|
Therapy activation ipnss
|
$411.45 |
$411.45 |
$411.45 |
$226.24
|
|
Therapy Activity Training (each 15 minutes)
|
$178.10 |
$178.10 |
$178.10 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$167.70 |
$167.70 |
$167.70 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$137.80 |
$137.80 |
$137.80 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$117.00 |
$117.00 |
$117.00 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.64 |
$11.64 |
$11.64 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$313.60
|
|
Thrombin time
|
$26.00 |
$26.00 |
$26.00 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.25 |
$29.25 |
$29.25 |
$62.01
|
|
Thyroglobulin antibody
|
$71.50 |
$71.50 |
$71.50 |
$82.50
|
|
Thyroid (TSH) Test
|
$75.40 |
$75.40 |
$75.40 |
$112.70
|
|
Thyroid Ultrasound
|
$477.10 |
$477.10 |
$477.10 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,298.95 |
$4,298.95 |
$4,298.95 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$66.30 |
$66.30 |
$66.30 |
$64.51
|
|
Tigecycline injection
|
$234.00 |
$234.00 |
$234.00 |
$235.29
|
|
Tirofiban 12.5 mg/50 ml
|
$9.15 |
$9.15 |
$9.15 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,888,860.51 |
$1,888,860.51 |
$1,888,860.51 |
$1,780,600.03
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$23,090.50 |
$23,090.50 |
$23,090.50 |
$13,339.20
|
|
Tissue culture placenta
|
$674.05 |
$674.05 |
$674.05 |
$453.00
|
|
Tissue culture skin/biopsy
|
$631.15 |
$631.15 |
$631.15 |
$488.74
|
|
Tissue culture tumor
|
$661.70 |
$661.70 |
$661.70 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$18.85 |
$18.85 |
$18.85 |
$47.40
|
|
Tissue transglutaminase iga
|
$52.00 |
$52.00 |
$52.00 |
$44.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$460.69 |
$460.69 |
$460.69 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$72.15 |
$72.15 |
$72.15 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,072.67 |
$4,072.67 |
$4,072.67 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$395.20 |
$395.20 |
$395.20 |
$258.65
|
|
Tomosynthesis breast screen bilateral
|
$91.00 |
$91.00 |
$91.00 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$931.45 |
$931.45 |
$931.45 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$5,073.77 |
$5,073.77 |
$5,073.77 |
$15,383.12
|
|
Toxoplasma antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$91.65
|
|
Toxoplasma antibody igm
|
$64.35 |
$64.35 |
$64.35 |
$87.75
|
|
Tpmt gene com vrnts
|
$783.90 |
$783.90 |
$783.90 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$11,510.75 |
$11,510.75 |
$11,510.75 |
$6,684.23
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$56.38
|
|
Transcrv abltj utrn fibrd rf
|
$22,110.40 |
$22,110.40 |
$22,110.40 |
$8,750.72
|
|
Transferrin
|
$57.20 |
$57.20 |
$57.20 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$477.10 |
$477.10 |
$477.10 |
$561.60
|
|
Trastuzumab 150 mg intravenous solution
|
$4,862.26 |
$4,862.26 |
$4,862.26 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$11,881.53 |
$11,881.53 |
$11,881.53 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$10,580.18 |
$10,580.18 |
$10,580.18 |
$5,846.40
|
|
Treat clavicle dislocation 23545
|
$716.95 |
$716.95 |
$716.95 |
$692.80
|
|
Treat fracture of radius
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,790.00
|
|
Treat knee fracture 27530
|
$716.95 |
$716.95 |
$716.95 |
$550.73
|
|
Treat knee fracture(s)
|
$716.95 |
$716.95 |
$716.95 |
$643.26
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$385.45 |
$385.45 |
$385.45 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$105.30 |
$105.30 |
