|
Tafasitamab-cxix 200 mg intravenous solution
|
$11.80 |
$11.80 |
$11.80 |
$4,222.23
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$77.87 |
$77.87 |
$77.87 |
$77.55
|
|
Target gsa panel hmtlmph neop
|
$1,829.99 |
$1,829.99 |
$1,829.99 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,076.67 |
$1,076.67 |
$1,076.67 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,394.56 |
$1,394.56 |
$1,394.56 |
$1,913.00
|
|
Tavr perq femoral
|
$4,909.71 |
$4,909.71 |
$4,909.71 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$195.90 |
$195.90 |
$195.90 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$106.63 |
$106.63 |
$106.63 |
$166.46
|
|
Tc-99m bicisate
|
$1,321.66 |
$1,321.66 |
$1,321.66 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$1,386.63 |
$1,386.63 |
$1,386.63 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,386.63 |
$1,386.63 |
$1,386.63 |
$2,166.26
|
|
Tc-99m gluceptate
|
$60.51 |
$60.51 |
$60.51 |
$1,105.40
|
|
Tc-99m labeled rbc
|
$193.42 |
$193.42 |
$193.42 |
$323.01
|
|
Tc-99m maa
|
$640.25 |
$640.25 |
$640.25 |
$312.06
|
|
Tc-99m mebrofenin
|
$48.11 |
$48.11 |
$48.11 |
$169.53
|
|
Tc-99m medronate
|
$52.08 |
$52.08 |
$52.08 |
$122.46
|
|
Tc-99m mertiatide
|
$321.86 |
$321.86 |
$321.86 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$38.19 |
$38.19 |
$38.19 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$38.19 |
$38.19 |
$38.19 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$8.44 |
$8.44 |
$8.44 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$87.29 |
$87.29 |
$87.29 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$137.38 |
$137.38 |
$137.38 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$72.41 |
$72.41 |
$72.41 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$165.65 |
$165.65 |
$165.65 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$404.68 |
$404.68 |
$404.68 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$156.72 |
$156.72 |
$156.72 |
$186.00
|
|
T cells absolute cd 4 count
|
$104.65 |
$104.65 |
$104.65 |
$120.25
|
|
T cells total count
|
$336.74 |
$336.74 |
$336.74 |
$124.11
|
|
Telehealth original site facility fee
|
$22.82 |
$22.82 |
$22.82 |
$44.85
|
|
Telethx isodose plan cplx
|
$1,050.39 |
$1,050.39 |
$1,050.39 |
$1,617.00
|
|
Telethx isodose plan simple
|
$493.95 |
$493.95 |
$493.95 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,314.02 |
$2,314.02 |
$2,314.02 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,913.07 |
$7,913.07 |
$7,913.07 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$7.94 |
$7.94 |
$7.94 |
$44.49
|
|
Test for chlorohydrocarbons
|
$164.65 |
$164.65 |
$164.65 |
$71.04
|
|
Test for porphobilinogen
|
$54.06 |
$54.06 |
$54.06 |
$33.57
|
|
Test for urine cystines
|
$75.88 |
$75.88 |
$75.88 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$652.65 |
$652.65 |
$652.65 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$594.63 |
$594.63 |
$594.63 |
$1,001.55
|
|
Test urine for porphyrins
|
$75.39 |
$75.39 |
$75.39 |
$27.30
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,070.37 |
$6,070.37 |
$6,070.37 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$76.87 |
$76.87 |
$76.87 |
$108.00
|
|
Therapeutic procd strg endur
|
$46.13 |
$46.13 |
$46.13 |
$81.36
|
|
Therapy activity per session >= 45 minutes
|
$95.22 |
$95.22 |
$95.22 |
$210.44
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$59.02 |
$59.02 |
$59.02 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$75.39 |
$75.39 |
$75.39 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$530.15 |
$530.15 |
$530.15 |
$534.32
|
|
Ther/proph/diag inj ia
|
$132.42 |
$132.42 |
$132.42 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$10.92 |
$10.92 |
$10.92 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,136.18 |
