|
Tc-99m medronate
|
$26.45 |
$26.45 |
$26.45 |
$111.01
|
|
Tc-99m mertiatide
|
$356.27 |
$356.27 |
$356.27 |
$756.00
|
|
Tc-99m oxidronate
|
$26.45 |
$26.45 |
$26.45 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$63.94 |
$63.94 |
$63.94 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$5.29 |
$5.29 |
$5.29 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$169.05 |
$169.05 |
$169.05 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$65.32 |
$65.32 |
$65.32 |
$274.45
|
|
Tc-99m sulfur colloid
|
$63.48 |
$63.48 |
$63.48 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$214.59 |
$214.59 |
$214.59 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$80.73 |
$80.73 |
$80.73 |
$176.40
|
|
T cells absolute cd 4 count
|
$46.00 |
$46.00 |
$46.00 |
$111.20
|
|
T cells total count
|
$64.63 |
$64.63 |
$64.63 |
$126.90
|
|
Telehealth original site facility fee
|
$22.54 |
$22.54 |
$22.54 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,418.53 |
$11,418.53 |
$11,418.53 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$67.46 |
$67.46 |
$67.46 |
$39.33
|
|
Test for chlorohydrocarbons
|
$6.44 |
$6.44 |
$6.44 |
$65.00
|
|
Test for urine cystines
|
$8.74 |
$8.74 |
$8.74 |
$26.00
|
|
Test pathogen(s) for platelets reference
|
$32.20 |
$32.20 |
$32.20 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$219.88 |
$219.88 |
$219.88 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,038.78 |
$1,038.78 |
$1,038.78 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$947.83 |
$947.83 |
$947.83 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$24.38 |
$24.38 |
$24.38 |
$108.00
|
|
Therapeutic procd strg endur
|
$77.51 |
$77.51 |
$77.51 |
$85.68
|
|
Ther/proph/diag inj ia
|
$52.67 |
$52.67 |
$52.67 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.33 |
$9.33 |
$9.33 |
$25.54
|
|
Thoracotomy with cardiac massage
|
$1,877.49 |
$1,877.49 |
$1,877.49 |
$2,138.76
|
|
Thrombin time
|
$9.89 |
$9.89 |
$9.89 |
$53.76
|
|
Thromboplastin inhibition
|
$16.56 |
$16.56 |
$16.56 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$11.04 |
$11.04 |
$11.04 |
$61.52
|
|
Thyroglobulin antibody
|
$27.37 |
$27.37 |
$27.37 |
$82.00
|
|
Thyroid (TSH) Test
|
$28.98 |
$28.98 |
$28.98 |
$111.00
|
|
Thyroid Ultrasound
|
$99.82 |
$99.82 |
$99.82 |
$588.50
|
|
Tigecycline injection
|
$324.11 |
$324.11 |
$324.11 |
$234.00
|
|
Tissue culture skin/biopsy
|
$128.34 |
$128.34 |
$128.34 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$6.90 |
$6.90 |
$6.90 |
$47.20
|
|
Tissue transglutaminase iga
|
$72.91 |
$72.91 |
$72.91 |
$44.16
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$12.71 |
$12.71 |
$12.71 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$120.60
|
|
Tomosynthesis breast screen bilateral
|
$72.68 |
$72.68 |
$72.68 |
$72.68
|
|
Toxoplasma antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$89.40
|
|
Toxoplasma antibody igm
|
$24.61 |
$24.61 |
$24.61 |
$87.00
|
|
Tp53 gene full gene sequence
|
$808.22 |
$808.22 |
$808.22 |
$709.80
|
|
Tp53 gene known famil vrnt
|
$388.01 |
$388.01 |
$388.01 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$414.92 |
$414.92 |
$414.92 |
$790.68
|
|
Tpmt gene com vrnts
|
$220.11 |
$220.11 |
$220.11 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$264.50 |
$264.50 |
$264.50 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$20.47 |
$20.47 |
$20.47 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$19.39 |
$19.39 |
$19.39 |
$56.38
|
|
Transferrin
|
$21.39 |
$21.39 |
$21.39 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$117.07 |
$117.07 |
$117.07 |
$983.00
|
|
