|
Tailbone (Sacrum and Coccyx) X-ray
|
$231.50 |
$231.50 |
$440.48 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$13,970.20 |
$13,970.20 |
$13,970.20 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$31,080.00 |
$31,080.00 |
$31,080.00 |
|
|
Tap block bilat cont infusion 64489
|
$3,163.35 |
$3,163.35 |
$3,163.35 |
|
|
Target gsa panel hmtlmph neop
|
$1,257.33 |
$1,257.33 |
$4,680.00 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,920.68 |
$1,920.68 |
$4,093.00 |
|
|
Target gsa panel organ neop
|
$1,099.00 |
$1,279.73 |
$1,279.73 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$30,025.00 |
$30,025.00 |
$30,025.00 |
|
|
Tas congenital car anomal
|
$3,731.80 |
$3,731.80 |
$3,731.80 |
|
|
Tavr perq femoral
|
$21,317.63 |
$21,317.63 |
$21,317.63 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$970.40 |
$970.40 |
$2,016.75 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$259.13 |
$259.13 |
$259.13 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$43.00 |
$124.78 |
$234.00 |
|
|
Tc-99m bicisate
|
$911.00 |
$5,499.53 |
$5,499.53 |
|
|
Tc-99m exame autol wbc diag per dose
|
$958.50 |
$958.50 |
$958.50 |
|
|
Tc-99m exametazime diag
|
$1,802.50 |
$5,141.93 |
$5,141.93 |
|
|
Tc-99m labeled rbc
|
$212.50 |
$343.80 |
$343.80 |
|
|
Tc-99m maa
|
$92.50 |
$92.50 |
$770.50 |
|
|
Tc-99m mebrofenin
|
$130.00 |
$169.53 |
$169.53 |
|
|
Tc-99m medronate
|
$39.53 |
$39.53 |
$81.00 |
|
|
Tc-99m mertiatide
|
$565.00 |
$2,324.20 |
$2,324.20 |
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$6.00 |
|
|
Tc-99m oxidronate
|
$25.50 |
$132.05 |
$132.05 |
|
|
Tc-99m pentetate dtpa
|
$93.98 |
$93.98 |
$271.00 |
|
|
Tc-99m pentetate dtpa aerosol
|
$139.00 |
$139.00 |
$139.00 |
|
|
Tc-99m pertechnetate per mci
|
$3.90 |
$3.90 |
$108.00 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$61.00 |
$192.15 |
$192.15 |
|
|
Tc-99m sestamibi p study dose
|
$353.00 |
$354.38 |
$354.38 |
|
|
Tc-99m succimer (dmsa)
|
$368.00 |
$1,798.28 |
$1,798.28 |
|
|
Tc-99m sulfur colloid
|
$375.73 |
$375.73 |
$646.00 |
|
|
Tc-99m tetrofosmin p study dose
|
$143.00 |
$292.43 |
$292.43 |
|
|
Tc-99m tilmanocept diag
|
$454.00 |
$8,254.13 |
$8,254.13 |
|
|
T-cell depletion of harvest
|
$16,581.25 |
$16,581.25 |
$16,581.25 |
|
|
T cells absolute cd4/cd8 including ratio
|
$162.00 |
$172.38 |
$331.00 |
|
|
T cells absolute cd 4 count
|
$252.00 |
$411.00 |
$411.00 |
|
|
T cells total count
|
$98.00 |
$119.25 |
$491.00 |
|
|
Tcranial magn stim tx deli
|
$310.43 |
$310.43 |
$310.43 |
|
|
Tcranial magn stim tx plan
|
$331.75 |
$331.75 |
$331.75 |
|
|
Tcran magn stim redetemine
|
$559.33 |
$559.33 |
$593.50 |
|
|
Teaec w/wo patch graft iliofemoral
|
$9,039.80 |
$9,039.80 |
$9,039.80 |
|
|
Team conf w/pat by hc prof
|
$102.48 |
$102.48 |
$102.48 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$40,985.00 |
$40,985.00 |
$40,985.00 |
|
|
Tee w or without fol w/cont,cong
|
$2,101.65 |
$2,101.65 |
$2,101.65 |
|
|
Telavancin injection
|
$1,226.70 |
$1,226.70 |
$1,226.70 |
|
|
Telehealth original site facility fee
|
$51.85 |
$51.85 |
$66.50 |
|
|
Telethx isodose plan cplx
|
$455.00 |
$2,350.43 |
$4,200.00 |
|
|
Telethx isodose plan simple
|
$406.00 |
$1,029.25 |
$3,489.00 |
|
|
Temozolomide
|
$16,596.88 |
$16,596.88 |
$16,596.88 |
|
|
Temozolomide 100 mg intravenous solution
|
$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 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,109.20 |
