|
Temozolomide 100 mg intravenous solution
|
$4,325.35 |
$4,325.35 |
$4,325.35 |
$2,851.96
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,750.03 |
$20,750.03 |
$20,750.03 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$44.49 |
$44.49 |
$44.49 |
$44.49
|
|
Tetanus immune globulin inj
|
$2,868.74 |
$2,868.74 |
$2,868.74 |
$1,395.20
|
|
Theophylline therapeutic drug level
|
$673.76 |
$673.76 |
$673.76 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$314.31 |
$314.31 |
$314.31 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$287.30 |
$287.30 |
$287.30 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$5,534.62 |
$5,534.62 |
$5,534.62 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$32.28 |
$32.28 |
$32.28 |
$38.64
|
|
Thyroglobulin antibody
|
$141.37 |
$141.37 |
$141.37 |
$84.00
|
|
Thyroid mets imag whole body
|
$5,623.33 |
$5,623.33 |
$5,623.33 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$1,122.77 |
$1,122.77 |
$1,122.77 |
$120.00
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$7,743.92 |
$7,743.92 |
$7,743.92 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$18.85 |
$18.85 |
$18.85 |
$63.60
|
|
Tigecycline injection
|
$1,309.60 |
$1,309.60 |
$1,309.60 |
$308.75
|
|
Tl-201 thallium diag per mci
|
$195.97 |
$195.97 |
$195.97 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$131.29 |
$131.29 |
$131.29 |
$125.87
|
|
Tobramycin non-comp unit
|
$698.47 |
$698.47 |
$698.47 |
$107.07
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$8,007.30 |
$8,007.30 |
$8,007.30 |
$303.88
|
|
Toxoplasma antibody igg
|
$128.90 |
$128.90 |
$128.90 |
$84.35
|
|
Toxoplasma antibody igm
|
$128.90 |
$128.90 |
$128.90 |
$83.20
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$298.74 |
$298.74 |
$298.74 |
$93.75
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$82.60
|
|
Transferrin
|
$1,502.71 |
$1,502.71 |
$1,502.71 |
$87.30
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$408.93 |
$408.93 |
$408.93 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$166.87 |
$166.87 |
$166.87 |
$149.00
|
|
Trichinella antibody
|
$125.12 |
$125.12 |
$125.12 |
$70.65
|
|
Tx atrial fib pulm vein isol
|
$89,969.67 |
$89,969.67 |
$89,969.67 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$19,318.72 |
$19,318.72 |
$19,318.72 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$618.51 |
$618.51 |
$618.51 |
$403.26
|
|
Ultrasound breast complete
|
$1,553.05 |
$1,553.05 |
$1,553.05 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,553.05 |
$1,553.05 |
$1,553.05 |
$449.35
|
|
Ultrasound chest
|
$2,600.58 |
$2,600.58 |
$2,600.58 |
$459.55
|
|
Ultrasound guidance for vascular access
|
$762.38 |
$762.38 |
$762.38 |
$340.22
|
|
Ultrasound joint/nonvascular extremity limited left
|
$381.35 |
$381.35 |
$381.35 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,642.66 |
$1,642.66 |
$1,642.66 |
$454.11
|
|
Unlisted px casting/strpg
|
$459.08 |
$459.08 |
$459.08 |
$224.93
|
|
Urea nitrogen 24 hour urine
|
$25.76 |
$25.76 |
$25.76 |
$50.00
|
|
Urea nitrogen clearance
|
$1,149.07 |
$1,149.07 |
$1,149.07 |
$33.57
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,702.11 |
$2,702.11 |
$2,702.11 |
$574.40
|
|
Uric acid blood
|
$1,122.71 |
$1,122.71 |
$1,122.71 |
$46.64
|
|
Urinalysis (with microscopy)
|
$847.48 |
$847.48 |
$847.48 |
$48.14
|
|
Urine pregnancy test
|
$661.34 |
$661.34 |
$661.34 |
$66.40
|
|
Vaccine dtap < 7 years im
|
$181.20 |
$181.20 |
$181.20 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$163.56 |
$163.56 |
$163.56 |
$85.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$369.99 |
$369.99 |
$369.99 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$439.43 |
$439.43 |
$439.43 |
$178.07
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$155.16 |
$155.16 |
$155.16 |
$61.50
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$357.51 |
$357.51 |
