|
Surgical pathology level 6 gross & microscopic examination
|
$524.55 |
$524.55 |
$524.55 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$65.00 |
$65.00 |
$65.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$40.30 |
$40.30 |
$40.30 |
$34.48
|
|
Susceptibility mic per plate
|
$61.10 |
$61.10 |
$61.10 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$265.85 |
$265.85 |
$265.85 |
$48.30
|
|
Svc venogram s&i
|
$1,320.15 |
$1,320.15 |
$1,320.15 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$43.55 |
$43.55 |
$43.55 |
$44.85
|
|
System pacing micra av
|
$6,534.24 |
$6,534.24 |
$6,534.24 |
$22,733.55
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,216.94 |
$7,216.94 |
$7,216.94 |
$9,363.28
|
|
T3 (triiodothyronine) free
|
$70.85 |
$70.85 |
$70.85 |
$89.82
|
|
T3 (triiodothyronine) total
|
$55.90 |
$55.90 |
$55.90 |
$94.90
|
|
T4 (thyroxine) free
|
$24.70 |
$24.70 |
$24.70 |
$81.60
|
|
T4 (thyroxine) total
|
$51.35 |
$51.35 |
$51.35 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.32 |
$4.32 |
$4.32 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$161.85 |
$161.85 |
$161.85 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,817.00 |
$3,817.00 |
$3,817.00 |
$4,222.23
|
|
Target gsa panel hmtlmph neop
|
$2,885.35 |
$2,885.35 |
$2,885.35 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$6,844.50 |
$6,844.50 |
$6,844.50 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,953.95 |
$3,953.95 |
$3,953.95 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$98.15 |
$98.15 |
$98.15 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$241.15 |
$241.15 |
$241.15 |
$166.46
|
|
Tc-99m non-heu per study dose
|
$0.65 |
$0.65 |
$0.65 |
$10.00
|
|
T cells absolute cd4/cd8 including ratio
|
$205.40 |
$205.40 |
$205.40 |
$186.00
|
|
T cells absolute cd 4 count
|
$329.55 |
$329.55 |
$329.55 |
$120.25
|
|
T cells total count
|
$464.10 |
$464.10 |
$464.10 |
$124.11
|
|
Telehealth original site facility fee
|
$114.40 |
$114.40 |
$114.40 |
$44.85
|
|
Telethx isodose plan cplx
|
$626.60 |
$626.60 |
$626.60 |
$1,617.00
|
|
Telethx isodose plan simple
|
$349.70 |
$349.70 |
$349.70 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,874.78 |
$20,874.78 |
$20,874.78 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$66.70 |
$66.70 |
$66.70 |
$44.49
|
|
Tert gene targeted seq alys
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$304.59
|
|
Test for chlorohydrocarbons
|
$98.15 |
$98.15 |
$98.15 |
$71.04
|
|
Test for porphobilinogen
|
$54.60 |
$54.60 |
$54.60 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$588.25 |
$588.25 |
$588.25 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$113.75 |
$113.75 |
$113.75 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$878.15 |
$878.15 |
$878.15 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,804.06 |
$1,804.06 |
$1,804.06 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$14,189.56 |
$14,189.56 |
$14,189.56 |
$12,080.29
|
|
Tgsap so/hl 51/< rna alys
|
$6,119.75 |
$6,119.75 |
$6,119.75 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$96.85 |
$96.85 |
$96.85 |
$108.00
|
|
Therapeutic procd strg endur
|
$53.95 |
$53.95 |
$53.95 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$29.90 |
$29.90 |
$29.90 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$29.90 |
$29.90 |
$29.90 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$741.65 |
$741.65 |
$741.65 |
$534.32
|
|
Ther/proph/diag inj ia
|
$156.00 |
$156.00 |
$156.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$29.80 |
$29.80 |
$29.80 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$1,804.00
|
|
Thrombin time
|
$52.65 |
$52.65 |
