|
T4 (thyroxine) total
|
$266.10 |
$266.10 |
$266.10 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.00 |
$6.00 |
$6.00 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$22.80 |
$22.80 |
$22.80 |
$122.40
|
|
Talymed
|
$3,461.25 |
$3,461.25 |
$3,461.25 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$703.80 |
$703.80 |
$703.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$378.00 |
$378.00 |
$378.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,312.70 |
$2,312.70 |
$2,312.70 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,598.40 |
$4,598.40 |
$4,598.40 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$64.80 |
$64.80 |
$64.80 |
$177.65
|
|
Tc-99m bicisate
|
$6,857.84 |
$6,857.84 |
$6,857.84 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.90 |
$5,141.90 |
$5,141.90 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$448.20 |
$448.20 |
$448.20 |
$302.40
|
|
Tc-99m maa
|
$460.20 |
$460.20 |
$460.20 |
$292.80
|
|
Tc-99m mebrofenin
|
$224.40 |
$224.40 |
$224.40 |
$157.65
|
|
Tc-99m medronate
|
$531.00 |
$531.00 |
$531.00 |
$111.01
|
|
Tc-99m oxidronate
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$105.60
|
|
Tc-99m pertechnetate per mci
|
$12,891.63 |
$12,891.63 |
$12,891.63 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$129.13 |
$129.13 |
$129.13 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,258.78 |
$1,258.78 |
$1,258.78 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$6,946.51 |
$6,946.51 |
$6,946.51 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$451.80 |
$451.80 |
$451.80 |
$176.40
|
|
T cells absolute cd 4 count
|
$200.10 |
$200.10 |
$200.10 |
$111.20
|
|
T cells total count
|
$79.20 |
$79.20 |
$79.20 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,001.44 |
$9,001.44 |
$9,001.44 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$32,857.15 |
$32,857.15 |
$32,857.15 |
$15,245.38
|
|
Tension based scoliosis orth
|
$7,683.49 |
$7,683.49 |
$7,683.49 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$66.94 |
$66.94 |
$66.94 |
$39.33
|
|
Test socket below knee
|
$619.62 |
$619.62 |
$619.62 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,019.40 |
$1,019.40 |
$1,019.40 |
$949.70
|
|
Tgsap so neo 5-50 rna alys
|
$1,464.90 |
$1,464.90 |
$1,464.90 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$37.20 |
$37.20 |
$37.20 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$23.70 |
$23.70 |
$23.70 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$23.70 |
$23.70 |
$23.70 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$816.80 |
$816.80 |
$816.80 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,089.41 |
$1,089.41 |
$1,089.41 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$575.71 |
$575.71 |
$575.71 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$751.22 |
$751.22 |
$751.22 |
$657.72
|
|
Thorac cont lat support upri
|
$351.26 |
$351.26 |
$351.26 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$382.89 |
$382.89 |
$382.89 |
$344.85
|
|
Thoracic control thoracic ba
|
$430.13 |
$430.13 |
$430.13 |
$387.41
|
|
Thoracic pad
|
$259.99 |
$259.99 |
$259.99 |
$234.19
|
|
Thor rib belt custom fabrica
|
$2,759.84 |
$2,759.84 |
$2,759.84 |
$225.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$22.80 |
$22.80 |
$22.80 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$1,537.49 |
$1,537.49 |
$1,537.49 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,736.20 |
$2,736.20 |
$2,736.20 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,290.33 |
$1,290.33 |
$1,290.33 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,936.12 |
$1,936.12 |
$1,936.12 |
$1,695.23
|
|
Thyroglobulin antibody
|
$222.00 |
$222.00 |
$222.00 |
$82.00
|
|
Thyroid (TSH) Test
