|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,570.16 |
$7,570.16 |
$7,570.16 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.71 |
$9.71 |
$9.71 |
$39.33
|
|
Test for urine cystines
|
$18.50 |
$18.50 |
$18.50 |
$23.20
|
|
Testicular imaging w/vasc flow
|
$342.62 |
$342.62 |
$342.62 |
$586.96
|
|
Test stress cardiovascular tracing only
|
$365.84 |
$365.84 |
$365.84 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$404.61 |
$404.61 |
$404.61 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$60.77 |
$60.77 |
$60.77 |
$101.40
|
|
Therapeutic procd strg endur
|
$35.71 |
$35.71 |
$35.71 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$48.29 |
$48.29 |
$48.29 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$26.64 |
$26.64 |
$26.64 |
$47.50
|
|
Ther nma rdctj intus/obstrcj
|
$254.19 |
$254.19 |
$254.19 |
$524.80
|
|
Ther/proph/diag inj ia
|
$221.54 |
$221.54 |
$221.54 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.68 |
$11.68 |
$11.68 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$967.18 |
$967.18 |
$967.18 |
$1,658.70
|
|
Thoracotomy with cardiac massage
|
$921.49 |
$921.49 |
$921.49 |
$2,313.88
|
|
Thrombectmy crnry perq mechanical
|
$2,061.92 |
$2,061.92 |
$2,061.92 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,284.08 |
$6,284.08 |
$6,284.08 |
$8,395.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,037.62 |
$14,037.62 |
$14,037.62 |
$15,640.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,277.04 |
$21,277.04 |
$21,277.04 |
$25,597.40
|
|
Thrombin time
|
$42.83 |
$42.83 |
$42.83 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$34.60 |
$34.60 |
$34.60 |
$56.93
|
|
Thyroglobulin antibody
|
$56.89 |
$56.89 |
$56.89 |
$86.40
|
|
Thyroid imaging
|
$176.21 |
$176.21 |
$176.21 |
$577.80
|
|
Thyroid mets imag whole body
|
$589.32 |
$589.32 |
$589.32 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$83.07 |
$83.07 |
$83.07 |
$101.40
|
|
Thyroid Ultrasound
|
$408.02 |
$408.02 |
$408.02 |
$553.80
|
|
Thyroid uptake measurement
|
$134.03 |
$134.03 |
$134.03 |
$580.20
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,335.83 |
$2,335.83 |
$2,335.83 |
$3,167.70
|
|
Thyroxine binding globulin (tbg)
|
$61.42 |
$61.42 |
$61.42 |
$75.00
|
|
Tib/per revasc stent & ather 37231
|
$39,520.44 |
$39,520.44 |
$39,520.44 |
$23,525.00
|
|
Tib/per revasc stnt & ather
|
$20,058.26 |
$20,058.26 |
$20,058.26 |
$13,321.00
|
|
Tib/per revasc w/ather add-on 37233
|
$21,667.94 |
$21,667.94 |
$21,667.94 |
$12,855.00
|
|
Tigecycline injection
|
$178.71 |
$178.71 |
$178.71 |
$7.44
|
|
Tilt table study
|
$487.29 |
$487.29 |
$487.29 |
$1,488.24
|
|
Tirofiban 12.5 mg/50 ml
|
$696.08 |
$696.08 |
$696.08 |
$696.08
|
|
Tissue culture skin/biopsy
|
$560.27 |
$560.27 |
$560.27 |
$626.77
|
|
Tissue culture tumor
|
$320.05 |
$320.05 |
$320.05 |
$605.60
|
|
Tissue exam koh skin/hair/nails
|
$21.09 |
$21.09 |
$21.09 |
$45.23
|
|
Tl-201 thallium diag per mci
|
$43.38 |
$43.38 |
$43.38 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$141.75 |
$141.75 |
$141.75 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$65.95 |
$65.95 |
$65.95 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$25.62 |
$25.62 |
$25.62 |
$2,743.02
|
|
Tomosynthesis breast diagnostic left
|
$34.97 |
$34.97 |
$34.97 |
$53.92
|
|
Tomosynthesis breast screen bilateral
|
$34.97 |
$34.97 |
$34.97 |
$77.46
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$28.64 |
$28.64 |
$28.64 |
$200.93
|
|
Toxoplasma antibody igg
|
$49.77 |
$49.77 |
$49.77 |
$83.20
|
|
Toxoplasma antibody igm
|
$48.93 |
$48.93 |
$48.93 |
$85.80
|
|
Tp53 gene full gene sequence
|
$535.76 |
$535.76 |
$535.76 |
$660.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$429.02 |
$429.02 |
$429.02 |
$1,522.95
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$40.89 |
$40.89 |
$40.89 |
$90.35
|
|
Transcath biopsy
|
