|
Toxoplasma antibody igm
|
$12.48 |
$12.48 |
$12.48 |
$87.75
|
|
Tpmt gene com vrnts
|
$206.54 |
$206.54 |
$206.54 |
$371.80
|
|
Transcath biopsy
|
$1,123.65 |
$1,123.65 |
$1,123.65 |
$4,285.93
|
|
Transcatheter bx s&i
|
$442.74 |
$442.74 |
$442.74 |
$1,950.85
|
|
Transferrin
|
$25.78 |
$25.78 |
$25.78 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$286.44 |
$286.44 |
$286.44 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$241.08 |
$241.08 |
$241.08 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$511.48 |
$511.48 |
$511.48 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$96.82 |
$96.82 |
$96.82 |
$940.80
|
|
Treat spinal cord lesion
|
$516.47 |
$516.47 |
$516.47 |
$1,142.50
|
|
Treat spinal cord lesion
|
$520.71 |
$520.71 |
$520.71 |
$1,337.00
|
|
Treponema pallidum antibody
|
$15.39 |
$15.39 |
$15.39 |
$72.05
|
|
Trg gene rearrangement anal
|
$237.89 |
$237.89 |
$237.89 |
$455.70
|
|
Trichinella antibody
|
$14.35 |
$14.35 |
$14.35 |
$70.65
|
|
#tricyclicantidprssnt
|
$15.92 |
$15.92 |
$15.92 |
$50.54
|
|
Triglycerides
|
$27.33 |
$27.33 |
$27.33 |
$58.50
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,836.71 |
$2,836.71 |
$2,836.71 |
$8,776.32
|
|
Trnscath retrv pq vasc fb w/guide
|
$2,129.95 |
$2,129.95 |
$2,129.95 |
$4,766.40
|
|
Troponin quantitative
|
$57.26 |
$57.26 |
$57.26 |
$127.60
|
|
Tte w or without fol w/con,stres
|
$667.49 |
$667.49 |
$667.49 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$688.98 |
$688.98 |
$688.98 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$365.84 |
$365.84 |
$365.84 |
$1,178.00
|
|
Ugt1a1 gene analy common variants
|
$276.36 |
$276.36 |
$276.36 |
$438.75
|
|
Ultrasound breast complete
|
$264.60 |
$264.60 |
$264.60 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$203.70 |
$203.70 |
$203.70 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$163.80 |
$163.80 |
$163.80 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$155.40 |
$155.40 |
$155.40 |
$296.80
|
|
Ultrasound encephalogram
|
$311.64 |
$311.64 |
$311.64 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$234.36 |
$234.36 |
$234.36 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$267.12 |
$267.12 |
$267.12 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$327.60 |
$327.60 |
$327.60 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$257.04 |
$257.04 |
$257.04 |
$388.08
|
|
Ultrasound guide intraoperative
|
$285.18 |
$285.18 |
$285.18 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$204.12 |
$204.12 |
$204.12 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$236.04 |
$236.04 |
$236.04 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$172.62 |
$172.62 |
$172.62 |
$311.25
|
|
Ultrasound joint complete left
|
$196.56 |
$196.56 |
$196.56 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$222.18 |
$222.18 |
$222.18 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$146.16 |
$146.16 |
$146.16 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$366.66 |
$366.66 |
$366.66 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$213.36 |
$213.36 |
$213.36 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$227.64 |
$227.64 |
$227.64 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$329.28 |
$329.28 |
$329.28 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$307.86 |
$307.86 |
$307.86 |
$419.50
|
|
Unlisted hematology&coagj px
|
$12.88 |
$12.88 |
$12.88 |
$39.52
|
|
Unlisted transfusion med px
|
$64.32 |
$64.32 |
$64.32 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$253.44 |
$253.44 |
$253.44 |
$1,292.33
|
|
Upper Arm (Humerus) X-ray (left side)
|
$82.72 |
$82.72 |
$82.72 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$595.31 |
$595.31 |
