|
Tc-99m exametazime diag
|
$3,619.50 |
$3,619.50 |
$3,619.50 |
$2,033.20
|
|
Tc-99m graphite crucible
|
$698.87 |
$698.87 |
$698.87 |
$453.47
|
|
Tc-99m labeled rbc
|
$453.87 |
$453.87 |
$453.87 |
$302.40
|
|
Tc-99m maa
|
$430.00 |
$430.00 |
$430.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$232.87 |
$232.87 |
$232.87 |
$157.65
|
|
Tc-99m medronate
|
$202.87 |
$202.87 |
$202.87 |
$111.01
|
|
Tc-99m mertiatide
|
$776.75 |
$776.75 |
$776.75 |
$756.00
|
|
Tc-99m oxidronate
|
$199.75 |
$199.75 |
$199.75 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$327.87 |
$327.87 |
$327.87 |
$222.60
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$178.50 |
$178.50 |
$178.50 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$249.75 |
$249.75 |
$249.75 |
$274.45
|
|
Tc-99m sulfur colloid
|
$302.62 |
$302.62 |
$302.62 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$214.37 |
$214.37 |
$214.37 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,257.12 |
$1,257.12 |
$1,257.12 |
$955.60
|
|
Tcd emboli detect w/inj
|
$122.00 |
$122.00 |
$122.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$122.00 |
$122.00 |
$122.00 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$75.00 |
$75.00 |
$75.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$26.50 |
$26.50 |
$26.50 |
$111.20
|
|
T cells total count
|
$45.00 |
$45.00 |
$45.00 |
$126.90
|
|
Telethx isodose plan cplx
|
$2,335.50 |
$2,335.50 |
$2,335.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$873.62
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,862.87 |
$9,862.87 |
$9,862.87 |
$15,245.38
|
|
Tert gene targeted seq alys
|
$186.00 |
$186.00 |
$186.00 |
$335.00
|
|
Test for urine cystines
|
$17.00 |
$17.00 |
$17.00 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$837.50 |
$837.50 |
$837.50 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$45.00 |
$45.00 |
$45.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,439.00 |
$1,439.00 |
$1,439.00 |
$949.70
|
|
Theophylline therapeutic drug level
|
$9.50 |
$9.50 |
$9.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$124.00 |
$124.00 |
$124.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$981.50 |
$981.50 |
$981.50 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.00 |
$12.00 |
$12.00 |
$25.54
|
|
Thrombectmy crnry perq mechanical
|
$5,346.00 |
$5,346.00 |
$5,346.00 |
$3,580.00
|
|
Thrombin time
|
$104.50 |
$104.50 |
$104.50 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$37.50 |
$37.50 |
$37.50 |
$61.52
|
|
Thyroglobulin antibody
|
$14.00 |
$14.00 |
$14.00 |
$82.00
|
|
Thyroid imaging
|
$816.00 |
$816.00 |
$816.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$816.00 |
$816.00 |
$816.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$345.00 |
$345.00 |
$345.00 |
$111.00
|
|
Thyroid Ultrasound
|
$497.00 |
$497.00 |
$497.00 |
$588.50
|
|
Thyroid uptake measurement
|
$816.00 |
$816.00 |
$816.00 |
$591.25
|
|
Thyrotropin releasing hormone
|
$36.00 |
$36.00 |
$36.00 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$12.50 |
$12.50 |
$12.50 |
$64.35
|
|
Tilt table study
|
$2,001.50 |
$2,001.50 |
$2,001.50 |
$1,507.01
|
|
Tirofiban 12.5 mg/50 ml
|
$171.12 |
$171.12 |
$171.12 |
$458.85
|
|
Tissue culture skin/biopsy
|
$169.00 |
$169.00 |
$169.00 |
$484.00
|
|
Tissue culture tumor
|
$288.50 |
$288.50 |
$288.50 |
$483.36
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$89.58 |
$89.58 |
$89.58 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$16.00 |
$16.00 |
$16.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$138.50 |
