|
Tacrolimus 1 mg capsule, immediate-release
|
$479.28 |
$479.28 |
$479.28 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$56.99 |
$56.99 |
$56.99 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,675.52 |
$2,675.52 |
$2,675.52 |
$2,762.00
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$168.43 |
$168.43 |
$168.43 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$2,833.92 |
$2,833.92 |
$2,833.92 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,175.04 |
$1,175.04 |
$1,175.04 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$963.58 |
$963.58 |
$963.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$110.41 |
$110.41 |
$110.41 |
$177.65
|
|
Tc-99m disofenin
|
$47.32 |
$47.32 |
$47.32 |
$124.32
|
|
Tc-99m labeled rbc
|
$370.08 |
$370.08 |
$370.08 |
$302.40
|
|
Tc-99m maa
|
$123.64 |
$123.64 |
$123.64 |
$292.80
|
|
Tc-99m mebrofenin
|
$63.60 |
$63.60 |
$63.60 |
$157.65
|
|
Tc-99m medronate
|
$108.88 |
$108.88 |
$108.88 |
$111.01
|
|
Tc-99m oxidronate
|
$163.32 |
$163.32 |
$163.32 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$131.27 |
$131.27 |
$131.27 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$83.44 |
$83.44 |
$83.44 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$41.72 |
$41.72 |
$41.72 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$582.72 |
$582.72 |
$582.72 |
$274.45
|
|
Tc-99m sulfur colloid
|
$482.88 |
$482.88 |
$482.88 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$231.00 |
$231.00 |
$231.00 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$92.60 |
$92.60 |
$92.60 |
$176.40
|
|
T cells absolute cd 4 count
|
$56.48 |
$56.48 |
$56.48 |
$111.20
|
|
T cells total count
|
$51.39 |
$51.39 |
$51.39 |
$126.90
|
|
Team conf without pat by hc pro
|
$44.64 |
$44.64 |
$44.64 |
$112.86
|
|
Team conf without pat by phys
|
$68.64 |
$68.64 |
$68.64 |
$140.25
|
|
Team conf w/pat by hc prof
|
$52.32 |
$52.32 |
$52.32 |
$107.10
|
|
Telehealth original site facility fee
|
$52.41 |
$52.41 |
$52.41 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$1,526.85
|
|
Telethx isodose plan simple
|
$594.24 |
$594.24 |
$594.24 |
$873.62
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,888.61 |
$3,888.61 |
$3,888.61 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$18,368.35 |
$18,368.35 |
$18,368.35 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$927.84 |
$927.84 |
$927.84 |
$5,886.74
|
|
Tenosynovectomy radic 26145
|
$804.96 |
$804.96 |
$804.96 |
$1,893.86
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$576.00 |
$576.00 |
$576.00 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$91.50 |
$91.50 |
$91.50 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$579.36 |
$579.36 |
$579.36 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$492.00 |
$492.00 |
$492.00 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,561.85 |
$1,561.85 |
$1,561.85 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,489.35 |
$10,489.35 |
$10,489.35 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$59.53 |
$59.53 |
$59.53 |
$108.00
|
|
Therapeutic procd strg endur
|
$60.55 |
$60.55 |
$60.55 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$55.68 |
$55.68 |
$55.68 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$48.48 |
$48.48 |
$48.48 |
$50.00
|
|
Ther/proph/diag inj ia
|
$123.64 |
$123.64 |
$123.64 |
$240.35
|
|
Ther radiology tx plng cplx
|
$255.36 |
$255.36 |
$255.36 |
$332.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$69.97 |
$69.97 |
$69.97 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$1,687.50
|
|
Thoracoscopy remove cortex
|
$1,650.72 |
$1,650.72 |
$1,650.72 |
$5,332.80
|
|
Thoracoscopy surgical 32650
|
$1,012.32 |
$1,012.32 |
$1,012.32 |
$2,815.80
|
|
Thoracoscopy/tot pulm decortication32652
|
