|
T cells absolute cd4/cd8 including ratio
|
$228.43 |
$228.43 |
$926.60 |
$185.28
|
|
T cells absolute cd 4 count
|
$107.10 |
$258.20 |
$779.30 |
$111.20
|
|
T cells total count
|
$57.15 |
$363.75 |
$391.22 |
$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
|
$1,357.46 |
$1,679.31 |
$1,679.31 |
$1,526.85
|
|
Telethx isodose plan simple
|
$527.90 |
$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 |
$9,031.44 |
$9,031.44 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$14,951.87 |
$14,951.87 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$73.32 |
$202.60 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$335.00
|
|
Test for porphobilinogen
|
$369.05 |
$369.05 |
$369.05 |
$29.25
|
|
Test for urine cystines
|
$1,205.38 |
$1,205.38 |
$1,205.38 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$449.57 |
$449.57 |
$4,195.49 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$29.90 |
$29.90 |
$365.19 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$818.10 |
$1,251.88 |
$2,573.62 |
$953.40
|
|
Test urine for porphyrins
|
$388.08 |
$388.08 |
$388.08 |
$49.98
|
|
Tetanus immune globulin inj
|
$1,172.11 |
$1,172.11 |
$8,404.79 |
$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 |
$1,260.81 |
$108.00
|
|
Therapeutic procd strg endur
|
$113.70 |
$143.36 |
$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 |
$122.76 |
$122.76 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$123.90 |
$125.24 |
$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 |
$1,972.50 |
$538.88
|
|
Ther/proph/diag inj ia
|
$186.15 |
$247.33 |
$1,063.19 |
$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 |
$35.82 |
$408.98 |
$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 |
$7,452.36 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$938.70 |
$1,410.82 |
$1,410.82 |
$1,733.65
|
|
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
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,570.65 |
$1,875.14 |
$4,920.44 |
$1,684.80
|
|
Throat x-ray & fluoroscopy
|
$1,067.26 |
$1,067.26 |
$1,067.26 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,422.10 |
$6,006.73 |
$6,006.73 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,282.24 |
$9,282.24 |
$35,765.48 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$19,636.34 |
$72,284.11 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,180.10 |
$31,119.42 |
$109,563.38 |
$21,413.60
|
|
Thrombin time
|
$72.22 |
$72.22 |
$1,149.94 |
$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 |
$26,442.85 |
$4,585.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$85.32 |
$85.32 |
$799.88 |
$61.52
|
|
Thyroglobulin antibody
|
$12.30 |
$115.79 |
$704.85 |
$82.73
|
|
Thyroid imaging
|
$673.01 |
$673.01 |
$3,775.78 |
$696.75
|
|
Thyroid met imaging
|
$4,364.89 |
$4,364.89 |
$4,364.89 |
$838.25
|
|
Thyroid met imaging/studies
|
$5,729.32 |
$5,729.32 |
$5,729.32 |
$767.93
|
|
Thyroid mets imag whole body
|
$1,132.80 |
$1,724.28 |
$6,243.64 |
$1,524.99
|
|
Thyroid met uptake
|
$398.40 |
$398.40 |
$1,321.69 |
$407.40
|
|
Thyroid (TSH) Test
|
$171.47 |
$171.47 |
$861.66 |
$112.67
|
|
Thyroid Ultrasound
|
$601.05 |
$630.55 |
$1,553.48 |
$588.50
|
|
Thyroid uptake measurement
|
$382.95 |
$680.77 |
$708.16 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$19,743.85 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$103.42 |
$103.42 |
$327.88 |
$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 |
$33,770.88 |
$77,245.18 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$10,012.80 |
$11,078.70 |
$11,078.70 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$13,263.75 |
$20,598.88 |
$20,598.88 |
$10,165.00
|
|
Tigecycline injection
|
$216.00 |
$216.00 |
$1,344.11 |
$235.29
|
|
Tilt table study
|
$2,325.16 |
$2,325.16 |
$5,848.84 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$516.15 |
$516.15 |
$909.00 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,382,069.38 |
$1,382,069.38 |
$1,382,069.38 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$6,546.38 |
$6,546.38 |
$6,546.38 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,851.40 |
$12,851.40 |
$12,851.40 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$35.06 |
$35.06 |
$4,201.20 |
$4,201.20
|
|
Tissue culture placenta
|
$240.75 |
$585.14 |
$876.45 |
$440.50
|
|
Tissue culture skin/biopsy
|
$687.36 |
$687.36 |
$2,892.26 |
$484.00
|
|
Tissue culture tumor
|
$772.11 |
$772.11 |
$772.11 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$51.02 |
$51.02 |
$180.55 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$293.82 |
$304.84 |
$304.84 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$19,288.03 |
$19,288.03 |
$19,288.03 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$92.25 |
$1,403.42 |
$1,403.42 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$36.90 |
$137.80 |
$137.80 |
$44.80
|
|
Tixagev and cilgav inj
|
$180.60 |
$180.60 |
$180.60 |
$241.92
|
|
Tl-201 thallium diag per mci
|
$228.94 |
$228.94 |
$228.94 |
$80.10
|
|
Tlso 2 piece rigid shell
|
$569.93 |
$569.93 |
$569.93 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,535.15 |
$1,535.15 |
$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
|
$652.36 |
$652.36 |
$801.11 |
$801.11
|
|
Tlso rigid frame pre subclav
|
$1,193.13 |
$1,461.90 |
$1,461.90 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,547.21 |
$2,547.21 |
$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
|
$2,347.16 |
$2,347.16 |
$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 |
$228.45 |
$228.45 |
$152.36
|
|
Tobramycin non-comp unit
|
$75.03 |
$143.38 |
$143.38 |
$108.42
|