$105.30 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$716.95 |
$716.95 |
$716.95 |
$523.20
|
|
Treatment of fibula fracture 27780
|
$716.95 |
$716.95 |
$716.95 |
$501.20
|
|
Treatment of heel fracture 28400
|
$716.95 |
$716.95 |
$716.95 |
$473.00
|
|
Treatment of thigh fracture
|
$716.95 |
$716.95 |
$716.95 |
$549.00
|
|
Treatment of toe fracture 28510
|
$716.95 |
$716.95 |
$716.95 |
$371.40
|
|
Treat thigh fracture
|
$716.95 |
$716.95 |
$716.95 |
$661.00
|
|
Treat thigh fracture
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$2,032.10
|
|
Treat toe dislocation
|
$794.30 |
$794.30 |
$794.30 |
$756.39
|
|
Treat wrist bone fracture
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,703.20
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$8,608.52 |
$8,608.52 |
$8,608.52 |
$73,346.25
|
|
Treponema pallidum antibody
|
$59.15 |
$59.15 |
$59.15 |
$72.05
|
|
Treprostinil injection
|
$1,489.78 |
$1,489.78 |
$1,489.78 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$903.50 |
$903.50 |
$903.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$43.80 |
$43.80 |
$43.80 |
$43.09
|
|
Triamcinolone a inj prs-free
|
$1,694.16 |
$1,694.16 |
$1,694.16 |
$223.56
|
|
Trichinella antibody
|
$56.55 |
$56.55 |
$56.55 |
$70.65
|
|
Trichomonas assay w/optic
|
$68.90 |
$68.90 |
$68.90 |
$57.40
|
|
Triglycerides
|
$26.00 |
$26.00 |
$26.00 |
$58.50
|
|
Trimethobenzamide hcl inj
|
$77.32 |
$77.32 |
$77.32 |
$117.49
|
|
Triptorelin pamoate
|
$13,470.60 |
$13,470.60 |
$13,470.60 |
$4,619.39
|
|
Troponin quantitative
|
$55.90 |
$55.90 |
$55.90 |
$127.60
|
|
Tx closed tib shaft fx without manip
|
$716.95 |
$716.95 |
$716.95 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$716.95 |
$716.95 |
$716.95 |
$419.04
|
|
Tympanometry & reflex thresh
|
$406.90 |
$406.90 |
$406.90 |
$173.18
|
|
Typhoid vaccine oral
|
$45.75 |
$45.75 |
$45.75 |
$63.28
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$4,332.90 |
$4,332.90 |
$4,332.90 |
$21,992.26
|
|
Ultrasound breast complete
|
$477.10 |
$477.10 |
$477.10 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$452.40
|
|
Ultrasound dx ophth b-scan
|
$477.10 |
$477.10 |
$477.10 |
$296.80
|
|
Ultrasound Guidance for a Needle Procedure
|
$560.95 |
$560.95 |
$560.95 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$172.90 |
$172.90 |
$172.90 |
$388.08
|
|
Ultrasound guide tissue ablation
|
$419.90 |
$419.90 |
$419.90 |
$560.00
|
|
Ultrasound joint complete left
|
$477.10 |
$477.10 |
$477.10 |
$557.99
|
|
Umbilical artery cath newborn 36660
|
$163.80 |
$163.80 |
$163.80 |
$223.80
|
|
Unlisted mr procedure
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$1,165.00
|
|
Unlisted px casting/strpg
|
$168.35 |
$168.35 |
$168.35 |
$222.00
|
|
Unlisted surgical path px
|
$217.75 |
$217.75 |
$217.75 |
$217.75
|
|
Upper Arm (Humerus) X-ray (left side)
|
$395.20 |
$395.20 |
$395.20 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$477.10 |
$477.10 |
$477.10 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$477.10 |
$477.10 |
$477.10 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$798.20 |
$798.20 |
$798.20 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$798.20 |
$798.20 |
$798.20 |
$607.20
|
|
Urea nitrogen
|
$17.55 |
$17.55 |
$17.55 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$24.70 |
$24.70 |
$24.70 |
$52.00
|
|
Urea nitrogen semi-quant
|
$22.75 |
$22.75 |
$22.75 |
$10.40
|
|
Uric acid blood
|
$20.15 |
$20.15 |
$20.15 |
$49.44
|
|
Uric acid urine
|
$22.75 |
$22.75 |
$22.75 |
$45.36
|
|
Urinalysis microscopic only
|
$13.65 |
$13.65 |
$13.65 |
$26.46
|
