|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$61.94 |
$61.94 |
$61.94 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$63.90 |
$63.90 |
$63.90 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$161.05 |
$161.05 |
$161.05 |
$534.32
|
|
Ther/proph/diag inj ia
|
$243.20 |
$243.20 |
$243.20 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.48 |
$23.48 |
$23.48 |
$35.72
|
|
Thrombectmy crnry perq mechanical
|
$3,247.29 |
$3,247.29 |
$3,247.29 |
$3,580.00
|
|
Thrombin time
|
$6.52 |
$6.52 |
$6.52 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$63.57 |
$63.57 |
$63.57 |
$56.93
|
|
Thyroglobulin antibody
|
$32.93 |
$32.93 |
$32.93 |
$84.00
|
|
Thyroid imaging
|
$302.86 |
$302.86 |
$302.86 |
$670.80
|
|
Thyroid met imaging
|
$271.89 |
$271.89 |
$271.89 |
$549.70
|
|
Thyroid mets imag whole body
|
$394.46 |
$394.46 |
$394.46 |
$1,524.99
|
|
Thyroid met uptake
|
$102.37 |
$102.37 |
$102.37 |
$380.00
|
|
Thyroid (TSH) Test
|
$148.66 |
$148.66 |
$148.66 |
$120.00
|
|
Thyroid Ultrasound
|
$646.46 |
$646.46 |
$646.46 |
$589.96
|
|
Thyroid uptake measurement
|
$166.92 |
$166.92 |
$166.92 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,180.15 |
$7,180.15 |
$7,180.15 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$4.66 |
$4.66 |
$4.66 |
$63.60
|
|
Tigecycline injection
|
$362.84 |
$362.84 |
$362.84 |
$277.31
|
|
Tilt table study
|
$559.09 |
$559.09 |
$559.09 |
$1,495.00
|
|
Tissue culture placenta
|
$73.88 |
$73.88 |
$73.88 |
$520.91
|
|
Tissue culture skin/biopsy
|
$97.06 |
$97.06 |
$97.06 |
$558.87
|
|
Tissue culture tumor
|
$73.88 |
$73.88 |
$73.88 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$22.17 |
$22.17 |
$22.17 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$16,433.66 |
$16,433.66 |
$16,433.66 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$7,478.44 |
$7,478.44 |
$7,478.44 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$3.92 |
$3.92 |
$3.92 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$112.80 |
$112.80 |
$112.80 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$708.08 |
$708.08 |
$708.08 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$84.11 |
$84.11 |
$84.11 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$43.04 |
$43.04 |
$43.04 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$43.04 |
$43.04 |
$43.04 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,207.83 |
$1,207.83 |
$1,207.83 |
$404.20
|
|
Toxoplasma antibody igg
|
$25.67 |
$25.67 |
$25.67 |
$84.35
|
|
Toxoplasma antibody igm
|
$22.60 |
$22.60 |
$22.60 |
$83.20
|
|
Tpmt gene com vrnts
|
$32.60 |
$32.60 |
$32.60 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$84.11 |
$84.11 |
$84.11 |
$104.50
|
|
Transcath closure of asd
|
$10,815.38 |
$10,815.38 |
$10,815.38 |
$18,772.00
|
|
Transcatheter bx s&i
|
$646.14 |
$646.14 |
$646.14 |
$1,875.96
|
|
Transferrin
|
$31.63 |
$31.63 |
$31.63 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$500.41 |
$500.41 |
$500.41 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$5,768.90 |
$5,768.90 |
$5,768.90 |
$3,900.04
|
|
Tray bonemarrw oncontrol 102mm
|
$914.43 |
$914.43 |
$914.43 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$241.24 |
$241.24 |
$241.24 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$241.24 |
$241.24 |
$241.24 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$241.24 |
$241.24 |
$241.24 |
$210.00
|
|
Treponema pallidum antibody
|
$50.53 |
$50.53 |
$50.53 |
$72.80
|
|
Trg gene rearrangement anal
|
$97.80 |
$97.80 |
$97.80 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$175.72 |
$175.72 |
$175.72 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$3,818.77 |
$3,818.77 |
$3,818.77 |
$1,309.80
|
|
Trichinella antibody
|
$24.39 |
$24.39 |
$24.39 |
$70.65
|
|
Triglycerides
|
$68.79 |
