|
Syphilis test non-treponemal antibody quantitative rpr
|
$136.35 |
$136.35 |
$136.35 |
$40.11
|
|
System cardiomems hosp electronics
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$38,226.50
|
|
System pacing micra av
|
$34,155.00 |
$34,155.00 |
$34,155.00 |
$24,667.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$904.05 |
$904.05 |
$904.05 |
$900.00
|
|
T3 (triiodothyronine) free
|
$324.00 |
$324.00 |
$324.00 |
$99.50
|
|
T3 (triiodothyronine) total
|
$188.70 |
$188.70 |
$188.70 |
$93.52
|
|
T4 (thyroxine) free
|
$284.70 |
$284.70 |
$284.70 |
$85.20
|
|
T4 (thyroxine) total
|
$110.40 |
$110.40 |
$110.40 |
$67.60
|
|
Tacrol envarsus ex rel oral
|
$10.86 |
$10.86 |
$10.86 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.78 |
$9.78 |
$9.78 |
$9.98
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$534.82 |
$534.82 |
$534.82 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$239.40 |
$239.40 |
$239.40 |
$121.39
|
|
Tap block bilat cont infusion 64489
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,407.60
|
|
Target gsa panel hmtlmph neop
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$2,189.62
|
|
Target gsa panel organ/hmtlmph neop
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$3,746.70
|
|
Tavr perq femoral
|
$14,593.50 |
$14,593.50 |
$14,593.50 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$863.75 |
$863.75 |
$863.75 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$184.80 |
$184.80 |
$184.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$221.40 |
$221.40 |
$221.40 |
$177.65
|
|
Tc-99m exame autol wbc diag per dose
|
$2,431.95 |
$2,431.95 |
$2,431.95 |
$2,464.79
|
|
Tc-99m labeled rbc
|
$306.00 |
$306.00 |
$306.00 |
$302.73
|
|
Tc-99m maa
|
$74.55 |
$74.55 |
$74.55 |
$288.75
|
|
Tc-99m mebrofenin
|
$202.80 |
$202.80 |
$202.80 |
$157.80
|
|
Tc-99m medronate
|
$41.70 |
$41.70 |
$41.70 |
$112.37
|
|
Tc-99m oxidronate
|
$74.55 |
$74.55 |
$74.55 |
$106.58
|
|
Tc-99m pentetate dtpa aerosol
|
$139.65 |
$139.65 |
$139.65 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$408.45 |
$408.45 |
$408.45 |
$292.95
|
|
Tc-99m sulfur colloid
|
$347.10 |
$347.10 |
$347.10 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$366.60 |
$366.60 |
$366.60 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$1,166.70 |
$1,166.70 |
$1,166.70 |
$969.15
|
|
T cells absolute cd4/cd8 including ratio
|
$246.00 |
$246.00 |
$246.00 |
$175.00
|
|
T cells absolute cd 4 count
|
$107.10 |
$107.10 |
$107.10 |
$110.72
|
|
T cells total count
|
$123.00 |
$123.00 |
$123.00 |
$123.00
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$40,114.80 |
$40,114.80 |
$40,114.80 |
$40,114.80
|
|
Telavancin injection
|
$1,191.80 |
$1,191.80 |
$1,191.80 |
$1,191.80
|
|
Temozolomide
|
$647.64 |
$647.64 |
$647.64 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,950.80 |
$4,950.80 |
$4,950.80 |
$3,779.43
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$9,028.34 |
$9,028.34 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$10.95 |
$10.95 |
$37.76
|
|
Test stress cardiovascular tracing only
|
$818.10 |
$818.10 |
$818.10 |
$951.60
|
|
Tetanus immune globulin inj
|
$1,285.36 |
$1,285.36 |
$1,285.36 |
$1,228.80
|
|
Theophylline therapeutic drug level
|
$276.75 |
$276.75 |
$276.75 |
$108.00
|
|
Therapeutic procd strg endur
|
$113.70 |
$113.70 |
$113.70 |
$83.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$55.98
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$186.15 |
$186.15 |
$186.15 |
$246.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.62 |
$13.62 |
$13.62 |
$25.54
|
|
Thigh/wght bear lacer molded
|
$873.03 |
$873.03 |
$873.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$464.92 |
$464.92 |
$464.92 |
$464.92
|
|
