|
Test pathogen(s) for platelets reference
|
$285.02 |
$285.02 |
$285.02 |
$73.45
|
|
Tetanus immune globulin inj
|
$1,319.87 |
$1,319.87 |
$1,319.87 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$2,380.56 |
$2,380.56 |
$2,380.56 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$406.23 |
$406.23 |
$406.23 |
$108.00
|
|
Therapeutic procd strg endur
|
$39.68 |
$39.68 |
$39.68 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$42.23 |
$42.23 |
$42.23 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$38.59 |
$38.59 |
$38.59 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$36.40 |
$36.40 |
$36.40 |
$35.72
|
|
Thrombectmy crnry perq mechanical
|
$3,482.76 |
$3,482.76 |
$3,482.76 |
$3,580.00
|
|
Thyroglobulin antibody
|
$143.42 |
$143.42 |
$143.42 |
$84.00
|
|
Thyroid mets imag whole body
|
$2,557.83 |
$2,557.83 |
$2,557.83 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$253.71 |
$253.71 |
$253.71 |
$120.00
|
|
Thyroid Ultrasound
|
$914.01 |
$914.01 |
$914.01 |
$589.96
|
|
Thyroid uptake measurement
|
$590.05 |
$590.05 |
$590.05 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$4,319.71
|
|
Tigecycline injection
|
$313.77 |
$313.77 |
$313.77 |
$277.31
|
|
Tilt table study
|
$3,700.06 |
$3,700.06 |
$3,700.06 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$1,809.45 |
$1,809.45 |
$1,809.45 |
$384.17
|
|
Tissue culture skin/biopsy
|
$72.08 |
$72.08 |
$72.08 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$326.15 |
$326.15 |
$326.15 |
$47.40
|
|
Tissue transglutaminase iga
|
$4.37 |
$4.37 |
$4.37 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$931.84 |
$931.84 |
$931.84 |
$141.75
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,544.27 |
$3,544.27 |
$3,544.27 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$43.32 |
$43.32 |
$43.32 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$53.15 |
$53.15 |
$53.15 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,043.23 |
$1,043.23 |
$1,043.23 |
$404.20
|
|
Toxoplasma antibody igg
|
$3.64 |
$3.64 |
$3.64 |
$84.35
|
|
Toxoplasma antibody igm
|
$3.64 |
$3.64 |
$3.64 |
$83.20
|
|
Tpmt gene com vrnts
|
$36.40 |
$36.40 |
$36.40 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$100.47 |
$100.47 |
$100.47 |
$104.50
|
|
Transabdom amnioinfus w/us
|
$251.16 |
$251.16 |
$251.16 |
$791.05
|
|
Transcath closure of asd
|
$12,131.76 |
$12,131.76 |
$12,131.76 |
$18,772.00
|
|
Transcatheter bx s&i
|
$3,420.15 |
$3,420.15 |
$3,420.15 |
$1,875.96
|
|
Transferrin
|
$216.22 |
$216.22 |
$216.22 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$903.09 |
$903.09 |
$903.09 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$3,900.04
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$7,191.23
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$4,500.03
|
|
Tray bonemarrw oncontrol 102mm
|
$956.96 |
$956.96 |
$956.96 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$176.54 |
$176.54 |
$176.54 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$132.14 |
$132.14 |
$132.14 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$255.53 |
$255.53 |
$255.53 |
$210.00
|
|
Treatment radiation delivery level 2
|
$1,080.72 |
$1,080.72 |
$1,080.72 |
$735.00
|
|
Treponema pallidum antibody
|
$14.56 |
$14.56 |
$14.56 |
$72.80
|
|
Trg gene rearrangement anal
|
$279.92 |
$279.92 |
$279.92 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$151.79 |
$151.79 |
$151.79 |
$55.80
|
|
Triamcinolone a inj prs-free
|
$3,298.94 |
$3,298.94 |
$3,298.94 |
$1,309.80
|
|
Triglycerides
|
$253.71 |
$253.71 |
$253.71 |
$54.60
|
|
Troponin quantitative
|
$500.50 |
$500.50 |
$500.50 |
$123.75
|
|
Tx atrial fib pulm vein isol
|
$36,787.66 |
$36,787.66 |
$36,787.66 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$13,611.42 |
$13,611.42 |
$13,611.42 |
$7,717.80
