|
Tacrol envarsus ex rel oral
|
$10.86 |
$10.86 |
$32.80 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.78 |
$9.78 |
$43.10 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$534.82 |
$534.82 |
$668.52 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$209.24 |
$209.24 |
$239.40 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,456.76 |
$2,456.76 |
$2,456.76 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$278.57 |
$278.57 |
$307.05 |
$289.90
|
|
Tap block bilat cont infusion 64489
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$771.00 |
$771.00 |
$771.00 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,176.05 |
$2,176.05 |
$8,967.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,100.00 |
$2,100.00 |
$7,560.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,680.00 |
$1,680.00 |
$5,238.75 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$27,030.00 |
$27,030.00 |
$27,030.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$6,003.27
|
|
Tavr perq femoral
|
$32,560.45 |
$32,560.45 |
$32,560.45 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$863.75 |
$863.75 |
$863.75 |
$937.50
|
|
Tbs techl calculation only
|
$99.13 |
$99.13 |
$99.13 |
$153.60
|
|
Tbs techl prep&transmis data
|
$99.13 |
$99.13 |
$99.13 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$184.80 |
$184.80 |
$506.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$220.37 |
$220.37 |
$221.40 |
$180.80
|
|
Tc-99m exame autol wbc diag per dose
|
$2,431.95 |
$2,431.95 |
$2,431.95 |
$2,503.15
|
|
Tc-99m labeled rbc
|
$306.00 |
$306.00 |
$306.00 |
$306.00
|
|
Tc-99m maa
|
$74.55 |
$74.55 |
$74.55 |
$312.06
|
|
Tc-99m mebrofenin
|
$202.80 |
$202.80 |
$202.80 |
$157.65
|
|
Tc-99m medronate
|
$41.70 |
$41.70 |
$41.70 |
$111.01
|
|
Tc-99m oxidronate
|
$74.55 |
$74.55 |
$74.55 |
$108.00
|
|
Tc-99m pentetate dtpa aerosol
|
$139.65 |
$139.65 |
$139.65 |
$191.50
|
|
Tc-99m sestamibi p study dose
|
$109.62 |
$109.62 |
$408.45 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$205.55 |
$205.55 |
$347.10 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$366.60 |
$366.60 |
$366.60 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,121.70 |
$1,121.70 |
$1,121.70 |
$985.60
|
|
Tcd emboli detect w/inj
|
$640.22 |
$640.22 |
$640.22 |
$475.80
|
|
Tcd emboli detect without inj
|
$600.96 |
$600.96 |
$600.96 |
$475.28
|
|
Tcd vasoreactivity study
|
$566.88 |
$566.88 |
$566.88 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$228.43 |
$228.43 |
$246.00 |
$185.28
|
|
T cells absolute cd 4 count
|
$123.00 |
$123.00 |
$258.20 |
$111.20
|
|
T cells total count
|
$123.00 |
$123.00 |
$363.75 |
$130.35
|
|
Teaec w/wo patch graft iliofemoral
|
$1,344.96 |
$1,344.96 |
$1,344.96 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$141.89 |
$141.89 |
$141.89 |
$110.62
|
|
Team conf w/pat by hc prof
|
$113.83 |
$113.83 |
$113.83 |
$104.59
|
|
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
|
|
Telehealth original site facility fee
|
$465.99 |
$465.99 |
$465.99 |
$51.00
|
|
Telethx isodose plan cplx
|
$872.85 |
$872.85 |
$1,679.31 |
$1,526.85
|
|
Telethx isodose plan simple
|
$620.10 |
$620.10 |
$620.10 |
$877.09
|
|
Temozolomide
|
$64.37 |
$64.37 |
$647.64 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,950.80 |
$4,950.80 |
$9,031.44 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$9,028.34 |
$14,951.87 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$10.95 |
$73.32 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$449.57 |
$449.57 |
$449.57 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$29.90 |
$29.90 |
$29.90 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$818.10 |
$818.10 |
$1,251.88 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,172.11 |
$1,172.11 |
$1,285.36 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$5,025.00 |
$5,025.00 |
$5,025.00 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$5,536.50 |
$5,536.50 |
$5,536.50 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$141.91 |
$141.91 |
$276.75 |
$108.00
|
|
Therapeutic procd strg endur
|
$113.70 |
$113.70 |
$143.36 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$158.40 |
$158.40 |
$158.40 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$117.45 |
$117.45 |
$122.76 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$123.90 |
$123.90 |
$125.24 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$67.10 |
$67.10 |
$86.40 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$64.10 |
$64.10 |
$90.00 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$232.32 |
$232.32 |
$232.32 |
$538.88
|
|
Ther/proph/diag inj ia
|
$178.95 |
$178.95 |
$247.33 |
$247.33
|
|
Ther radiology tx plng cplx
|
$269.23 |
$269.23 |
$269.23 |
$332.00
|
|
Ther radiology tx plng intrm
|
$213.06 |
$213.06 |
$213.06 |
$224.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.62 |
$13.62 |
$35.82 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$290.44 |
$290.44 |
$351.00 |
$314.50
|
|
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 |
$1,410.82 |
$1,733.65
|
|
Thoracoscopy diagnostic 32601
|
$3,430.65 |
$3,430.65 |
$3,430.65 |
$6,442.80
|
|
Thoracoscopy surgical 32650
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$2,251.60
|
|
Thoracotomy w/expl
|
$2,045.17 |
$2,045.17 |
$2,045.17 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,459.68 |
$3,459.68 |
$3,459.68 |
$2,138.76
|
|
Thrcspy w/diag bp lng nod uni
|
$6,120.30 |
$6,120.30 |
$6,120.30 |
$6,120.30
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,570.65 |
$1,570.65 |
$1,875.14 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$3,422.10 |
$3,422.10 |
$6,006.73 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,282.24 |
$9,282.24 |
$9,720.45 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$11,787.75 |
$19,636.34 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,867.40 |
$17,867.40 |
$31,119.42 |
$21,413.60
|
|
Thrombin time
|
$72.22 |
$72.22 |
$115.95 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$3,315.64 |
$3,315.64 |
$3,315.64 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$5,994.11 |
$5,994.11 |
$5,994.11 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$3,529.55 |
$3,529.55 |
$3,529.55 |
$4,585.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$85.32 |
$85.32 |
$154.65 |
$61.52
|
|
Thyroglobulin antibody
|
$12.30 |
$12.30 |
$115.79 |
$82.73
|
|
Thyroid imaging
|
$673.01 |
$673.01 |
$696.75 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,132.80 |
$1,132.80 |
$1,724.28 |
$1,524.99
|
|
Thyroid met uptake
|
$398.40 |
$398.40 |
$398.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$171.47 |
$171.47 |
$324.00 |
$112.67
|
|
Thyroid Ultrasound
|
$601.05 |
$601.05 |
$630.55 |
$588.50
|
|
Thyroid uptake measurement
|
$382.95 |
$382.95 |
$680.77 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$3,914.94 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$103.42 |
$103.42 |
$119.25 |
$64.51
|
|
Tibial length sock fx or equ
|
$228.69 |
$228.69 |
$228.69 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$22,970.40 |
$22,970.40 |
$33,770.88 |
$21,249.26
|
