|
Toxoplasma antibody igm
|
$140.40 |
$140.40 |
$140.40 |
$87.00
|
|
Tp53 gene full gene sequence
|
$634.80 |
$634.80 |
$634.80 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$951.00 |
$951.00 |
$951.00 |
$790.68
|
|
Tpmt gene com vrnts
|
$989.40 |
$989.40 |
$989.40 |
$371.80
|
|
Tracheostoma revision; simple, without flap rotation
|
$3,981.60 |
$3,981.60 |
$3,981.60 |
$3,837.72
|
|
Transabdom amnioinfus w/us
|
$862.80 |
$862.80 |
$862.80 |
$678.70
|
|
Transferrin
|
$159.00 |
$159.00 |
$159.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$983.00
|
|
Treat finger fracture each
|
$1,874.40 |
$1,874.40 |
$1,874.40 |
$1,536.00
|
|
Treat fracture of radius
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,790.00
|
|
Treat hip dislocation
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$2,192.80
|
|
Treat humerus fracture
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,771.43
|
|
Treat lower leg dislocation
|
$821.40 |
$821.40 |
$821.40 |
$530.75
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$107.40 |
$107.40 |
$107.40 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$100.80 |
$100.80 |
$100.80 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$102.00 |
$102.00 |
$102.00 |
$203.35
|
|
Treatment of fibula fracture 27780
|
$283.20 |
$283.20 |
$283.20 |
$491.50
|
|
Treatment of toe fracture 28510
|
$774.00 |
$774.00 |
$774.00 |
$369.70
|
|
Treatment radiation delivery level 2
|
$2,569.20 |
$2,569.20 |
$2,569.20 |
$767.65
|
|
Treat thigh fracture
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,893.86
|
|
Treat ulnar fracture
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,662.00
|
|
Treat wrist dislocation
|
$300.00 |
$300.00 |
$300.00 |
$656.25
|
|
Treponema pallidum antibody
|
$135.60 |
$135.60 |
$135.60 |
$70.40
|
|
Trichomonas assay w/optic
|
$127.80 |
$127.80 |
$127.80 |
$55.50
|
|
Triglycerides
|
$47.40 |
$47.40 |
$47.40 |
$58.05
|
|
Trim nondyst nails
|
$230.40 |
$230.40 |
$230.40 |
$113.40
|
|
Trnscath plc stent crv crtd w/prtct
|
$5,856.00 |
$5,856.00 |
$5,856.00 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$4,100.40 |
$4,100.40 |
$4,100.40 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ini vein
|
$13,719.60 |
$13,719.60 |
$13,719.60 |
$15,330.11
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,937.40 |
$4,937.40 |
$4,937.40 |
$5,069.50
|
|
Troponin quantitative
|
$149.40 |
$149.40 |
$149.40 |
$127.20
|
|
Tx closed hip disl traumatic without anes
|
$821.40 |
$821.40 |
$821.40 |
$581.07
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
$4,468.55
|
|
Ultrasound abdomen aorta screening study aaa
|
$504.00 |
$504.00 |
$504.00 |
$394.20
|
|
Ultrasound breast complete
|
$755.40 |
$755.40 |
$755.40 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$603.00 |
$603.00 |
$603.00 |
$449.35
|
|
Ultrasound chest
|
$454.80 |
$454.80 |
$454.80 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$633.60 |
$633.60 |
$633.60 |
$338.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$946.80 |
$946.80 |
$946.80 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$464.40 |
$464.40 |
$464.40 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$663.00 |
$663.00 |
$663.00 |
$720.15
|
|
Ultrasound guide intraoperative
|
$949.80 |
$949.80 |
$949.80 |
$632.85
|
|
Ultrasound joint complete left
|
$720.00 |
$720.00 |
$720.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$720.00 |
$720.00 |
$720.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$558.60 |
$558.60 |
$558.60 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$642.60 |
$642.60 |
$642.60 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$800.40 |
$800.40 |
$800.40 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$420.00 |
$420.00 |
$420.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$622.80 |
$622.80 |
