|
T3 (triiodothyronine) free
|
$85.20 |
$85.20 |
$85.20 |
$100.32
|
|
T3 (triiodothyronine) total
|
$70.80 |
$70.80 |
$70.80 |
$93.52
|
|
T4 (thyroxine) free
|
$42.00 |
$42.00 |
$42.00 |
$89.60
|
|
T4 (thyroxine) total
|
$45.00 |
$45.00 |
$45.00 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$42.80 |
$42.80 |
$42.80 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$121.20 |
$121.20 |
$121.20 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$119.40 |
$119.40 |
$119.40 |
$289.20
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$123.60 |
$123.60 |
$123.60 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$8.20 |
$8.20 |
$8.20 |
$14.62
|
|
Tape plstc 1inx5yd hosp tb pk
|
$0.60 |
$0.60 |
$0.60 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$7,146.00 |
$7,146.00 |
$7,146.00 |
$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
|
$3.60 |
$3.60 |
$3.60 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$785.40 |
$785.40 |
$785.40 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$547.20 |
$547.20 |
$547.20 |
$179.95
|
|
Tc-99m exametazime diag
|
$1,750.20 |
$1,750.20 |
$1,750.20 |
$2,135.70
|
|
Tc-99m maa
|
$292.80 |
$292.80 |
$292.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$327.00 |
$327.00 |
$327.00 |
$157.65
|
|
Tc-99m medronate
|
$189.60 |
$189.60 |
$189.60 |
$111.01
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$8.00
|
|
Tc-99m pentetate dtpa
|
$209.40 |
$209.40 |
$209.40 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$218.40 |
$218.40 |
$218.40 |
$191.50
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$93.60 |
$93.60 |
$93.60 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$725.40 |
$725.40 |
$725.40 |
$287.20
|
|
Tc-99m sulfur colloid
|
$186.00 |
$186.00 |
$186.00 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$72.60 |
$72.60 |
$72.60 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$428.40 |
$428.40 |
$428.40 |
$184.00
|
|
T cells absolute cd 4 count
|
$380.40 |
$380.40 |
$380.40 |
$111.20
|
|
T cells total count
|
$325.20 |
$325.20 |
$325.20 |
$130.20
|
|
Telavancin injection
|
$7.20 |
$7.20 |
$7.20 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$2,237.40 |
$2,237.40 |
$2,237.40 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,855.20 |
$1,855.20 |
$1,855.20 |
$880.61
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,993.00 |
$9,993.00 |
$9,993.00 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$156.00 |
$156.00 |
$156.00 |
$39.33
|
|
Teriparatide injection
|
$53.80 |
$53.80 |
$53.80 |
$7,403.20
|
|
Test stress cardiovascular tracing only
|
$665.40 |
$665.40 |
$665.40 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$81.00 |
$81.00 |
$81.00 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$63.60 |
$63.60 |
$63.60 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$105.00 |
$105.00 |
$105.00 |
$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
|
$38.20 |
$38.20 |
$38.20 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$129.60 |
$129.60 |
$129.60 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$663.60 |
$663.60 |
$663.60 |
$1,703.45
|
|
Thrombin time
|
$39.00 |
$39.00 |
$39.00 |
$54.18
|
|
Thromboplastin inhibition
|
$133.80 |
$133.80 |
$133.80 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$96.60 |
$96.60 |
$96.60 |
$62.01
|
|
Thromboxane urine
|
$228.60 |
$228.60 |
$228.60 |
$121.92
|
|
Thyroglobulin antibody
|
$223.20 |
$223.20 |
$223.20 |
$82.50
|
|
Thyroid (TSH) Test
|
$89.40 |
$89.40 |
$89.40 |
$112.70
|
|
Thyroid Ultrasound
|
$315.00 |
$315.00 |
$315.00 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$96.60 |
$96.60 |
$96.60 |
$64.51
|
|
Tigecycline injection
|
$6.00 |
$6.00 |
$6.00 |
$235.29
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$334.80 |
$334.80 |
$334.80 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$488.74
|
|
Tissue exam koh skin/hair/nails
|
$33.00 |
$33.00 |
$33.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$96.60 |
$96.60 |
$96.60 |
$44.80
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$244.50
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$64.80 |
$64.80 |
$64.80 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$112.80 |
$112.80 |
$112.80 |
$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)
|
$93.60 |
$93.60 |
$93.60 |
$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
|
$96.00 |
$96.00 |
$96.00 |
$316.84
|
|
Total tau
|
$67.20 |
$67.20 |
$67.20 |
$312.50
|
|
Toxoplasma antibody igg
|
$89.40 |
$89.40 |
$89.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$97.20 |
$97.20 |
$97.20 |
$87.75
|
|
Tpmt gene com vrnts
|
$477.00 |
$477.00 |
$477.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$879.00 |
$879.00 |
$879.00 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$102.27
|
|
Transferrin
|
$56.40 |
$56.40 |
$56.40 |
$82.00
|
|
Transparent film >16<=48 in
|
$2.40 |
$2.40 |
$2.40 |
$12.95
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$354.00 |
$354.00 |
$354.00 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$441.60 |
$441.60 |
$441.60 |
$499.20
|
|
Trastuzumab 150 mg intravenous solution
|
$276.00 |
$276.00 |
$276.00 |
$3,141.85
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$205.20 |
$205.20 |
$205.20 |
$5,846.40
|
|
Tray bonemarrw oncontrol 102mm
|
$553.80 |
$553.80 |
$553.80 |
$940.80
|
|
Treat ankle dislocation
|
$3,430.80 |
$3,430.80 |
$3,430.80 |
$2,360.00
|
|
Treat elbow dislocation
|
$4,490.40 |
$4,490.40 |
$4,490.40 |
$2,272.50
|
|
Treat finger fracture each
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$1,592.00
|
|
Treat fracture of radius
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$1,790.00
|
|
Treat fracture of ulna
|
$3,636.60 |
$3,636.60 |
$3,636.60 |
$731.04
|
|
Treat hip dislocation
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$2,211.05
|
|
Treat hip dislocation
|
$5,989.80 |
$5,989.80 |
$5,989.80 |
$2,641.60
|
|
Treat humerus fracture
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$1,790.00
|
|
Treat kneecap dislocation
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$1,068.06
|
|
Treat knee dislocation
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$2,220.89
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,491.80 |
$8,491.80 |
$8,491.80 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$171.60 |
$171.60 |
$171.60 |
$227.70
|
|
Treatment missed abortion completed surgically 1st trimester
|
$8,491.80 |
$8,491.80 |
$8,491.80 |
$4,106.85
|
|
Treatment of thigh fracture
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$1,790.00
|
|
Treat toe dislocation
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$756.39
|
|
Treat vaginal bleeding
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$379.60
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$265.80 |
$265.80 |
$265.80 |
$73,346.25
|
|
Treponema pallidum antibody
|
$67.20 |
$67.20 |
$67.20 |
$72.05
|