$2,499.84 |
$2,499.84 |
$2,499.84 |
$7,573.80
|
|
Thorcscpy w/biop pleura
|
$384.48 |
$384.48 |
$384.48 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$461.76 |
$461.76 |
$461.76 |
$6,792.80
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,684.32 |
$1,684.32 |
$1,684.32 |
$5,520.00
|
|
Thrombin time
|
$79.88 |
$79.88 |
$79.88 |
$53.76
|
|
Thyroglobulin antibody
|
$69.71 |
$69.71 |
$69.71 |
$82.00
|
|
Thyroid imaging
|
$286.08 |
$286.08 |
$286.08 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$65.64 |
$65.64 |
$65.64 |
$111.00
|
|
Thyroid Ultrasound
|
$312.00 |
$312.00 |
$312.00 |
$588.50
|
|
Thyroid uptake measurement
|
$722.88 |
$722.88 |
$722.88 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$19.33 |
$19.33 |
$19.33 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$1,203.84 |
$1,203.84 |
$1,203.84 |
$5,801.60
|
|
Tis clt agrft f/s/n/h/f/g ad
|
$2,925.12 |
$2,925.12 |
$2,925.12 |
$1,148.00
|
|
Tis clt agrft f/s/n/h/f/g ea
|
$2,925.12 |
$2,925.12 |
$2,925.12 |
$1,176.00
|
|
Tis cltr skn agrft t/a/l add
|
$1,594.08 |
$1,594.08 |
$1,594.08 |
$1,148.00
|
|
Tis cltr skn agrft t/a/l ea
|
$1,594.08 |
$1,594.08 |
$1,594.08 |
$1,148.00
|
|
Tissue culture skin/biopsy
|
$271.68 |
$271.68 |
$271.68 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$71.23 |
$71.23 |
$71.23 |
$47.20
|
|
Tissue transglutaminase iga
|
$21.99 |
$21.99 |
$21.99 |
$44.16
|
|
Tixagev and cilgav inj
|
$76.57 |
$76.57 |
$76.57 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$369.12 |
$369.12 |
$369.12 |
$78.40
|
|
Tlh uterus 250 g or less
|
$1,239.84 |
$1,239.84 |
$1,239.84 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$1,555.20 |
$1,555.20 |
$1,555.20 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$1,395.84 |
$1,395.84 |
$1,395.84 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$1,868.64 |
$1,868.64 |
$1,868.64 |
$12,320.22
|
|
Tnot opn elbw to sho ea tdn
|
$739.68 |
$739.68 |
$739.68 |
$2,564.80
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$55.49 |
$55.49 |
$55.49 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$56.99 |
$56.99 |
$56.99 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,980.03 |
$2,980.03 |
$2,980.03 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$43.20 |
$43.20 |
$43.20 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$54.44 |
$54.44 |
$54.44 |
$72.68
|
|
Tongue and neck surgery
|
$3,288.00 |
$3,288.00 |
$3,288.00 |
$2,745.01
|
|
Tonsillectomy (age 12+)
|
$396.00 |
$396.00 |
$396.00 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$416.16 |
$416.16 |
$416.16 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$336.00 |
$336.00 |
$336.00 |
$325.00
|
|
Tot abd hyst/par vag/pelv node sam 58200
|
$2,065.92 |
$2,065.92 |
$2,065.92 |
$3,364.80
|
|
Total hip arthroplasty
|
$2,552.16 |
$2,552.16 |
$2,552.16 |
$7,347.60
|
|
Total Hip Replacement
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$9,161.60
|
|
Total hysterectomy
|
$1,558.08 |
$1,558.08 |
$1,558.08 |
$3,001.70
|
|
Total Knee Replacement
|
$1,962.72 |
$1,962.72 |
$1,962.72 |
$14,543.50
|
|
Toxoplasma antibody igg
|
$84.46 |
$84.46 |
$84.46 |
$89.40
|
|
Toxoplasma antibody igm
|
$45.28 |
$45.28 |
$45.28 |
$87.00
|
|
Tpmt gene com vrnts
|
$306.24 |
$306.24 |
$306.24 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$4,336.32 |
$4,336.32 |
$4,336.32 |
$7,144.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$264.00 |
$264.00 |
$264.00 |
$1,420.44
|
|
Tracheostoma revision; simple, without flap rotation
|
$651.36 |
$651.36 |
$651.36 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$83.44 |
$83.44 |
$83.44 |
$101.25
|
|
Transferrin
|
$64.62 |
$64.62 |
$64.62 |
$82.00
|
|
Transfer skin pedicle flap
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$3,209.30
|
