|
T4 (thyroxine) free
|
$34.20 |
$34.20 |
$34.20 |
$81.60
|
|
T4 (thyroxine) total
|
$25.65 |
$25.65 |
$25.65 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.11 |
$3.11 |
$3.11 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$27.36 |
$27.36 |
$27.36 |
$122.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.65 |
$1.65 |
$1.65 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$144.21 |
$144.21 |
$144.21 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$71.82 |
$71.82 |
$71.82 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$2,625.99 |
$2,625.99 |
$2,625.99 |
$2,393.40
|
|
Tc-99m labeled rbc
|
$220.02 |
$220.02 |
$220.02 |
$323.01
|
|
Tc-99m maa
|
$313.50 |
$313.50 |
$313.50 |
$312.06
|
|
Tc-99m mebrofenin
|
$112.86 |
$112.86 |
$112.86 |
$169.53
|
|
Tc-99m medronate
|
$262.20 |
$262.20 |
$262.20 |
$122.46
|
|
Tc-99m pentetate dtpa
|
$171.00 |
$171.00 |
$171.00 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$232.56 |
$232.56 |
$232.56 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$2.28 |
$2.28 |
$2.28 |
$28.08
|
|
Tc-99m tilmanocept diag
|
$645.24 |
$645.24 |
$645.24 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$108.87 |
$108.87 |
$108.87 |
$186.00
|
|
T cells absolute cd 4 count
|
$64.41 |
$64.41 |
$64.41 |
$120.25
|
|
T cells total count
|
$86.64 |
$86.64 |
$86.64 |
$124.11
|
|
Tcranial magn stim tx deli
|
$507.87 |
$507.87 |
$507.87 |
$368.50
|
|
Telethx isodose plan cplx
|
$864.69 |
$864.69 |
$864.69 |
$1,617.00
|
|
Telethx isodose plan simple
|
$441.75 |
$441.75 |
$441.75 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$222.61 |
$222.61 |
$222.61 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.18 |
$39.18 |
$39.18 |
$46.10
|
|
Test for urine cystines
|
$11.40 |
$11.40 |
$11.40 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$501.60 |
$501.60 |
$501.60 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,095.18 |
$1,095.18 |
$1,095.18 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$34.77 |
$34.77 |
$34.77 |
$108.00
|
|
Therapeutic procd strg endur
|
$64.41 |
$64.41 |
$64.41 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$51.30 |
$51.30 |
$51.30 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$43.89 |
$43.89 |
$43.89 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.20 |
$12.20 |
$12.20 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$7,717.23 |
$7,717.23 |
$7,717.23 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,733.67 |
$10,733.67 |
$10,733.67 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,598.14 |
$12,598.14 |
$12,598.14 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$28,659.03 |
$28,659.03 |
$28,659.03 |
$24,605.30
|
|
Thrombin time
|
$27.36 |
$27.36 |
$27.36 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$14.25 |
$14.25 |
$14.25 |
$56.93
|
|
Thyroglobulin antibody
|
$31.92 |
$31.92 |
$31.92 |
$84.00
|
|
Thyroid imaging
|
$448.59 |
$448.59 |
$448.59 |
$670.80
|
|
Thyroid mets imag whole body
|
$859.56 |
$859.56 |
$859.56 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$59.28 |
$59.28 |
$59.28 |
$120.00
|
|
Thyroid Ultrasound
|
$410.97 |
$410.97 |
$410.97 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,439.50 |
$3,439.50 |
$3,439.50 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$29.07 |
$29.07 |
$29.07 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$65,014.77 |
$65,014.77 |
$65,014.77 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$19,700.91 |
$19,700.91 |
$19,700.91 |
$11,121.63
|
|
Tilt table study
|
$1,370.28 |
$1,370.28 |
$1,370.28 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$180.69 |
$180.69 |
$180.69 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$11.40 |
$11.40 |
$11.40 |
$47.40
|
|
Tissue transglutaminase iga
|
$50.73 |