$357.51 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$155.16 |
$155.16 |
$155.16 |
$79.04
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$281.38 |
$281.38 |
$281.38 |
$157.41
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$75.20 |
$75.20 |
$75.20 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$77.25 |
$77.25 |
$77.25 |
$26.40
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$88.70 |
$88.70 |
$88.70 |
$40.01
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$273.25 |
$273.25 |
$273.25 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,023.43 |
$1,023.43 |
$1,023.43 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$1,044.69 |
$1,044.69 |
$1,044.69 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$803.99 |
$803.99 |
$803.99 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$582.65 |
$582.65 |
$582.65 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$762.21 |
$762.21 |
$762.21 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,083.92 |
$1,083.92 |
$1,083.92 |
$397.18
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,565.87 |
$1,565.87 |
$1,565.87 |
$385.45
|
|
Vaccine rabies im
|
$1,843.96 |
$1,843.96 |
$1,843.96 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$317.85 |
$317.85 |
$317.85 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$196.39 |
$196.39 |
$196.39 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$744.85 |
$744.85 |
$744.85 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$703.89 |
$703.89 |
$703.89 |
$115.00
|
|
Vancomycin hcl injection
|
$96.00 |
$96.00 |
$96.00 |
$83.79
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$394.13
|
|
Vedolizumab 300 mg intravenous solution
|
$20,085.25 |
$20,085.25 |
$20,085.25 |
$23,003.79
|
|
Vein x-ray kidney
|
$11,098.89 |
$11,098.89 |
$11,098.89 |
$2,716.20
|
|
Ventilator each subsequent day
|
$3,233.18 |
$3,233.18 |
$3,233.18 |
$1,305.92
|
|
Ventilator initial day
|
$5,433.78 |
$5,433.78 |
$5,433.78 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$27.94 |
$27.94 |
$27.94 |
$186.71
|
|
Virus isolation addl studies ea
|
$93.64 |
$93.64 |
$93.64 |
$90.35
|
|
Vital capacity test
|
$237.29 |
$237.29 |
$237.29 |
$173.33
|
|
Vitamin b-12
|
$1,164.73 |
$1,164.73 |
$1,164.73 |
$94.90
|
|
Volume measurement urine timed
|
$101.03 |
$101.03 |
$101.03 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$1,605.80 |
$1,605.80 |
$1,605.80 |
$224.40
|
|
Warde 1005020 citrate 24 hour urine
|
$12.74 |
$12.74 |
$12.74 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$16.52 |
$16.52 |
$16.52 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$11.29 |
$11.29 |
$11.29 |
$69.55
|
|
Warde 3008005 oligoclonal bands
|
$18.85 |
$18.85 |
$18.85 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$115.13 |
$115.13 |
$115.13 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$83.32 |
$83.32 |
$83.32 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$85.27 |
$85.27 |
$85.27 |
$68.90
|
|
Warde adrenocorticotropic hormone (acth)
|
$20.25 |
$20.25 |
$20.25 |
$129.75
|
|
Warde aldolase
|
$3.78 |
$3.78 |
$3.78 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$16.52 |
$16.52 |
$16.52 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$302.89 |
$302.89 |
$302.89 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$759.89 |
$759.89 |
$759.89 |
$381.50
|
|
Warde bile acids
|
$79.33 |
$79.33 |
$79.33 |
$64.28
|
|
Warde cadmium blood
|
$109.57 |
$109.57 |
$109.57 |
$77.00
|
|
Warde calcitonin
|
$22.57 |
$22.57 |
$22.57 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$93.37 |
$93.37 |
$93.37 |
$63.00
|
|
Warde collagen cross links c-telopeptide
|
$86.51 |
$86.51 |
$86.51 |
$90.40
|
|
Warde complement total hemolytic
|
$6.37 |
$6.37 |
$6.37 |
$105.00
|
|
Warde cryoglobulin
|
$6.37 |
$6.37 |
$6.37 |
$43.45
|
|
Warde erythropoietin
|
$166.86 |
$166.86 |
$166.86 |
$90.35
|
|
Warde folic acid rbc
|
$4.91 |
$4.91 |
$4.91 |
$81.60
|
