|
Thyroid Ultrasound
|
$656.01 |
$656.01 |
$656.01 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$5.18 |
$5.18 |
$5.18 |
$63.60
|
|
Tissue culture placenta
|
$66.23 |
$66.23 |
$66.23 |
$520.91
|
|
Tissue culture skin/biopsy
|
$61.05 |
$61.05 |
$61.05 |
$558.87
|
|
Tissue culture tumor
|
$93.98 |
$93.98 |
$93.98 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$22.11 |
$22.11 |
$22.11 |
$47.40
|
|
Tissue transglutaminase iga
|
$17.06 |
$17.06 |
$17.06 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$137.09 |
$137.09 |
$137.09 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$53.41 |
$53.41 |
$53.41 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$86.67 |
$86.67 |
$86.67 |
$121.55
|
|
Tomosynthesis breast screen bilateral
|
$114.15 |
$114.15 |
$114.15 |
$73.45
|
|
Toxoplasma antibody igg
|
$21.30 |
$21.30 |
$21.30 |
$84.35
|
|
Tpmt gene com vrnts
|
$74.00 |
$74.00 |
$74.00 |
$381.55
|
|
Transferrin
|
$36.17 |
$36.17 |
$36.17 |
$87.30
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$117.01 |
$117.01 |
$117.01 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$80.57 |
$80.57 |
$80.57 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$61.05 |
$61.05 |
$61.05 |
$210.00
|
|
Treponema pallidum antibody
|
$23.50 |
$23.50 |
$23.50 |
$72.80
|
|
Trg gene rearrangement anal
|
$120.25 |
$120.25 |
$120.25 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$12.07 |
$12.07 |
$12.07 |
$48.22
|
|
Triglycerides
|
$68.08 |
$68.08 |
$68.08 |
$54.60
|
|
Troponin quantitative
|
$55.96 |
$55.96 |
$55.96 |
$123.75
|
|
Tube trach disp innr can 5 xlt
|
$476.75 |
$476.75 |
$476.75 |
$460.58
|
|
Tube trach fen sz 6 uncuffed
|
$138.84 |
$138.84 |
$138.84 |
$132.40
|
|
Ultrasound abdomen aorta screening study aaa
|
$263.63 |
$263.63 |
$263.63 |
$403.26
|
|
Ultrasound breast complete
|
$754.80 |
$754.80 |
$754.80 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$666.00 |
$666.00 |
$666.00 |
$449.35
|
|
Ultrasound chest
|
$444.56 |
$444.56 |
$444.56 |
$459.55
|
|
Ultrasound exam k transpl w/doppler
|
$513.93 |
$513.93 |
$513.93 |
$570.44
|
|
Ultrasound guidance for vascular access
|
$340.22 |
$340.22 |
$340.22 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$946.92 |
$946.92 |
$946.92 |
$701.35
|
|
Ultrasound joint complete left
|
$693.29 |
$693.29 |
$693.29 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$684.22 |
$684.22 |
$684.22 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$159.75 |
$159.75 |
$159.75 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$154.66 |
$154.66 |
$154.66 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$340.96 |
$340.96 |
$340.96 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$549.27 |
$549.27 |
$549.27 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$750.36 |
$750.36 |
$750.36 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$444.56 |
$444.56 |
$444.56 |
$498.00
|
|
Ultrasound scrotum and contents
|
$632.61 |
$632.61 |
$632.61 |
$617.28
|
|
Ultrasound transvaginal non obstetric
|
$710.31 |
$710.31 |
$710.31 |
$567.44
|
|
Unlisted procedure microbiology
|
$10.92 |
$10.92 |
$10.92 |
$487.50
|
|
Unlisted transfusion med px
|
$12.86 |
$12.86 |
$12.86 |
$141.35
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$888.93 |
$888.93 |
$888.93 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$843.05 |
$843.05 |
$843.05 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$797.17 |
$797.17 |
$797.17 |
$2,013.08
|
|
Urea nitrogen
|
$10.55 |
$10.55 |
$10.55 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$42.00 |
$42.00 |
$42.00 |
$50.00
|
|
Urea nitrogen clearance
|
$13.97 |
$13.97 |
$13.97 |
$33.57
|
|
Urethrocystography void s&i
