|
Tc-99m labeled rbc
|
$282.00 |
$451.20 |
$2,449.80 |
$306.00
|
|
Tc-99m maa
|
$122.40 |
$129.60 |
$720.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$225.60 |
$303.00 |
$1,143.60 |
$157.65
|
|
Tc-99m medronate
|
$183.60 |
$235.80 |
$358.80 |
$111.01
|
|
Tc-99m mertiatide
|
$1,909.80 |
$2,074.20 |
$2,614.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.60 |
$6.50
|
|
Tc-99m oxidronate
|
$108.00 |
$229.20 |
$236.40 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$90.60 |
$96.00 |
$525.60 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$231.60 |
$231.60 |
$291.00 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$0.60 |
$9.60 |
$46.20 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$235.80 |
$276.00 |
$602.40 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$640.80 |
$878.40 |
$2,674.80 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,582.20 |
$1,582.20 |
$2,748.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$268.80 |
$400.80 |
$1,296.60 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$507.00 |
$507.00 |
$507.00 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$72.60 |
$72.60 |
$9,358.20 |
$985.60
|
|
Tcd emboli detect w/inj
|
$787.80 |
$787.80 |
$787.80 |
$475.80
|
|
Tcd emboli detect without inj
|
$808.20 |
$808.20 |
$808.20 |
$475.28
|
|
T-cell depletion of harvest
|
$25,661.40 |
$25,661.40 |
$25,661.40 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$436.20 |
$727.20 |
$2,155.80 |
$185.28
|
|
T cells absolute cd 4 count
|
$298.20 |
$369.60 |
$2,397.00 |
$111.20
|
|
T cells total count
|
$320.40 |
$411.60 |
$1,640.40 |
$132.63
|
|
Tcranial magn stim tx deli
|
$478.80 |
$478.80 |
$478.80 |
$389.22
|
|
Tcranial magn stim tx plan
|
$639.00 |
$639.00 |
$639.00 |
$437.22
|
|
Tcran magn stim redetemine
|
$512.40 |
$512.40 |
$512.40 |
$457.60
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$430.80 |
$430.80 |
$457.20 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$2,801.40 |
$2,801.40 |
$3,568.80 |
$2,101.65
|
|
Telavancin injection
|
$8.40 |
$530.40 |
$987.60 |
$1,191.80
|
|
Telehealth original site facility fee
|
$90.00 |
$101.40 |
$107.40 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,941.80 |
$3,496.20 |
$3,754.20 |
$1,526.85
|
|
Telethx isodose plan simple
|
$2,452.20 |
$2,734.80 |
$3,259.80 |
$889.80
|
|
Temozolomide
|
$350.40 |
$1,008.00 |
$3,327.00 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$20.40 |
$20.40 |
$1,714.80 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$539.40 |
$539.40 |
$540.00 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$211.80 |
$10,576.20 |
$14,427.60 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,211.05
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$33.90 |
$102.00 |
$455.20 |
$39.33
|
|
Teriparatide injection
|
$36.75 |
$5,429.40 |
$9,430.20 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$227.40 |
$227.40 |
$261.60 |
$335.00
|
|
Test for chlorohydrocarbons
|
$94.80 |
$94.80 |
$94.80 |
$61.60
|
|
Test stress cardiovascular tracing only
|
$302.40 |
$1,969.20 |
$2,344.80 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,240.00 |
$1,524.00 |
$1,524.00 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$47.25 |
$47.25 |
$50.00 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$2,157.60 |
$8,626.80 |
$8,626.80 |
$4,563.00
|
|
Thaw preserved stem cells
|
$226.80 |
$981.60 |
$1,174.80 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$181.20 |
$222.00 |
$542.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$93.60 |
$93.60 |
$93.60 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$76.20 |
$129.60 |
$259.20 |
$102.30
|
|
Therapy Exercise Session (each 15 minutes)
|
$66.00 |
$110.40 |
$178.20 |
$98.70
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.00 |
$27.00 |
$28.80 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.40 |
