|
Tc-99m bicisate
|
$3,860.35 |
$3,860.35 |
$3,860.35 |
$1,969.45
|
|
Tc-99m disofenin
|
$114.88 |
$114.88 |
$114.88 |
$124.32
|
|
Tc-99m exametazime diag
|
$1,844.16 |
$1,844.16 |
$1,844.16 |
$2,033.20
|
|
Tc-99m gluceptate
|
$7.85 |
$7.85 |
$7.85 |
$31.35
|
|
Tc-99m labeled rbc
|
$167.06 |
$167.06 |
$167.06 |
$302.40
|
|
Tc-99m maa
|
$57.43 |
$57.43 |
$57.43 |
$292.80
|
|
Tc-99m mebrofenin
|
$233.75 |
$233.75 |
$233.75 |
$157.65
|
|
Tc-99m medronate
|
$48.45 |
$48.45 |
$48.45 |
$111.01
|
|
Tc-99m mertiatide
|
$283.80 |
$283.80 |
$283.80 |
$756.00
|
|
Tc-99m oxidronate
|
$224.54 |
$224.54 |
$224.54 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$308.31 |
$308.31 |
$308.31 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$73.92 |
$73.92 |
$73.92 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$6,270.15 |
$6,270.15 |
$6,270.15 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$314.45 |
$314.45 |
$314.45 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$132.61 |
$132.61 |
$132.61 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$619.91 |
$619.91 |
$619.91 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$442.00 |
$442.00 |
$442.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$2,493.73 |
$2,493.73 |
$2,493.73 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$6,233.80 |
$6,233.80 |
$6,233.80 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$188.70 |
$188.70 |
$188.70 |
$176.40
|
|
T cells absolute cd 4 count
|
$108.80 |
$108.80 |
$108.80 |
$111.20
|
|
T cells total count
|
$152.15 |
$152.15 |
$152.15 |
$126.90
|
|
Tcranial magn stim tx deli
|
$870.40 |
$870.40 |
$870.40 |
$389.22
|
|
Tcranial magn stim tx plan
|
$870.40 |
$870.40 |
$870.40 |
$437.22
|
|
Tcran magn stim redetemine
|
$870.40 |
$870.40 |
$870.40 |
$457.60
|
|
Tdh sdrl/ventr pnxr
|
$14,483.15 |
$14,483.15 |
$14,483.15 |
$1,087.20
|
|
Teaec w/wo patch graft iliofemoral
|
$18,087.15 |
$18,087.15 |
$18,087.15 |
$5,163.60
|
|
Team conf without pat by hc pro
|
$90.95 |
$90.95 |
$90.95 |
$112.86
|
|
Team conf without pat by phys
|
$140.25 |
$140.25 |
$140.25 |
$140.25
|
|
Team conf w/pat by hc prof
|
$107.10 |
$107.10 |
$107.10 |
$107.10
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$55,669.73 |
$55,669.73 |
$55,669.73 |
$40,114.80
|
|
Tee w or without fol w/cont, mon
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,431.95
|
|
Telavancin injection
|
$706.23 |
$706.23 |
$706.23 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$873.62
|
|
Temozolomide
|
$2,224.54 |
$2,224.54 |
$2,224.54 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$1,031.68 |
$1,031.68 |
$1,031.68 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$5,188.60 |
$5,188.60 |
$5,188.60 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$22,008.59 |
$22,008.59 |
$22,008.59 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.03 |
$10.03 |
$10.03 |
$39.33
|
|
Teriparatide injection
|
$11,381.04 |
$11,381.04 |
$11,381.04 |
$7,403.20
|
|
Test for chlorohydrocarbons
|
$24.65 |
$24.65 |
$24.65 |
$65.00
|
|
Test for porphobilinogen
|
$24.65 |
$24.65 |
$24.65 |
$33.57
|
|
Testosterone undecanoate 1mg
|
$2,224.96 |
$2,224.96 |
$2,224.96 |
$3,528.08
|
|
Test stress cardiovascular tracing only
|
$673.20 |
$673.20 |
$673.20 |
$949.70
|
|
Test urine for porphyrins
|
$53.55 |
$53.55 |
$53.55 |
$49.98
|
|
Test urine urobilinogen
|
$17.85 |
$17.85 |
$17.85 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,743.07 |
$1,743.07 |
$1,743.07 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$4,777.17 |
$4,777.17 |
$4,777.17 |
$8,737.05
|
|
Tgsap so neo 5-50 rna alys
|
$2,215.10 |
$2,215.10 |
$2,215.10 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$56.95 |
$56.95 |
