|
Telethx isodose plan simple
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$880.61
|
|
Temozolomide
|
$112.20 |
$112.20 |
$112.20 |
$540.06
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,617.80 |
$11,617.80 |
$11,617.80 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$455.20 |
$455.20 |
$455.20 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$253.20 |
$253.20 |
$253.20 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$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
|
$8,626.80 |
$8,626.80 |
$8,626.80 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$212.40 |
$212.40 |
$212.40 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$70.20 |
$70.20 |
$70.20 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$87.60 |
$87.60 |
$87.60 |
$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
|
$20.40 |
$20.40 |
$20.40 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$35.00 |
$35.00 |
$35.00 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$313.60
|
|
Thiotepa injection
|
$2,195.40 |
$2,195.40 |
$2,195.40 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,951.20 |
$4,951.20 |
$4,951.20 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,662.00 |
$7,662.00 |
$7,662.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$4,951.20 |
$4,951.20 |
$4,951.20 |
$21,413.60
|
|
Thrombin time
|
$122.40 |
$122.40 |
$122.40 |
$54.18
|
|
Thromboplastin inhibition
|
$165.60 |
$165.60 |
$165.60 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$124.20 |
$124.20 |
$124.20 |
$62.01
|
|
Thyroglobulin antibody
|
$225.60 |
$225.60 |
$225.60 |
$82.50
|
|
Thyroid (TSH) Test
|
$251.40 |
$251.40 |
$251.40 |
$112.70
|
|
Thyroid Ultrasound
|
$880.80 |
$880.80 |
$880.80 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$19,696.80 |
$19,696.80 |
$19,696.80 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$175.80 |
$175.80 |
$175.80 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$121,914.60 |
$121,914.60 |
$121,914.60 |
$21,249.26
|
|
Tigecycline injection
|
$11.40 |
$11.40 |
$11.40 |
$235.29
|
|
Tilt table study
|
$1,909.20 |
$1,909.20 |
$1,909.20 |
$1,561.82
|
|
Tissue culture skin/biopsy
|
$2,340.60 |
$2,340.60 |
$2,340.60 |
$488.74
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$537.50
|
|
Tissue transglutaminase iga
|
$284.40 |
$284.40 |
$284.40 |
$44.80
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$244.50
|
|
Tl-201 thallium diag per mci
|
$495.00 |
$495.00 |
$495.00 |
$80.10
|
|
Tobramycin comp unit
|
$662.40 |
$662.40 |
$662.40 |
$810.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$75.00 |
$75.00 |
$75.00 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$338.40 |
$338.40 |
$338.40 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,467.80 |
$5,467.80 |
$5,467.80 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$436.20 |
$436.20 |
$436.20 |
$258.65
|
|
Total tau
|
$194.40 |
$194.40 |
$194.40 |
$312.50
|
|
Toxoplasma antibody igg
|
$214.80 |
$214.80 |
$214.80 |
$91.65
|
|
Toxoplasma antibody igm
|
$223.20 |
$223.20 |
$223.20 |
$87.75
|
|
Tpmt gene com vrnts
|
$477.00 |
$477.00 |
$477.00 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$102.27
|
|
Transferrin
|
$198.00 |
$198.00 |
$198.00 |
$82.00
|
|
Transparent film >16<=48 in
|
$3.60 |
$3.60 |
$3.60 |
$12.95
|
|
Transparent film <= 16 sq in
|
$0.60 |
$0.60 |
$0.60 |
$4.50
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$499.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$196.80 |
$196.80 |
$196.80 |
$5,846.40
|
|
Treat elbow fracture
|
$4,170.00 |
$4,170.00 |
$4,170.00 |
