|
Synch audio-only new low 30
|
$48.76 |
$55.12 |
$89.40 |
|
|
Synch audio-only new mod 45
|
$77.05 |
$87.10 |
$140.40 |
|
|
Synch audio-only new sf 15
|
$28.06 |
$31.72 |
$51.60 |
|
|
Synvisc or synvisc-one
|
$29.40 |
$72.00 |
$2,958.00 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$13.00 |
$30.60 |
$104.40 |
|
|
System cardiomems hosp electronics
|
$92,408.40 |
$92,408.40 |
$92,408.40 |
|
|
System pacing micra av
|
$1,196.00 |
$9,256.80 |
$45,109.20 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$1,569.75 |
$9,256.80 |
$33,284.40 |
|
|
System recell skin grafting/harvesting
|
$16,981.20 |
$16,981.20 |
$16,981.20 |
|
|
System sealant biosentry tract
|
$680.40 |
$888.00 |
$940.80 |
|
|
T3 (triiodothyronine) free
|
$30.50 |
$91.20 |
$435.60 |
|
|
T3 (triiodothyronine) total
|
$59.20 |
$83.40 |
$297.00 |
|
|
T4 (thyroxine) free
|
$35.00 |
$56.40 |
$609.00 |
|
|
T4 (thyroxine) total
|
$14.50 |
$43.66 |
$240.00 |
|
|
Tacrol astagraf ex rel oral
|
$1.60 |
$3.15 |
$16.80 |
|
|
Tacrol envarsus ex rel oral
|
$3.20 |
$9.00 |
$109.20 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.20 |
$27.60 |
$192.00 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$148.20 |
$724.80 |
$2,712.00 |
|
|
Tacrolimus therapeutic drug level
|
$50.00 |
$98.40 |
$798.00 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$27.60 |
$28.80 |
$3,475.80 |
|
|
Tah rad debulk/lymph remove 58954
|
$1,400.93 |
$1,400.93 |
$1,583.66 |
|
|
Tah rad dissect for debulk 58953
|
$1,294.21 |
$1,294.21 |
$1,463.02 |
|
|
Tah w/mmk 58152
|
$799.02 |
$799.02 |
$903.24 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$88.00 |
$340.40 |
$686.40 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$101.40 |
$133.80 |
$155.40 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$123.60 |
$175.20 |
$6,216.00 |
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$0.40 |
$14.80 |
$48.60 |
|
|
Tap block bilat cont infusion 64489
|
$689.68 |
$1,381.20 |
$3,599.50 |
|
|
Tap block uni by cont infusion 64487
|
$38.64 |
$1,370.40 |
$1,877.40 |
|
|
Tape plstc 1inx5yd hosp tb pk
|
$0.60 |
$0.60 |
$10.20 |
|
|
Target gsa panel hmtlmph neop
|
$1,302.00 |
$3,160.00 |
$9,390.00 |
|
|
Target gsa panel organ/hmtlmph neop
|
$5,526.00 |
$5,739.00 |
$12,145.60 |
|
|
Target gsa panel organ neop
|
$1,681.28 |
$3,223.20 |
$3,915.00 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,801.40 |
$2,828.40 |
$9,000.00 |
|
|
Tas congenital car anomal
|
$474.49 |
$536.38 |
$4,667.40 |
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$84.18 |
$84.18 |
$95.16 |
|
|
Tavr perq femoral
|
$764.98 |
$10,503.00 |
$24,406.80 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.00 |
$327.60 |
$911.61 |
|
|
Tbp gene detc abnor alleles
|
$94.76 |
$283.80 |
$2,393.40 |
|
|
Tbs i&r fx rsk qhp
|
$6.21 |
$6.21 |
$7.02 |
|
|
Tbs techl calculation only
|
$93.60 |
$398.40 |
$398.40 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$69.00 |
$556.80 |
$797.40 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$119.50 |
$345.00 |
$1,024.20 |
|
|
Tc-99m apcitide diag
|
$1,711.20 |
$1,761.60 |
$2,130.40 |
|
|
Tc-99m arcitumomab
|
$2,159.40 |
$2,781.60 |
$3,364.00 |
|
|
Tc-99m bicisate
|
$697.80 |
$1,872.60 |
$6,316.80 |
|
|
Tc-99m depreotide
|
$209.40 |
$209.40 |
$1,055.40 |
|
|
Tc-99m diag per dose
|
$77.40 |
$77.40 |
$77.40 |