$68.79 |
$68.79 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$103.02 |
$103.02 |
$103.02 |
$128.00
|
|
Troponin quantitative
|
$136.27 |
$136.27 |
$136.27 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$769.36 |
$769.36 |
$769.36 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,749.32 |
$1,749.32 |
$1,749.32 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$1,060.81 |
$1,060.81 |
$1,060.81 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$809.79 |
$809.79 |
$809.79 |
$934.93
|
|
Tx atrial fib pulm vein isol
|
$20,047.05 |
$20,047.05 |
$20,047.05 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$6,214.54 |
$6,214.54 |
$6,214.54 |
$7,717.80
|
|
Ua w/micro/comp poc
|
$10.76 |
$10.76 |
$10.76 |
$24.45
|
|
Ugt1a1 gene analy common variants
|
$66.60 |
$66.60 |
$66.60 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$471.40 |
$471.40 |
$471.40 |
$403.26
|
|
Ultrasound chest
|
$438.80 |
$438.80 |
$438.80 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$121.28 |
$121.28 |
$121.28 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$164.31 |
$164.31 |
$164.31 |
$330.40
|
|
Ultrasound elastography ea l target les
|
$59.99 |
$59.99 |
$59.99 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$125.51 |
$125.51 |
$125.51 |
$284.25
|
|
Ultrasound encephalogram
|
$460.32 |
$460.32 |
$460.32 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$428.69 |
$428.69 |
$428.69 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$476.94 |
$476.94 |
$476.94 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$243.53 |
$243.53 |
$243.53 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$673.19 |
$673.19 |
$673.19 |
$701.35
|
|
Ultrasound guide intraoperative
|
$676.13 |
$676.13 |
$676.13 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$402.61 |
$402.61 |
$402.61 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$508.24 |
$508.24 |
$508.24 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$433.58 |
$433.58 |
$433.58 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$270.26 |
$270.26 |
$270.26 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$186.15 |
$186.15 |
$186.15 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$427.72 |
$427.72 |
$427.72 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$350.45 |
$350.45 |
$350.45 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$350.45 |
$350.45 |
$350.45 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$357.95 |
$357.95 |
$357.95 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$188.43 |
$188.43 |
$188.43 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$316.22 |
$316.22 |
$316.22 |
$498.00
|
|
Ultrasound scrotum and contents
|
$667.65 |
$667.65 |
$667.65 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$432.28 |
$432.28 |
$432.28 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$427.72 |
$427.72 |
$427.72 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$555.83 |
$555.83 |
$555.83 |
$567.44
|
|
Unlisted procedure microbiology
|
$648.74 |
$648.74 |
$648.74 |
$487.50
|
|
Unlisted surgical path px
|
$78.90 |
$78.90 |
$78.90 |
$71.65
|
|
Unlisted transfusion med px
|
$86.26 |
$86.26 |
$86.26 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,860.16 |
$1,860.16 |
$1,860.16 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,904.67 |
$4,904.67 |
$4,904.67 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,258.22 |
$4,258.22 |
$4,258.22 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,936.94 |
$2,936.94 |
$2,936.94 |
$2,013.08
|
|
Urea nitrogen
|
$53.79 |
$53.79 |
$53.79 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$60.97 |
$60.97 |
$60.97 |
$50.00
|
|
Urea nitrogen clearance
|
$66.18 |
$66.18 |
$66.18 |
$33.57
|
|
Ureteral reflux study
|
$785.66 |
$785.66 |
$785.66 |
$961.20
|
