|
Total tau
|
$88.40 |
$88.40 |
$355.56 |
$312.50
|
|
Toxoplasma antibody igg
|
$21.86 |
$21.86 |
$84.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$15.45 |
$15.45 |
$20.82 |
$88.00
|
|
Tp53 gene trgt sequence alys
|
$353.24 |
$353.24 |
$353.24 |
$804.00
|
|
Tpmt gene com vrnts
|
$187.40 |
$187.40 |
$257.12 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$101.58 |
$101.58 |
$101.58 |
$103.20
|
|
Transabdom amnioinfus w/us
|
$865.64 |
$865.64 |
$865.64 |
$678.70
|
|
Transcath biopsy
|
$1,312.86 |
$1,312.86 |
$1,312.86 |
$4,285.93
|
|
Transcath closure of asd
|
$9,670.52 |
$9,670.52 |
$9,670.52 |
$17,088.00
|
|
Transcath closure of vsd
|
$13,185.07 |
$13,185.07 |
$13,185.07 |
$17,115.04
|
|
Transcatheter bx s&i
|
$584.04 |
$584.04 |
$842.60 |
$1,950.85
|
|
Transcath occlusion cns
|
$9,146.04 |
$9,146.04 |
$9,146.04 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$9,786.29 |
$9,786.29 |
$9,786.29 |
$10,270.00
|
|
Trans cath replace aortic valve 33366
|
$8,791.74 |
$8,791.74 |
$8,791.74 |
$14,593.50
|
|
Transferrin
|
$29.20 |
$29.20 |
$60.57 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$267.34 |
$267.34 |
$357.52 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$225.01 |
$225.01 |
$357.52 |
$501.60
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$0.88 |
$0.88 |
$0.88 |
$5,846.40
|
|
Trauma partial team response w/critical care services level 4
|
$1,199.41 |
$1,199.41 |
$3,746.91 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$127.12 |
$127.12 |
$1,151.60 |
$940.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$339.83 |
$339.83 |
$339.83 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$269.34 |
$269.34 |
$269.34 |
$147.48
|
|
Treatment of toe fracture 28510
|
$54.68 |
$54.68 |
$54.68 |
$371.40
|
|
Treponema pallidum antibody
|
$14.20 |
$14.20 |
$25.68 |
$72.05
|
|
Trg gene rearrangement anal
|
$216.01 |
$216.01 |
$296.15 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$21.44 |
$21.44 |
$21.44 |
$43.00
|
|
Trichinella antibody
|
$23.94 |
$23.94 |
$80.20 |
$70.65
|
|
#tricyclicantidprssnt
|
$18.03 |
$18.03 |
$18.03 |
$50.54
|
|
Triglycerides
|
$30.97 |
$30.97 |
$68.34 |
$58.05
|
|
Trnscath plc stent crv crtd without prtct
|
$4,057.52 |
$4,057.52 |
$4,057.52 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$4,888.84 |
$4,888.84 |
$4,888.84 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,800.70 |
$1,800.70 |
$1,800.70 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,942.73 |
$4,942.73 |
$4,942.73 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$4,971.82 |
$4,971.82 |
$4,971.82 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,927.46 |
$1,927.46 |
$2,488.62 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$3,087.10 |
$3,087.10 |
$3,087.10 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$1,214.09 |
$1,214.09 |
$1,843.84 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,048.12 |
$1,048.12 |
$1,048.12 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$1,776.04 |
$1,776.04 |
$1,776.04 |
$3,866.70
|
|
Troponin quantitative
|
$64.88 |
$64.88 |
$134.54 |
$127.20
|
|
Tte w or without fol w/con,stres
|
$603.68 |
$603.68 |
$900.22 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$623.12 |
$623.12 |
$1,089.42 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$330.87 |
$330.87 |
$330.87 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$14,167.02 |
$14,167.02 |
$14,167.02 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$5,808.37 |
$5,808.37 |
$5,808.37 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$250.85 |
$250.85 |
$344.04 |
$438.75
|
|
Ultrasound breast complete
|
$246.96 |
$246.96 |
$246.96 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$190.12 |
$190.12 |
$190.12 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$135.61 |
