|
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
|
$3,330.30 |
$3,330.30 |
$3,330.30 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$22,412.82 |
$22,412.82 |
$22,806.00 |
$8,737.05
|
|
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
|
$13.44 |
$13.44 |
$14.04 |
$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)
|
$895.20 |
$895.20 |
$895.20 |
$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
|
|
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
|
|
Thyroid Ultrasound
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$588.50
|
|
Thyroid uptake measurement
|
$1,039.80 |
$1,039.80 |
$1,039.80 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,918.68 |
$1,918.68 |
$1,952.34 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$25.20 |
$25.20 |
$25.20 |
$64.35
|
|
Tirofiban 12.5 mg/50 ml
|
$1,290.60 |
$1,290.60 |
$1,347.96 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$37,744.08 |
$37,744.08 |
$37,744.08 |
$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 w/t/o 250 g or less
|
$26,805.35 |
$26,805.35 |
$26,805.35 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$25,823.42 |
$25,823.42 |
$25,823.42 |
$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
|
|
Tnot opn elbw to sho ea tdn
|
$11,033.34 |
$11,033.34 |
$11,033.34 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$432.00 |
$432.00 |
$451.20 |
$152.36
|
|
Tobramycin non-comp unit
|
$52.92 |
$52.92 |
$52.92 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$13,624.38 |
$13,624.38 |
$13,863.42 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$28.80 |
$28.80 |
$28.80 |
$73.00
|
|
Tonsillectomy (age 12+)
|
$11,311.16 |
$11,311.16 |
$13,954.57 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$10,469.17 |
$10,469.17 |
$10,469.17 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$6,487.68 |
$6,487.68 |
$6,487.68 |
$325.00
|
|
Torsion ank & half solid sti
|
$440.84 |
$440.84 |
$440.84 |
$291.13
|
|
Torsion straight knee joint
|
$384.37 |
$384.37 |
$384.37 |
$253.84
|
|
Total hip arthroplasty
|
$63,475.49 |
$63,475.49 |
$118,060.13 |
$7,347.60
|
|
Total Hip Replacement
|
$46,750.46 |
$46,750.46 |
$47,033.76 |
$9,161.60
|
|
Total hysterectomy
|
$27,091.10 |
$27,091.10 |
$27,091.10 |
$3,001.70
|
|
Total Knee Replacement
|
$43,192.66 |
$43,192.66 |
$81,416.91 |
$14,543.50
|
|
Total tau
|
$339.00 |
$339.00 |
$339.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$198.60 |
$198.60 |
$198.60 |
$89.40
|
|
Toxoplasma antibody igm
|
$198.60 |
$198.60 |
$198.60 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$628.80 |
$628.80 |
$628.80 |
$790.68
|
|
Tpmt gene com vrnts
|
$347.40 |
$347.40 |
$347.40 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$18,852.03 |
$18,852.03 |
$18,852.03 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$4,143.66 |
$4,143.66 |
$4,143.66 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$112.80 |
$112.80 |
$113.40 |
$56.38
|
|
Transcatheter bx s&i
|
$6,559.20 |
$6,559.20 |
$6,559.20 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$5,318.40 |
$5,318.40 |
$5,318.40 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$10,798.80 |
$10,798.80 |
$10,798.80 |
$12,418.00
|
|
Transferrin
|
$67.20 |
$67.20 |
$67.20 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$790.80 |
$790.80 |
$790.80 |
$983.00
|
|
Transplant forearm tendon
|
$10,619.40 |
$10,619.40 |
$10,619.40 |
$3,591.33
|
|
Trans shoe caliper plate new
|
$359.98 |
$359.98 |
$359.98 |
$217.22
|
|
Trans shoe calip plate exist
|
$273.39 |
$273.39 |
$273.39 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$273.39 |
$273.39 |
$273.39 |
$141.41
|