|
$388.80 |
$388.80 |
$388.80 |
$111.00
|
|
Thyroid Ultrasound
|
$879.60 |
$879.60 |
$879.60 |
$588.50
|
|
Tissue amnio epifix inj 100mg
|
$7,722.58 |
$7,722.58 |
$7,722.58 |
$4,834.73
|
|
Tissue culture skin/biopsy
|
$945.30 |
$945.30 |
$945.30 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$35.10 |
$35.10 |
$35.10 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$33,862.90 |
$33,862.90 |
$33,862.90 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$20.10 |
$20.10 |
$20.10 |
$44.16
|
|
Tlso 2mod symphis-xipho pre
|
$2,140.99 |
$2,140.99 |
$2,140.99 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,843.65 |
$1,843.65 |
$1,843.65 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$2,191.98 |
$2,191.98 |
$2,191.98 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,726.56 |
$2,726.56 |
$2,726.56 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,200.55 |
$1,200.55 |
$1,200.55 |
$1,051.18
|
|
Tlso corset front
|
$256.53 |
$256.53 |
$256.53 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$832.56 |
$832.56 |
$832.56 |
$931.57
|
|
Tlso full corset
|
$419.50 |
$419.50 |
$419.50 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$910.81 |
$910.81 |
$910.81 |
$801.11
|
|
Tlso r fram soft pre ots
|
$910.81 |
$910.81 |
$910.81 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,141.44 |
$1,141.44 |
$1,141.44 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,141.44 |
$1,141.44 |
$1,141.44 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$1,579.50 |
$1,579.50 |
$1,579.50 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$3,460.05 |
$3,460.05 |
$3,460.05 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,409.83 |
$2,409.83 |
$2,409.83 |
$2,110.02
|
|
Tlso rigid plastic custom fa
|
$3,626.01 |
$3,626.01 |
$3,626.01 |
$2,788.42
|
|
Tlso rigid plastic pre one
|
$679.07 |
$679.07 |
$679.07 |
$594.61
|
|
Tlso trnk sj-t9 pre cst
|
$1,134.22 |
$1,134.22 |
$1,134.22 |
$523.94
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$152.36
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10,517.05 |
$10,517.05 |
$10,517.05 |
$5,258.52
|
|
Tocilizumab for covid-19
|
$9,595.10 |
$9,595.10 |
$9,595.10 |
$21.08
|
|
Tomosynthesis breast diagnostic left
|
$134.40 |
$134.40 |
$134.40 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$67.20 |
$67.20 |
$67.20 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$5,724.41 |
$5,724.41 |
$5,724.41 |
$325.00
|
|
Torsion ank & half solid sti
|
$295.38 |
$295.38 |
$295.38 |
$291.13
|
|
Torsion straight knee joint
|
$257.54 |
$257.54 |
$257.54 |
$253.84
|
|
Toxoplasma antibody igg
|
$76.20 |
$76.20 |
$76.20 |
$89.40
|
|
Toxoplasma antibody igm
|
$74.10 |
$74.10 |
$74.10 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$416.70 |
$416.70 |
$416.70 |
$790.68
|
|
Tracheobrnchsc thru est trachs incisn
|
$190.50 |
$190.50 |
$190.50 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$285.39 |
$285.39 |
$285.39 |
$56.38
|
|
Transferrin
|
$148.20 |
$148.20 |
$148.20 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$977.40 |
$977.40 |
$977.40 |
$983.00
|
|
Trans shoe caliper plate new
|
$241.20 |
$241.20 |
$241.20 |
$217.22
|
|
Trans shoe calip plate exist
|
$183.18 |
$183.18 |
$183.18 |
$164.98
|
|
Trans shoe solid stirrup exi
|
$183.18 |
$183.18 |
$183.18 |
$141.41
|
|
Trans shoe solid stirrup new
|
$241.20 |
$241.20 |
$241.20 |
$217.22
|
|
Trapezius sling
|
$269.31 |
$269.31 |
$269.31 |
$242.54
|
|
Tray bonemarrw oncontrol 102mm
|
$9,185.62 |
$9,185.62 |
$9,185.62 |
$940.80
|
|
Trb@ gene rearrange dirprobe
|
$74.40 |
$74.40 |
$74.40 |
$73.46
|
|
Treat clavicle dislocation 23545
|
$215.70 |
$215.70 |
$215.70 |
$705.60
|
|
Treat elbow dislocation
|
$597.90 |
$597.90 |
$597.90 |
$2,223.20
|
