|
Theophylline therapeutic drug level
|
$132.94 |
$132.94 |
$188.15 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$147.41 |
$147.41 |
$147.41 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$123.56 |
$123.56 |
$123.56 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$178.16 |
$178.16 |
$178.16 |
$534.32
|
|
Ther/proph/diag inj ia
|
$134.54 |
$134.54 |
$424.63 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$18.32 |
$18.32 |
$23.86 |
$35.72
|
|
Thrombectmy crnry perq mechanical
|
$4,211.86 |
$4,211.86 |
$4,963.70 |
$3,580.00
|
|
Thrombin time
|
$22.68 |
$22.68 |
$35.97 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$91.89 |
$91.89 |
$120.22 |
$56.93
|
|
Thyroglobulin antibody
|
$33.64 |
$33.64 |
$39.50 |
$84.00
|
|
Thyroid imaging
|
$198.81 |
$198.81 |
$538.02 |
$670.80
|
|
Thyroid mets imag whole body
|
$480.54 |
$480.54 |
$515.16 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$255.08 |
$255.08 |
$308.50 |
$120.00
|
|
Thyroid Ultrasound
|
$422.58 |
$422.58 |
$1,116.70 |
$589.96
|
|
Thyroid uptake measurement
|
$152.19 |
$152.19 |
$398.04 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$1,824.84 |
$1,824.84 |
$1,824.84 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$4.76 |
$4.76 |
$5.59 |
$63.60
|
|
Tigecycline injection
|
$196.47 |
$196.47 |
$371.85 |
$277.31
|
|
Tilt table study
|
$632.64 |
$632.64 |
$1,197.14 |
$1,495.00
|
|
Tissue culture placenta
|
$75.46 |
$75.46 |
$88.61 |
$520.91
|
|
Tissue culture skin/biopsy
|
$99.15 |
$99.15 |
$116.41 |
$558.87
|
|
Tissue culture tumor
|
$75.46 |
$75.46 |
$88.61 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$74.60 |
$74.60 |
$89.93 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$16,786.53 |
$16,786.53 |
$19,710.31 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$7,639.02 |
$7,639.02 |
$8,969.54 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$4.00 |
$4.00 |
$4.70 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$16.99 |
$16.99 |
$152.89 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$383.29 |
$383.29 |
$725.31 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$148.19 |
$148.19 |
$182.82 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$3,452.53 |
$3,452.53 |
$3,452.53 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$33.97 |
$33.97 |
$50.83 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$33.97 |
$33.97 |
$87.98 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$654.02 |
$654.02 |
$654.02 |
$404.20
|
|
Toxoplasma antibody igg
|
$26.22 |
$26.22 |
$30.79 |
$84.35
|
|
Toxoplasma antibody igm
|
$23.08 |
$23.08 |
$27.10 |
$83.20
|
|
Tpmt gene com vrnts
|
$33.30 |
$33.30 |
$39.10 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$127.47 |
$127.47 |
$127.47 |
$104.50
|
|
Transcath closure of asd
|
$15,642.68 |
$15,642.68 |
$17,352.58 |
$18,772.00
|
|
Transcatheter bx s&i
|
$1,866.80 |
$1,866.80 |
$2,127.44 |
$1,875.96
|
|
Transferrin
|
$30.64 |
$30.64 |
$120.43 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$633.04 |
$633.04 |
$660.79 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$162.51 |
$162.51 |
$307.33 |
$3,900.04
|
|
Trauma partial team response w/critical care services level 4
|
$7,105.23 |
$7,105.23 |
$8,342.77 |
$5,455.00
|
|
Tray bonemarrw oncontrol 102mm
|
$934.07 |
$934.07 |
$1,096.76 |
$1,013.83
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$103.57 |
$103.57 |
$132.55 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$98.91 |
$98.91 |
$115.74 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$277.61 |
$277.61 |
$417.59 |
$210.00
|
|
Treponema pallidum antibody
|
$39.30 |
$39.30 |
$45.36 |
$72.80
|
|
Trg gene rearrangement anal
|
$99.90 |
$99.90 |
$117.30 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$24.31 |
$24.31 |
$45.75 |
$55.80
|
|
Trichinella antibody
|
$24.92 |
$24.92 |
$29.26 |
