|
#tricyclicantidprssnt
|
$7.73 |
$11.68 |
$13.80 |
$50.54
|
|
Triglycerides
|
$13.27 |
$20.07 |
$23.70 |
$58.50
|
|
Trim nondyst nails
|
$67.20 |
$67.20 |
$67.20 |
$113.88
|
|
Trnscath plc stent crv crtd without prtct
|
$1,954.96 |
$2,362.54 |
$2,445.43 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$3,067.72 |
$3,707.28 |
$3,837.36 |
$9,767.25
|
|
Trnscath plc stnt ante carotid art
|
$1,861.01 |
$1,861.01 |
$2,248.99 |
$6,046.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,495.78 |
$3,016.10 |
$3,121.93 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,079.77 |
$2,513.36 |
$2,601.55 |
$8,776.32
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,119.79 |
$3,770.21 |
$3,902.50 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,561.59 |
$1,887.16 |
$1,953.37 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,937.13 |
$2,340.99 |
$2,423.13 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$761.84 |
$920.66 |
$952.97 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$657.69 |
$794.81 |
$822.70 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$1,114.45 |
$1,346.80 |
$1,394.05 |
$3,866.70
|
|
Troponin quantitative
|
$27.80 |
$42.04 |
$55.33 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$537.55 |
$649.92 |
$744.06 |
$2,067.00
|
|
Tte w or without fol w/con,stres
|
$434.36 |
$509.07 |
$601.23 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$448.34 |
$542.06 |
$620.58 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$238.06 |
$238.06 |
$329.52 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$5,172.06 |
$37,403.61 |
$41,051.46 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$1,893.77 |
$5,470.89 |
$6,159.54 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$75.58 |
$245.90 |
$496.32 |
$438.75
|
|
Ultrasound breast complete
|
$88.20 |
$201.60 |
$388.29 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$67.90 |
$155.12 |
$210.49 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$54.60 |
$124.80 |
$169.26 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$160.58 |
$160.58 |
$160.58 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$80.29 |
$80.29 |
$80.29 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$170.56 |
$170.56 |
$170.56 |
$313.95
|
|
Ultrasound encephalogram
|
$103.88 |
$232.18 |
$322.03 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$78.12 |
$178.56 |
$242.17 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$89.04 |
$203.52 |
$276.02 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$109.20 |
$249.60 |
$338.52 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$85.68 |
$195.84 |
$265.61 |
$388.08
|
|
Ultrasound guide intraoperative
|
$95.06 |
$217.28 |
$294.69 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$210.92 |
$210.92 |
$210.92 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$78.68 |
$179.84 |
$270.96 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$57.54 |
$88.92 |
$178.37 |
$311.25
|
|
Ultrasound joint complete left
|
$65.52 |
$149.76 |
$203.11 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$74.06 |
$169.28 |
$229.59 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$48.72 |
$111.36 |
$151.03 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$378.88 |
$378.88 |
$378.88 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$71.12 |
$162.56 |
$220.47 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$75.88 |
$116.84 |
$235.23 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$109.76 |
$250.88 |
$340.26 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$318.12 |
$318.12 |
$318.12 |
$419.50
|
|
Unlisted hematology&coagj px
|
$3.65 |
$10.77 |
$25.65 |
$39.52
|
|
Unlisted procedure microbiology
|
$247.50 |
$247.50 |
$247.50 |
$530.00
|
|
Unlisted px biliary tract
|
$1,275.46 |
$1,275.46 |
$1,275.46 |
$3,055.00
|
|
Unlisted px leg/ankle
