|
Theophylline therapeutic drug level
|
$508.00 |
$508.00 |
$508.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$158.00 |
$158.00 |
$158.00 |
$81.36
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$72.00 |
$72.00 |
$72.00 |
$38.64
|
|
Thyroid imaging
|
$972.00 |
$972.00 |
$972.00 |
$670.80
|
|
Thyroid mets imag whole body
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$1,524.99
|
|
Thyroid uptake measurement
|
$735.00 |
$735.00 |
$735.00 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$122.00 |
$122.00 |
$122.00 |
$63.60
|
|
Tigecycline injection
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$308.75
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$5,885.00 |
$5,885.00 |
$5,885.00 |
$16,843.32
|
|
Tissue culture tumor
|
$714.00 |
$714.00 |
$714.00 |
$529.23
|
|
Tl-201 thallium diag per mci
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$77.22
|
|
Tobramycin non-comp unit
|
$15.75 |
$15.75 |
$15.75 |
$107.07
|
|
Tomosynthesis breast diagnostic left
|
$172.00 |
$172.00 |
$172.00 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$168.00 |
$168.00 |
$168.00 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$212.10 |
$212.10 |
$212.10 |
$303.88
|
|
Toxoplasma antibody igg
|
$231.00 |
$231.00 |
$231.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$231.00 |
$231.00 |
$231.00 |
$83.20
|
|
Trabectedin 1 mg intravenous solution
|
$3,302.97 |
$3,302.97 |
$3,302.97 |
$6,133.80
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$19.75 |
$19.75 |
$19.75 |
$82.60
|
|
Transcatheter bx s&i
|
$3,423.00 |
$3,423.00 |
$3,423.00 |
$1,875.96
|
|
Trastuzumab 150 mg intravenous solution
|
$14,290.71 |
$14,290.71 |
$14,290.71 |
$3,401.26
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$1,312.47 |
$1,312.47 |
$1,312.47 |
$7,620.16
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$5,944.54 |
$5,944.54 |
$5,944.54 |
$3,600.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$697.00 |
$697.00 |
$697.00 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$697.00 |
$697.00 |
$697.00 |
$149.00
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$582.00 |
$582.00 |
$582.00 |
$48.22
|
|
Trichinella antibody
|
$404.00 |
$404.00 |
$404.00 |
$70.65
|
|
Trimethobenzamide hcl inj
|
$314.00 |
$314.00 |
$314.00 |
$154.09
|
|
Tube drain vert dev st 5-40f
|
$204.00 |
$204.00 |
$204.00 |
$72.21
|
|
Tx atrial fib pulm vein isol
|
$106,571.00 |
$106,571.00 |
$106,571.00 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$12,219.00 |
$12,219.00 |
$12,219.00 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$537.00 |
$537.00 |
$537.00 |
$403.26
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$537.00 |
$537.00 |
$537.00 |
$340.14
|
|
Ultrasound guide intraoperative
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$816.00 |
$816.00 |
$816.00 |
$498.40
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$2,857.00 |
$2,857.00 |
$2,857.00 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$894.00 |
$894.00 |
$894.00 |
$450.75
|
|
Ultrasound transabd ea addl gest
|
$3,423.00 |
$3,423.00 |
$3,423.00 |
$425.10
|
|
Unlisted ultrasound procedure
|
$346.00 |
$346.00 |
$346.00 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$11,557.00 |
$11,557.00 |
$11,557.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$13,267.00 |
$13,267.00 |
$13,267.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$14,721.00 |
$14,721.00 |
$14,721.00 |
$2,013.08
|
|
Ureteral reflux study
|
$1,571.00 |
$1,571.00 |
$1,571.00 |
$961.20
|
|
Urethrocystography void s&i
|
$5,129.00 |
$5,129.00 |
$5,129.00 |
$634.50
|
|
Urinalysis qual/semiquant excpt ia
|
$207.00 |
$207.00 |
$207.00 |
$25.72
|
|
Urography, antegrade
|
$989.00 |
$989.00 |
$989.00 |
$593.37
|
|
Urography inf drip &/or bolus
|
$3,297.00 |
$3,297.00 |
$3,297.00 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$304.11 |
$304.11 |