$595.31 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$476.21 |
$476.21 |
$476.21 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$421.90 |
$421.90 |
$421.90 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$351.59 |
$351.59 |
$351.59 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$281.27 |
$281.27 |
$281.27 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$76.61 |
$76.61 |
$76.61 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$88.36 |
$88.36 |
$88.36 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$144.52 |
$144.52 |
$144.52 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$142.41 |
$142.41 |
$142.41 |
$607.20
|
|
Urea nitrogen
|
$23.35 |
$23.35 |
$23.35 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$9.00 |
$9.00 |
$9.00 |
$52.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$249.57 |
$249.57 |
$249.57 |
$584.00
|
|
Urethrocystography void s&i
|
$161.68 |
$161.68 |
$161.68 |
$631.40
|
|
Uric acid blood
|
$24.22 |
$24.22 |
$24.22 |
$49.44
|
|
Uric acid urine
|
$12.46 |
$12.46 |
$12.46 |
$45.36
|
|
Urinalysis microscopic only
|
$3.63 |
$3.63 |
$3.63 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$2.54 |
$2.54 |
$2.54 |
$25.72
|
|
Urinalysis (with microscopy)
|
$43.92 |
$43.92 |
$43.92 |
$55.20
|
|
Urinalysis (without microscopy)
|
$38.84 |
$38.84 |
$38.84 |
$36.00
|
|
Urine Culture Test
|
$71.56 |
$71.56 |
$71.56 |
$83.00
|
|
Urine pregnancy test
|
$71.15 |
$71.15 |
$71.15 |
$68.78
|
|
Urography, antegrade
|
$317.96 |
$317.96 |
$317.96 |
$622.35
|
|
Urography inf drip &/or bolus
|
$549.66 |
$549.66 |
$549.66 |
$642.50
|
|
Vaccine Administration (one shot)
|
$10.84 |
$10.84 |
$10.84 |
$67.70
|
|
Valproic acid total therapeutic drug level
|
$9.17 |
$9.17 |
$9.17 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$34.95 |
$34.95 |
$34.95 |
$136.13
|
|
Varicella zoster antibody igg
|
$11.02 |
$11.02 |
$11.02 |
$86.80
|
|
Vein x-ray kidney
|
$860.10 |
$860.10 |
$860.10 |
$2,870.00
|
|
Vein x-ray liver w/hemodynam
|
$1,156.90 |
$1,156.90 |
$1,156.90 |
$3,662.50
|
|
Venogram ext bil s&i
|
$536.27 |
$536.27 |
$536.27 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$458.25 |
$458.25 |
$458.25 |
$1,382.58
|
|
Ventilator each subsequent day
|
$673.33 |
$673.33 |
$673.33 |
$1,184.00
|
|
Ventilator Management (first day)
|
$841.16 |
$841.16 |
$841.16 |
$1,434.60
|
|
Version cephalic external
|
$1,729.11 |
$1,729.11 |
$1,729.11 |
$2,361.75
|
|
Very long chain fatty acids
|
$35.46 |
$35.46 |
$35.46 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$145.46 |
$145.46 |
$145.46 |
$524.50
|
|
Virus isolation addl studies ea
|
$17.42 |
$17.42 |
$17.42 |
$79.34
|
|
Vital capacity test
|
$28.07 |
$28.07 |
$28.07 |
$173.18
|
|
Vitamin b-12
|
$28.37 |
$28.37 |
$28.37 |
$100.28
|
|
Vitamin D Test
|
$15.40 |
$15.40 |
$15.40 |
$132.00
|
|
Vkorc1 gene
|
$64.92 |
$64.92 |
$64.92 |
$182.79
|
|
Volume measurement urine timed
|
$3.99 |
$3.99 |
$3.99 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$11.93 |
$11.93 |
$11.93 |
$87.50
|
|
Warde 1003990 aldosterone
|
$46.71 |
$46.71 |
$46.71 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$30.10 |
$30.10 |
$30.10 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$10.55 |
$10.55 |
$10.55 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$13.15 |
$13.15 |
$13.15 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$14.19 |
$14.19 |
$14.19 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$11.94 |
$11.94 |
$11.94 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$10.21 |
$10.21 |
$10.21 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$14.36 |
$14.36 |
$14.36 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$14.98 |
$14.98 |
$14.98 |
$71.60
|