|
T4 (thyroxine) free
|
$55.90 |
$55.90 |
$55.90 |
$81.60
|
|
T4 (thyroxine) total
|
$76.05 |
$76.05 |
$76.05 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.21 |
$5.21 |
$5.21 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$47.45 |
$47.45 |
$47.45 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$5,766.80 |
$5,766.80 |
$5,766.80 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$8,487.70 |
$8,487.70 |
$8,487.70 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,902.95 |
$4,902.95 |
$4,902.95 |
$1,913.00
|
|
Tavr perq femoral
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$16,357.00
|
|
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
|
$137.80 |
$137.80 |
$137.80 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$3,915.05 |
$3,915.05 |
$3,915.05 |
$2,393.40
|
|
Tc-99m maa
|
$413.72 |
$413.72 |
$413.72 |
$312.06
|
|
Tc-99m mebrofenin
|
$59.48 |
$59.48 |
$59.48 |
$169.53
|
|
Tc-99m medronate
|
$70.14 |
$70.14 |
$70.14 |
$122.46
|
|
Tc-99m mertiatide
|
$523.61 |
$523.61 |
$523.61 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$0.81 |
$0.81 |
$0.81 |
$10.00
|
|
Tc-99m oxidronate
|
$85.38 |
$85.38 |
$85.38 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$320.22 |
$320.22 |
$320.22 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$1.04 |
$1.04 |
$1.04 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$64.29 |
$64.29 |
$64.29 |
$221.60
|
|
Tc-99m sulfur colloid
|
$184.08 |
$184.08 |
$184.08 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$68.25 |
$68.25 |
$68.25 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$798.12 |
$798.12 |
$798.12 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$237.90 |
$237.90 |
$237.90 |
$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
|
|
Tcranial magn stim tx deli
|
$536.25 |
$536.25 |
$536.25 |
$368.50
|
|
Tcranial magn stim tx plan
|
$755.95 |
$755.95 |
$755.95 |
$386.88
|
|
Tcran magn stim redetemine
|
$755.95 |
$755.95 |
$755.95 |
$417.06
|
|
Telehealth original site facility fee
|
$134.55 |
$134.55 |
$134.55 |
$44.85
|
|
Telethx isodose plan cplx
|
$5,424.90 |
$5,424.90 |
$5,424.90 |
$1,617.00
|
|
Telethx isodose plan simple
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,845.40 |
$20,845.40 |
$20,845.40 |
$17,652.73
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,148.60 |
$3,148.60 |
$3,148.60 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.33 |
$23.33 |
$23.33 |
$44.49
|
|
Tert gene targeted seq alys
|
$1,810.25 |
$1,810.25 |
$1,810.25 |
$304.59
|
|
Test for chlorohydrocarbons
|
$173.55 |
$173.55 |
$173.55 |
$71.04
|
|
Test for porphobilinogen
|
$54.60 |
$54.60 |
$54.60 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$113.75 |
$113.75 |
$113.75 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$1,049.75 |
$1,049.75 |
$1,049.75 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,765.86 |
$1,765.86 |
$1,765.86 |
$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
|
$7,588.75 |
$7,588.75 |
$7,588.75 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$35.75 |
$35.75 |
$35.75 |
$108.00
|
|
Therapeutic procd strg endur
|
$99.45 |
$99.45 |
$99.45 |
$81.36
|
|
Therapy activity per session >= 45 minutes
|
$603.20 |
$603.20 |
$603.20 |
$210.44
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$29.25 |
$29.25 |
$29.25 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.80 |
$20.80 |
$20.80 |
$50.40
|
|
Ther/proph/diag inj ia
|
$221.00 |
$221.00 |
$221.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.98 |
$23.98 |
$23.98 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$1,659.45 |
$1,659.45 |
$1,659.45 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,293.60 |
$5,293.60 |
$5,293.60 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,140.65 |
$10,140.65 |
$10,140.65 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,024.50 |
$18,024.50 |
$18,024.50 |
$24,605.30
|
|
Thrombin time
|
$208.00 |
$208.00 |
$208.00 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$397.80 |
$397.80 |
$397.80 |
$56.93
|
|
Thyroglobulin antibody
|
$63.05 |
$63.05 |
$63.05 |
$84.00
|
|
Thyroid imaging
|
$709.80 |
$709.80 |
$709.80 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,795.30 |
$1,795.30 |
$1,795.30 |
$1,524.99
|
|
Thyroid met uptake
|
$397.15 |
$397.15 |
$397.15 |
$380.00
|
|
Thyroid (TSH) Test
|
$35.75 |
$35.75 |
$35.75 |
$120.00
|
|
Thyroid Ultrasound
|
$522.60 |
$522.60 |
$522.60 |
$589.96
|
|
Thyroid uptake measurement
|
$1,053.65 |
$1,053.65 |
$1,053.65 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$63.05 |
$63.05 |
$63.05 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$28,319.20 |
$28,319.20 |
$28,319.20 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$22,727.25 |
$22,727.25 |
$22,727.25 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$15,151.50 |
$15,151.50 |
$15,151.50 |
$10,406.14
|
|
Tigecycline injection
|
$337.90 |
$337.90 |
$337.90 |
$308.75
|
|
Tilt table study
|
$1,548.30 |
$1,548.30 |
$1,548.30 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$216.22 |
$216.22 |
$216.22 |
$360.60
|
|
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
|
$100.75 |
$100.75 |
$100.75 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$190.22 |
$190.22 |
$190.22 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$39.00 |
$39.00 |
$39.00 |
$73.45
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$25,728.59 |
$25,728.59 |
$25,728.59 |
$1,953.53
|
|
Total tau
|
$975.00 |
$975.00 |
$975.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$219.05 |
$219.05 |
$219.05 |
$84.35
|
|
Toxoplasma antibody igm
|
$215.80 |
$215.80 |
$215.80 |
$83.20
|
|
Tp53 gene full gene sequence
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$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
|
$79.30 |
$79.30 |
$79.30 |
$93.75
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$40.07 |
$40.07 |
$40.07 |
$82.60
|
|
Transabdom amnioinfus w/us
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$791.05
|
|
Transcath biopsy
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,298.05
|
|
Transcath closure of asd
|
$6,815.90 |
$6,815.90 |
$6,815.90 |
$18,772.00
|
|
Transcath closure of vsd
|
$7,356.05 |
$7,356.05 |
$7,356.05 |
$18,837.00
|
|
Transcatheter bx s&i
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$538.20 |
$538.20 |
$538.20 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$17,106.18
|
|
Transcath occlusion cns
|
$9,497.80 |
$9,497.80 |
$9,497.80 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$11,077.30 |
$11,077.30 |
$11,077.30 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$9,189.05 |
$9,189.05 |
$9,189.05 |
$4,627.00
|
