|
Svc venogram s&i
|
$3,366.00 |
$3,366.00 |
$3,366.00 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$334.50 |
$334.50 |
$334.50 |
$316.80
|
|
Swallowing Therapy Session
|
$451.50 |
$451.50 |
$451.50 |
$240.50
|
|
Sweat collection by iontophoresis
|
$156.75 |
$156.75 |
$156.75 |
$121.55
|
|
Synvisc or synvisc-one
|
$1,696.83 |
$1,696.83 |
$1,696.83 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$60.75 |
$60.75 |
$60.75 |
$42.24
|
|
System cardiomems hosp electronics
|
$53,437.50 |
$53,437.50 |
$53,437.50 |
$38,234.70
|
|
System pacing micra av
|
$33,750.00 |
$33,750.00 |
$33,750.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,441.25 |
$11,441.25 |
$11,441.25 |
$12,003.00
|
|
System sealant biosentry tract
|
$900.00 |
$900.00 |
$900.00 |
$889.35
|
|
T3 (triiodothyronine) free
|
$65.25 |
$65.25 |
$65.25 |
$100.00
|
|
T3 (triiodothyronine) total
|
$43.50 |
$43.50 |
$43.50 |
$93.52
|
|
T4 (thyroxine) free
|
$42.00 |
$42.00 |
$42.00 |
$87.75
|
|
T4 (thyroxine) total
|
$99.75 |
$99.75 |
$99.75 |
$68.40
|
|
Tacrol astagraf ex rel oral
|
$2,970.47 |
$2,970.47 |
$2,970.47 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$8,369.30 |
$8,369.30 |
$8,369.30 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$12,682.80 |
$12,682.80 |
$12,682.80 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$874.23 |
$874.23 |
$874.23 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$175.50 |
$175.50 |
$175.50 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,161.23 |
$5,161.23 |
$5,161.23 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$231.75 |
$231.75 |
$231.75 |
$291.20
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$25,827.38 |
$25,827.38 |
$25,827.38 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$1,749.44
|
|
Tas congenital car anomal
|
$4,472.25 |
$4,472.25 |
$4,472.25 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$931.50 |
$931.50 |
$931.50 |
$931.50
|
|
Tavr perq femoral
|
$25,185.75 |
$25,185.75 |
$25,185.75 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$959.55 |
$959.55 |
$959.55 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$93.75 |
$93.75 |
$93.75 |
$200.00
|
|
Tc-99m mebrofenin
|
$1,248.75 |
$1,248.75 |
$1,248.75 |
$157.65
|
|
Tc-99m mertiatide
|
$4,717.50 |
$4,717.50 |
$4,717.50 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$975.00 |
$975.00 |
$975.00 |
$222.60
|
|
Tc-99m sestamibi p study dose
|
$6,044.97 |
$6,044.97 |
$6,044.97 |
$287.20
|
|
Tc-99m sulfur colloid
|
$3,734.48 |
$3,734.48 |
$3,734.48 |
$245.70
|
|
Tcd emboli detect w/inj
|
$1,061.25 |
$1,061.25 |
$1,061.25 |
$475.80
|
|
Tcd emboli detect without inj
|
$1,459.50 |
$1,459.50 |
$1,459.50 |
$475.28
|
|
T-cell depletion of harvest
|
$2,024.25 |
$2,024.25 |
$2,024.25 |
$2,475.20
|
|
T cells total count
|
$108.00 |
$108.00 |
$108.00 |
$132.63
|
|
Tcranial magn stim tx deli
|
$472.50 |
$472.50 |
$472.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$472.50 |
$472.50 |
$472.50 |
$437.22
|
|
Tee w or without fol w/cont,cong
|
$2,101.50 |
$2,101.50 |
$2,101.50 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,692.44
|
|
Telavancin injection
|
$2,428.05 |
$2,428.05 |
$2,428.05 |
$1,191.80
|
|
Telehealth original site facility fee
|
$151.50 |
$151.50 |
$151.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$949.50 |
$949.50 |
$949.50 |
$889.80
|
|
Temozolomide
|
$1,918.68 |
$1,918.68 |
$1,918.68 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$3,438.61 |
$3,438.61 |
$3,438.61 |
$1,867.28
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$29,758.74 |
$29,758.74 |
$29,758.74 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$68.57 |
$68.57 |
$68.57 |
$39.33
|
|
Tert gene targeted seq alys
|
$347.25 |
$347.25 |
$347.25 |
