|
Tc-99m sulfur colloid
|
$104.30 |
$104.30 |
$114.73 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$33.81 |
$33.81 |
$37.19 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$486.97 |
$486.97 |
$535.66 |
$955.60
|
|
Tcd emboli detect w/inj
|
$94.71 |
$94.71 |
$94.71 |
$475.80
|
|
Tcd emboli detect without inj
|
$94.71 |
$94.71 |
$94.71 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$44.55 |
$44.55 |
$85.05 |
$176.40
|
|
T cells total count
|
$35.97 |
$35.97 |
$68.67 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$20,938.75 |
$20,938.75 |
$23,032.63 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$396.33 |
$396.33 |
$396.33 |
$2,101.65
|
|
Telavancin injection
|
$523.09 |
$523.09 |
$575.39 |
$1,191.80
|
|
Telehealth original site facility fee
|
$14.40 |
$14.40 |
$15.84 |
$51.00
|
|
Telethx isodose plan cplx
|
$432.90 |
$432.90 |
$476.19 |
$1,526.85
|
|
Telethx isodose plan simple
|
$234.00 |
$234.00 |
$257.40 |
$873.62
|
|
Temozolomide
|
$164.02 |
$164.02 |
$180.42 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$1,025.58 |
$1,025.58 |
$1,128.13 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,045.12 |
$2,045.12 |
$2,249.64 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$8,483.12 |
$8,483.12 |
$9,331.43 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$34.33 |
$34.33 |
$37.76 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$183.90 |
$183.90 |
$202.29 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$34.65 |
$34.65 |
$66.15 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$146.10 |
$146.10 |
$160.71 |
$949.70
|
|
Test urine urobilinogen
|
$10.89 |
$10.89 |
$10.89 |
$9.75
|
|
Tetanus immune globulin inj
|
$568.86 |
$568.86 |
$625.75 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$47.19 |
$47.19 |
$90.09 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$12.90 |
$12.90 |
$14.19 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$12.90 |
$12.90 |
$14.19 |
$50.00
|
|
Ther/proph/diag inj ia
|
$97.80 |
$97.80 |
$107.58 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$10.72 |
$10.72 |
$11.79 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$885.60 |
$885.60 |
$974.16 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$135.30 |
$135.30 |
$148.83 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$1,938.90 |
$1,938.90 |
$2,132.79 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$3,919.20 |
$3,919.20 |
$4,311.12 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$5,940.30 |
$5,940.30 |
$6,534.33 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$873.90 |
$873.90 |
$873.90 |
$5,520.00
|
|
Thrombin time
|
$65.01 |
$65.01 |
$124.11 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$630.00 |
$630.00 |
$630.00 |
$3,980.60
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$40.26 |
$40.26 |
$76.86 |
$61.52
|
|
Thyroglobulin antibody
|
$20.46 |
$20.46 |
$39.06 |
$82.00
|
|
Thyroid imaging
|
$183.90 |
$183.90 |
$202.29 |
$695.02
|
|
Thyroid mets imag whole body
|
$290.70 |
$290.70 |
$319.77 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$55.77 |
$55.77 |
$106.47 |
$111.00
|
|
Thyroid Ultrasound
|
$138.00 |
$138.00 |
$151.80 |
$588.50
|
|
Thyroid uptake measurement
|
$183.90 |
$183.90 |
$202.29 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$22.44 |
$22.44 |
$42.84 |
$64.35
|
|
Tigecycline injection
|
$159.50 |
$159.50 |
$175.44 |
$234.00
|
|
Tilt table study
|
$395.40 |
$395.40 |
$434.94 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$502.47 |
$502.47 |
$552.72 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$7,282.55 |
$7,282.55 |
$8,010.81 |
$13,339.20
|
|
Tissue culture placenta
|
$132.66 |
$132.66 |
$132.66 |
$457.00
|
|
Tissue culture skin/biopsy
|
$127.38 |
$127.38 |
$243.18 |
$484.00
|
|
Tissue transglutaminase iga
|
$10.56 |
$10.56 |