$135.61 |
$152.88 |
$338.00
|
|
Ultrasound encephalogram
|
$161.07 |
$161.07 |
$290.86 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$218.74 |
$218.74 |
$237.99 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$249.31 |
$249.31 |
$455.34 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$305.76 |
$305.76 |
$404.42 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$239.33 |
$239.33 |
$239.90 |
$388.08
|
|
Ultrasound guide intraoperative
|
$266.17 |
$266.17 |
$365.29 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$220.30 |
$220.30 |
$220.30 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$142.31 |
$142.31 |
$161.11 |
$311.25
|
|
Ultrasound joint complete left
|
$183.46 |
$183.46 |
$183.46 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$145.26 |
$145.26 |
$207.37 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$134.54 |
$134.54 |
$136.42 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$281.67 |
$281.67 |
$342.22 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$199.14 |
$199.14 |
$414.87 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$212.46 |
$212.46 |
$212.46 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$148.74 |
$148.74 |
$307.33 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$152.23 |
$152.23 |
$287.34 |
$421.00
|
|
Unlisted hematology&coagj px
|
$15.79 |
$15.79 |
$15.79 |
$39.52
|
|
Unlisted procedure microbiology
|
$201.54 |
$201.54 |
$201.54 |
$530.00
|
|
Unlisted transfusion med px
|
$90.32 |
$90.32 |
$194.30 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$451.44 |
$451.44 |
$616.14 |
$1,296.00
|
|
Upgrade pm system
|
$5,763.33 |
$5,763.33 |
$5,763.33 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$109.12 |
$109.12 |
$109.12 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$871.58 |
$871.58 |
$1,459.26 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$697.22 |
$697.22 |
$1,196.09 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$515.66 |
$515.66 |
$2,389.49 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$429.71 |
$429.71 |
$1,266.30 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$343.77 |
$343.77 |
$907.99 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$101.06 |
$101.06 |
$231.29 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$116.56 |
$116.56 |
$259.70 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$190.65 |
$190.65 |
$383.78 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$187.86 |
$187.86 |
$284.89 |
$607.20
|
|
Urea nitrogen
|
$26.46 |
$26.46 |
$91.12 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$10.19 |
$10.19 |
$39.13 |
$51.84
|
|
Urethrcystgrphy rtrgrde s&i
|
$262.64 |
$262.64 |
$329.22 |
$584.00
|
|
Urethrocystography void s&i
|
$213.28 |
$213.28 |
$252.19 |
$634.50
|
|
Uric acid blood
|
$27.44 |
$27.44 |
$73.70 |
$49.32
|
|
Uric acid urine
|
$5.45 |
$5.45 |
$14.11 |
$44.52
|
|
Urinalysis microscopic only
|
$3.09 |
$3.09 |
$18.50 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$2.16 |
$2.16 |
$336.34 |
$25.72
|
|
Urinalysis (with microscopy)
|
$37.39 |
$37.39 |
$85.50 |
$55.20
|
|
Urinalysis (without microscopy)
|
$26.00 |
$26.00 |
$33.06 |
$35.91
|
|
Urine Culture Test
|
$89.71 |
$89.71 |
$267.47 |
$82.32
|
|
Urine pregnancy test
|
$60.56 |
$60.56 |
$125.70 |
$68.21
|
|
Urography, antegrade
|
$419.43 |
$419.43 |
$419.43 |
$622.35
|
|
Urography inf drip &/or bolus
|
$725.09 |
$725.09 |
$725.09 |
$642.50
|
|
Vaccine Administration (one shot)
|
$18.02 |
$18.02 |
$61.64 |
$67.74
|
|
Vaccine dtap < 7 years im
|
$72.90 |
$72.90 |
$72.90 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$489.10 |
$489.10 |
$489.10 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$74.78 |
$74.78 |
$74.78 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$31.36 |
$31.36 |
$31.36 |
$43.12
|
