|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,696.83
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$84.50 |
$84.50 |
$84.50 |
$44.85
|
|
T3 (triiodothyronine) free
|
$64.35 |
$64.35 |
$64.35 |
$89.82
|
|
T3 (triiodothyronine) total
|
$55.25 |
$55.25 |
$55.25 |
$94.90
|
|
T4 (thyroxine) free
|
$74.10 |
$74.10 |
$74.10 |
$81.60
|
|
T4 (thyroxine) total
|
$151.45 |
$151.45 |
$151.45 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$82.55 |
$82.55 |
$82.55 |
$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
|
$5,846.75 |
$5,846.75 |
$5,846.75 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$8,604.05 |
$8,604.05 |
$8,604.05 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,970.55 |
$4,970.55 |
$4,970.55 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$937.50 |
$937.50 |
$937.50 |
$957.09
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$158.60 |
$158.60 |
$158.60 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$154.70 |
$154.70 |
$154.70 |
$166.46
|
|
Tc-99m maa
|
$312.06 |
$312.06 |
$312.06 |
$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 non-heu per study dose
|
$0.65 |
$0.65 |
$0.65 |
$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 sestamibi p study dose
|
$64.35 |
$64.35 |
$64.35 |
$221.60
|
|
Tc-99m sulfur colloid
|
$314.17 |
$314.17 |
$314.17 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$384.15 |
$384.15 |
$384.15 |
$186.00
|
|
T cells absolute cd 4 count
|
$370.50 |
$370.50 |
$370.50 |
$120.25
|
|
T cells total count
|
$521.95 |
$521.95 |
$521.95 |
$124.11
|
|
Telehealth original site facility fee
|
$72.15 |
$72.15 |
$72.15 |
$55.65
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,874.78 |
$20,874.78 |
$20,874.78 |
$18,809.85
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.59 |
$22.59 |
$22.59 |
$44.17
|
|
Tert gene targeted seq alys
|
$1,834.95 |
$1,834.95 |
$1,834.95 |
$304.59
|
|
Test for chlorohydrocarbons
|
$433.55 |
$433.55 |
$433.55 |
$71.04
|
|
Test for porphobilinogen
|
$133.25 |
$133.25 |
$133.25 |
$33.57
|
|
Test pathogen(s) for platelets reference
|
$156.65 |
$156.65 |
$156.65 |
$103.53
|
|
Test stress cardiovascular tracing only
|
$1,532.70 |
$1,532.70 |
$1,532.70 |
$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 |
$13,357.34
|
|
Tgsap so/hl 51/< rna alys
|
$6,294.60 |
$6,294.60 |
$6,294.60 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$97.50 |
$97.50 |
$97.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$80.60 |
$80.60 |
$80.60 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$22.75 |
$22.75 |
$22.75 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$16.25 |
$16.25 |
$16.25 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.98 |
$23.98 |
$23.98 |
$35.43
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,898.40 |
$4,898.40 |
$4,898.40 |
$1,804.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,298.45 |
$4,298.45 |
$4,298.45 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,233.55 |
$8,233.55 |
$8,233.55 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$14,636.70 |
$14,636.70 |
$14,636.70 |
$24,605.30
|
|
Thrombin time
|
$196.95 |
$196.95 |
$196.95 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$867.10 |
$867.10 |
$867.10 |
$56.93
|
|
Thyroglobulin antibody
|
$102.70 |
$102.70 |
$102.70 |
$84.00
|
|
Thyroid (TSH) Test
|
$74.75 |
$74.75 |
$74.75 |
$120.00
|
|
Thyroid Ultrasound
|
$789.10 |
$789.10 |
$789.10 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$79.30 |
$79.30 |
$79.30 |
$63.60
|
|
Tirofiban 12.5 mg/50 ml
|
$275.86 |
$275.86 |
$275.86 |
$381.77
|
|
Tissue culture placenta
|
