|
Syphilis test non-treponemal antibody quantitative rpr
|
$102.05 |
$102.05 |
$102.05 |
$44.85
|
|
System pacing micra av
|
$23,128.97 |
$23,128.97 |
$23,128.97 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,736.95 |
$5,736.95 |
$5,736.95 |
$10,980.00
|
|
System sealant biosentry tract
|
$698.82 |
$698.82 |
$698.82 |
$900.00
|
|
T3 (triiodothyronine) free
|
$46.80 |
$46.80 |
$46.80 |
$89.82
|
|
T3 (triiodothyronine) total
|
$42.90 |
$42.90 |
$42.90 |
$94.90
|
|
T4 (thyroxine) free
|
$61.10 |
$61.10 |
$61.10 |
$81.60
|
|
T4 (thyroxine) total
|
$70.20 |
$70.20 |
$70.20 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.78 |
$4.78 |
$4.78 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$55.90 |
$55.90 |
$55.90 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$4,665.05 |
$4,665.05 |
$4,665.05 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$7,605.00 |
$7,605.00 |
$7,605.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,393.35 |
$4,393.35 |
$4,393.35 |
$1,913.00
|
|
Tavr perq femoral
|
$30,338.10 |
$30,338.10 |
$30,338.10 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$194.35 |
$194.35 |
$194.35 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$165.10 |
$165.10 |
$165.10 |
$166.46
|
|
Tc-99m bicisate
|
$1,684.04 |
$1,684.04 |
$1,684.04 |
$1,969.45
|
|
Tc-99m exametazime diag
|
$3,058.54 |
$3,058.54 |
$3,058.54 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$247.06 |
$247.06 |
$247.06 |
$323.01
|
|
Tc-99m maa
|
$348.18 |
$348.18 |
$348.18 |
$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
|
$0.68 |
$0.68 |
$0.68 |
$8.00
|
|
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 pyroph diag per dose up to 25 mci
|
$75.92 |
$75.92 |
$75.92 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$64.35 |
$64.35 |
$64.35 |
$221.60
|
|
Tc-99m sulfur colloid
|
$191.87 |
$191.87 |
$191.87 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$68.25 |
$68.25 |
$68.25 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$51.80 |
$51.80 |
$51.80 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$391.30 |
$391.30 |
$391.30 |
$186.00
|
|
T cells absolute cd 4 count
|
$442.00 |
$442.00 |
$442.00 |
$120.25
|
|
T cells total count
|
$582.40 |
$582.40 |
$582.40 |
$124.11
|
|
Tcranial magn stim tx deli
|
$315.25 |
$315.25 |
$315.25 |
$368.50
|
|
Tcranial magn stim tx plan
|
$444.60 |
$444.60 |
$444.60 |
$386.88
|
|
Tcran magn stim redetemine
|
$444.60 |
$444.60 |
$444.60 |
$417.06
|
|
Telehealth original site facility fee
|
$44.85 |
$44.85 |
$44.85 |
$60.80
|
|
Telethx isodose plan cplx
|
$9,276.15 |
$9,276.15 |
$9,276.15 |
$1,617.00
|
|
Telethx isodose plan simple
|
$7,538.70 |
$7,538.70 |
$7,538.70 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,874.78 |
$20,874.78 |
$20,874.78 |
$16,531.64
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,189.20 |
$2,189.20 |
$2,189.20 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.50 |
$23.50 |
$23.50 |
$46.10
|
|
Tert gene targeted seq alys
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$304.59
|
|
Test for chlorohydrocarbons
|
$318.50 |
$318.50 |
$318.50 |
$71.04
|
|
Test for porphobilinogen
|
$97.50 |
$97.50 |
$97.50 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$125.45 |
$125.45 |
$125.45 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$781.30 |
$781.30 |
$781.30 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,765.86 |
$1,765.86 |
$1,765.86 |
$1,204.50
|
|
Tgsap so/hl 51/< rna alys
|
$6,119.75 |
$6,119.75 |
$6,119.75 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$57.85 |
$57.85 |
$57.85 |
$108.00
|
|
Therapeutic procd strg endur
|
$87.10 |
$87.10 |
$87.10 |
$85.80
|
|
Therapy activity per session >= 45 minutes
|
$364.00 |
$364.00 |
$364.00 |
$158.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$33.80 |
$33.80 |
$33.80 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$36.40 |
$36.40 |
$36.40 |
$50.40
|
|
Ther/proph/diag inj ia
|
$157.30 |
$157.30 |
$157.30 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.98 |
$23.98 |
$23.98 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,063.80 |
$4,063.80 |
$4,063.80 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$2,899.65 |
$2,899.65 |
$2,899.65 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,079.85 |
$9,079.85 |
$9,079.85 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,391.40 |
$17,391.40 |
$17,391.40 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$30,914.65 |
$30,914.65 |
$30,914.65 |
$24,605.30
|
|
Thrombin time
|
$74.75 |
$74.75 |
$74.75 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$603.85 |
$603.85 |
$603.85 |
$56.93
|
|
Thyroglobulin antibody
|
$124.80 |
$124.80 |
$124.80 |
$84.00
|
|
Thyroid imaging
|
$769.60 |
$769.60 |
$769.60 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,524.99
|
|
Thyroid met uptake
|
$438.75 |
$438.75 |
$438.75 |
$380.00
|
|
Thyroid (TSH) Test
|
$68.90 |
$68.90 |
$68.90 |
$120.00
|
|
Thyroid Ultrasound
|
$551.20 |
$551.20 |
$551.20 |
$589.96
|
|
Thyroid uptake measurement
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,095.60 |
$7,095.60 |
$7,095.60 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$68.90 |
$68.90 |
$68.90 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$44,526.30 |
$44,526.30 |
$44,526.30 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$22,475.70 |
$22,475.70 |
$22,475.70 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$11,237.85 |
$11,237.85 |
$11,237.85 |
$10,406.14
|
|
Tigecycline injection
|
$54.60 |
$54.60 |
$54.60 |
$277.31
|
|
Tilt table study
|
$1,728.35 |
$1,728.35 |
$1,728.35 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$275.86 |
$275.86 |
$275.86 |
$384.17
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$495.53 |
$495.53 |
$495.53 |
$14,271.00
|
|
Tissue culture placenta
|
$2,120.95 |
$2,120.95 |
$2,120.95 |
$520.91
|
|
Tissue culture skin/biopsy
|
$2,109.90 |
$2,109.90 |
$2,109.90 |
$558.87
|
|
Tissue culture tumor
|
$1,909.70 |
$1,909.70 |
$1,909.70 |
$529.23
|
|
Tissue transglutaminase iga
|
$196.30 |
$196.30 |
$196.30 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$190.22 |
$190.22 |
$190.22 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$64.35 |
$64.35 |
$64.35 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,051.43 |
$7,051.43 |
$7,051.43 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$52.00 |
$52.00 |
$52.00 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$3.75 |
$3.75 |
$3.75 |
$404.20
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$25,728.59 |
$25,728.59 |
$25,728.59 |
$18,599.40
|
|
Total tau
|
$975.00 |
$975.00 |
$975.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$416.00 |
$416.00 |
$416.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$408.20 |
$408.20 |
$408.20 |
$83.20
|
|
Tp53 gene full gene sequence
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$919.10
|
|
Tpmt gene com vrnts
|
$689.00 |
$689.00 |
$689.00 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$840.45 |
$840.45 |
$840.45 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$46.15 |
$46.15 |
$46.15 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$36.14 |
$36.14 |
$36.14 |
$77.65
|