$50.73 |
$50.73 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$37.98 |
$37.98 |
$37.98 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$38.76 |
$38.76 |
$38.76 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$11.07 |
$11.07 |
$11.07 |
$4,711.84
|
|
Total hip arthroplasty
|
$11,639.40 |
$11,639.40 |
$11,639.40 |
$8,249.60
|
|
Total Hip Replacement
|
$9,829.65 |
$9,829.65 |
$9,829.65 |
$6,675.20
|
|
Total Knee Replacement
|
$6,891.87 |
$6,891.87 |
$6,891.87 |
$6,668.80
|
|
Toxoplasma antibody igg
|
$35.34 |
$35.34 |
$35.34 |
$84.35
|
|
Toxoplasma antibody igm
|
$31.92 |
$31.92 |
$31.92 |
$83.20
|
|
Transcath biopsy
|
$3,342.48 |
$3,342.48 |
$3,342.48 |
$4,298.05
|
|
Transcath closure of asd
|
$32,286.51 |
$32,286.51 |
$32,286.51 |
$18,772.00
|
|
Transcatheter bx s&i
|
$914.28 |
$914.28 |
$914.28 |
$1,875.96
|
|
Transcath occlusion cns
|
$30,209.43 |
$30,209.43 |
$30,209.43 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$26,009.67 |
$26,009.67 |
$26,009.67 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,468.80 |
$4,468.80 |
$4,468.80 |
$4,627.00
|
|
Transcutaneous hgb 88738
|
$7.98 |
$7.98 |
$7.98 |
$11.40
|
|
Transferrin
|
$31.92 |
$31.92 |
$31.92 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$387.60 |
$387.60 |
$387.60 |
$988.24
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$161.90 |
$161.90 |
$161.90 |
$7,191.23
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$228.00 |
$228.00 |
$228.00 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$114.00 |
$114.00 |
$114.00 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$165.30 |
$165.30 |
$165.30 |
$210.00
|
|
Treat thigh fracture
|
$4,201.47 |
$4,201.47 |
$4,201.47 |
$5,883.20
|
|
Treponema pallidum antibody
|
$22.80 |
$22.80 |
$22.80 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$5.33 |
$5.33 |
$5.33 |
$55.80
|
|
#tricyclicantidprssnt
|
$165.30 |
$165.30 |
$165.30 |
$57.08
|
|
Triglycerides
|
$14.82 |
$14.82 |
$14.82 |
$54.60
|
|
Trim nail(s)
|
$91.77 |
$91.77 |
$91.77 |
$72.00
|
|
Trim nondyst nails
|
$153.90 |
$153.90 |
$153.90 |
$124.22
|
|
Trnscath plc stent crv crtd without prtct
|
$15,607.74 |
$15,607.74 |
$15,607.74 |
$7,944.75
|
|
Trnscath plc stent crv crtd w/prtct
|
$20,196.24 |
$20,196.24 |
$20,196.24 |
$11,099.98
|
|
Trnscath plc stnt ante carotid art
|
$22,143.36 |
$22,143.36 |
$22,143.36 |
$9,114.56
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$13,970.70 |
$13,970.70 |
$13,970.70 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$13,970.70 |
$13,970.70 |
$13,970.70 |
$8,990.80
|
|
Trnscath plc vas stent w/s&i ini vein
|
$28,889.88 |
$28,889.88 |
$28,889.88 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$6,084.18 |
$6,084.18 |
$6,084.18 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,626.12 |
$4,626.12 |
$4,626.12 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,412.37 |
$4,412.37 |
$4,412.37 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$4,793.13 |
$4,793.13 |
$4,793.13 |
$4,793.13
|
|
Trnscath tx thromblytc vein ini day
|
$2,151.18 |
$2,151.18 |
$2,151.18 |
$4,329.36
|
|
Troponin quantitative
|
$59.28 |
$59.28 |
$59.28 |
$123.75
|
|
Tx atrial fib pulm vein isol
|
$39,318.03 |
$39,318.03 |
$39,318.03 |
$32,426.20
|
|
Ultrasound abdomen aorta screening study aaa
|
$117.99 |
$117.99 |
$117.99 |
$403.26
|
|
Ultrasound breast complete
|
$493.05 |
$493.05 |
$493.05 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$410.97 |
$410.97 |
$410.97 |
$449.35
|
|
Ultrasound chest
|
$131.10 |
$131.10 |
$131.10 |
$459.55
|
|
Ultrasound encephalogram
|
$160.74 |
$160.74 |
$160.74 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$205.20 |
$205.20 |
$205.20 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$98.61 |
$98.61 |
$98.61 |
$477.88
|
