|
Susceptibility mic per plate
|
$69.60 |
$69.60 |
$69.60 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$88.80 |
$88.80 |
$88.80 |
$59.28
|
|
Suspension sleeve lower ext
|
$925.49 |
$925.49 |
$925.49 |
$251.38
|
|
Svc venogram s&i
|
$2,879.40 |
$2,879.40 |
$2,879.40 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$5,300.46 |
$5,300.46 |
$5,300.46 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$79.20 |
$79.20 |
$79.20 |
$40.00
|
|
System cardiomems hosp electronics
|
$38,577.60 |
$38,577.60 |
$38,577.60 |
$38,226.50
|
|
System pacing micra av
|
$33,907.68 |
$33,907.68 |
$33,907.68 |
$24,667.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$28,524.56 |
$28,524.56 |
$28,524.56 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$24,303.68 |
$24,303.68 |
$24,303.68 |
$12,725.30
|
|
T3 (triiodothyronine) free
|
$84.60 |
$84.60 |
$84.60 |
$99.20
|
|
T3 (triiodothyronine) total
|
$181.20 |
$181.20 |
$181.20 |
$93.52
|
|
T4 (thyroxine) free
|
$142.20 |
$142.20 |
$142.20 |
$84.44
|
|
T4 (thyroxine) total
|
$38.40 |
$38.40 |
$38.40 |
$67.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$90.84 |
$90.84 |
$90.84 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$117.00 |
$117.00 |
$117.00 |
$121.20
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,569.56 |
$5,569.56 |
$5,569.56 |
$2,762.00
|
|
Talymed
|
$6,501.28 |
$6,501.28 |
$6,501.28 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$2,176.05
|
|
Target gsa panel organ/hmtlmph neop
|
$4,599.00 |
$4,599.00 |
$4,599.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,827.60 |
$1,827.60 |
$1,827.60 |
$1,655.52
|
|
Tavr perq femoral
|
$9,874.20 |
$9,874.20 |
$9,874.20 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,547.58 |
$1,547.58 |
$1,547.58 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$272.40 |
$272.40 |
$272.40 |
$225.42
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$84.60 |
$84.60 |
$84.60 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$223.80 |
$223.80 |
$223.80 |
$176.28
|
|
Tc-99m mebrofenin
|
$610.20 |
$610.20 |
$610.20 |
$157.65
|
|
Tc-99m mertiatide
|
$733.26 |
$733.26 |
$733.26 |
$756.00
|
|
Tc-99m sestamibi p study dose
|
$922.50 |
$922.50 |
$922.50 |
$292.50
|
|
Tc-99m sulfur colloid
|
$439.20 |
$439.20 |
$439.20 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$175.20 |
$175.20 |
$175.20 |
$175.00
|
|
T cells absolute cd 4 count
|
$142.80 |
$142.80 |
$142.80 |
$110.72
|
|
T cells total count
|
$60.00 |
$60.00 |
$60.00 |
$123.00
|
|
Telethx isodose plan cplx
|
$1,901.40 |
$1,901.40 |
$1,901.40 |
$1,522.19
|
|
Telethx isodose plan simple
|
$862.20 |
$862.20 |
$862.20 |
$861.03
|
|
Temozolomide 100 mg intravenous solution
|
$4,002.42 |
$4,002.42 |
$4,002.42 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$7,981.32 |
$7,981.32 |
$7,981.32 |
$3,779.43
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$32,110.44 |
$32,110.44 |
$32,110.44 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$2,145.00
|
|
Tension based scoliosis orth
|
$12,947.23 |
$12,947.23 |
$12,947.23 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$57.66 |
$57.66 |
$57.66 |
$37.76
|
|
Tert gene targeted seq alys
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$138.00 |
$138.00 |
$138.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$890.63
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$2,248.45 |
$2,248.45 |
$2,248.45 |
$535.15
|
|
Tetanus immune globulin inj
|
$2,512.32 |
$2,512.32 |
$2,512.32 |
$1,218.27
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$16,907.88 |
$16,907.88 |
$16,907.88 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$4,029.05
|
|
Theophylline therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$108.00
|
|
Ther/proph/diag inj ia
|
$238.80 |
$238.80 |