$2,999.75 |
$2,999.75 |
$2,999.75 |
$520.91
|
|
Tissue culture skin/biopsy
|
$2,985.45 |
$2,985.45 |
$2,985.45 |
$558.87
|
|
Tissue culture tumor
|
$2,700.75 |
$2,700.75 |
$2,700.75 |
$529.23
|
|
Tissue transglutaminase iga
|
$144.95 |
$144.95 |
$144.95 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$25.61 |
$25.61 |
$25.61 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$109.20 |
$109.20 |
$109.20 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$56.55 |
$56.55 |
$56.55 |
$73.45
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$25,728.59 |
$25,728.59 |
$25,728.59 |
$25,728.59
|
|
Total tau
|
$975.00 |
$975.00 |
$975.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$343.85 |
$343.85 |
$343.85 |
$84.35
|
|
Toxoplasma antibody igm
|
$338.00 |
$338.00 |
$338.00 |
$83.20
|
|
Tp53 gene full gene sequence
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,426.75 |
$1,426.75 |
$1,426.75 |
$919.10
|
|
Tpmt gene com vrnts
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,299.05 |
$2,299.05 |
$2,299.05 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$77.35 |
$77.35 |
$77.35 |
$99.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$36.14 |
$36.14 |
$36.14 |
$77.65
|
|
Transabdom amnioinfus w/us
|
$1,768.65 |
$1,768.65 |
$1,768.65 |
$791.05
|
|
Transcatheter bx s&i
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,875.96
|
|
Transcath occlusion cns
|
$8,676.20 |
$8,676.20 |
$8,676.20 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$10,119.20 |
$10,119.20 |
$10,119.20 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$14,363.70 |
$14,363.70 |
$14,363.70 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,405.45 |
$7,405.45 |
$7,405.45 |
$4,627.00
|
|
Transferrin
|
$104.00 |
$104.00 |
$104.00 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,197.30 |
$1,197.30 |
$1,197.30 |
$988.24
|
|
Transperi needle place pros
|
$1,582.75 |
$1,582.75 |
$1,582.75 |
$6,203.00
|
|
Trastuzumab 150 mg intravenous solution
|
$4,256.17 |
$4,256.17 |
$4,256.17 |
$3,600.00
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,565.48 |
$3,565.48 |
$3,565.48 |
$8,625.93
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$776.10 |
$776.10 |
$776.10 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$469.30 |
$469.30 |
$469.30 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$132.60 |
$132.60 |
$132.60 |
$210.00
|
|
Treatment of foot infection
|
$1,798.55 |
$1,798.55 |
$1,798.55 |
$3,594.44
|
|
Treponema pallidum antibody
|
$83.20 |
$83.20 |
$83.20 |
$72.80
|
|
Trg gene rearrangement anal
|
$306.80 |
$306.80 |
$306.80 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$28.60 |
$28.60 |
$28.60 |
$44.76
|
|
Trichinella antibody
|
$133.25 |
$133.25 |
$133.25 |
$70.65
|
|
#tricyclicantidprssnt
|
$105.30 |
$105.30 |
$105.30 |
$57.08
|
|
Triglycerides
|
$45.50 |
$45.50 |
$45.50 |
$54.60
|
|
Trim nondyst nails
|
$66.30 |
$66.30 |
$66.30 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$26,690.30 |
$26,690.30 |
$26,690.30 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$13,345.15 |
$13,345.15 |
$13,345.15 |
$9,781.50
|
|
Trnscath plc stnt ante carotid art
|
$13,384.80 |
$13,384.80 |
$13,384.80 |
$9,114.56
|
|
Troponin quantitative
|
$92.95 |
$92.95 |
$92.95 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$2,182.70 |
$2,182.70 |
$2,182.70 |
$1,446.48
|
|
Tte w or without fol w/cont, com
|
$2,594.80 |
$2,594.80 |
$2,594.80 |
$1,527.00
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$490.10 |
$490.10 |
$490.10 |
$911.43
|
|
Ugt1a1 gene analy common variants
|
$2,032.55 |
$2,032.55 |
$2,032.55 |
$438.75
|