$335.00
|
|
Test for chlorohydrocarbons
|
$225.00 |
$225.00 |
$225.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$842.56
|
|
Testosterone response panel
|
$151.50 |
$151.50 |
$151.50 |
$129.60
|
|
Test stress cardiovascular tracing only
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,939.05 |
$1,939.05 |
$1,939.05 |
$1,285.36
|
|
Thawing cryopresrved embryo
|
$405.75 |
$405.75 |
$405.75 |
$326.15
|
|
Thawing cryopresrved oocyte
|
$426.00 |
$426.00 |
$426.00 |
$402.80
|
|
Thawing cryopresrved sperm
|
$405.75 |
$405.75 |
$405.75 |
$117.61
|
|
Thaw preserved stem cells
|
$932.25 |
$932.25 |
$932.25 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$108.00
|
|
Therapy activation ipnss
|
$108.00 |
$108.00 |
$108.00 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$243.75 |
$243.75 |
$243.75 |
$102.30
|
|
Therapy Exercise Session (each 15 minutes)
|
$134.25 |
$134.25 |
$134.25 |
$98.70
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$62.25 |
$62.25 |
$62.25 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$62.25 |
$62.25 |
$62.25 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$305.25 |
$305.25 |
$305.25 |
$314.50
|
|
Ther nma rdctj intus/obstrcj
|
$208.50 |
$208.50 |
$208.50 |
$538.88
|
|
Ther/proph/diag inj ia
|
$295.50 |
$295.50 |
$295.50 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.67 |
$23.67 |
$23.67 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$368.25 |
$368.25 |
$368.25 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$1,738.26
|
|
Thoracotomy with cardiac massage
|
$4,610.25 |
$4,610.25 |
$4,610.25 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,005.50 |
$2,005.50 |
$2,005.50 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$4,489.50 |
$4,489.50 |
$4,489.50 |
$3,903.25
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,205.50 |
$6,205.50 |
$6,205.50 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,103.25 |
$10,103.25 |
$10,103.25 |
$14,625.70
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,313.50 |
$15,313.50 |
$15,313.50 |
$21,413.60
|
|
Thrombin time
|
$85.50 |
$85.50 |
$85.50 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$3,987.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$78.00 |
$78.00 |
$78.00 |
$61.52
|
|
Thyroglobulin antibody
|
$47.25 |
$47.25 |
$47.25 |
$83.25
|
|
Thyroid mets imag whole body
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$184.50 |
$184.50 |
$184.50 |
$111.75
|
|
Thyroid Ultrasound
|
$798.75 |
$798.75 |
$798.75 |
$588.50
|
|
Thyroid uptake measurement
|
$738.00 |
$738.00 |
$738.00 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,476.81 |
$7,476.81 |
$7,476.81 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$83.25 |
$83.25 |
$83.25 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$21,900.00 |
$21,900.00 |
$21,900.00 |
$21,249.26
|
|
Tigecycline injection
|
$534.77 |
$534.77 |
$534.77 |
$235.29
|
|
Tilt table study
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$1,569.40
|
|
Tisagenlecleucel car-pos t
|
$2,194,589.53 |
$2,194,589.53 |
$2,194,589.53 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$2,733.75 |
$2,733.75 |
$2,733.75 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$1,077.75 |
$1,077.75 |
$1,077.75 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$27,364.47 |
$27,364.47 |
$27,364.47 |
$13,339.20
|
|
Tissue culture placenta
|
$6,844.50 |
$6,844.50 |
$6,844.50 |
$453.00
|
|
Tissue culture skin/biopsy
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$488.74
|
|
Tissue culture tumor
|
$1,087.50 |
$1,087.50 |
$1,087.50 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$66.00 |
$66.00 |
$66.00 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$2,516.07 |
$2,516.07 |
$2,516.07 |
$537.50
|
