|
T cells total count
|
$169.65 |
$169.65 |
$169.65 |
$124.11
|
|
Telehealth original site facility fee
|
$44.85 |
$44.85 |
$44.85 |
$44.85
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,874.78 |
$20,874.78 |
$20,874.78 |
$17,652.73
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.26 |
$23.26 |
$23.26 |
$44.49
|
|
Tert gene targeted seq alys
|
$1,784.25 |
$1,784.25 |
$1,784.25 |
$304.59
|
|
Test for chlorohydrocarbons
|
$96.85 |
$96.85 |
$96.85 |
$71.04
|
|
Test for porphobilinogen
|
$109.85 |
$109.85 |
$109.85 |
$33.57
|
|
Testosterone undecanoate 1mg
|
$7,436.81 |
$7,436.81 |
$7,436.81 |
$1.95
|
|
Test pathogen(s) for platelets reference
|
$127.40 |
$127.40 |
$127.40 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$655.20 |
$655.20 |
$655.20 |
$1,001.55
|
|
Tgsap so/hl 51/< rna alys
|
$6,119.75 |
$6,119.75 |
$6,119.75 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$62.40 |
$62.40 |
$62.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$64.35 |
$64.35 |
$64.35 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$40.30 |
$40.30 |
$40.30 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$40.30 |
$40.30 |
$40.30 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$28.44 |
$28.44 |
$28.44 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,806.70 |
$2,806.70 |
$2,806.70 |
$1,804.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,148.75 |
$9,148.75 |
$9,148.75 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,263.65 |
$16,263.65 |
$16,263.65 |
$24,605.30
|
|
Thrombin time
|
$96.85 |
$96.85 |
$96.85 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$35.10 |
$35.10 |
$35.10 |
$56.93
|
|
Thyroglobulin antibody
|
$72.80 |
$72.80 |
$72.80 |
$84.00
|
|
Thyroid (TSH) Test
|
$54.60 |
$54.60 |
$54.60 |
$120.00
|
|
Thyroid Ultrasound
|
$534.30 |
$534.30 |
$534.30 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$116.35 |
$116.35 |
$116.35 |
$63.60
|
|
Tirofiban 12.5 mg/50 ml
|
$379.50 |
$379.50 |
$379.50 |
$360.60
|
|
Tissue culture placenta
|
$530.40 |
$530.40 |
$530.40 |
$520.91
|
|
Tissue culture skin/biopsy
|
$345.80 |
$345.80 |
$345.80 |
$558.87
|
|
Tissue culture tumor
|
$2,077.40 |
$2,077.40 |
$2,077.40 |
$529.23
|
|
Tissue transglutaminase iga
|
$46.15 |
$46.15 |
$46.15 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$190.22 |
$190.22 |
$190.22 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$39.65 |
$39.65 |
$39.65 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,051.43 |
$7,051.43 |
$7,051.43 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$53.30 |
$53.30 |
$53.30 |
$73.45
|
|
Total tau
|
$975.00 |
$975.00 |
$975.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$126.10 |
$126.10 |
$126.10 |
$84.35
|
|
Toxoplasma antibody igm
|
$126.10 |
$126.10 |
$126.10 |
$83.20
|
|
Tp53 gene full gene sequence
|
$1,577.55 |
$1,577.55 |
$1,577.55 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,387.10 |
$1,387.10 |
$1,387.10 |
$919.10
|
|
Tpmt gene com vrnts
|
$358.80 |
$358.80 |
$358.80 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$48.10 |
$48.10 |
$48.10 |
$93.75
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$36.14 |
$36.14 |
$36.14 |
$82.60
|
|
Transabdom amnioinfus w/us
|
$1,415.05 |
$1,415.05 |
$1,415.05 |
$791.05
|
|
Transcatheter bx s&i
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$1,875.96
|
|
Transcath occlusion cns
|
$6,941.35 |
$6,941.35 |
$6,941.35 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$8,095.75 |
$8,095.75 |
$8,095.75 |
$12,427.79
|
|
Trans cath replace aortic valve 33366
|
$15,960.10 |
$15,960.10 |
$15,960.10 |
$17,848.35
|
|
Transcath rmvl perm ldss pmkr rv
|
$8,228.35 |
$8,228.35 |
$8,228.35 |