$1,720.69 |
$1,720.69 |
$1,720.69 |
$4,285.93
|
|
Transcath closure of asd
|
$6,954.34 |
$6,954.34 |
$6,954.34 |
$19,715.47
|
|
Transcath closure of vsd
|
$6,954.34 |
$6,954.34 |
$6,954.34 |
$18,837.00
|
|
Transcatheter bx s&i
|
$710.22 |
$710.22 |
$710.22 |
$1,795.70
|
|
Transcath mv repair addl prosthesis
|
$649.63 |
$649.63 |
$649.63 |
$4,499.00
|
|
Transcath mv repair init prosthesis
|
$2,750.03 |
$2,750.03 |
$2,750.03 |
$13,818.35
|
|
Transcath occlusion cns
|
$582.75 |
$582.75 |
$582.75 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$5,137.08 |
$5,137.08 |
$5,137.08 |
$12,427.79
|
|
Transferrin
|
$53.47 |
$53.47 |
$53.47 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$393.40 |
$393.40 |
$393.40 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$194.29 |
$194.29 |
$194.29 |
$934.80
|
|
Treat ankle dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,132.50
|
|
Treat clavicle dislocation 23545
|
$759.61 |
$759.61 |
$759.61 |
$759.61
|
|
Treat elbow dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,326.40
|
|
Treat elbow fracture
|
$2,856.96 |
$2,856.96 |
$2,856.96 |
$2,055.00
|
|
Treat eyelid by injection
|
$147.08 |
$147.08 |
$147.08 |
$387.00
|
|
Treat finger fracture each
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,808.00
|
|
Treat foot dislocation
|
$198.60 |
$198.60 |
$198.60 |
$435.60
|
|
Treat foot dislocation
|
$260.85 |
$260.85 |
$260.85 |
$455.22
|
|
Treat foot dislocation
|
$235.69 |
$235.69 |
$235.69 |
$422.45
|
|
Treat fracture of radius
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,884.74
|
|
Treat fracture of radius
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,628.48
|
|
Treat fracture of ulna
|
$637.33 |
$637.33 |
$637.33 |
$806.13
|
|
Treat hand dislocation
|
$697.17 |
$697.17 |
$697.17 |
$1,591.20
|
|
Treat hip dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,644.00
|
|
Treat hip dislocation
|
$2,452.36 |
$2,452.36 |
$2,452.36 |
$3,493.90
|
|
Treat humerus fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,055.00
|
|
Treat humerus fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,045.35
|
|
Treat kneecap dislocation
|
$2,285.86 |
$2,285.86 |
$2,285.86 |
$1,931.40
|
|
Treat knee fracture 27530
|
$239.39 |
$239.39 |
$239.39 |
$576.13
|
|
Treat knee fracture(s)
|
$394.98 |
$394.98 |
$394.98 |
$669.60
|
|
Treat knuckle dislocation
|
$1,437.27 |
$1,437.27 |
$1,437.27 |
$3,705.22
|
|
Treat lower leg dislocation
|
$394.79 |
$394.79 |
$394.79 |
$571.27
|
|
Treatment incomplete abortion completed surgically any trimester
|
$2,974.25 |
$2,974.25 |
$2,974.25 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$103.79 |
$103.79 |
$103.79 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$87.97 |
$87.97 |
$87.97 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$29.88 |
$29.88 |
$29.88 |
$197.60
|
|
Treatment missed abortion completed surgically 1st trimester
|
$2,005.86 |
$2,005.86 |
$2,005.86 |
$3,820.53
|
|
Treatment of ankle fracture 27786
|
$283.05 |
$283.05 |
$283.05 |
$575.25
|
|
Treatment of fibula fracture 27780
|
$376.11 |
$376.11 |
$376.11 |
$558.75
|
|
Treatment of heel fracture 28400
|
$258.82 |
$258.82 |
$258.82 |
$469.60
|
|
Treatment of miscarriage
|
$2,388.81 |
$2,388.81 |
$2,388.81 |
$3,744.41
|
|
Treatment of thigh fracture
|
$394.98 |
$394.98 |
$394.98 |
$633.60
|
|
Treatment of thigh fracture
|
$227.74 |
$227.74 |
$227.74 |
$659.00
|
|
Treatment of thigh fracture
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$2,093.25
|
|
Treatment of toe fracture 28510
|
$376.11 |
$376.11 |
$376.11 |
$362.00
|
|
Treatment radiation delivery level 2
|
$150.96 |
$150.96 |
$150.96 |
$737.25
|
|
Treat thigh fracture
|
$394.98 |
$394.98 |
$394.98 |
$661.00
|
|
Treat thigh fracture
|
$2,289.56 |
$2,289.56 |
$2,289.56 |
$1,858.61
|
|
Treat thigh fracture
|
$376.11 |
$376.11 |
$376.11 |
$716.95
|
