|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$16,189.38 |
$16,189.38 |
$16,189.38 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,552.50 |
$1,552.50 |
$1,552.50 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$24,217.20
|
|
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
|
$205.00 |
$205.00 |
$205.00 |
$177.65
|
|
Tc-99m bicisate
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$3,647.00 |
$3,647.00 |
$3,647.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$2,275.50 |
$2,275.50 |
$2,275.50 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$302.40
|
|
Tc-99m maa
|
$419.50 |
$419.50 |
$419.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$144.00 |
$144.00 |
$144.00 |
$157.65
|
|
Tc-99m medronate
|
$56.00 |
$56.00 |
$56.00 |
$111.01
|
|
Tc-99m mertiatide
|
$984.00 |
$984.00 |
$984.00 |
$756.00
|
|
Tc-99m oxidronate
|
$62.00 |
$62.00 |
$62.00 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$71.50 |
$71.50 |
$71.50 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$135.50 |
$135.50 |
$135.50 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$2.50 |
$2.50 |
$2.50 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$435.50 |
$435.50 |
$435.50 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$186.50 |
$186.50 |
$186.50 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$253.00 |
$253.00 |
$253.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$253.00 |
$253.00 |
$253.00 |
$111.20
|
|
T cells total count
|
$194.00 |
$194.00 |
$194.00 |
$126.90
|
|
Tcranial magn stim tx deli
|
$350.50 |
$350.50 |
$350.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$350.50 |
$350.50 |
$350.50 |
$437.22
|
|
Tcran magn stim redetemine
|
$685.00 |
$685.00 |
$685.00 |
$457.60
|
|
Telehealth original site facility fee
|
$53.00 |
$53.00 |
$53.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$440.00 |
$440.00 |
$440.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$477.50 |
$477.50 |
$477.50 |
$873.62
|
|
Temozolomide 100 mg intravenous solution
|
$7,786.35 |
$7,786.35 |
$7,786.35 |
$1,867.28
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$13,717.86 |
$13,717.86 |
$13,717.86 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$11,032.67 |
$11,032.67 |
$11,032.67 |
$5,886.74
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$584.00 |
$584.00 |
$584.00 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.34 |
$10.34 |
$10.34 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$694.50 |
$694.50 |
$694.50 |
$949.70
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$9,362.05 |
$9,362.05 |
$9,362.05 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$129.50 |
$129.50 |
$129.50 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$306.00 |
$306.00 |
$306.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$153.00 |
$153.00 |
$153.00 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$3,786.00
|
|
Ther radiology tx plng cplx
|
$460.00 |
$460.00 |
$460.00 |
$332.00
|
|
Ther radiology tx plng intrm
|
$310.00 |
$310.00 |
$310.00 |
$224.00
|
|
Ther radiology tx plng smpl
|
$206.50 |
$206.50 |
$206.50 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$54.94 |
$54.94 |
$54.94 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$1,687.50
|
|
Thorcscpy w/biop pleura
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$6,904.15
|
|
Thrombectmy crnry perq mechanical
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,049.50 |
$5,049.50 |
$5,049.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,757.50 |
$9,757.50 |
$9,757.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$10,868.00 |
$10,868.00 |
$10,868.00 |
$21,413.60
|
|
Thrombin time
|
$22.00 |
$22.00 |
$22.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$139.50 |
$139.50 |
$139.50 |
$61.52
|
|
Thromboxane urine
|
$188.50 |
$188.50 |
$188.50 |
$95.00
|
|
Thyroglobulin antibody
|
$46.50 |
$46.50 |
$46.50 |
$82.00
|
|
Thyroid mets imag whole body
|
$657.00 |
$657.00 |
$657.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$70.00 |
$70.00 |
$70.00 |
$111.00
|
|
Thyroid Ultrasound
|
$438.00 |
$438.00 |
$438.00 |
$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)
|
$41.00 |
$41.00 |
$41.00 |
$64.35
|
|
Tirofiban 12.5 mg/50 ml
|
$216.00 |
$216.00 |
$216.00 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$47,724.10 |
$47,724.10 |
$47,724.10 |
$13,339.20
|
|
Tissue culture placenta
|
$440.50 |
$440.50 |
$440.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$882.50 |
$882.50 |
$882.50 |
$484.00
|
|
Tissue culture tumor
|
$186.50 |
$186.50 |
$186.50 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$24.50 |
$24.50 |
$24.50 |
$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
|
$37.00 |
$37.00 |
$37.00 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$113.00 |
$113.00 |
$113.00 |
$78.40
|
|
Tlh uterus 250 g or less
|
$3,578.69 |
$3,578.69 |
$3,578.69 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$22,837.67 |
$22,837.67 |
$22,837.67 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$31,939.50 |
$31,939.50 |
$31,939.50 |
$12,320.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$13.08 |
$13.08 |
$13.08 |
$152.36
|
|
Tobramycin non-comp unit
|
$40.98 |
$40.98 |
$40.98 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$281.00 |
$281.00 |
$281.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,975.60 |
$5,975.60 |
$5,975.60 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$73.50 |
$73.50 |
$73.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$73.50 |
$73.50 |
$73.50 |
$72.68
|
|
Tongue biopsy; posterior one-third 41105
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$5,209.08 |
$5,209.08 |
$5,209.08 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$2,141.34 |
$2,141.34 |
$2,141.34 |
$5,339.00
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$32.54 |
$32.54 |
$32.54 |
$325.00
|
|
Total Hip Replacement
|
$19,203.00 |
$19,203.00 |
$19,203.00 |
$9,161.60
|
|
Total Knee Replacement
|
$18,253.50 |
$18,253.50 |
$18,253.50 |
$14,543.50
|
|
Total tau
|
$431.00 |
$431.00 |
$431.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$42.00 |
$42.00 |
$42.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$17.00 |
$17.00 |
$17.00 |
$87.00
|
|
Tp53 gene full gene sequence
|
$126.00 |
$126.00 |
$126.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$878.50 |
$878.50 |
$878.50 |
$790.68
|
|
Tpmt gene com vrnts
|
$201.00 |
$201.00 |
$201.00 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$4,929.00 |
$4,929.00 |
$4,929.00 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$16,233.10 |
$16,233.10 |
$16,233.10 |
$6,827.00
|
|
Tracheobrnchsc thru est trachs incisn
|
$742.50 |
$742.50 |
$742.50 |
$1,420.44
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$104.00 |
$104.00 |
$104.00 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$15.30 |
$15.30 |
$15.30 |
$56.38
|
|
Transcath occlusion cns
|
$11,102.00 |
$11,102.00 |
$11,102.00 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$3,982.00 |
$3,982.00 |
$3,982.00 |
$10,031.28
|
|
Transferrin
|
$92.00 |
$92.00 |
$92.00 |
$82.00
|
