|
T3 (triiodothyronine) total
|
$297.00 |
$297.00 |
$297.00 |
$93.52
|
|
T4 (thyroxine) free
|
$56.40 |
$56.40 |
$56.40 |
$88.44
|
|
T4 (thyroxine) total
|
$34.80 |
$34.80 |
$34.80 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$1.60 |
$1.60 |
$1.60 |
$62.32
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$34.40 |
$34.40 |
$34.40 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$129.60 |
$129.60 |
$129.60 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$431.40 |
$431.40 |
$431.40 |
$289.90
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$138.60 |
$138.60 |
$138.60 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$16.40 |
$16.40 |
$16.40 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,739.00 |
$5,739.00 |
$5,739.00 |
$3,746.70
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.00 |
$3.00 |
$3.00 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$479.40 |
$479.40 |
$479.40 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$625.80 |
$625.80 |
$625.80 |
$180.80
|
|
Tc-99m exametazime diag
|
$3,621.00 |
$3,621.00 |
$3,621.00 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$306.00
|
|
Tc-99m maa
|
$292.80 |
$292.80 |
$292.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$315.00 |
$315.00 |
$315.00 |
$157.65
|
|
Tc-99m medronate
|
$181.80 |
$181.80 |
$181.80 |
$111.01
|
|
Tc-99m mertiatide
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$6.50
|
|
Tc-99m pentetate dtpa
|
$173.40 |
$173.40 |
$173.40 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$231.60 |
$231.60 |
$231.60 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$5.40 |
$5.40 |
$5.40 |
$18.67
|
|
Tc-99m sestamibi p study dose
|
$718.20 |
$718.20 |
$718.20 |
$287.20
|
|
Tc-99m sulfur colloid
|
$424.20 |
$424.20 |
$424.20 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$429.60 |
$429.60 |
$429.60 |
$185.28
|
|
T cells absolute cd 4 count
|
$269.40 |
$269.40 |
$269.40 |
$111.20
|
|
T cells total count
|
$254.40 |
$254.40 |
$254.40 |
$130.35
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$430.80 |
$430.80 |
$430.80 |
$40,114.80
|
|
Telethx isodose plan cplx
|
$2,237.40 |
$2,237.40 |
$2,237.40 |
$1,526.85
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$15,109.80 |
$15,109.80 |
$15,109.80 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$220.00 |
$220.00 |
$220.00 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.00 |
$50.00 |
$50.00 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$8,138.40 |
$8,138.40 |
$8,138.40 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$70.20 |
$70.20 |
$70.20 |
$108.00
|
|
Therapeutic procd strg endur
|
$81.60 |
$81.60 |
$81.60 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$81.00 |
$81.00 |
$81.00 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$96.60 |
$96.60 |
$96.60 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.00 |
$27.00 |
$27.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$21.60 |
$21.60 |
$21.60 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$71.80 |
$71.80 |
$71.80 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$308.40 |
$308.40 |
$308.40 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$3,177.00 |
$3,177.00 |
$3,177.00 |
$1,684.80
|
|
Thrombin time
|
$52.20 |
$52.20 |
$52.20 |
$54.18
|
|
Thromboplastin inhibition
|
$70.20 |
$70.20 |
$70.20 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$52.20 |
$52.20 |
$52.20 |
$61.52
|
|
Thromboxane urine
|
$141.60 |
$141.60 |
$141.60 |
$119.40
|
|
Thyroglobulin antibody
|
$128.40 |
$128.40 |
$128.40 |
$82.73
|
|
Thyroid mets imag whole body
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$100.20 |
$100.20 |
$100.20 |
$112.67
|
|
Thyroid Ultrasound
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,934.00 |
$5,934.00 |
$5,934.00 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$85.20 |
$85.20 |
$85.20 |
$64.51
|
|
Tigecycline injection
|
$8.60 |
$8.60 |
$8.60 |
$235.29
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$334.80 |
$334.80 |
$334.80 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$70.20 |
$70.20 |
$70.20 |
$47.40
|
|
Tissue transglutaminase iga
|
$100.20 |
$100.20 |
$100.20 |
$44.80
|
|
Tl-201 thallium diag per mci
|
$439.20 |
$439.20 |
$439.20 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$96.00 |
$96.00 |
$96.00 |
$152.36
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,825.00 |
$6,825.00 |
$6,825.00 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$147.60 |
$147.60 |
$147.60 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$123.00 |
$123.00 |
$123.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$45.00 |
$45.00 |
$45.00 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$84.60 |
$84.60 |
$84.60 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$70.80 |
$70.80 |
$70.80 |
$15,383.12
|
|
Toxoplasma antibody igg
|
$114.60 |
$114.60 |
$114.60 |
$91.65
|
|
Toxoplasma antibody igm
|
$108.60 |
$108.60 |
$108.60 |
$88.00
|
|
Tpmt gene com vrnts
|
$477.00 |
$477.00 |
$477.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$875.20 |
$875.20 |
$875.20 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$103.20
|
|
Transferrin
|
$80.40 |
$80.40 |
$80.40 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$621.00 |
$621.00 |
$621.00 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$621.00 |
$621.00 |
$621.00 |
$501.60
|
|
Trastuzumab 150 mg intravenous solution
|
$455.40 |
$455.40 |
$455.40 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$444.60 |
$444.60 |
$444.60 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$205.20 |
$205.20 |
$205.20 |
$5,846.40
|
|
Treat elbow dislocation
|
$3,239.40 |
$3,239.40 |
$3,239.40 |
$2,311.20
|
|
Treat elbow fracture
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$2,027.40
|
|
Treat finger fracture each
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,592.00
|
|
Treat foot dislocation
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$405.60
|
|
Treat fracture of radius
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,821.60
|
|
Treat fracture of ulna
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$726.05
|
|
Treat hip dislocation
|
$3,521.40 |
$3,521.40 |
$3,521.40 |
$2,211.05
|
|
Treat hip dislocation
|
$4,143.60 |
$4,143.60 |
$4,143.60 |
$2,612.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,987.40 |
$5,987.40 |
$5,987.40 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$175.80 |
$175.80 |
$175.80 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$175.80 |
$175.80 |
$175.80 |
$147.48
|
|
Treatment of thigh fracture
|
$4,482.60 |
$4,482.60 |
$4,482.60 |
$1,790.00
|
|
Treat toe dislocation
|
$2,533.20 |
$2,533.20 |
$2,533.20 |
$756.00
|
|
Treat ulnar fracture
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$1,678.55
|
|
Treat vaginal bleeding
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$379.60
|
|
Treat wrist dislocation
|
$4,228.80 |
$4,228.80 |
$4,228.80 |
$656.25
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$265.80 |
$265.80 |
$265.80 |
$73,346.25
|