$138.50 |
$138.50 |
$224.55
|
|
Tlso r fram soft pre ots
|
$215.39 |
$215.39 |
$215.39 |
$910.81
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$143.25 |
$143.25 |
$143.25 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$47.00 |
$47.00 |
$47.00 |
$120.60
|
|
Tomosynthesis breast screen bilateral
|
$135.00 |
$135.00 |
$135.00 |
$72.68
|
|
Total tau
|
$347.50 |
$347.50 |
$347.50 |
$312.50
|
|
Toxoplasma antibody igg
|
$150.00 |
$150.00 |
$150.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$485.00 |
$485.00 |
$485.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$296.50 |
$296.50 |
$296.50 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$148.50 |
$148.50 |
$148.50 |
$101.25
|
|
Transcath closure of asd
|
$15,698.00 |
$15,698.00 |
$15,698.00 |
$16,741.40
|
|
Transcath closure of vsd
|
$16,520.00 |
$16,520.00 |
$16,520.00 |
$17,115.04
|
|
Transcatheter bx s&i
|
$1,377.50 |
$1,377.50 |
$1,377.50 |
$1,915.00
|
|
Transcutaneous hgb 88738
|
$12.50 |
$12.50 |
$12.50 |
$13.80
|
|
Transferrin
|
$211.00 |
$211.00 |
$211.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$983.00
|
|
Trauma partial team response w/critical care services level 4
|
$10,995.50 |
$10,995.50 |
$10,995.50 |
$4,523.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$250.50 |
$250.50 |
$250.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$250.50 |
$250.50 |
$250.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$151.00 |
$151.00 |
$151.00 |
$203.35
|
|
Treatment radiation delivery level 2
|
$1,052.50 |
$1,052.50 |
$1,052.50 |
$767.65
|
|
Treponema pallidum antibody
|
$180.00 |
$180.00 |
$180.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$281.50 |
$281.50 |
$281.50 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$17.87 |
$17.87 |
$17.87 |
$43.21
|
|
Trichinella antibody
|
$33.50 |
$33.50 |
$33.50 |
$70.20
|
|
#tricyclicantidprssnt
|
$63.00 |
$63.00 |
$63.00 |
$50.86
|
|
Triglycerides
|
$239.00 |
$239.00 |
$239.00 |
$58.05
|
|
Troponin quantitative
|
$222.00 |
$222.00 |
$222.00 |
$127.20
|
|
Tx atrial fib pulm vein isol
|
$27,791.00 |
$27,791.00 |
$27,791.00 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$6,769.00
|
|
Ugt1a1 gene analy common variants
|
$658.00 |
$658.00 |
$658.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$506.50 |
$506.50 |
$506.50 |
$394.20
|
|
Ultrasound breast complete
|
$499.50 |
$499.50 |
$499.50 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$288.50 |
$288.50 |
$288.50 |
$449.35
|
|
Ultrasound chest
|
$188.00 |
$188.00 |
$188.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$357.00 |
$357.00 |
$357.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$145.50 |
$145.50 |
$145.50 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$310.50 |
$310.50 |
$310.50 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$387.00 |
$387.00 |
$387.00 |
$307.00
|
|
Ultrasound encephalogram
|
$715.50 |
$715.50 |
$715.50 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$595.50 |
$595.50 |
$595.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$426.50 |
$426.50 |
$426.50 |
$469.50
|
|
Ultrasound guided needle placement supervision & interpretation
|
$818.50 |
$818.50 |
$818.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$406.00 |
$406.00 |
$406.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$364.00 |
$364.00 |
$364.00 |
$311.25
|
|
Ultrasound joint/nonvascular extremity limited left
|
$506.50 |
$506.50 |
$506.50 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$567.00 |
$567.00 |
$567.00 |
$407.20
|