Tray bonemarrw oncontrol 102mm
|
$894.50 |
$894.50 |
$894.50 |
$940.80
|
|
Treat elbow dislocation
|
$710.01 |
$710.01 |
$710.01 |
$2,223.20
|
|
Treat elbow fracture
|
$710.01 |
$710.01 |
$710.01 |
$1,919.13
|
|
Treat finger fracture each
|
$62.10 |
$62.10 |
$62.10 |
$1,536.00
|
|
Treat foot dislocation
|
$99.82 |
$99.82 |
$99.82 |
$527.28
|
|
Treat fracture of radius
|
$201.94 |
$201.94 |
$201.94 |
$1,790.00
|
|
Treat fracture of ulna
|
$207.92 |
$207.92 |
$207.92 |
$726.05
|
|
Treat hip dislocation
|
$676.20 |
$676.20 |
$676.20 |
$2,192.80
|
|
Treat humerus fracture
|
$278.76 |
$278.76 |
$278.76 |
$1,771.43
|
|
Treat knee dislocation
|
$646.99 |
$646.99 |
$646.99 |
$2,220.89
|
|
Treat knee fracture 27530
|
$106.95 |
$106.95 |
$106.95 |
$550.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$42.55 |
$42.55 |
$42.55 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$38.87 |
$38.87 |
$38.87 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$96.60 |
$96.60 |
$96.60 |
$203.35
|
|
Treatment of ankle fracture
|
$3,023.58 |
$3,023.58 |
$3,023.58 |
$8,453.60
|
|
Treatment of fibula fracture 27780
|
$217.35 |
$217.35 |
$217.35 |
$491.50
|
|
Treatment of thigh fracture
|
$617.55 |
$617.55 |
$617.55 |
$1,748.40
|
|
Treat midfoot fracture each
|
$74.52 |
$74.52 |
$74.52 |
$1,851.78
|
|
Treat thigh fx growth plate
|
$94.99 |
$94.99 |
$94.99 |
$475.68
|
|
Treat ulnar fracture
|
$207.92 |
$207.92 |
$207.92 |
$1,662.00
|
|
Treat wrist bone fracture
|
$207.92 |
$207.92 |
$207.92 |
$1,548.40
|
|
Treat wrist dislocation
|
$207.92 |
$207.92 |
$207.92 |
$656.25
|
|
Treponema pallidum antibody
|
$23.00 |
$23.00 |
$23.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$346.38 |
$346.38 |
$346.38 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$35.10 |
$35.10 |
$35.10 |
$43.21
|
|
#tricyclicantidprssnt
|
$29.21 |
$29.21 |
$29.21 |
$50.86
|
|
Triglycerides
|
$9.89 |
$9.89 |
$9.89 |
$58.05
|
|
Trim nail(s)
|
$11.73 |
$11.73 |
$11.73 |
$79.00
|
|
Trim nondyst nails
|
$11.73 |
$11.73 |
$11.73 |
$113.40
|
|
Troponin quantitative
|
$17.02 |
$17.02 |
$17.02 |
$127.20
|
|
Tx closed hip disl traumatic without anes
|
$241.50 |
$241.50 |
$241.50 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$187.45 |
$187.45 |
$187.45 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$62.10 |
$62.10 |
$62.10 |
$416.16
|
|
U2af1 gene common variants
|
$243.34 |
$243.34 |
$243.34 |
$243.34
|
|
Ugt1a1 gene analy common variants
|
$155.02 |
$155.02 |
$155.02 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$99.82 |
$99.82 |
$99.82 |
$394.20
|
|
Ultrasound breast complete
|
$94.99 |
$94.99 |
$94.99 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$90.16 |
$90.16 |
$90.16 |
$449.35
|
|
Ultrasound chest
|
$99.82 |
$99.82 |
$99.82 |
$460.85
|
|
Ultrasound guide tissue ablation
|
$90.16 |
$90.16 |
$90.16 |
$560.00
|
|
Ultrasound joint complete left
|
$99.82 |
$99.82 |
$99.82 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$99.82 |
$99.82 |
$99.82 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$99.82 |
$99.82 |
$99.82 |
$277.80
|
|
Ultrasound pregnant uterus follow up per fetus
|
$94.99 |
$94.99 |
$94.99 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$99.82 |
$99.82 |
$99.82 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$99.82 |
$99.82 |
$99.82 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$94.76 |
$94.76 |
$94.76 |
$486.50
|
|
Ultrasound scrotum and contents
|
$99.82 |
$99.82 |
$99.82 |
$608.90
|
|
Ultrasound transvaginal non obstetric
|
$99.82 |
$99.82 |
$99.82 |
$558.35
|
|
Unlisted procedure microbiology
|
$50.83 |
$50.83 |
$50.83 |
$523.50
|