$304.11 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$943.00 |
$943.00 |
$943.00 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$872.00 |
$872.00 |
$872.00 |
$248.80
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$373.22 |
$373.22 |
$373.22 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$214.32 |
$214.32 |
$214.32 |
$79.04
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$230.00 |
$230.00 |
$230.00 |
$26.40
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$224.00 |
$224.00 |
$224.00 |
$40.01
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$438.00 |
$438.00 |
$438.00 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$426.80
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$766.00 |
$766.00 |
$766.00 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$2,114.35 |
$2,114.35 |
$2,114.35 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$119.17
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$3,950.00 |
$3,950.00 |
$3,950.00 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$304.11 |
$304.11 |
$304.11 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$282.00 |
$282.00 |
$282.00 |
$131.77
|
|
Varicella-zoster immue globin im
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$2,372.84
|
|
Vedolizumab 300 mg intravenous solution
|
$5,028.00 |
$5,028.00 |
$5,028.00 |
$23,003.79
|
|
Vein x-ray adrenal glands
|
$6,178.00 |
$6,178.00 |
$6,178.00 |
$3,999.60
|
|
Vein x-ray liver w/hemodynam
|
$5,794.00 |
$5,794.00 |
$5,794.00 |
$3,413.25
|
|
Vein x-ray skull epidural
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$3,923.00 |
$3,923.00 |
$3,923.00 |
$3,450.30
|
|
Venogram ext bil s&i
|
$2,551.00 |
$2,551.00 |
$2,551.00 |
$1,838.28
|
|
Venous sampling s&i
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$4,416.78
|
|
Venous thrombosis imaging
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$636.97
|
|
Ven thrombosis images bilat
|
$3,477.00 |
$3,477.00 |
$3,477.00 |
$779.56
|
|
Ventilator each subsequent day
|
$2,767.00 |
$2,767.00 |
$2,767.00 |
$1,305.92
|
|
Ventilator initial day
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$539.00 |
$539.00 |
$539.00 |
$104.79
|
|
Vital capacity test
|
$652.00 |
$652.00 |
$652.00 |
$173.33
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$963.00 |
$963.00 |
$963.00 |
$224.40
|
|
Warde 1005020 citrate 24 hour urine
|
$231.00 |
$231.00 |
$231.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$113.00 |
$113.00 |
$113.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$156.00 |
$156.00 |
$156.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$340.00 |
$340.00 |
$340.00 |
$40.70
|
|
Warde 3016000 west nile virus antibody
|
$208.00 |
$208.00 |
$208.00 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$208.00 |
$208.00 |
$208.00 |
$69.00
|
|
Warde 3400852 arsenic
|
$185.00 |
$185.00 |
$185.00 |
$105.12
|
|
Warde 3708165 mercury urine
|
$143.00 |
$143.00 |
$143.00 |
$72.80
|
|
Warde adrenocorticotropic hormone (acth)
|
$329.00 |
$329.00 |
$329.00 |
$129.75
|
|
Warde aldolase
|
$78.00 |
$78.00 |
$78.00 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$673.00 |
$673.00 |
$673.00 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$311.00 |
$311.00 |
$311.00 |
$53.95
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$311.00 |
$311.00 |
$311.00 |
$142.65
|
|
Warde anti-mullerian hormone
|
$122.00 |
$122.00 |
$122.00 |
$93.28
|
|
Warde bile acids
|
$19.00 |
$19.00 |
$19.00 |
$64.28
|
|
Warde calcitonin
|
$222.00 |
$222.00 |
$222.00 |
$89.40
|
|
Warde cobalt heavy metal quantitative each nes
|
$231.00 |
$231.00 |
$231.00 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$367.00 |
$367.00 |
$367.00 |
$90.40
|
|
Warde cryoglobulin
|
$288.00 |
$288.00 |
$288.00 |
$43.45
|
|
Warde erythropoietin
|
$379.00 |
$379.00 |
$379.00 |
$90.35
|
|
Warde folic acid rbc
|
$133.00 |
$133.00 |
$133.00 |
$81.60
|
