|
Tacrolimus therapeutic drug level
|
$48.60 |
$48.60 |
$48.60 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$6,993.36 |
$6,993.36 |
$6,993.36 |
$2,762.00
|
|
Talymed
|
$3,411.49 |
$3,411.49 |
$3,411.49 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,598.40 |
$4,598.40 |
$4,598.40 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$75,150.00 |
$75,150.00 |
$75,150.00 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,883.46 |
$1,883.46 |
$1,883.46 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$130.20 |
$130.20 |
$130.20 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$181.80 |
$181.80 |
$181.80 |
$177.65
|
|
Tc-99m mebrofenin
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$157.65
|
|
Tc-99m medronate
|
$190.20 |
$190.20 |
$190.20 |
$111.01
|
|
Tc-99m mertiatide
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$756.00
|
|
Tc-99m sestamibi p study dose
|
$1,032.30 |
$1,032.30 |
$1,032.30 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$2,608.20 |
$2,608.20 |
$2,608.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$649.20 |
$649.20 |
$649.20 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$68.40 |
$68.40 |
$68.40 |
$176.40
|
|
T cells absolute cd 4 count
|
$88.20 |
$88.20 |
$88.20 |
$111.20
|
|
T cells total count
|
$68.40 |
$68.40 |
$68.40 |
$126.90
|
|
Telethx isodose plan cplx
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$807.00 |
$807.00 |
$807.00 |
$873.62
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,021.62 |
$10,021.62 |
$10,021.62 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$39,080.10 |
$39,080.10 |
$39,080.10 |
$15,245.38
|
|
Tenosynovectomy radic 26145
|
$9,271.26 |
$9,271.26 |
$9,271.26 |
$1,893.86
|
|
Tension based scoliosis orth
|
$7,573.03 |
$7,573.03 |
$7,573.03 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$7.50 |
$7.50 |
$7.50 |
$39.33
|
|
Tert gene targeted seq alys
|
$211.80 |
$211.80 |
$211.80 |
$335.00
|
|
Test for chlorohydrocarbons
|
$131.40 |
$131.40 |
$131.40 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$1,081.80 |
$1,081.80 |
$1,081.80 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$63.00 |
$63.00 |
$63.00 |
$70.00
|
|
Test socket below knee
|
$924.76 |
$924.76 |
$924.76 |
$535.15
|
|
Tetanus immune globulin inj
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$51.00 |
$51.00 |
$51.00 |
$108.00
|
|
Ther nma rdctj intus/obstrcj
|
$724.80 |
$724.80 |
$724.80 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.72 |
$12.72 |
$12.72 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,219.04 |
$1,219.04 |
$1,219.04 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,625.91 |
$1,625.91 |
$1,625.91 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$859.23 |
$859.23 |
$859.23 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,121.17 |
$1,121.17 |
$1,121.17 |
$657.72
|
|
Thorac cont lat support upri
|
$524.25 |
$524.25 |
$524.25 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$571.45 |
$571.45 |
$571.45 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,421.73 |
$3,421.73 |
$3,421.73 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$641.95 |
$641.95 |
$641.95 |
$387.41
|
|
Thoracic pad
|
$388.03 |
$388.03 |
$388.03 |
$234.19
|
|
Thor rib belt custom fabrica
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$225.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,523.80 |
$6,523.80 |
$6,523.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$20,453.40 |
$20,453.40 |
$20,453.40 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$29,644.20 |
$29,644.20 |
$29,644.20 |
$21,413.60
|
|
Thrombin time
|
$37.20 |
$37.20 |
$37.20 |
$53.76
|
|
Thromboplastin inhibition
|
$139.20 |
$139.20 |
$139.20 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$15.00 |
$15.00 |
$15.00 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,696.86 |
$2,696.86 |
$2,696.86 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,925.77 |
$1,925.77 |
$1,925.77 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,908.28 |
$1,908.28 |
$1,908.28 |
$1,695.23
|
|
Thyroglobulin antibody
|
$83.40 |
$83.40 |
$83.40 |
$82.00
|
|
Thyroid imaging
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$695.02
|
|
Thyroid met imaging
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$838.25
|
|
Thyroid mets imag whole body
|
$2,842.80 |
$2,842.80 |
$2,842.80 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$94.80 |
$94.80 |
$94.80 |
$111.00
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$25.20 |
$25.20 |
$25.20 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$35,763.74 |
$35,763.74 |
$35,763.74 |
$5,801.60
|
|
Tirofiban 12.5 mg/50 ml
|
$1,218.90 |
$1,218.90 |
$1,218.90 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$37,078.02 |
$37,078.02 |
$37,078.02 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$11,525.66 |
$11,525.66 |
$11,525.66 |
$4,834.73
|
|
Tissue culture placenta
|
$424.80 |
$424.80 |
$424.80 |
$457.00
|
|
Tissue culture skin/biopsy
|
$300.00 |
$300.00 |
$300.00 |
$484.00
|
|
Tissue culture tumor
|
$651.00 |
$651.00 |
$651.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$50,539.09 |
$50,539.09 |
$50,539.09 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$20.40 |
$20.40 |
$20.40 |
$44.16
|
|
Tlh uterus 250 g or less
|
$21,789.19 |
$21,789.19 |
$21,789.19 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$25,977.80 |
$25,977.80 |
$25,977.80 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$27,801.55 |
$27,801.55 |
$27,801.55 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$2,110.21 |
$2,110.21 |
$2,110.21 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,817.14 |
$1,817.14 |
$1,817.14 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,160.47 |
$2,160.47 |
$2,160.47 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,687.36 |
$2,687.36 |
$2,687.36 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,791.77 |
$1,791.77 |
$1,791.77 |
$1,051.18
|
|
Tlso corset front
|
$382.87 |
$382.87 |
$382.87 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,242.57 |
$1,242.57 |
$1,242.57 |
$931.57
|
|
Tlso full corset
|
$626.09 |
$626.09 |
$626.09 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,359.35 |
$1,359.35 |
$1,359.35 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,359.35 |
$1,359.35 |
$1,359.35 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,703.56 |
$1,703.56 |
$1,703.56 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,703.56 |
$1,703.56 |
$1,703.56 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,556.79 |
$1,556.79 |
$1,556.79 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,410.30 |
$3,410.30 |
$3,410.30 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,375.18 |
$2,375.18 |
$2,375.18 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,573.87 |
$3,573.87 |
$3,573.87 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$1,013.49 |
$1,013.49 |
$1,013.49 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,692.79 |
$1,692.79 |
$1,692.79 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$408.00 |
$408.00 |
$408.00 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12,508.92 |
$12,508.92 |
$12,508.92 |
$5,258.52
|