$56.95 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$169.15 |
$169.15 |
$169.15 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$147.90 |
$147.90 |
$147.90 |
$50.00
|
|
Ther/proph/diag inj ia
|
$297.50 |
$297.50 |
$297.50 |
$240.35
|
|
Ther radiology tx plng cplx
|
$1,845.35 |
$1,845.35 |
$1,845.35 |
$332.00
|
|
Ther radiology tx plng intrm
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$777.75 |
$777.75 |
$777.75 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$17.80 |
$17.80 |
$17.80 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$3,481.60 |
$3,481.60 |
$3,481.60 |
$2,138.76
|
|
Throat x-ray & fluoroscopy
|
$406.30 |
$406.30 |
$406.30 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,358.75 |
$2,358.75 |
$2,358.75 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$14,018.20 |
$14,018.20 |
$14,018.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$26,980.70 |
$26,980.70 |
$26,980.70 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$43,006.60 |
$43,006.60 |
$43,006.60 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$22,321.85 |
$22,321.85 |
$22,321.85 |
$5,520.00
|
|
Thrombin time
|
$22.95 |
$22.95 |
$22.95 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$16,156.80 |
$16,156.80 |
$16,156.80 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$8,500.85 |
$8,500.85 |
$8,500.85 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$23,404.75 |
$23,404.75 |
$23,404.75 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$20,661.80 |
$20,661.80 |
$20,661.80 |
$4,185.30
|
|
Thromboplastin inhibition
|
$39.10 |
$39.10 |
$39.10 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$26.35 |
$26.35 |
$26.35 |
$61.52
|
|
Thyroglobulin antibody
|
$64.60 |
$64.60 |
$64.60 |
$82.00
|
|
Thyroid imaging
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$695.02
|
|
Thyroid mets imag whole body
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,524.99
|
|
Thyroid met uptake
|
$578.85 |
$578.85 |
$578.85 |
$398.40
|
|
Thyroid (TSH) Test
|
$68.00 |
$68.00 |
$68.00 |
$111.00
|
|
Thyroid Ultrasound
|
$602.65 |
$602.65 |
$602.65 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,071.07 |
$2,071.07 |
$2,071.07 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$60.35 |
$60.35 |
$60.35 |
$64.35
|
|
Tic-brn enceph vac 0.25ml im
|
$333.99 |
$333.99 |
$333.99 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$333.99 |
$333.99 |
$333.99 |
$520.31
|
|
Tigecycline injection
|
$377.79 |
$377.79 |
$377.79 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$637.97 |
$637.97 |
$637.97 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$7,557.32 |
$7,557.32 |
$7,557.32 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$567.80 |
$567.80 |
$567.80 |
$484.00
|
|
Tissue culture tumor
|
$595.00 |
$595.00 |
$595.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$17.85 |
$17.85 |
$17.85 |
$47.20
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$10,937.80 |
$10,937.80 |
$10,937.80 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$24,437.50 |
$24,437.50 |
$24,437.50 |
$1,403.42
|
|
Tl-201 thallium diag per mci
|
$245.21 |
$245.21 |
$245.21 |
$78.40
|
|
Tmvr w/prosthetic ring 33426
|
$55,515.20 |
$55,515.20 |
$55,515.20 |
$5,816.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$249.05 |
$249.05 |
$249.05 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$64.60 |
$64.60 |
$64.60 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$7,047.48 |
$7,047.48 |
$7,047.48 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$61.20 |
$61.20 |
$61.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$95.20 |
$95.20 |
$95.20 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$405.72 |
$405.72 |
$405.72 |
$325.00
|
|
Topotecan oral
|
$503.71 |
$503.71 |
$503.71 |
$851.05
|
