|
Tc-99m non-heu per study dose
|
$6.50 |
$6.50 |
$6.50 |
$6.60
|
|
Tc-99m oxidronate
|
$26.00 |
$26.00 |
$1,178.40 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$706.00 |
$706.00 |
$706.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$145.00 |
$145.00 |
$145.00 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$7.50 |
$7.50 |
$14,733.29 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$63.50 |
$63.50 |
$147.58 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$367.50 |
$367.50 |
$865.11 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$383.00 |
$383.00 |
$1,438.61 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$99.00 |
$99.00 |
$1,442.70 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$170.00 |
$170.00 |
$170.00 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$472.50 |
$472.50 |
$7,938.86 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$127.50 |
$127.50 |
$127.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$117.50 |
$117.50 |
$158.40 |
$111.20
|
|
T cells total count
|
$135.50 |
$135.50 |
$213.60 |
$126.90
|
|
Tcranial magn stim tx deli
|
$494.50 |
$494.50 |
$494.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$494.50 |
$494.50 |
$494.50 |
$437.22
|
|
Tcran magn stim redetemine
|
$469.00 |
$469.00 |
$469.00 |
$457.60
|
|
Telethx isodose plan cplx
|
$655.20 |
$655.20 |
$905.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$788.00 |
$788.00 |
$788.00 |
$873.62
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$7,861.26 |
$7,861.26 |
$7,861.26 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$31,114.73 |
$31,114.73 |
$31,114.73 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$2,139.67
|
|
Tension based scoliosis orth
|
$12,458.08 |
$12,458.08 |
$12,458.08 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$24.00 |
$24.00 |
$24.00 |
$39.33
|
|
Tert gene targeted seq alys
|
$161.00 |
$161.00 |
$161.00 |
$335.00
|
|
Test for chlorohydrocarbons
|
$56.00 |
$56.00 |
$56.00 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$774.00 |
$774.00 |
$774.00 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$43.50 |
$43.50 |
$43.50 |
$70.00
|
|
Test socket below knee
|
$1,004.65 |
$1,004.65 |
$1,004.65 |
$535.15
|
|
Test sock wrist disart/bel e
|
$172.84 |
$172.84 |
$172.84 |
$350.00
|
|
Test stress cardiovascular tracing only
|
$751.00 |
$751.00 |
$751.00 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,434.39 |
$2,434.39 |
$2,434.39 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$17,531.89 |
$17,531.89 |
$17,531.89 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$115.80 |
$115.80 |
$158.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$58.00 |
$58.00 |
$58.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$313.00 |
$313.00 |
$313.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,324.37 |
$1,324.37 |
$1,324.37 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,766.39 |
$1,766.39 |
$1,766.39 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$933.46 |
$933.46 |
$933.46 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,218.04 |
$1,218.04 |
$1,218.04 |
$657.72
|
|
Thorac cont lat support upri
|
$569.54 |
$569.54 |
$569.54 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$620.83 |
$620.83 |
$620.83 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,891.20 |
$1,891.20 |
$2,363.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$697.41 |
$697.41 |
$697.41 |
$387.41
|
|
Thoracic pad
|
$421.55 |
$421.55 |
$421.55 |
$234.19
|
|
Thoracotomy w/expl
|
$3,990.00 |
$3,990.00 |
$3,990.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$507.00 |
$507.00 |
$1,969.20 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$393.30 |
$393.30 |
$4,474.83 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$5,105.50 |
$5,105.50 |
$5,105.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,690.50 |
$8,690.50 |
$8,690.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,562.50 |
$17,562.50 |
$17,562.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$26,618.50 |
$26,618.50 |
$26,618.50 |
$21,413.60
|
|
Thrombin time
|
$32.50 |
$32.50 |
$58.20 |
$53.76
|
|
Thromboplastin inhibition
|
$55.20 |
$55.20 |
$55.20 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$79.20 |
$79.20 |
$90.50 |
$61.52
|
|
Th/wght bear nar m-l brim cu
|
$2,492.89 |
$2,492.89 |
$2,492.89 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$4,436.50 |
$4,436.50 |
$4,436.50 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$2,092.15 |
$2,092.15 |
$2,092.15 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$3,139.24 |
$3,139.24 |
$3,139.24 |
$1,695.23
|
|
Thyroglobulin antibody
|
$84.50 |
$84.50 |
$176.40 |
$82.00
|
|
Thyroid imaging
|
$573.50 |
$573.50 |
$573.50 |
$695.02
|
|
Thyroid met imaging
|
$760.00 |
$760.00 |
$760.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$106.00 |
$106.00 |
$231.00 |
$111.00
|
|
Thyroid Ultrasound
|
$588.50 |
$588.50 |
$722.40 |
$588.50
|
|
Thyroid uptake measurement
|
$347.00 |
$347.00 |
$347.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$82.00 |
$82.00 |
$82.00 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$21,678.50 |
$21,678.50 |
$21,678.50 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$19,293.00 |
$19,293.00 |
$19,293.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$11,243.00 |
$11,243.00 |
$11,243.00 |
$9,769.65
|
|
Tilt table study
|
$754.50 |
$754.50 |
$754.50 |
$1,507.01
|
|
Tissue amnio epifix inj 100mg
|
$12,521.46 |
$12,521.46 |
$12,521.46 |
$4,834.73
|
|
Tissue culture placenta
|
$314.50 |
$314.50 |
$314.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$484.00
|
|
Tissue culture tumor
|
$830.00 |
$830.00 |
$830.00 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$45.00 |
$45.00 |
$89.50 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$54,905.59 |
$54,905.59 |
$54,905.59 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$40.20 |
$40.20 |
$61.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$75.25 |
$75.25 |
$75.25 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$68.00 |
$68.00 |
$68.00 |
$78.40
|
|
Tlso 2mod symphis-xipho pre
|
$3,471.43 |
$3,471.43 |
$3,471.43 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$2,989.31 |
$2,989.31 |
$2,989.31 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,042.24 |
$1,042.24 |
$3,554.10 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$987.91 |
$987.91 |
$4,420.87 |
$2,117.57
|
|
Tlso 3 piece rigid shell
|
$1,946.58 |
$1,946.58 |
$1,946.58 |
$1,051.18
|
|
Tlso corset front
|
$415.94 |
$415.94 |
$415.94 |
$244.50
|
|
Tlso flex trnk sj-t9 pre ots
|
$1,349.93 |
$1,349.93 |
$1,349.93 |
$931.57
|
|
Tlso full corset
|
$680.18 |
$680.18 |
$680.18 |
$377.78
|
|
Tlso r fram soft ant pre cst
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$801.11
|
|
Tlso r fram soft pre ots
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$910.81
|
|
Tlso rig fram pelvic pre cst
|
$1,850.74 |
$1,850.74 |
$1,850.74 |
$999.43
|
|
Tlso rig fram pelvic pre ots
|
$1,850.74 |
$1,850.74 |
$1,850.74 |
$1,230.29
|
|
Tlso rigid frame pre subclav
|
$2,561.02 |
$2,561.02 |
$2,561.02 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$1,252.35 |
$1,252.35 |
$5,610.16 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$800.06 |
$800.06 |
$3,907.31 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$1,344.46 |
$1,344.46 |
$1,344.46 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$5,879.24 |
$5,879.24 |
$5,879.24 |
$2,788.42
|