$2,026.50
|
|
Treat finger fracture each
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$1,592.00
|
|
Treat foot dislocation
|
$721.20 |
$721.20 |
$721.20 |
$445.80
|
|
Treat fracture of radius
|
$2,611.20 |
$2,611.20 |
$2,611.20 |
$1,790.00
|
|
Treat hip dislocation
|
$3,771.60 |
$3,771.60 |
$3,771.60 |
$2,211.05
|
|
Treat hip dislocation
|
$4,636.80 |
$4,636.80 |
$4,636.80 |
$2,641.60
|
|
Treat humerus fracture
|
$4,170.00 |
$4,170.00 |
$4,170.00 |
$1,790.00
|
|
Treat kneecap dislocation
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$1,068.06
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$307.20 |
$307.20 |
$307.20 |
$227.70
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$118.20 |
$118.20 |
$118.20 |
$147.48
|
|
Treatment of thigh fracture
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$1,790.00
|
|
Treat midfoot fracture each
|
$3,706.20 |
$3,706.20 |
$3,706.20 |
$1,884.74
|
|
Treat thigh fracture
|
$13,873.20 |
$13,873.20 |
$13,873.20 |
$4,726.80
|
|
Treat thigh fracture
|
$8,910.00 |
$8,910.00 |
$8,910.00 |
$2,032.10
|
|
Treat toe fracture
|
$4,757.40 |
$4,757.40 |
$4,757.40 |
$3,839.54
|
|
Treat ulnar fracture
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$1,677.20
|
|
Treat wrist bone fracture
|
$3,097.80 |
$3,097.80 |
$3,097.80 |
$1,703.20
|
|
Treponema pallidum antibody
|
$272.40 |
$272.40 |
$272.40 |
$72.05
|
|
Treprostinil, non-comp unit
|
$3,894.40 |
$3,894.40 |
$3,894.40 |
$2,970.72
|
|
Trg gene rearrangement anal
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$10.20 |
$10.20 |
$10.20 |
$43.09
|
|
Triamcinolone a inj prs-free
|
$627.00 |
$627.00 |
$627.00 |
$223.56
|
|
Triglycerides
|
$85.20 |
$85.20 |
$85.20 |
$58.50
|
|
Trimethobenzamide hcl inj
|
$99.20 |
$99.20 |
$99.20 |
$117.49
|
|
Trim nondyst nails
|
$122.40 |
$122.40 |
$122.40 |
$113.88
|
|
Trnscath plc stent crv crtd without prtct
|
$12,271.20 |
$12,271.20 |
$12,271.20 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$12,739.80 |
$12,739.80 |
$12,739.80 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,400.40 |
$13,400.40 |
$13,400.40 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,400.40 |
$13,400.40 |
$13,400.40 |
$8,776.32
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,400.40 |
$13,400.40 |
$13,400.40 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$13,363.80 |
$13,363.80 |
$13,363.80 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$14,086.20 |
$14,086.20 |
$14,086.20 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$6,768.60 |
$6,768.60 |
$6,768.60 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$7,067.40 |
$7,067.40 |
$7,067.40 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$14,086.20 |
$14,086.20 |
$14,086.20 |
$3,866.70
|
|
Troponin quantitative
|
$178.80 |
$178.80 |
$178.80 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$2,067.00
|
|
Tube trach disp innr can 5 xlt
|
$283.20 |
$283.20 |
$283.20 |
$445.99
|
|
Tube trach fen sz 6 uncuffed
|
$102.60 |
$102.60 |
$102.60 |
$160.88
|
|
Tubular dressing
|
$2.40 |
$2.40 |
$2.40 |
$28.46
|
|
Tx closed hip disl traumatic without anes
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$586.40
|
|
Ugt1a1 gene analy common variants
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$438.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$727.80 |
$727.80 |
$727.80 |
$452.40
|
|
Ultrasound dx ophth b-scan
|
$552.00 |
$552.00 |
$552.00 |
$296.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$578.40
|
|
Ultrasound Guidance for a Needle Procedure
|
$988.80 |
$988.80 |
$988.80 |
$720.15
|