$52.65 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$52.00 |
$52.00 |
$52.00 |
$56.93
|
|
Thyroglobulin antibody
|
$91.00 |
$91.00 |
$91.00 |
$84.00
|
|
Thyroid imaging
|
$603.20 |
$603.20 |
$603.20 |
$670.80
|
|
Thyroid mets imag whole body
|
$860.60 |
$860.60 |
$860.60 |
$1,524.99
|
|
Thyroid met uptake
|
$474.50 |
$474.50 |
$474.50 |
$380.00
|
|
Thyroid (TSH) Test
|
$42.90 |
$42.90 |
$42.90 |
$120.00
|
|
Thyroid Ultrasound
|
$746.85 |
$746.85 |
$746.85 |
$589.96
|
|
Thyroid uptake measurement
|
$517.40 |
$517.40 |
$517.40 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$63.05 |
$63.05 |
$63.05 |
$63.60
|
|
Tigecycline injection
|
$337.90 |
$337.90 |
$337.90 |
$308.75
|
|
Tilt table study
|
$717.60 |
$717.60 |
$717.60 |
$1,495.00
|
|
Tissue culture placenta
|
$1,119.95 |
$1,119.95 |
$1,119.95 |
$520.91
|
|
Tissue culture skin/biopsy
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$558.87
|
|
Tissue culture tumor
|
$867.75 |
$867.75 |
$867.75 |
$529.23
|
|
Tissue transglutaminase iga
|
$79.95 |
$79.95 |
$79.95 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$273.03 |
$273.03 |
$273.03 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$110.50 |
$110.50 |
$110.50 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,051.43 |
$7,051.43 |
$7,051.43 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$61.75 |
$61.75 |
$61.75 |
$73.45
|
|
Total tau
|
$975.00 |
$975.00 |
$975.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$72.15 |
$72.15 |
$72.15 |
$84.35
|
|
Toxoplasma antibody igm
|
$122.20 |
$122.20 |
$122.20 |
$83.20
|
|
Tp53 gene full gene sequence
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,134.90 |
$1,134.90 |
$1,134.90 |
$919.10
|
|
Tpmt gene com vrnts
|
$798.20 |
$798.20 |
$798.20 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,752.75 |
$2,752.75 |
$2,752.75 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$70.20 |
$70.20 |
$70.20 |
$93.75
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$40.07 |
$40.07 |
$40.07 |
$82.60
|
|
Transcatheter bx s&i
|
$1,954.55 |
$1,954.55 |
$1,954.55 |
$1,875.96
|
|
Transferrin
|
$48.10 |
$48.10 |
$48.10 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$953.55 |
$953.55 |
$953.55 |
$988.24
|
|
Transperi needle place pros
|
$1,662.05 |
$1,662.05 |
$1,662.05 |
$6,203.00
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,887.18 |
$9,887.18 |
$9,887.18 |
$7,620.16
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$140.40 |
$140.40 |
$140.40 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$140.40 |
$140.40 |
$140.40 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$126.10 |
$126.10 |
$126.10 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$3,820.53
|
|
Treatment of foot infection
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$1,893.86
|
|
Treatment of foot infection
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$3,594.44
|
|
Treatment radiation delivery level 2
|
$276.90 |
$276.90 |
$276.90 |
$735.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$111,643.97 |
$111,643.97 |
$111,643.97 |
$120,541.18
|
|
Treponema pallidum antibody
|
$70.85 |
$70.85 |
$70.85 |
$72.80
|
|
Trg gene rearrangement anal
|
$217.10 |
$217.10 |
$217.10 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$28.60 |
$28.60 |
$28.60 |
$48.22
|
|
Trichinella antibody
|
$169.00 |
$169.00 |
$169.00 |
$70.65
|
|
Trichomonas assay w/optic
|
$14.30 |
$14.30 |
$14.30 |
$66.00
|
|
#tricyclicantidprssnt
|
$96.85 |
$96.85 |
$96.85 |
$57.08
|
|
Triglycerides
|
$39.00 |
$39.00 |
$39.00 |
$54.60
|
|
Trim nail(s)
|
$117.00 |
$117.00 |
$117.00 |
$70.56
|
|
Trim nondyst nails
|
$55.90 |
$55.90 |
$55.90 |
$124.22
|
