|
Susceptibility mic per plate
|
$105.93 |
$105.93 |
$105.93 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$6.95 |
$6.95 |
$6.95 |
$48.30
|
|
Svc venogram s&i
|
$5,734.55 |
$5,734.55 |
$5,734.55 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$29.28 |
$29.28 |
$29.28 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$99.67 |
$99.67 |
$99.67 |
$44.85
|
|
T3 (triiodothyronine) free
|
$73.47 |
$73.47 |
$185.15 |
$89.82
|
|
T3 (triiodothyronine) total
|
$185.15 |
$185.15 |
$219.84 |
$94.90
|
|
T4 (thyroxine) free
|
$241.06 |
$241.06 |
$241.06 |
$81.60
|
|
T4 (thyroxine) total
|
$126.43 |
$126.43 |
$659.00 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.24 |
$3.24 |
$3.24 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$657.00 |
$657.00 |
$657.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$171.99 |
$171.99 |
$171.99 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$720.00 |
$720.00 |
$720.00 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2.74 |
$2.74 |
$2.74 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$44.10 |
$44.10 |
$115.73 |
$166.46
|
|
Tc-99m apcitide diag
|
$16,428.15 |
$16,428.15 |
$16,428.15 |
$1,765.30
|
|
Tc-99m depreotide
|
$10,447.70 |
$10,447.70 |
$10,447.70 |
$1,937.35
|
|
Tc-99m disofenin
|
$92.80 |
$92.80 |
$853.35 |
$151.32
|
|
Tc-99m exametazime diag
|
$12,241.70 |
$12,241.70 |
$12,241.70 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$232.40 |
$232.40 |
$653.85 |
$323.01
|
|
Tc-99m maa
|
$37.60 |
$37.60 |
$1,490.60 |
$312.06
|
|
Tc-99m mebrofenin
|
$92.80 |
$92.80 |
$629.20 |
$169.53
|
|
Tc-99m medronate
|
$73.60 |
$73.60 |
$747.45 |
$122.46
|
|
Tc-99m mertiatide
|
$463.20 |
$463.20 |
$4,848.45 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$16.00 |
$16.00 |
$16.00 |
$8.00
|
|
Tc-99m oxidronate
|
$40.80 |
$40.80 |
$40.80 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$229.60 |
$229.60 |
$747.45 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$273.60 |
$273.60 |
$273.60 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$747.45 |
$747.45 |
$747.45 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$155.60 |
$155.60 |
$484.85 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$356.80 |
$356.80 |
$2,465.90 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$3,720.00 |
$3,720.00 |
$3,720.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$702.30 |
$702.30 |
$702.30 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$409.15 |
$409.15 |
$3,585.90 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$43.28 |
$43.28 |
$43.28 |
$186.00
|
|
T cells absolute cd 4 count
|
$30.75 |
$30.75 |
$45.20 |
$120.25
|
|
T cells total count
|
$39.60 |
$39.60 |
$372.46 |
$124.11
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$224.08 |
$224.08 |
$224.08 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$1.64 |
$1.64 |
$1.64 |
$46.10
|
|
Tert gene targeted seq alys
|
$80.00 |
$80.00 |
$80.00 |
$304.59
|
|
Test for chlorohydrocarbons
|
$46.80 |
$46.80 |
$46.80 |
$71.04
|
|
Testicular imaging w/vasc flow
|
$6,505.50 |
$6,505.50 |
$6,505.50 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,375.60 |
$1,375.60 |
$1,375.60 |
$1,001.55
|
|
Test urine for porphyrins
|
$17.65 |
$17.65 |
$17.65 |
$27.30
|
|
Tetanus immune globulin inj
|
$1,010.12 |
$1,010.12 |
$1,010.12 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$132.70 |
$132.70 |
$1,050.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$358.15 |
$358.15 |
$358.15 |
$85.80
|
|
Ther nma rdctj intus/obstrcj
|
$2,528.80 |
$2,528.80 |
