|
System pacing micra av
|
$22,146.00 |
$22,146.00 |
$22,146.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$24,240.00 |
$24,240.00 |
$24,240.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$137.40 |
$137.40 |
$137.40 |
$100.32
|
|
T3 (triiodothyronine) total
|
$222.60 |
$222.60 |
$222.60 |
$93.52
|
|
T4 (thyroxine) free
|
$103.20 |
$103.20 |
$103.20 |
$88.44
|
|
T4 (thyroxine) total
|
$82.80 |
$82.80 |
$82.80 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$3.40 |
$3.40 |
$3.40 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$27.60 |
$27.60 |
$27.60 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$276.00 |
$276.00 |
$276.00 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$27.60 |
$27.60 |
$27.60 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$387.60 |
$387.60 |
$387.60 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$101.40 |
$101.40 |
$101.40 |
$1,223.36
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$14.80 |
$14.80 |
$14.80 |
$14.62
|
|
Tap block bilat cont infusion 64489
|
$891.60 |
$891.60 |
$891.60 |
$1,541.40
|
|
Target gsa panel hmtlmph neop
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,526.00 |
$5,526.00 |
$5,526.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$3,073.80 |
$3,073.80 |
$3,073.80 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,801.40 |
$2,801.40 |
$2,801.40 |
$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
|
$797.40 |
$797.40 |
$797.40 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$209.40 |
$209.40 |
$209.40 |
$180.80
|
|
Tc-99m bicisate
|
$697.80 |
$697.80 |
$697.80 |
$2,070.00
|
|
Tc-99m depreotide
|
$209.40 |
$209.40 |
$209.40 |
$1,486.80
|
|
Tc-99m exametazime diag
|
$717.00 |
$717.00 |
$717.00 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$147.00 |
$147.00 |
$147.00 |
$306.00
|
|
Tc-99m maa
|
$133.80 |
$133.80 |
$133.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$292.20 |
$292.20 |
$292.20 |
$157.65
|
|
Tc-99m mertiatide
|
$709.20 |
$709.20 |
$709.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$6.50
|
|
Tc-99m oxidronate
|
$44.40 |
$44.40 |
$44.40 |
$108.00
|
|
Tc-99m pentetate dtpa aerosol
|
$196.20 |
$196.20 |
$196.20 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$59.40 |
$59.40 |
$59.40 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$126.00 |
$126.00 |
$126.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$237.60 |
$237.60 |
$237.60 |
$287.20
|
|
Tc-99m sulfur colloid
|
$158.40 |
$158.40 |
$158.40 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$112.80 |
$112.80 |
$112.80 |
$185.28
|
|
T cells absolute cd 4 count
|
$144.00 |
$144.00 |
$144.00 |
$111.20
|
|
T cells total count
|
$112.80 |
$112.80 |
$112.80 |
$130.35
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$418.80 |
$418.80 |
$418.80 |
$40,114.80
|
|
Telethx isodose plan cplx
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$1,526.85
|
|
Telethx isodose plan simple
|
$2,039.40 |
$2,039.40 |
$2,039.40 |
$877.09
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$436.80 |
$436.80 |
$436.80 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$27,148.20 |
$27,148.20 |
$27,148.20 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$111.20 |
$111.20 |
$111.20 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$1,618.20 |
$1,618.20 |
$1,618.20 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$48.80 |
$48.80 |
$48.80 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$163.80 |
$163.80 |
$163.80 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$130.20 |
$130.20 |
$130.20 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$130.20 |
$130.20 |
$130.20 |
$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
|
$42.60 |
$42.60 |
$42.60 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$599.40 |
$599.40 |
$599.40 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$730.80 |
$730.80 |
$730.80 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,631.80 |
$3,631.80 |
$3,631.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,903.00 |
$3,903.00 |
$3,903.00 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$4,168.80 |
$4,168.80 |
$4,168.80 |
$21,413.60
|
|
Thrombin time
|
$81.00 |
$81.00 |
$81.00 |
$54.18
|
|
Thromboplastin inhibition
|
$276.00 |
$276.00 |
$276.00 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$105.60 |
$105.60 |
$105.60 |
$61.52
|
|
Thyroglobulin antibody
|
$210.00 |
$210.00 |
$210.00 |
$82.73
|
|
Thyroid mets imag whole body
|
$3,225.60 |
$3,225.60 |
$3,225.60 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$226.80 |
$226.80 |
$226.80 |
$112.67
|
|
Thyroid Ultrasound
|
$646.20 |
$646.20 |
$646.20 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$208.20 |
$208.20 |
$208.20 |
$64.51
|
|
Tigecycline injection
|
$19.40 |
$19.40 |
$19.40 |
$235.29
|
|
Tilt table study
|
$2,985.00 |
$2,985.00 |
$2,985.00 |
$1,561.82
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$322.20 |
$322.20 |
$322.20 |
$13,339.20
|
|
Tissue culture skin/biopsy
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$70.80 |
$70.80 |
$70.80 |
$47.40
|
|
Tissue transglutaminase iga
|
$273.00 |
$273.00 |
$273.00 |
$44.80
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$50.40 |
$50.40 |
$50.40 |
$80.10
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$97.60 |
$97.60 |
$97.60 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$180.00 |
$180.00 |
$180.00 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,652.20 |
$9,652.20 |
$9,652.20 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$364.80 |
$364.80 |
$364.80 |
$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
|
$17.40 |
$17.40 |
$17.40 |
$316.84
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$70.20 |
$70.20 |
$70.20 |
$15,383.12
|
|
Total tau
|
$259.80 |
$259.80 |
$259.80 |
$312.50
|
|
Toxoplasma antibody igg
|
$241.20 |
$241.20 |
$241.20 |
$91.65
|
|
Toxoplasma antibody igm
|
$241.20 |
$241.20 |
$241.20 |
$88.00
|
|
Tp53 gene trgt sequence alys
|
$2,041.20 |
$2,041.20 |
$2,041.20 |
$804.00
|
|
Tpmt gene com vrnts
|
$472.80 |
$472.80 |
$472.80 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$1,769.60 |
$1,769.60 |
$1,769.60 |
$6,684.23
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$103.20
|
|
Transcath biopsy
|
$816.60 |
$816.60 |
$816.60 |
$4,285.93
|
|
Transcatheter bx s&i
|
$2,803.80 |
$2,803.80 |
$2,803.80 |
$1,950.85
|
|
Transcath rmvl perm ldss pmkr rv
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$4,822.00
|
|
Transferrin
|
$108.00 |
$108.00 |
$108.00 |
$82.00
|
|
Transparent film >16<=48 in
|
$4.80 |
$4.80 |
$4.80 |
$12.95
|
|
Transparent film <= 16 sq in
|
$15.00 |
$15.00 |
$15.00 |
$4.50
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$678.60 |
$678.60 |
$678.60 |
$560.92
|