|
|
Ultrasound chest
|
$742.56 |
$742.56 |
$742.56 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$294.84 |
$294.84 |
$294.84 |
$340.14
|
|
Ultrasound encephalogram
|
$642.10 |
$642.10 |
$642.10 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$562.02 |
$562.02 |
$562.02 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$512.15 |
$512.15 |
$512.15 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$900.18 |
$900.18 |
$900.18 |
$701.35
|
|
Ultrasound guide intraoperative
|
$571.85 |
$571.85 |
$571.85 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$696.34 |
$696.34 |
$696.34 |
$498.40
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,340.62 |
$1,340.62 |
$1,340.62 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$492.86 |
$492.86 |
$492.86 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$772.41 |
$772.41 |
$772.41 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$356.72 |
$356.72 |
$356.72 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$594.42 |
$594.42 |
$594.42 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$670.86 |
$670.86 |
$670.86 |
$498.00
|
|
Ultrasound scrotum and contents
|
$964.24 |
$964.24 |
$964.24 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$661.03 |
$661.03 |
$661.03 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$780.42 |
$780.42 |
$780.42 |
$567.44
|
|
Unlisted transfusion med px
|
$96.32 |
$96.32 |
$96.32 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,889.44 |
$2,889.44 |
$2,889.44 |
$1,480.70
|
|
Upgrade pm system
|
$22,758.01 |
$22,758.01 |
$22,758.01 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,781.60 |
$3,781.60 |
$3,781.60 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,338.61 |
$3,338.61 |
$3,338.61 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,954.23 |
$2,954.23 |
$2,954.23 |
$2,013.08
|
|
Urea nitrogen
|
$202.02 |
$202.02 |
$202.02 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$202.02 |
$202.02 |
$202.02 |
$50.00
|
|
Urea nitrogen clearance
|
$6.56 |
$6.56 |
$6.56 |
$33.57
|
|
Urethrocystography void s&i
|
$437.90 |
$437.90 |
$437.90 |
$634.50
|
|
Uric acid blood
|
$197.29 |
$197.29 |
$197.29 |
$46.64
|
|
Uric acid urine
|
$240.61 |
$240.61 |
$240.61 |
$46.75
|
|
Urinalysis microscopic only
|
$94.28 |
$94.28 |
$94.28 |
$26.35
|
|
Urinalysis (with microscopy)
|
$259.17 |
$259.17 |
$259.17 |
$48.14
|
|
Urinalysis (without microscopy)
|
$164.53 |
$164.53 |
$164.53 |
$38.99
|
|
Urine Culture Test
|
$369.46 |
$369.46 |
$369.46 |
$84.81
|
|
Urine pregnancy test
|
$50.96 |
$50.96 |
$50.96 |
$66.40
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$5,521.54
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$15,124.20 |
$15,124.20 |
$15,124.20 |
$56,553.85
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$477.94 |
$477.94 |
$477.94 |
$239.85
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$79.36 |
$79.36 |
$79.36 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$257.35 |
$257.35 |
$257.35 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$318.14 |
$318.14 |
$318.14 |
$218.40
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$91.73 |
$91.73 |
$91.73 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$68.80 |
$68.80 |
$68.80 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$828.83 |
$828.83 |
$828.83 |
$499.00
|
|
Vaccine mmr live subcutaneous
|
$273.73 |
$273.73 |
$273.73 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$869.96 |
$869.96 |
$869.96 |
$715.41
|
|
Vaccine rabies im
|
$1,486.94 |
$1,486.94 |
$1,486.94 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,729.73 |
$1,729.73 |
$1,729.73 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,729.73 |
$1,729.73 |
$1,729.73 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$155.43 |
$155.43 |
$155.43 |
$150.76
|