$1,136.18 |
$1,136.18 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$2,489.08 |
$2,489.08 |
$2,489.08 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,572.28 |
$5,572.28 |
$5,572.28 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,263.57 |
$11,263.57 |
$11,263.57 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,149.07 |
$18,149.07 |
$18,149.07 |
$24,605.30
|
|
Thrombin time
|
$62.00 |
$62.00 |
$62.00 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$45.63 |
$45.63 |
$45.63 |
$56.93
|
|
Thyroglobulin antibody
|
$104.15 |
$104.15 |
$104.15 |
$84.00
|
|
Thyroid imaging
|
$517.26 |
$517.26 |
$517.26 |
$670.80
|
|
Thyroid met imaging
|
$1,220.99 |
$1,220.99 |
$1,220.99 |
$549.70
|
|
Thyroid mets imag whole body
|
$1,695.59 |
$1,695.59 |
$1,695.59 |
$1,524.99
|
|
Thyroid met uptake
|
$440.89 |
$440.89 |
$440.89 |
$380.00
|
|
Thyroid (TSH) Test
|
$92.74 |
$92.74 |
$92.74 |
$120.00
|
|
Thyroid Ultrasound
|
$505.36 |
$505.36 |
$505.36 |
$589.96
|
|
Thyroid uptake measurement
|
$363.03 |
$363.03 |
$363.03 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,494.53 |
$2,494.53 |
$2,494.53 |
$4,886.55
|
|
Thyrotropin releasing hormone
|
$218.21 |
$218.21 |
$218.21 |
$55.45
|
|
Thyroxine binding globulin (tbg)
|
$141.35 |
$141.35 |
$141.35 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$12,765.75 |
$12,765.75 |
$12,765.75 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$6,724.32 |
$6,724.32 |
$6,724.32 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$5,456.23 |
$5,456.23 |
$5,456.23 |
$10,406.14
|
|
Tigecycline injection
|
$185.98 |
$185.98 |
$185.98 |
$308.75
|
|
Tilt table study
|
$695.30 |
$695.30 |
$695.30 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$260.37 |
$260.37 |
$260.37 |
$360.60
|
|
Tissue culture placenta
|
$228.13 |
$228.13 |
$228.13 |
$520.91
|
|
Tissue culture skin/biopsy
|
$85.31 |
$85.31 |
$85.31 |
$558.87
|
|
Tissue culture tumor
|
$385.34 |
$385.34 |
$385.34 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$42.66 |
$42.66 |
$42.66 |
$47.40
|
|
Tissue transglutaminase iga
|
$31.74 |
$31.74 |
$31.74 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$67.95 |
$67.95 |
$67.95 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$120.22 |
$120.22 |
$120.22 |
$125.87
|
|
Tobramycin non-comp unit
|
$118.04 |
$118.04 |
$118.04 |
$107.07
|
|
Tobramycin peak therapeutic drug level
|
$52.08 |
$52.08 |
$52.08 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,453.37 |
$2,453.37 |
$2,453.37 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$70.92 |
$70.92 |
$70.92 |
$73.45
|
|
Tone decay hearing test
|
$48.61 |
$48.61 |
$48.61 |
$64.80
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$118.53 |
$118.53 |
$118.53 |
$303.88
|
|
Toxoplasma antibody igg
|
$97.21 |
$97.21 |
$97.21 |
$84.35
|
|
Toxoplasma antibody igm
|
$100.68 |
$100.68 |
$100.68 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$744.40 |
$744.40 |
$744.40 |
$919.10
|
|
Tpmt gene com vrnts
|
$541.06 |
$541.06 |
$541.06 |
$381.55
|
|
Trabectedin 1 mg intravenous solution
|
$416.59 |
$416.59 |
$416.59 |
$6,133.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$83.82 |
$83.82 |
$83.82 |
$93.75
|
|
Transabdom amnioinfus w/us
|
$266.82 |
$266.82 |
$266.82 |
$791.05
|
|
Transcath closure of asd
|
$11,865.14 |
$11,865.14 |
$11,865.14 |
$18,772.00
|
|
Transcath closure of vsd
|
$11,865.14 |
$11,865.14 |
$11,865.14 |
$18,837.00
|
|
Transcatheter bx s&i
|
$539.08 |
$539.08 |
$539.08 |
$1,875.96
|
|
Trans cath replace aortic valve 33366
|
$7,168.18 |
$7,168.18 |
$7,168.18 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,505.44 |
$2,505.44 |
$2,505.44 |
$4,627.00
|
|
Transferrin
|
$55.05 |
$55.05 |
$55.05 |
$87.30
|
