|
Temozolomide
|
$32.46 |
$32.46 |
$32.46 |
$588.46
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$298.71 |
$322.00 |
$322.00 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$95.96 |
$95.96 |
$95.96 |
$39.33
|
|
Tert gene targeted seq alys
|
$335.00 |
$335.00 |
$1,178.76 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$60.00 |
$60.00 |
$60.00 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$990.66 |
$990.66 |
$995.00 |
$949.70
|
|
Test urine urobilinogen
|
$20.46 |
$20.46 |
$20.46 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,619.54 |
$1,619.54 |
$1,619.54 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$40.37 |
$40.37 |
$40.37 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$3,505.00 |
$4,899.18 |
$4,899.18 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$69.30 |
$69.30 |
$92.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$65.00 |
$79.20 |
$79.20 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$57.50 |
$57.50 |
$57.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$322.50 |
$704.22 |
$704.22 |
$529.08
|
|
Ther/proph/diag inj ia
|
$87.50 |
$87.50 |
$87.50 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$24.24 |
$24.24 |
$32.34 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,150.00 |
$1,364.88 |
$1,364.88 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$2,088.24 |
$2,088.24 |
$2,088.24 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$128.04 |
$128.04 |
$128.04 |
$225.50
|
|
Throat x-ray & fluoroscopy
|
$616.44 |
$616.44 |
$616.44 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$3,218.82 |
$3,218.82 |
$3,218.82 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$3,610.00 |
$10,075.56 |
$10,075.56 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,955.00 |
$20,413.80 |
$20,413.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,695.00 |
$32,652.84 |
$32,652.84 |
$21,413.60
|
|
Thrombin time
|
$50.00 |
$89.10 |
$89.10 |
$53.76
|
|
Thromboplastin inhibition
|
$49.50 |
$49.50 |
$49.50 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$50.00 |
$68.64 |
$68.64 |
$61.52
|
|
Thyroglobulin antibody
|
$90.00 |
$108.90 |
$108.90 |
$82.00
|
|
Thyroid imaging
|
$694.98 |
$694.98 |
$715.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,493.58 |
$1,493.58 |
$1,760.00 |
$1,524.99
|
|
Thyroid met uptake
|
$365.64 |
$365.64 |
$495.00 |
$398.40
|
|
Thyroid (TSH) Test
|
$99.00 |
$99.00 |
$105.00 |
$111.00
|
|
Thyroid Ultrasound
|
$420.00 |
$552.42 |
$552.42 |
$588.50
|
|
Thyroid uptake measurement
|
$463.98 |
$463.98 |
$463.98 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,923.73 |
$3,923.73 |
$3,923.73 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$65.34 |
$65.34 |
$92.50 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,332.50 |
$8,332.50 |
$8,332.50 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
$9,769.65
|
|
Tilt table study
|
$1,745.04 |
$1,745.04 |
$2,790.00 |
$1,507.01
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$349.04 |
$349.04 |
$394.01 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$47.50 |
$47.50 |
$47.50 |
$4,834.73
|
|
Tissue culture placenta
|
$370.00 |
$483.78 |
$483.78 |
$457.00
|
|
Tissue culture skin/biopsy
|
$575.00 |
$735.24 |
$735.24 |
$484.00
|
|
Tissue culture tumor
|
$372.50 |
$520.74 |
$520.74 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$30.00 |
$47.52 |
$47.52 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$47.69 |
$47.69 |
$47.69 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$444.99 |
$444.99 |
$444.99 |
$18,999.96
|
|
Tissue transglutaminase iga
|
$32.34 |
$32.34 |
$80.00 |
$44.16
|
|
Tixagev and cilgav inj
|
$80.52 |
$80.52 |
$80.52 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$82.50 |
$82.50 |
$82.50 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$27.06 |
$27.06 |
$32.34 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$77.88 |
$77.88 |
$115.00 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$14.26 |
$17.88 |
$17.88 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$62.50 |
$62.50 |
$62.50 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$62.50 |
$62.50 |
$62.50 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$22.30 |
$22.30 |
$22.30 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$74.80 |
$74.80 |
$85.30 |
$15,383.12
|
|
Total hysterectomy
|
$21,071.82 |
$21,071.82 |
$21,071.82 |
$3,001.70
|
|
Total tau
|
$312.50 |
$468.60 |
$468.60 |
$312.50
|
|
Toxoplasma antibody igg
|
$62.50 |
$99.00 |
$99.00 |
$89.40
|
|
Toxoplasma antibody igm
|
$62.50 |
$89.10 |
$89.10 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,083.72 |
$1,083.72 |
$1,083.72 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$790.68 |
$790.68 |
$1,095.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$202.50 |
$202.50 |
$202.50 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$698.05 |
$698.05 |
$698.05 |
$6,827.00
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$85.00 |
$85.00 |
$85.00 |
$101.25
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$0.17 |
$0.17 |
$0.49 |
$56.38
|
|
Transcath biopsy
|
$1,245.00 |
$6,243.60 |
$6,243.60 |
$4,285.93
|
|
Transcath closure of asd
|
$18,034.50 |
$18,034.50 |
$18,034.50 |
$16,741.40
|
|
Transcatheter bx s&i
|
$1,785.00 |
$2,337.72 |
$2,337.72 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$7,246.14 |
$7,246.14 |
$7,246.14 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$14,488.32 |
$14,488.32 |
$14,488.32 |
$12,418.00
|
|
Transcath occlusion cns
|
$2,290.00 |
$5,532.12 |
$5,532.12 |
$7,157.76
|
|
Transcath occlusion non-cns
|
$2,770.00 |
$13,098.36 |
$13,098.36 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$18,714.30 |
$18,714.30 |
$18,714.30 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$5,018.64 |
$5,018.64 |
$5,018.64 |
$4,775.16
|
|
Transcrv abltj utrn fibrd rf
|
$6,340.00 |
$6,340.00 |
$6,340.00 |
$8,750.72
|
|
Transferrin
|
$43.56 |
$43.56 |
$92.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$725.00 |
$883.74 |
$883.74 |
$983.00
|
|
Transparent film >16<=48 in
|
$1.85 |
$1.85 |
$1.85 |
$12.95
|
|
Transperi needle place pros
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$6,015.75
|
|
Trastuzumab 150 mg intravenous solution
|
$196.33 |
$196.33 |
$196.33 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$187.70 |
$187.70 |
$187.70 |
$7,540.20
|
|
Trauma partial team response w/critical care services level 4
|
$2,693.46 |
$3,185.00 |
$4,766.52 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$335.00 |
$335.00 |
$335.00 |
$940.80
|
|
Treat elbow dislocation
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$2,223.20
|
|
Treat elbow fracture
|
$4,019.40 |
$4,019.40 |
$4,019.40 |
$1,919.13
|
|
Treat finger fracture each
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$1,536.00
|
|
Treat fracture of radius
|
$3,712.50 |
$3,712.50 |
$3,712.50 |
$1,790.00
|
|
Treat fracture of radius
|
$3,754.08 |
$3,754.08 |
$3,754.08 |
$1,849.00
|
|
Treat fracture of ulna
|
$5,377.68 |
$5,377.68 |
$5,377.68 |
$726.05
|
|
Treat hip dislocation
|
$1,848.66 |
$1,848.66 |
$1,848.66 |
$2,192.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$180.00 |
$240.90 |
$240.90 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$39.60 |
$39.60 |
$90.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$85.00 |
$266.64 |
$266.64 |
$203.35
|