Thiotepa injection
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$938.70 |
$938.70 |
$938.70 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$3,422.10 |
$3,422.10 |
$3,422.10 |
$3,809.40
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$7,648.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$11,787.75 |
$11,787.75 |
$14,227.80
|
|
Thrombin time
|
$115.95 |
$115.95 |
$115.95 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$154.65 |
$154.65 |
$154.65 |
$61.50
|
|
Thyroglobulin antibody
|
$12.30 |
$12.30 |
$12.30 |
$81.90
|
|
Thyroid imaging
|
$696.75 |
$696.75 |
$696.75 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,542.00
|
|
Thyroid (TSH) Test
|
$324.00 |
$324.00 |
$324.00 |
$112.70
|
|
Thyroid Ultrasound
|
$601.05 |
$601.05 |
$601.05 |
$589.96
|
|
Thyroid uptake measurement
|
$382.95 |
$382.95 |
$382.95 |
$590.05
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$3,914.94 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$119.25 |
$119.25 |
$119.25 |
$64.51
|
|
Tibial length sock fx or equ
|
$228.69 |
$228.69 |
$228.69 |
$79.92
|
|
Tib/per revasc stent & ather 37231
|
$22,970.40 |
$22,970.40 |
$22,970.40 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$10,012.80 |
$10,012.80 |
$10,012.80 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$13,263.75 |
$13,263.75 |
$13,263.75 |
$10,103.80
|
|
Tigecycline injection
|
$216.00 |
$216.00 |
$216.00 |
$234.00
|
|
Tilt table study
|
$1,051.80 |
$1,051.80 |
$1,051.80 |
$1,551.60
|
|
Tirofiban 12.5 mg/50 ml
|
$516.15 |
$516.15 |
$516.15 |
$458.51
|
|
Tissue amnio epifix inj 100mg
|
$4,201.20 |
$4,201.20 |
$4,201.20 |
$4,201.20
|
|
Tissue culture placenta
|
$876.45 |
$876.45 |
$876.45 |
$453.00
|
|
Tissue culture skin/biopsy
|
$757.20 |
$757.20 |
$757.20 |
$499.20
|
|
Tissue culture tumor
|
$738.00 |
$738.00 |
$738.00 |
$493.92
|
|
Tissue exam koh skin/hair/nails
|
$51.30 |
$51.30 |
$51.30 |
$47.52
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$293.82 |
$293.82 |
$293.82 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$92.25 |
$92.25 |
$92.25 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$36.90 |
$36.90 |
$36.90 |
$44.80
|
|
Tlso 2 shl symphys-stern cst
|
$2,095.23 |
$2,095.23 |
$2,095.23 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,570.48 |
$2,570.48 |
$2,570.48 |
$2,117.57
|
|
Tlso r fram soft ant pre cst
|
$801.11 |
$801.11 |
$801.11 |
$801.11
|
|
Tlso rigid frame pre subclav
|
$1,193.13 |
$1,193.13 |
$1,193.13 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,831.21 |
$2,831.21 |
$2,831.21 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,118.31 |
$2,118.31 |
$2,118.31 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$5,853.60 |
$5,853.60 |
$5,853.60 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,788.42 |
$2,788.42 |
$2,788.42 |
$2,788.42
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$175.50 |
$175.50 |
$175.50 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$362.70 |
$362.70 |
$362.70 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,258.52 |
$5,258.52 |
$5,258.52 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$71.40 |
$71.40 |
$71.40 |
$71.40
|
|
Tomosynthesis breast screen bilateral
|
$66.15 |
$66.15 |
$66.15 |
$68.90
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$507.60 |
$507.60 |
$507.60 |
$312.65
|
|
Torsion ank & half solid sti
|
$292.47 |
$292.47 |
$292.47 |
$291.13
|
|
Torsion straight knee joint
|
$318.65 |
$318.65 |
$318.65 |
$253.84
|
|
Total hysterectomy
|
$4,189.20 |
$4,189.20 |
$4,189.20 |
$3,001.70
|
|
Toxoplasma antibody igg
|
$209.10 |
$209.10 |
$209.10 |
$89.57
|
|
Toxoplasma antibody igm
|
$209.10 |
$209.10 |
$209.10 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$823.00
|