$20.40 |
$25.80 |
$50.40
|
|
Therapy photodnmc lght dstr lsn skn by staff rx per day
|
$765.00 |
$765.00 |
$921.00 |
$314.50
|
|
Ther/proph/diag inj ia
|
$198.60 |
$198.60 |
$198.60 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$36.40 |
$64.80 |
$64.80 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$405.00 |
$456.60 |
$686.40 |
$313.60
|
|
Thiotepa injection
|
$1,062.60 |
$1,062.60 |
$2,928.60 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,513.80 |
$2,577.00 |
$4,057.20 |
$1,738.26
|
|
Thoracotomy w/expl
|
$7,731.60 |
$7,731.60 |
$9,612.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$2,671.20 |
$2,671.20 |
$8,094.60 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$860.40 |
$2,672.40 |
$2,901.00 |
$1,703.45
|
|
Thrombectmy crnry perq mechanical
|
$3,855.60 |
$5,527.20 |
$8,606.40 |
$3,903.25
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,649.80 |
$5,254.20 |
$14,054.40 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$5,811.60 |
$7,348.80 |
$11,800.20 |
$14,625.70
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$2,467.80 |
$3,649.80 |
$14,054.40 |
$21,413.60
|
|
Thrombin time
|
$50.40 |
$121.20 |
$749.40 |
$53.76
|
|
Thromboplastin inhibition
|
$74.40 |
$123.00 |
$1,675.80 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$43.80 |
$85.20 |
$561.00 |
$61.52
|
|
Thromboxane urine
|
$119.40 |
$119.40 |
$130.80 |
$119.40
|
|
Thyroglobulin antibody
|
$99.00 |
$154.80 |
$505.20 |
$83.25
|
|
Thyroid imaging
|
$764.40 |
$865.80 |
$999.00 |
$696.75
|
|
Thyroid mets imag whole body
|
$2,004.60 |
$2,004.60 |
$5,323.20 |
$1,524.99
|
|
Thyroid met uptake
|
$213.60 |
$288.60 |
$2,370.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$118.20 |
$204.00 |
$400.80 |
$111.75
|
|
Thyroid Ultrasound
|
$585.00 |
$1,002.00 |
$1,263.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,843.80 |
$8,959.80 |
$19,696.80 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$102.60 |
$204.00 |
$357.00 |
$64.51
|
|
Tib/per revasc stnt & ather
|
$40,945.20 |
$40,945.20 |
$40,945.20 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$35,730.60 |
$35,730.60 |
$35,730.60 |
$10,165.00
|
|
Tigecycline injection
|
$7.40 |
$34.65 |
$769.20 |
$235.29
|
|
Tilt table study
|
$1,168.80 |
$1,439.40 |
$4,324.20 |
$1,569.40
|
|
Tirofiban 12.5 mg/50 ml
|
$43.80 |
$43.80 |
$43.80 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$5,370,000.00 |
$5,370,000.00 |
$5,370,000.00 |
$1,780,600.03
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$334.80 |
$334.80 |
$334.80 |
$13,339.20
|
|
Tissue culture placenta
|
$688.80 |
$688.80 |
$1,024.20 |
$453.00
|
|
Tissue culture skin/biopsy
|
$957.60 |
$1,476.00 |
$1,768.80 |
$488.74
|
|
Tissue culture tumor
|
$957.60 |
$957.60 |
$957.60 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$27.00 |
$32.40 |
$134.40 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,150.60 |
$3,150.60 |
$4,342.20 |
$537.50
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$31,442.40 |
$31,442.40 |
$35,328.60 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$99.00 |
$100.20 |
$780.60 |
$45.60
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$169.20 |
$213.00 |
$1,032.00 |
$80.10
|
|
Tobramycin comp unit
|
$662.40 |
$1,426.80 |
$1,426.80 |
$810.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$72.00 |
$84.60 |
$1,439.40 |
$152.36
|
|
Tobramycin non-comp unit
|
$533.40 |
$533.40 |
$534.00 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$147.00 |
$257.40 |
$799.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$17.70 |
$5,812.20 |
$6,825.00 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$405.00 |
$456.60 |
$686.40 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$93.00 |
$123.00 |
$138.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$45.00 |
$45.00 |
$45.00 |
$74.10
|