$622.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$535.80 |
$535.80 |
$535.80 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$1,345.20 |
$1,345.20 |
$1,345.20 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$720.00 |
$720.00 |
$720.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$766.20 |
$766.20 |
$766.20 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$613.80 |
$613.80 |
$613.80 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$583.20 |
$583.20 |
$583.20 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$674.40 |
$674.40 |
$674.40 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$223.80 |
$223.80 |
$223.80 |
$206.64
|
|
Unlisted maaa
|
$375.60 |
$375.60 |
$375.60 |
$235.20
|
|
Unlisted procedure microbiology
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$523.50
|
|
Unlisted px casting/strpg
|
$547.80 |
$547.80 |
$547.80 |
$219.70
|
|
Unlisted ultrasound procedure
|
$271.80 |
$271.80 |
$271.80 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,027.20 |
$4,027.20 |
$4,027.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,403.80 |
$3,403.80 |
$3,403.80 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,354.60 |
$3,354.60 |
$3,354.60 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$916.20 |
$916.20 |
$916.20 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$916.20 |
$916.20 |
$916.20 |
$1,768.00
|
|
Urea nitrogen
|
$56.40 |
$56.40 |
$56.40 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$65.40 |
$65.40 |
$65.40 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$741.00 |
$741.00 |
$741.00 |
$579.73
|
|
Urethrocystography void s&i
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$622.35
|
|
Uric acid blood
|
$66.00 |
$66.00 |
$66.00 |
$48.75
|
|
Uric acid urine
|
$55.20 |
$55.20 |
$55.20 |
$44.33
|
|
Urinalysis microscopic only
|
$39.00 |
$39.00 |
$39.00 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$51.60 |
$51.60 |
$51.60 |
$25.72
|
|
Urinalysis (with microscopy)
|
$75.60 |
$75.60 |
$75.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$49.80 |
$49.80 |
$49.80 |
$35.75
|
|
Urine Culture Test
|
$68.40 |
$68.40 |
$68.40 |
$81.50
|
|
Urine pregnancy test
|
$138.00 |
$138.00 |
$138.00 |
$67.20
|
|
Urography, antegrade
|
$486.60 |
$486.60 |
$486.60 |
$622.35
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,481.20 |
$3,481.20 |
$3,481.20 |
$2,002.00
|
|
Valproic acid total therapeutic drug level
|
$226.80 |
$226.80 |
$226.80 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$200.40 |
$200.40 |
$200.40 |
$136.13
|
|
Varicella zoster antibody igg
|
$157.80 |
$157.80 |
$157.80 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$91.80 |
$91.80 |
$91.80 |
$202.80
|
|
Venogram ext bil s&i
|
$4,569.60 |
$4,569.60 |
$4,569.60 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$1,366.20
|
|
Venous sampling s&i
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$4,193.20
|
|
Ventilator each subsequent day
|
$765.00 |
$765.00 |
$765.00 |
$1,204.00
|
|
Ventilator initial day
|
$943.80 |
$943.80 |
$943.80 |
$1,431.43
|
|
Version cephalic external
|
$843.00 |
$843.00 |
$843.00 |
$2,361.75
|
|
Vest large holster
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$1,078.25
|
|
Vital capacity test
|
$495.00 |
$495.00 |
$495.00 |
$170.00
|
|
Vitamin b-12
|
$105.00 |
$105.00 |
$105.00 |
$100.00
|
|
Vitamin D Test
|
$127.80 |
$127.80 |
$127.80 |
$132.00
|
|
Volume measurement urine timed
|
$24.60 |
$24.60 |
$24.60 |
$21.45
|
|
Warde 1003990 aldosterone
|
$235.80 |
$235.80 |
$235.80 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$220.20 |
$220.20 |
$220.20 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$163.80 |
$163.80 |
$163.80 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$303.60 |
$303.60 |
$303.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$160.80 |
$160.80 |
$160.80 |
$70.85
|
