
$5,098.30 |
$10,165.00
|
|
Tigecycline injection
|
$373.08 |
$373.08 |
$373.08 |
$235.29
|
|
Tilt table study
|
$3,063.13 |
$3,063.13 |
$3,063.13 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$563.13 |
$563.13 |
$563.13 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,780,600.03 |
$1,780,600.03 |
$1,780,600.03 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$31,879.33 |
$31,879.33 |
$31,879.33 |
$8,068.54
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$14,271.00 |
$14,271.00 |
$14,271.00 |
$13,339.20
|
|
Tissue culture placenta
|
$668.98 |
$668.98 |
$668.98 |
$440.50
|
|
Tissue culture skin/biopsy
|
$718.73 |
$718.73 |
$718.73 |
$484.00
|
|
Tissue culture tumor
|
$736.50 |
$736.50 |
$736.50 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$48.95 |
$48.95 |
$48.95 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$537.50 |
$537.50 |
$537.50 |
$537.50
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$81.00 |
$81.00 |
$81.00 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$116.60 |
$116.60 |
$116.60 |
$44.80
|
|
Tixagev and cilgav inj
|
$603.65 |
$603.65 |
$603.65 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$30.33 |
$30.33 |
$30.33 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$205.50 |
$205.50 |
$205.50 |
$152.36
|
|
Tobramycin non-comp unit
|
$304.43 |
$304.43 |
$304.43 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$140.48 |
$140.48 |
$140.48 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,324.15 |
$5,324.15 |
$5,324.15 |
$5,258.52
|