|
$432.81 |
$432.81 |
$432.81 |
$634.50
|
|
Uric acid blood
|
$50.14 |
$50.14 |
$50.14 |
$46.64
|
|
Uric acid urine
|
$27.20 |
$27.20 |
$27.20 |
$46.75
|
|
Urinalysis microscopic only
|
$6.57 |
$6.57 |
$6.57 |
$26.35
|
|
Urinalysis (with microscopy)
|
$22.20 |
$22.20 |
$22.20 |
$48.14
|
|
Urinalysis (without microscopy)
|
$10.45 |
$10.45 |
$10.45 |
$38.99
|
|
Urine Culture Test
|
$80.01 |
$80.01 |
$80.01 |
$84.81
|
|
Urine pregnancy test
|
$75.94 |
$75.94 |
$75.94 |
$66.40
|
|
Urography, antegrade
|
$588.49 |
$588.49 |
$588.49 |
$593.37
|
|
Vaccine influenza nos 0.5ml dose im
|
$48.29 |
$48.29 |
$48.29 |
$36.80
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$48.29 |
$48.29 |
$48.29 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$48.04 |
$48.04 |
$48.04 |
$40.01
|
|
Vaccine rabies im
|
$569.45 |
$569.45 |
$569.45 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$47.42 |
$47.42 |
$47.42 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$47.80 |
$47.80 |
$47.80 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$76.13 |
$76.13 |
$76.13 |
$115.00
|
|
Valvuloplasty pulmonary
|
$31,082.78 |
$31,082.78 |
$31,082.78 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$75.76 |
$75.76 |
$75.76 |
$126.79
|
|
Varicella zoster antibody igg
|
$10.45 |
$10.45 |
$10.45 |
$82.55
|
|
Veeg cont 2-12 hrs
|
$763.87 |
$763.87 |
$763.87 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,429.77 |
$1,429.77 |
$1,429.77 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$1,511.45 |
$1,511.45 |
$1,511.45 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$763.31 |
$763.31 |
$763.31 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$413.94 |
$413.94 |
$413.94 |
$704.79
|
|
Vein x-ray kidney
|
$4,043.45 |
$4,043.45 |
$4,043.45 |
$2,716.20
|
|
Vein x-ray liver w/hemodynam
|
$2,370.04 |
$2,370.04 |
$2,370.04 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,359.25 |
$4,359.25 |
$4,359.25 |
$3,439.84
|
|
Venogram ext bil s&i
|
$590.24 |
$590.24 |
$590.24 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,299.11 |
$2,299.11 |
$2,299.11 |
$1,326.00
|
|
Venous sampling s&i
|
$4,416.78 |
$4,416.78 |
$4,416.78 |
$4,416.78
|
|
Ventilator each subsequent day
|
$461.21 |
$461.21 |
$461.21 |
$1,305.92
|
|
Ventilator initial day
|
$688.85 |
$688.85 |
$688.85 |
$1,540.80
|
|
Viper venom prothrombin time
|
$25.25 |
$25.25 |
$25.25 |
$35.20
|
|
Virus isolation addl studies ea
|
$16.28 |
$16.28 |
$16.28 |
$90.35
|
|
Vital capacity test
|
$91.95 |
$91.95 |
$91.95 |
$173.33
|
|
Vitamin b-12
|
$55.96 |
$55.96 |
$55.96 |
$94.90
|
|
Vitamin D Test
|
$71.04 |
$71.04 |
$71.04 |
$132.00
|
|
Volume measurement urine timed
|
$1.94 |
$1.94 |
$1.94 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$18.31 |
$18.31 |
$18.31 |
$224.40
|
|
Warde 1005020 citrate 24 hour urine
|
$41.81 |
$41.81 |
$41.81 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$5.18 |
$5.18 |
$5.18 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$5.64 |
$5.64 |
$5.64 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$25.56 |
$25.56 |
$25.56 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$4.44 |
$4.44 |
$4.44 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$14.80 |
$14.80 |
$14.80 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$6.29 |
$6.29 |
$6.29 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$6.29 |
$6.29 |
$6.29 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$18.13 |
$18.13 |
$18.13 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$54.02 |
$54.02 |
$54.02 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$26.46 |
$26.46 |
$26.46 |
$78.57
|
|
Warde 3400852 arsenic
|
$7.77 |
$7.77 |
$7.77 |
$105.12
|