$16,109.20 |
$16,109.20 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$13.88 |
$13.88 |
$20.42 |
|
|
Teriparatide injection
|
$7,403.20 |
$7,403.20 |
$7,403.20 |
|
|
Tert gene targeted seq alys
|
$140.00 |
$140.00 |
$140.00 |
|
|
Test for chlorohydrocarbons
|
$56.00 |
$56.00 |
$56.00 |
|
|
Test for urine cystines
|
$26.00 |
$26.00 |
$26.00 |
|
|
Testicular imaging w/vasc flow
|
$828.00 |
$828.00 |
$828.00 |
|
|
Test pathogen(s) for platelets reference
|
$36.00 |
$452.17 |
$520.00 |
|
|
Test sock wrist disart/bel e
|
$172.84 |
$172.84 |
$172.84 |
|
|
Test stress cardiovascular tracing only
|
$751.00 |
$1,424.53 |
$1,634.33 |
|
|
Tetanus immune globulin inj
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,737.05 |
$8,737.05 |
$22,694.26 |
|
|
Tgsap hl neo 5-50 rna alys
|
$1,653.25 |
$1,653.25 |
$1,653.25 |
|
|
Tgsap so/hl 51/< rna alys
|
$6,354.93 |
$6,354.93 |
$6,354.93 |
|
|
Tgsap so neo 5-50 rna alys
|
$1,301.43 |
$1,301.43 |
$1,758.00 |
|
|
Thaw cryoprsvrd reprod tiss
|
$72.08 |
$72.08 |
$72.08 |
|
|
Thawing cryopresrved embryo
|
$76.38 |
$76.38 |
$76.38 |
|
|
Thawing cryopresrved oocyte
|
$72.08 |
$72.08 |
$72.08 |
|
|
Thawing cryopresrved sperm
|
$82.50 |
$82.50 |
$82.50 |
|
|
Thaw preserved stem cells
|
$2,588.88 |
$2,588.88 |
$2,588.88 |
|
|
Theophylline therapeutic drug level
|
$91.70 |
$91.70 |
$186.27 |
|
|
Therapeutic procd strg endur
|
$50.50 |
$74.13 |
$278.00 |
|
|
Therapy activation ipnss
|
$761.83 |
$761.83 |
$761.83 |
|
|
Therapy Activity Training (each 15 minutes)
|
$101.38 |
$101.38 |
$173.36 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$95.65 |
$95.65 |
$169.47 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$44.40 |
$44.40 |
$90.93 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$22.50 |
$35.55 |
$35.55 |
|
|
Ther nma rdctj intus/obstrcj
|
$693.30 |
$693.30 |
$693.30 |
|
|
Ther/proph/diag inj ia
|
$140.15 |
$140.15 |
$475.00 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$19.73 |
$19.73 |
$93.09 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$207.70 |
$207.70 |
$477.00 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,571.00 |
$2,556.53 |
$2,556.53 |
|
|
Thoracotomy w/expl
|
$509.93 |
$509.93 |
$3,525.50 |
|
|
Thoracotomy with cardiac massage
|
$457.00 |
$1,052.00 |
$1,052.00 |
|
|
Thor rib belt custom fabrica
|
$393.30 |
$393.30 |
$393.30 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$958.00 |
$1,393.93 |
$2,892.00 |
|
|
Thrombectmy crnry perq mechanical
|
$5,182.25 |
$5,182.25 |
$5,528.00 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,434.08 |
$4,434.08 |
$9,081.00 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,773.20 |
$8,773.20 |
$18,352.50 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,731.75 |
$25,731.75 |
$27,817.50 |
|
|
Thrombin time
|
$59.00 |
$74.70 |
$151.36 |
|
|
Thromboendarterectomy common femoral
|
$11,435.33 |
$11,435.33 |
$11,435.33 |
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$9,039.80 |
$9,039.80 |
$9,039.80 |
|
|
Thromboendarterectomy sfa
|
$2,741.50 |
$2,741.50 |
$2,741.50 |
|
|
Thromboplastin inhibition
|
$36.95 |
$36.95 |
$36.95 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$56.93 |
$56.93 |
$115.00 |
|
|
Thyroglobulin antibody
|
$73.50 |
$92.75 |
$186.00 |
|
|
Thyroid imaging
|
$478.75 |
$478.75 |
$1,330.04 |
|
|
Thyroid met imaging
|
$813.00 |
$813.00 |
$813.00 |
|