|
$4,138.61 |
$4,138.61 |
$4,138.61 |
$882.30
|
|
Unlisted transfusion med px
|
$20.90 |
$53.33 |
$170.93 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$352.44 |
$374.22 |
$666.41 |
$1,292.33
|
|
Upgrade pm system
|
$3,616.46 |
$4,370.42 |
$4,523.77 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$98.56 |
$101.38 |
$208.97 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$516.37 |
$529.53 |
$1,272.80 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$413.07 |
$423.59 |
$1,116.44 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$454.36 |
$685.14 |
$2,503.60 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$378.63 |
$570.95 |
$1,452.12 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$302.90 |
$456.76 |
$926.25 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$91.28 |
$93.89 |
$135.29 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$105.28 |
$108.29 |
$233.17 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$172.20 |
$177.12 |
$298.63 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$169.68 |
$174.53 |
$268.99 |
$607.20
|
|
Urea nitrogen
|
$13.94 |
$21.08 |
$31.13 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$4.37 |
$6.60 |
$37.30 |
$52.00
|
|
Ureteral reflux study
|
$220.97 |
$461.72 |
$517.79 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$292.45 |
$297.36 |
$440.73 |
$584.00
|
|
Urethrocystography void s&i
|
$192.64 |
$198.14 |
$285.52 |
$631.40
|
|
Uric acid blood
|
$11.76 |
$17.78 |
$36.81 |
$49.44
|
|
Uric acid urine
|
$6.05 |
$9.14 |
$20.75 |
$45.36
|
|
Urinalysis microscopic only
|
$1.23 |
$2.26 |
$2.67 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$0.86 |
$1.58 |
$41.50 |
$25.72
|
|
Urinalysis (with microscopy)
|
$14.88 |
$24.21 |
$32.31 |
$55.20
|
|
Urinalysis (without microscopy)
|
$9.10 |
$16.72 |
$28.57 |
$36.00
|
|
Urinary bldr retent nuc study
|
$76.51 |
$76.51 |
$179.29 |
$350.66
|
|
Urine Culture Test
|
$43.79 |
$45.21 |
$65.15 |
$83.00
|
|
Urine pregnancy test
|
$7.13 |
$13.11 |
$89.91 |
$68.78
|
|
Urography, antegrade
|
$315.67 |
$378.84 |
$561.50 |
$622.35
|
|
Urography inf drip &/or bolus
|
$654.92 |
$654.92 |
$654.92 |
$642.50
|
|
Use 1st target lesion
|
$141.92 |
$141.92 |
$141.92 |
$332.00
|
|
Vaccine Administration (one shot)
|
$17.89 |
$18.02 |
$49.40 |
$67.70
|
|
Vaccine dtap < 7 years im
|
$67.19 |
$67.19 |
$67.19 |
$71.17
|
|
Vaccine hepatitis a (hepa) adult im
|
$7.34 |
$7.34 |
$7.34 |
$166.62
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$49.40 |
$49.40 |
$49.40 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$49.90 |
$49.90 |
$49.90 |
$33.60
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$295.17 |
$295.17 |
$295.17 |
$252.87
|
|
Vaccine rabies im
|
$955.15 |
$955.15 |
$955.15 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$112.14 |
$112.14 |
$112.14 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$95.10 |
$95.10 |
$95.10 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$4.45 |
$7.95 |
$49.16 |
$115.00
|
|
Valvuloplasty aortic
|
$3,046.21 |
$3,681.29 |
$3,810.46 |
$7,944.16
|
|
Valvuloplasty mitral
|
$3,073.10 |
$3,713.78 |
$3,844.09 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$3,096.87 |
$3,742.51 |
$3,873.82 |
$11,945.20
|
|
Vancomycin hcl injection
|
$0.03 |
$0.03 |
$86.45 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$10.13 |
$16.97 |
$30.30 |
$136.13
|
|
Varicella zoster antibody igg
|
$8.90 |
$9.80 |
$61.51 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$535.25 |
$535.25 |
$535.25 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$74.82 |
$310.95 |
$606.71 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$104.77 |
$435.44 |
$849.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$68.93 |
$286.48 |
$558.96 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$89.79 |
$373.20 |
$728.16 |
$1,794.68
|