$20.16 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$20.84 |
$20.84 |
$22.93 |
$78.40
|
|
Tlso 2 shl symphys-stern cst
|
$2,560.50 |
$2,560.50 |
$2,816.55 |
$1,808.59
|
|
Tlso r fram soft pre ots
|
$3,904.50 |
$3,904.50 |
$3,904.50 |
$910.81
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$85.50 |
$85.50 |
$94.05 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$53.46 |
$53.46 |
$102.06 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,715.31 |
$2,715.31 |
$2,986.84 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$10.50 |
$10.50 |
$11.55 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$10.50 |
$10.50 |
$11.55 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$305.23 |
$305.23 |
$335.75 |
$325.00
|
|
Total tau
|
$85.14 |
$85.14 |
$85.14 |
$312.50
|
|
Toxoplasma antibody igg
|
$13.86 |
$13.86 |
$26.46 |
$89.40
|
|
Toxoplasma antibody igm
|
$13.53 |
$13.53 |
$25.83 |
$87.00
|
|
Tpmt gene com vrnts
|
$136.95 |
$136.95 |
$136.95 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$3,525.35 |
$3,525.35 |
$3,877.89 |
$6,827.00
|
|
Transcath biopsy
|
$1,473.00 |
$1,473.00 |
$1,620.30 |
$4,285.93
|
|
Transcath closure of asd
|
$5,548.80 |
$5,548.80 |
$6,103.68 |
$16,741.40
|
|
Transcath closure of vsd
|
$5,548.80 |
$5,548.80 |
$6,103.68 |
$17,115.04
|
|
Transcatheter bx s&i
|
$389.40 |
$389.40 |
$428.34 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$660.00 |
$660.00 |
$660.00 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$9,420.00 |
$9,420.00 |
$9,420.00 |
$12,418.00
|
|
Transcath occlusion cns
|
$522.30 |
$522.30 |
$574.53 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$3,660.90 |
$3,660.90 |
$4,026.99 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$13,035.00 |
$13,035.00 |
$13,035.00 |
$14,363.70
|
|
Transferrin
|
$41.91 |
$41.91 |
$80.01 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$118.47 |
$118.47 |
$226.17 |
$983.00
|
|
Trastuzumab 150 mg intravenous solution
|
$1,593.33 |
$1,593.33 |
$1,752.66 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,893.49 |
$3,893.49 |
$4,282.84 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$3,467.04 |
$3,467.04 |
$3,813.75 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$391.87 |
$391.87 |
$431.05 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$61.20 |
$61.20 |
$67.32 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$18.90 |
$18.90 |
$20.79 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$100.80 |
$100.80 |
$110.88 |
$203.35
|
|
Treatment of foot infection
|
$767.25 |
$767.25 |
$767.25 |
$2,614.25
|
|
Treatment radiation delivery level 2
|
$567.00 |
$567.00 |
$623.70 |
$767.65
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$42,314.18 |
$42,314.18 |
$46,545.60 |
$73,346.25
|
|
Treponema pallidum antibody
|
$41.58 |
$41.58 |
$79.38 |
$70.40
|
|
Treprostinil injection
|
$2,107.70 |
$2,107.70 |
$2,318.46 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$291.72 |
$291.72 |
$556.92 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$149.18 |
$149.18 |
$164.10 |
$43.21
|
|
Triglycerides
|
$19.14 |
$19.14 |
$163.17 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$105.63 |
$105.63 |
$116.20 |
$117.49
|
|
Trim nondyst nails
|
$29.70 |
$29.70 |
$29.70 |
$113.40
|
|
Trnscath plc stent crv crtd without prtct
|
$228.60 |
$228.60 |
$251.46 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$2,589.60 |
$2,589.60 |
$5,697.12 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$339.60 |
$339.60 |
$373.56 |
$6,069.00
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,681.80 |
$1,681.80 |
$1,849.98 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$1,681.80 |
$1,681.80 |
$1,849.98 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,477.60 |
$3,477.60 |
$3,825.36 |
$15,330.11
|
|
Trnscath retrv pq vasc fb w/guide
|
$946.50 |
$946.50 |
$1,041.15 |
$4,523.96
|