$70.65
|
|
Triglycerides
|
$89.25 |
$89.25 |
$115.35 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$55.95 |
$55.95 |
$105.57 |
$128.00
|
|
Troponin quantitative
|
$300.70 |
$300.70 |
$363.63 |
$123.75
|
|
Tte w or without contr, cont ecg
|
$1,608.73 |
$1,608.73 |
$3,608.15 |
$1,876.20
|
|
Tte w or without fol w/con,stres
|
$1,374.96 |
$1,374.96 |
$3,275.80 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$751.92 |
$751.92 |
$751.92 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$751.92 |
$751.92 |
$751.92 |
$934.93
|
|
Tx atrial fib pulm vein isol
|
$16,959.63 |
$16,959.63 |
$19,717.93 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$2,617.75 |
$2,617.75 |
$7,295.70 |
$7,717.80
|
|
Ugt1a1 gene analy common variants
|
$68.03 |
$68.03 |
$79.87 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$117.30 |
$117.30 |
$521.82 |
$403.26
|
|
Ultrasound chest
|
$321.35 |
$321.35 |
$507.13 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$93.91 |
$93.91 |
$239.69 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$128.21 |
$128.21 |
$130.21 |
$330.40
|
|
Ultrasound elastography ea l target les
|
$74.93 |
$74.93 |
$86.02 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$141.86 |
$141.86 |
$163.44 |
$284.25
|
|
Ultrasound encephalogram
|
$141.53 |
$141.53 |
$664.31 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$145.86 |
$145.86 |
$981.41 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$388.66 |
$388.66 |
$411.26 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$424.24 |
$424.24 |
$575.43 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$500.50 |
$500.50 |
$803.51 |
$701.35
|
|
Ultrasound guide intraoperative
|
$258.41 |
$258.41 |
$846.91 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$776.53 |
$776.53 |
$1,376.29 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$275.40 |
$275.40 |
$709.67 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$78.20 |
$78.20 |
$104.23 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$274.88 |
$274.88 |
$483.85 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$333.00 |
$333.00 |
$581.03 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$228.44 |
$228.44 |
$965.77 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$558.11 |
$558.11 |
$1,066.26 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$432.57 |
$432.57 |
$825.01 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$484.52 |
$484.52 |
$927.07 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$145.86 |
$145.86 |
$943.49 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$317.69 |
$317.69 |
$1,343.48 |
$498.00
|
|
Ultrasound scrotum and contents
|
$498.17 |
$498.17 |
$1,043.19 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$334.67 |
$334.67 |
$709.67 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$114.22 |
$114.22 |
$482.89 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$567.44 |
$567.44 |
$768.32 |
$567.44
|
|
Unlisted procedure microbiology
|
$662.67 |
$662.67 |
$778.09 |
$487.50
|
|
Unlisted surgical path px
|
$117.55 |
$117.55 |
$139.98 |
$71.65
|
|
Unlisted transfusion med px
|
$88.12 |
$88.12 |
$103.46 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$825.51 |
$825.51 |
$1,040.85 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,241.00 |
$3,241.00 |
$4,078.26 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,814.03 |
$2,814.03 |
$3,548.12 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,940.54 |
$1,940.54 |
$2,446.89 |
$2,013.08
|
|
Urea nitrogen
|
$68.43 |
$68.43 |
$84.59 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$67.26 |
$67.26 |
$95.24 |
$50.00
|
|
Urea nitrogen clearance
|
$90.72 |
$90.72 |
$174.50 |
$33.57
|
|
Ureteral reflux study
|
$443.23 |
$443.23 |
$535.28 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$400.00 |
$400.00 |
$459.54 |
$574.40
|