|
Svc venogram s&i
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$1,912.41 |
$1,912.41 |
$1,912.41 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$32.00 |
$32.00 |
$32.00 |
$41.60
|
|
System pacing micra av
|
$3,231.00 |
$3,231.00 |
$3,231.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,917.00 |
$4,917.00 |
$4,917.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$724.00 |
$724.00 |
$724.00 |
$889.35
|
|
T3 (triiodothyronine) free
|
$48.00 |
$48.00 |
$48.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$17.50 |
$17.50 |
$17.50 |
$93.52
|
|
T4 (thyroxine) free
|
$48.00 |
$48.00 |
$48.00 |
$85.20
|
|
T4 (thyroxine) total
|
$50.50 |
$50.50 |
$50.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus therapeutic drug level
|
$36.50 |
$36.50 |
$36.50 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$4,193.50 |
$4,193.50 |
$4,193.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,529.00 |
$1,529.00 |
$1,529.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$139.00 |
$139.00 |
$139.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$381.50 |
$381.50 |
$381.50 |
$177.65
|
|
Tc-99m bicisate
|
$1,026.50 |
$1,026.50 |
$1,026.50 |
$1,969.45
|
|
Tc-99m disofenin
|
$130.50 |
$130.50 |
$130.50 |
$124.32
|
|
Tc-99m labeled rbc
|
$130.50 |
$130.50 |
$130.50 |
$302.40
|
|
Tc-99m maa
|
$7.50 |
$7.50 |
$7.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$147.50 |
$147.50 |
$147.50 |
$157.65
|
|
Tc-99m medronate
|
$74.00 |
$74.00 |
$74.00 |
$111.01
|
|
Tc-99m mertiatide
|
$1,009.50 |
$1,009.50 |
$1,009.50 |
$756.00
|
|
Tc-99m oxidronate
|
$77.00 |
$77.00 |
$77.00 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$61.00 |
$61.00 |
$61.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$93.00 |
$93.00 |
$93.00 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$60.00 |
$60.00 |
$60.00 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$117.00 |
$117.00 |
$117.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$171.00 |
$171.00 |
$171.00 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$89.50 |
$89.50 |
$89.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$47.50 |
$47.50 |
$47.50 |
$111.20
|
|
T cells total count
|
$72.00 |
$72.00 |
$72.00 |
$126.90
|
|
Telehealth original site facility fee
|
$64.00 |
$64.00 |
$64.00 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$15,245.38 |
$15,245.38 |
$15,245.38 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$6,572.33 |
$6,572.33 |
$6,572.33 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$5,626.00 |
$5,626.00 |
$5,626.00 |
$2,811.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,928.38 |
$1,928.38 |
$1,928.38 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$2.59 |
$2.59 |
$2.59 |
$39.33
|
|
Test for chlorohydrocarbons
|
$123.00 |
$123.00 |
$123.00 |
$65.00
|
|
Test for porphobilinogen
|
$19.00 |
$19.00 |
$19.00 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,210.21 |
$1,210.21 |
$1,210.21 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,018.22 |
$10,018.22 |
$10,018.22 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$16.00 |
$16.00 |
$16.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$89.00 |
$89.00 |
$89.00 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$142.50 |
$142.50 |
$142.50 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$150.00 |
$150.00 |
$150.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$31.00 |
$31.00 |
$31.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$184.00 |
$184.00 |
$184.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$6.20 |
$6.20 |
$6.20 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$8,569.00 |
$8,569.00 |
$8,569.00 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,466.50 |
$7,466.50 |
$7,466.50 |
$14,277.20
|
|
Thrombin time
|
$34.00 |
$34.00 |
$34.00 |
$53.76
|
|
Thromboplastin inhibition
|
$93.90 |
$93.90 |
$93.90 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$60.00 |
$60.00 |
$60.00 |
$61.52
|
|
Thyroglobulin antibody
|
$48.00 |
$48.00 |
$48.00 |
$82.00
|
|
Thyroid mets imag whole body
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$91.50 |
$91.50 |
$91.50 |
$111.00
|
|
Thyroid Ultrasound
|
$469.50 |
$469.50 |
$469.50 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,550.00 |
$4,550.00 |
$4,550.00 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$31.50 |
$31.50 |
$31.50 |
$64.35
|
|
Tigecycline injection
|
$76.90 |
$76.90 |
$76.90 |
$234.00
|
|
Tilt table study
|
$356.50 |
$356.50 |
$356.50 |
$1,507.01
|
|
Tissue culture placenta
|
$440.50 |
$440.50 |
$440.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$284.00 |
$284.00 |
$284.00 |
$484.00
|
|
Tissue culture tumor
|
$190.50 |
$190.50 |
$190.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$65.50 |
$65.50 |
$65.50 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$80.00 |
$80.00 |
$80.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$262.00 |
$262.00 |
$262.00 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$62.50 |
$62.50 |
$62.50 |
$78.40
|
|
Tlh uterus 250 g or less
|
$14,327.00 |
$14,327.00 |
$14,327.00 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$24,017.00 |
$24,017.00 |
$24,017.00 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$15,467.00 |
$15,467.00 |
$15,467.00 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$18,127.00 |
$18,127.00 |
$18,127.00 |
$12,320.22
|
|
Tlso 2mod symphis-xipho pre
|
$1,659.50 |
$1,659.50 |
$1,659.50 |
$1,874.66
|
|
Tlso 2 piece rigid shell
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,541.50 |
$1,541.50 |
$1,541.50 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$2,117.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.52 |
$11.52 |
$11.52 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$17.50 |
$17.50 |
$17.50 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$59.50 |
$59.50 |
$59.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$69.00 |
$69.00 |
$69.00 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$3,067.50 |
$3,067.50 |
$3,067.50 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$2,606.00 |
$2,606.00 |
$2,606.00 |
$4,424.11
|
|
Total Hip Replacement
|
$17,468.50 |
$17,468.50 |
$17,468.50 |
$9,161.60
|
|
Total Knee Replacement
|
$21,779.00 |
$21,779.00 |
$21,779.00 |
$14,543.50
|
|
Total tau
|
$431.00 |
$431.00 |
$431.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$21.00 |
$21.00 |
$21.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$46.00 |
$46.00 |
$46.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$126.00 |
$126.00 |
$126.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$901.50 |
$901.50 |
$901.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$175.00 |
$175.00 |
$175.00 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$14,757.36 |
$14,757.36 |
$14,757.36 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$863.50 |
$863.50 |
$863.50 |
$1,420.44
|
