|
Thyroid imaging
|
$338.40 |
$338.40 |
$338.40 |
$695.02
|
|
Thyroid (TSH) Test
|
$192.00 |
$192.00 |
$192.00 |
$112.00
|
|
Thyroid Ultrasound
|
$677.60 |
$677.60 |
$677.60 |
$588.50
|
|
Thyroid uptake measurement
|
$608.80 |
$608.80 |
$608.80 |
$590.05
|
|
Thyroxine binding globulin (tbg)
|
$104.80 |
$104.80 |
$104.80 |
$64.35
|
|
Tissue exam koh skin/hair/nails
|
$83.20 |
$83.20 |
$83.20 |
$47.50
|
|
Tixagev and cilgav inj
|
$122.40 |
$122.40 |
$122.40 |
$209.97
|
|
Tomosynthesis breast diagnostic left
|
$134.40 |
$134.40 |
$134.40 |
$71.40
|
|
Tomosynthesis breast screen bilateral
|
$88.80 |
$88.80 |
$88.80 |
$68.43
|
|
Total tau
|
$444.00 |
$444.00 |
$444.00 |
$307.50
|
|
Toxoplasma antibody igg
|
$127.20 |
$127.20 |
$127.20 |
$89.24
|
|
Toxoplasma antibody igm
|
$147.20 |
$147.20 |
$147.20 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$823.00
|
|
Tracheostoma revision; simple, without flap rotation
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$3,837.72
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$131.20 |
$131.20 |
$131.20 |
$101.25
|
|
Transcath biopsy
|
$4,367.20 |
$4,367.20 |
$4,367.20 |
$4,285.93
|
|
Transcath occlusion cns
|
$14,208.80 |
$14,208.80 |
$14,208.80 |
$7,125.60
|
|
Transcath occlusion non-cns
|
$8,780.80 |
$8,780.80 |
$8,780.80 |
$10,454.34
|
|
Transferrin
|
$110.40 |
$110.40 |
$110.40 |
$81.60
|
|
Transfusion blood/blood component(s)
|
$1,011.20 |
$1,011.20 |
$1,011.20 |
$936.80
|
|
Treat elbow fracture
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,919.00
|
|
Treat finger fracture each
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,592.00
|
|
Treat fracture of radius
|
$1,974.40 |
$1,974.40 |
$1,974.40 |
$1,790.00
|
|
Treat hip dislocation
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$2,192.00
|
|
Treat humerus fracture
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,772.97
|
|
Treat knee dislocation
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,220.89
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$184.80 |
$184.80 |
$184.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$93.60 |
$93.60 |
$93.60 |
$143.16
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$116.00 |
$116.00 |
$116.00 |
$203.49
|
|
Treatment of ankle fracture 27786
|
$333.60 |
$333.60 |
$333.60 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$314.40 |
$314.40 |
$314.40 |
$493.44
|
|
Treatment of thigh fracture
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,771.43
|
|
Treatment of toe fracture 28510
|
$318.40 |
$318.40 |
$318.40 |
$362.00
|
|
Treat sternum fracture
|
$201.60 |
$201.60 |
$201.60 |
$432.64
|
|
Treat thigh fracture
|
$2,075.20 |
$2,075.20 |
$2,075.20 |
$1,893.86
|
|
Treat ulnar fracture
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$1,607.38
|
|
Treat wrist dislocation
|
$333.60 |
$333.60 |
$333.60 |
$656.25
|
|
Treponema pallidum antibody
|
$176.00 |
$176.00 |
$176.00 |
$69.60
|
|
Triglycerides
|
$77.60 |
$77.60 |
$77.60 |
$56.94
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
$5,110.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$2,492.80 |
$2,492.80 |
$2,492.80 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$2,492.80 |
$2,492.80 |
$2,492.80 |
$4,250.25
|
|
Trnscath tx thromblytc vein ini day
|
$2,492.80 |
$2,492.80 |
$2,492.80 |
$3,866.70
|
|
Troponin quantitative
|
$196.00 |
$196.00 |
$196.00 |
$125.00
|
|
Tx atrial fib pulm vein isol
|
$20,607.20 |
$20,607.20 |
$20,607.20 |
$29,199.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$707.20 |
$707.20 |
$707.20 |
$394.20
|
|
Ultrasound breast complete
|
$832.00 |
$832.00 |
$832.00 |
$530.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$737.60 |
$737.60 |
$737.60 |
$455.25
|
|