$238.80 |
$246.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$29.16 |
$29.16 |
$29.16 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$2,963.99 |
$2,963.99 |
$2,963.99 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$3,953.24 |
$3,953.24 |
$3,953.24 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$2,089.13 |
$2,089.13 |
$2,089.13 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$2,726.03 |
$2,726.03 |
$2,726.03 |
$657.72
|
|
Thorac cont lat support upri
|
$1,274.66 |
$1,274.66 |
$1,274.66 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$1,389.44 |
$1,389.44 |
$1,389.44 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$11,522.31 |
$11,522.31 |
$11,522.31 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$1,560.83 |
$1,560.83 |
$1,560.83 |
$387.41
|
|
Thoracic pad
|
$943.46 |
$943.46 |
$943.46 |
$234.19
|
|
Thor rib belt custom fabrica
|
$4,650.53 |
$4,650.53 |
$4,650.53 |
$239.38
|
|
Thrombectomy/inf pq dialysis circuit
|
$12,918.00 |
$12,918.00 |
$12,918.00 |
$7,648.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$21,645.00 |
$21,645.00 |
$21,645.00 |
$14,227.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$52,770.60 |
$52,770.60 |
$52,770.60 |
$21,249.26
|
|
Thrombin time
|
$84.00 |
$84.00 |
$84.00 |
$53.76
|
|
Thromboplastin inhibition
|
$146.40 |
$146.40 |
$146.40 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$147.60 |
$147.60 |
$147.60 |
$61.50
|
|
Th/wght bear nar m-l brim cu
|
$4,550.58 |
$4,550.58 |
$4,550.58 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$4,610.69 |
$4,610.69 |
$4,610.69 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$4,682.31 |
$4,682.31 |
$4,682.31 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$5,730.43 |
$5,730.43 |
$5,730.43 |
$1,695.23
|
|
Thyroglobulin antibody
|
$101.40 |
$101.40 |
$101.40 |
$81.90
|
|
Thyroid imaging
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,399.80 |
$1,399.80 |
$1,399.80 |
$1,544.00
|
|
Thyroid (TSH) Test
|
$164.40 |
$164.40 |
$164.40 |
$112.67
|
|
Thyroid uptake measurement
|
$319.20 |
$319.20 |
$319.20 |
$590.05
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,447.44 |
$1,447.44 |
$1,447.44 |
$4,063.52
|
|
Thyroxine binding globulin (tbg)
|
$105.00 |
$105.00 |
$105.00 |
$64.51
|
|
Tirofiban 12.5 mg/50 ml
|
$2,796.30 |
$2,796.30 |
$2,796.30 |
$458.51
|
|
Tissue amnio epifix inj 100mg
|
$13,013.09 |
$13,013.09 |
$13,013.09 |
$4,201.20
|
|
Tissue culture placenta
|
$573.60 |
$573.60 |
$573.60 |
$457.00
|
|
Tissue culture skin/biopsy
|
$713.40 |
$713.40 |
$713.40 |
$498.40
|
|
Tissue culture tumor
|
$573.60 |
$573.60 |
$573.60 |
$493.92
|
|
Tissue exam koh skin/hair/nails
|
$17.40 |
$17.40 |
$17.40 |
$47.52
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$32,876.24 |
$32,876.24 |
$32,876.24 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$30.60 |
$30.60 |
$30.60 |
$44.60
|
|
Tlh uterus 250 g or less
|
$63,522.31 |
$63,522.31 |
$63,522.31 |
$11,523.76
|
|
Tlh uterus over 250 g
|
$63,842.35 |
$63,842.35 |
$63,842.35 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$70,228.75 |
$70,228.75 |
$70,228.75 |
$11,533.76
|
|
Tlh w/t/o uterus over 250 g
|
$69,921.42 |
$69,921.42 |
$69,921.42 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$6,336.82 |
$6,336.82 |
$6,336.82 |
$1,874.50
|
|
Tlso 2 piece rigid shell
|
$5,456.74 |
$5,456.74 |
$5,456.74 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$6,487.73 |
$6,487.73 |
$6,487.73 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$4,594.45 |
$4,594.45 |
$4,594.45 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$4,356.52 |
$4,356.52 |
$4,356.52 |
$1,051.18
|
|
Tlso corset front
|
$930.90 |
$930.90 |
$930.90 |
$231.06
|
|
Tlso flex trnk sj-t9 pre ots
|
$3,021.19 |
$3,021.19 |
$3,021.19 |
$931.57
|
