|
Susceptibility agar dilution per agent
|
$43.20 |
$43.20 |
$43.20 |
$45.45
|
|
Susceptibility mic per plate
|
$202.80 |
$202.80 |
$202.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$360.60 |
$360.60 |
$360.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$498.01 |
$498.01 |
$498.01 |
$251.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$27.60 |
$27.60 |
$27.60 |
$41.60
|
|
System cardiomems hosp electronics
|
$98,781.00 |
$98,781.00 |
$98,781.00 |
$39,037.95
|
|
System pacing micra av
|
$86,823.30 |
$86,823.30 |
$86,823.30 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$41,950.73 |
$41,950.73 |
$41,950.73 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$35,743.13 |
$35,743.13 |
$35,743.13 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$205.20 |
$205.20 |
$205.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$99.60 |
$99.60 |
$99.60 |
$93.52
|
|
T4 (thyroxine) free
|
$85.20 |
$85.20 |
$85.20 |
$85.20
|
|
T4 (thyroxine) total
|
$42.00 |
$42.00 |
$42.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$63.67 |
$63.67 |
$63.67 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$81.49 |
$81.49 |
$81.49 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,677.79 |
$2,677.79 |
$2,677.79 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$301.20 |
$301.20 |
$301.20 |
$122.40
|
|
Talymed
|
$6,758.70 |
$6,758.70 |
$6,758.70 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$756.00 |
$756.00 |
$756.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$4,625.40 |
$4,625.40 |
$4,625.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$9,196.80 |
$9,196.80 |
$9,196.80 |
$3,746.70
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,604.97 |
$2,604.97 |
$2,604.97 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$330.60 |
$330.60 |
$330.60 |
$177.65
|
|
Tc-99m bicisate
|
$726.00 |
$726.00 |
$726.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$276.60 |
$276.60 |
$276.60 |
$302.40
|
|
Tc-99m maa
|
$822.00 |
$822.00 |
$822.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$121.20 |
$121.20 |
$121.20 |
$157.65
|
|
Tc-99m medronate
|
$60.60 |
$60.60 |
$60.60 |
$111.01
|
|
Tc-99m mertiatide
|
$438.01 |
$438.01 |
$438.01 |
$756.00
|
|
Tc-99m oxidronate
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$105.60
|
|
Tc-99m pertechnetate per mci
|
$35.70 |
$35.70 |
$35.70 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$36.00 |
$36.00 |
$36.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$209.40 |
$209.40 |
$209.40 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$358.20 |
$358.20 |
$358.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$52.80 |
$52.80 |
$52.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$155.40 |
$155.40 |
$155.40 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,480.80 |
$1,480.80 |
$1,480.80 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$160.20 |
$160.20 |
$160.20 |
$176.40
|
|
T cells absolute cd 4 count
|
$126.60 |
$126.60 |
$126.60 |
$111.20
|
|
T cells total count
|
$158.40 |
$158.40 |
$158.40 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$11,401.82 |
$11,401.82 |
$11,401.82 |
$3,723.60
|
|
Tendon lngth upr a/e ea tdn
|
$38,858.36 |
$38,858.36 |
$38,858.36 |
$3,545.97
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$45,303.04 |
$45,303.04 |
$45,303.04 |
$15,245.38
|
|
Tenosynovectomy radic 26145
|
$10,246.62 |
$10,246.62 |
$10,246.62 |
$1,893.86
|
|
Tension based scoliosis orth
|
$15,003.38 |
$15,003.38 |
$15,003.38 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$48.00 |
$48.00 |
$48.00 |
$39.33
|
|
Test socket below knee
|
$1,209.91 |
$1,209.91 |
$1,209.91 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$3,544.47 |
$3,544.47 |
$3,544.47 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$116.40 |
$116.40 |
$116.40 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$126.60 |
$126.60 |
$126.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$140.40 |
$140.40 |
$140.40 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$25,587.67 |
$25,587.67 |
$25,587.67 |
$3,786.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,594.95 |
$1,594.95 |
$1,594.95 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$2,127.28 |
$2,127.28 |
$2,127.28 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$1,124.18 |
$1,124.18 |
$1,124.18 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,466.90 |
$1,466.90 |
$1,466.90 |
$657.72
|
|
Thorac cont lat support upri
|
$685.90 |
$685.90 |
$685.90 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$747.67 |
$747.67 |
$747.67 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,614.68 |
$2,614.68 |
$2,614.68 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$839.90 |
$839.90 |
$839.90 |
$387.41
|
|
Thoracic pad
|
$507.68 |
$507.68 |
$507.68 |
$234.19
|
|
Thor rib belt custom fabrica
|
$5,389.07 |
$5,389.07 |
$5,389.07 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$20,259.00 |
$20,259.00 |
$20,259.00 |
$14,277.20
|
|
Thrombin time
|
$58.20 |
$58.20 |
$58.20 |
$53.76
|
|
Thromboplastin inhibition
|
$55.20 |
$55.20 |
$55.20 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$58.20 |
$58.20 |
$58.20 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$3,002.21 |
$3,002.21 |
$3,002.21 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$5,342.91 |
$5,342.91 |
$5,342.91 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$2,519.59 |
$2,519.59 |
$2,519.59 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$3,780.61 |
$3,780.61 |
$3,780.61 |
$1,695.23
|
|
Thyroglobulin antibody
|
$84.00 |
$84.00 |
$84.00 |
$82.00
|
|
Thyroid (TSH) Test
|
$250.20 |
$250.20 |
$250.20 |
$111.00
|
|
Thyroid Ultrasound
|
$945.60 |
$945.60 |
$945.60 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,042.10 |
$2,042.10 |
$2,042.10 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$135.00 |
$135.00 |
$135.00 |
$64.35
|
|
Tissue amnio epifix inj 100mg
|
$15,079.70 |
$15,079.70 |
$15,079.70 |
$4,834.73
|
|
Tissue culture skin/biopsy
|
$300.00 |
$300.00 |
$300.00 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$69.60 |
$69.60 |
$69.60 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$66,123.28 |
$66,123.28 |
$66,123.28 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$40.20 |
$40.20 |
$40.20 |
$44.16
|
|
Tlh w/t/o 250 g or less
|
$28,161.66 |
$28,161.66 |
$28,161.66 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$28,866.32 |
$28,866.32 |
$28,866.32 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$4,180.67 |
$4,180.67 |
$4,180.67 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$3,600.05 |
$3,600.05 |
$3,600.05 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$4,280.23 |
$4,280.23 |
$4,280.23 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$5,324.09 |
$5,324.09 |
$5,324.09 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$2,344.28 |
$2,344.28 |
$2,344.28 |
$1,051.18
|
|
Tlso corset front
|
$500.92 |
$500.92 |
$500.92 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,625.73 |
$1,625.73 |
$1,625.73 |
$931.57
|
|
Tlso full corset
|
$819.16 |
$819.16 |
$819.16 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,778.53 |
$1,778.53 |
$1,778.53 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,778.53 |
$1,778.53 |
$1,778.53 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$2,228.86 |
$2,228.86 |
$2,228.86 |
$999.43
|