|
|
Tc-99m disofenin
|
$56.50 |
$59.40 |
$366.00 |
|
|
Tc-99m exame autol wbc diag per dose
|
$3,301.50 |
$7,144.80 |
$7,144.80 |
|
|
Tc-99m exametazime diag
|
$566.40 |
$3,301.50 |
$9,442.80 |
|
|
Tc-99m fanolesomab diag
|
$3,894.60 |
$6,315.00 |
$6,315.00 |
|
|
Tc-99m labeled rbc
|
$92.00 |
$363.20 |
$2,449.80 |
|
|
Tc-99m maa
|
$46.20 |
$281.40 |
$916.00 |
|
|
Tc-99m mebrofenin
|
$94.40 |
$250.80 |
$1,143.60 |
|
|
Tc-99m medronate
|
$23.50 |
$114.40 |
$471.00 |
|
|
Tc-99m mertiatide
|
$363.60 |
$1,284.60 |
$4,724.40 |
|
|
Tc-99m non-heu per study dose
|
$0.75 |
$15.00 |
$20.00 |
|
|
Tc-99m oxidronate
|
$36.00 |
$88.80 |
$236.40 |
|
|
Tc-99m pentetate dtpa
|
$55.80 |
$96.00 |
$525.60 |
|
|
Tc-99m pentetate dtpa aerosol
|
$48.60 |
$231.60 |
$539.40 |
|
|
Tc-99m pertechnetate per mci
|
$0.60 |
$9.60 |
$81.60 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$32.50 |
$232.20 |
$602.40 |
|
|
Tc-99m sestamibi p study dose
|
$94.40 |
$498.60 |
$2,674.80 |
|
|
Tc-99m succimer (dmsa)
|
$454.20 |
$1,582.20 |
$2,748.00 |
|
|
Tc-99m sulfur colloid
|
$146.40 |
$373.80 |
$1,296.60 |
|
|
Tc-99m tetrofosmin p study dose
|
$103.80 |
$505.80 |
$747.20 |
|
|
Tc-99m tilmanocept diag
|
$72.60 |
$1,043.40 |
$9,358.20 |
|
|
Tca peel dermal 15789
|
$265.42 |
$265.42 |
$300.04 |
|
|
Tcd emboli detect w/inj
|
$37.72 |
$42.64 |
$927.00 |
|
|
Tcd emboli detect without inj
|
$37.26 |
$240.60 |
$950.40 |
|
|
Tcd vasoreactivity study
|
$105.80 |
$105.80 |
$119.60 |
|
|
T-cell depletion of harvest
|
$53.59 |
$60.58 |
$25,661.40 |
|
|
T cells absolute cd4/cd8 including ratio
|
$65.50 |
$261.60 |
$2,155.80 |
|
|
T cells absolute cd 4 count
|
$111.20 |
$169.46 |
$2,397.00 |
|
|
T cells total count
|
$68.00 |
$210.00 |
$1,640.40 |
|
|
Tcranial magn stim tx deli
|
$478.80 |
$478.80 |
$478.80 |
|
|
Tcranial magn stim tx plan
|
$639.00 |
$639.00 |
$639.00 |
|
|
Tcran magn stim redetemine
|
$512.40 |
$512.40 |
$512.40 |
|
|
Tdh sdrl/ventr pnxr
|
$305.67 |
$305.67 |
$345.54 |
|
|
Teaec w/wo patch graft iliofemoral
|
$650.67 |
$650.67 |
$9,370.62 |
|
|
Team conf without pat by hc pro
|
$23.69 |
$23.69 |
$26.78 |
|
|
Team conf without pat by phys
|
$36.57 |
$36.57 |
$41.34 |
|
|
Team conf w/pat by hc prof
|
$26.91 |
$26.91 |
$30.42 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$414.60 |
$457.20 |
$24,312.00 |
|
|
Tee w or without fol w/cont,cong
|
$1,214.40 |
$2,801.40 |
$3,568.80 |
|
|
Telavancin injection
|
$7.20 |
$367.80 |
$987.60 |
|
|
Telehealth original site facility fee
|
$40.00 |
$84.60 |
$168.00 |
|
|
Telethx isodose plan cplx
|
$99.59 |
$2,237.40 |
$4,604.80 |
|
|
Telethx isodose plan simple
|
$47.84 |
$766.80 |
$3,259.80 |
|
|
Temozolomide
|
$37.80 |
$350.40 |
$3,327.00 |
|
|
Temozolomide 100 mg intravenous solution
|
$20.40 |
$601.80 |
$1,714.80 |
|
|
Temperature gradient studies
|
$5.29 |
$5.29 |
$5.98 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3.40 |
$1,200.00 |
$8,196.60 |
|
|
Tendon lengthening
|
$410.55 |
$410.55 |
$464.10 |
|
|
Tendon lngth upr a/e ea tdn
|
$380.65 |
$380.65 |
$430.30 |
|
|
Tendon shortening
|
$401.35 |
$401.35 |
$453.70 |
|
|
Tendon transfer with graft
|
$595.24 |
$595.24 |
$672.88 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$211.80 |
$10,576.20 |
$46,983.60 |
|
|
Tenodesis biceps tdn at elbw
|
$396.98 |
$448.76 |
$2,069.83 |
|