$2,528.80 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$3.76 |
$3.76 |
$3.76 |
$35.72
|
|
Thrombin time
|
$235.21 |
$235.21 |
$235.21 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.88 |
$29.88 |
$29.88 |
$56.93
|
|
Thyroglobulin antibody
|
$29.71 |
$29.71 |
$29.71 |
$84.00
|
|
Thyroid imaging
|
$586.00 |
$586.00 |
$5,084.20 |
$670.80
|
|
Thyroid mets imag whole body
|
$977.20 |
$977.20 |
$15,224.85 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$174.19 |
$174.19 |
$174.19 |
$120.00
|
|
Thyroid Ultrasound
|
$736.00 |
$736.00 |
$736.00 |
$589.96
|
|
Thyroid uptake measurement
|
$480.80 |
$480.80 |
$5,084.20 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$14.35 |
$14.35 |
$14.35 |
$63.60
|
|
Tigecycline injection
|
$176.00 |
$176.00 |
$176.00 |
$277.31
|
|
Tirofiban 12.5 mg/50 ml
|
$4.12 |
$4.12 |
$4.12 |
$384.17
|
|
Tissue amnio epifix inj 100mg
|
$34.36 |
$34.36 |
$34.36 |
$3,846.61
|
|
Tissue culture placenta
|
$144.00 |
$144.00 |
$879.65 |
$520.91
|
|
Tissue culture skin/biopsy
|
$144.00 |
$144.00 |
$879.65 |
$558.87
|
|
Tissue culture tumor
|
$144.00 |
$144.00 |
$879.65 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$13.67 |
$13.67 |
$13.67 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$285.76 |
$285.76 |
$285.76 |
$2,516.07
|
|
Tissue transglutaminase iga
|
$21.60 |
$21.60 |
$21.60 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$1,521.15 |
$1,521.15 |
$1,521.15 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$29.61 |
$29.61 |
$29.61 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$170.66 |
$170.66 |
$170.66 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.44 |
$10.44 |
$10.44 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$766.55 |
$766.55 |
$766.55 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$46.40 |
$46.40 |
$766.55 |
$73.45
|
|
Toxoplasma antibody igg
|
$129.28 |
$129.28 |
$129.28 |
$84.35
|
|
Toxoplasma antibody igm
|
$94.54 |
$94.54 |
$94.54 |
$83.20
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$1,459.48
|
|
Transferrin
|
$83.15 |
$83.15 |
$83.15 |
$87.30
|
|
Treponema pallidum antibody
|
$60.96 |
$60.96 |
$60.96 |
$72.80
|
|
Trg gene rearrangement anal
|
$90.00 |
$90.00 |
$90.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$16.38 |
$16.38 |
$16.38 |
$55.80
|
|
Trichinella antibody
|
$18.35 |
$18.35 |
$18.35 |
$70.65
|
|
Trichomonas assay w/optic
|
$16.05 |
$16.05 |
$16.05 |
$66.00
|
|
Triglycerides
|
$45.56 |
$45.56 |
$45.56 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$170.00 |
$170.00 |
$170.00 |
$128.00
|
|
Troponin quantitative
|
$119.66 |
$119.66 |
$119.66 |
$123.75
|
|
Tube drain vert dev st 5-40f
|
$112.00 |
$112.00 |
$112.00 |
$72.21
|
|
Tx atrial fib pulm vein isol
|
$99,927.90 |
$99,927.90 |
$99,927.90 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$449.20 |
$449.20 |
$449.20 |
$403.26
|
|
Ultrasound breast complete
|
$497.20 |
$497.20 |
$497.20 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$497.20 |
$497.20 |
$497.20 |
$449.35
|
|
Ultrasound chest
|
$489.20 |
$489.20 |
$3,823.35 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$447.30 |
$447.30 |
$447.30 |
$340.14
|
|
Ultrasound encephalogram
|
$825.60 |
$825.60 |
$825.60 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$672.00 |
$672.00 |
$672.00 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$447.30 |
$447.30 |
$609.20 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$675.60 |
$675.60 |
$675.60 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$791.20 |
$791.20 |
$791.20 |
$701.35
|