Ultrasound chest
|
$818.40 |
$818.40 |
$818.40 |
$458.44
|
|
Ultrasound exam k transpl w/doppler
|
$936.00 |
$936.00 |
$936.00 |
$578.70
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$589.60 |
$589.60 |
$589.60 |
$477.10
|
|
Ultrasound guidance for vascular access
|
$818.40 |
$818.40 |
$818.40 |
$384.45
|
|
Ultrasound guided needle placement supervision & interpretation
|
$818.40 |
$818.40 |
$818.40 |
$720.00
|
|
Ultrasound guide intraoperative
|
$818.40 |
$818.40 |
$818.40 |
$625.15
|
|
Ultrasound joint complete left
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$419.25
|
|
Ultrasound ob >=14wks ea addl gest
|
$765.60 |
$765.60 |
$765.60 |
$393.43
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$734.40 |
$734.40 |
$734.40 |
$331.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$613.60 |
$613.60 |
$613.60 |
$428.25
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$488.80 |
$488.80 |
$488.80 |
$451.00
|
|
Ultrasound pregnant uterus transvaginal
|
$613.60 |
$613.60 |
$613.60 |
$488.40
|
|
Ultrasound retroperitoneal limited
|
$777.60 |
$777.60 |
$777.60 |
$477.10
|
|
Ultrasound scrotum and contents
|
$952.80 |
$952.80 |
$952.80 |
$612.55
|
|
Ultrasound transabd ea addl gest
|
$734.40 |
$734.40 |
$734.40 |
$423.36
|
|
Ultrasound transvaginal non obstetric
|
$352.80 |
$352.80 |
$352.80 |
$558.35
|
|
Ultraviolet therapy
|
$36.80 |
$36.80 |
$36.80 |
$39.76
|
|
Unlisted maaa
|
$235.20 |
$235.20 |
$235.20 |
$227.70
|
|
Unlisted procedure microbiology
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$487.50
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,394.40 |
$4,394.40 |
$4,394.40 |
$2,984.45
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,726.40 |
$3,726.40 |
$3,726.40 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,106.40 |
$3,106.40 |
$3,106.40 |
$2,034.41
|
|
Urea nitrogen
|
$66.40 |
$66.40 |
$66.40 |
$40.80
|
|
Urea nitrogen 24 hour urine
|
$124.00 |
$124.00 |
$124.00 |
$51.84
|
|
Urethrcystgrphy rtrgrde s&i
|
$664.80 |
$664.80 |
$664.80 |
$584.00
|
|
Urethrocystography void s&i
|
$784.00 |
$784.00 |
$784.00 |
$634.50
|
|
Uric acid blood
|
$131.20 |
$131.20 |
$131.20 |
$49.32
|
|
Uric acid urine
|
$75.20 |
$75.20 |
$75.20 |
$44.14
|
|
Urinalysis microscopic only
|
$54.40 |
$54.40 |
$54.40 |
$26.35
|
|
Urinalysis (with microscopy)
|
$110.40 |
$110.40 |
$110.40 |
$55.20
|
|
Urinalysis (without microscopy)
|
$59.20 |
$59.20 |
$59.20 |
$36.00
|
|
Urine Culture Test
|
$77.60 |
$77.60 |
$77.60 |
$80.60
|
|
Urine pregnancy test
|
$134.40 |
$134.40 |
$134.40 |
$66.87
|
|
Urography, antegrade
|
$549.60 |
$549.60 |
$549.60 |
$622.35
|
|
Valproic acid total therapeutic drug level
|
$177.60 |
$177.60 |
$177.60 |
$114.48
|
|
Vancomycin peak therapeutic drug level
|
$228.00 |
$228.00 |
$228.00 |
$131.30
|
|
Varicella zoster antibody igg
|
$16.80 |
$16.80 |
$16.80 |
$86.80
|
|
Vein x-ray liver w/hemodynam
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,489.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$60.00 |
$60.00 |
$60.00 |
$188.83
|
|
Venogram ext bil s&i
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,379.20
|
|
Venous mech thrombectomy
|
$8,780.80 |
$8,780.80 |
$8,780.80 |
$8,184.00
|
|
Ventilator each subsequent day
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,184.00
|
|
Ventilator initial day
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,416.96
|
|
Vital capacity test
|
$131.20 |
$131.20 |
$131.20 |
$170.00
|
|
Vitamin b-12
|
$119.20 |
$119.20 |
$119.20 |
$100.00
|
|
Vitamin D Test
|
$144.80 |
$144.80 |
$144.80 |
$132.00
|
|
Warde 1003990 aldosterone
|
$360.00 |
$360.00 |
$360.00 |
$144.67
|
|
Warde 1005020 citrate 24 hour urine
|
$118.40 |
$118.40 |
$118.40 |
$94.90
|