$4,627.00
|
|
Transferrin
|
$31.20 |
$31.20 |
$31.20 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$811.85 |
$811.85 |
$811.85 |
$988.24
|
|
Transperi needle place pros
|
$1,266.20 |
$1,266.20 |
$1,266.20 |
$6,203.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,285.05 |
$1,285.05 |
$1,285.05 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$422.50 |
$422.50 |
$422.50 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$162.50 |
$162.50 |
$162.50 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$247.00 |
$247.00 |
$247.00 |
$210.00
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,285.05 |
$1,285.05 |
$1,285.05 |
$3,820.53
|
|
Treatment of foot infection
|
$2,117.70 |
$2,117.70 |
$2,117.70 |
$3,594.44
|
|
Treponema pallidum antibody
|
$61.75 |
$61.75 |
$61.75 |
$72.80
|
|
Trg gene rearrangement anal
|
$298.35 |
$298.35 |
$298.35 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$27.17 |
$27.17 |
$27.17 |
$48.22
|
|
Trichinella antibody
|
$148.20 |
$148.20 |
$148.20 |
$70.65
|
|
#tricyclicantidprssnt
|
$106.60 |
$106.60 |
$106.60 |
$57.08
|
|
Triglycerides
|
$55.90 |
$55.90 |
$55.90 |
$54.60
|
|
Trim nondyst nails
|
$47.45 |
$47.45 |
$47.45 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$21,352.50 |
$21,352.50 |
$21,352.50 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$10,676.25 |
$10,676.25 |
$10,676.25 |
$9,781.50
|
|
Trnscath plc stnt ante carotid art
|
$14,873.30 |
$14,873.30 |
$14,873.30 |
$9,114.56
|
|
Troponin quantitative
|
$85.80 |
$85.80 |
$85.80 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$1,446.48
|
|
Tte w or without fol w/cont, com
|
$855.40 |
$855.40 |
$855.40 |
$1,453.15
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$349.05 |
$349.05 |
$349.05 |
$911.43
|
|
Ugt1a1 gene analy common variants
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$534.30 |
$534.30 |
$534.30 |
$403.26
|
|
Ultrasound breast complete
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$694.20 |
$694.20 |
$694.20 |
$449.35
|
|
Ultrasound chest
|
$534.30 |
$534.30 |
$534.30 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$228.15 |
$228.15 |
$228.15 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$878.80 |
$878.80 |
$878.80 |
$284.25
|
|
Ultrasound encephalogram
|
$534.30 |
$534.30 |
$534.30 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$534.30 |
$534.30 |
$534.30 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$397.80 |
$397.80 |
$397.80 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$552.50 |
$552.50 |
$552.50 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$864.50 |
$864.50 |
$864.50 |
$701.35
|
|
Ultrasound guide intraoperative
|
$978.90 |
$978.90 |
$978.90 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$289.25 |
$289.25 |
$289.25 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$289.25 |
$289.25 |
$289.25 |
$321.35
|
|
Ultrasound joint complete left
|
$1,300.65 |
$1,300.65 |
$1,300.65 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$631.80 |
$631.80 |
$631.80 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$348.40 |
$348.40 |
$348.40 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$301.60 |
$301.60 |
$301.60 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$727.35 |
$727.35 |
$727.35 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$458.90 |
$458.90 |
$458.90 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$409.50 |
$409.50 |
$409.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$458.90 |
$458.90 |
$458.90 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$919.75 |
$919.75 |
$919.75 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$534.30 |
$534.30 |
$534.30 |
$498.00
|