|
Test for urine cystines
|
$25.20 |
$25.20 |
$25.20 |
$26.00
|
|
Test pathogen(s) for platelets reference
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$70.00
|
|
Tgsap so/hl 51/< rna alys
|
$6,744.50 |
$6,744.50 |
$6,744.50 |
$4,347.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$96.60 |
$96.60 |
$96.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$60.20 |
$60.20 |
$60.20 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$519.40 |
$519.40 |
$519.40 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$8.22 |
$8.22 |
$8.22 |
$25.54
|
|
Thoracoscopy diagnostic 32601
|
$11,188.10 |
$11,188.10 |
$11,188.10 |
$6,442.80
|
|
Thrombin time
|
$56.00 |
$56.00 |
$56.00 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$16,705.50 |
$16,705.50 |
$16,705.50 |
$3,980.60
|
|
Thromboendarterectomy sfa
|
$4,185.30 |
$4,185.30 |
$4,185.30 |
$4,185.30
|
|
Thromboplastin inhibition
|
$87.50 |
$87.50 |
$87.50 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$63.00 |
$63.00 |
$63.00 |
$61.52
|
|
Thyroglobulin antibody
|
$274.40 |
$274.40 |
$274.40 |
$82.00
|
|
Thyroid (TSH) Test
|
$162.40 |
$162.40 |
$162.40 |
$111.00
|
|
Thyroid Ultrasound
|
$1,343.30 |
$1,343.30 |
$1,343.30 |
$588.50
|
|
Thyroxine binding globulin (tbg)
|
$79.80 |
$79.80 |
$79.80 |
$64.35
|
|
Tib/per revasc w/ather add-on 37233
|
$9,074.80 |
$9,074.80 |
$9,074.80 |
$9,769.65
|
|
Tissue culture placenta
|
$363.30 |
$363.30 |
$363.30 |
$457.00
|
|
Tissue culture skin/biopsy
|
$2,269.40 |
$2,269.40 |
$2,269.40 |
$484.00
|
|
Tissue culture tumor
|
$317.80 |
$317.80 |
$317.80 |
$483.36
|
|
Tissue transglutaminase iga
|
$163.10 |
$163.10 |
$163.10 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$240.10 |
$240.10 |
$240.10 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$104.47 |
$104.47 |
$104.47 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$188.30 |
$188.30 |
$188.30 |
$120.60
|
|
Tomosynthesis breast diagnostic left
|
$95.90 |
$95.90 |
$95.90 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$125.30 |
$125.30 |
$125.30 |
$72.68
|
|
Total tau
|
$392.00 |
$392.00 |
$392.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$95.90 |
$95.90 |
$95.90 |
$89.40
|
|
Toxoplasma antibody igm
|
$93.80 |
$93.80 |
$93.80 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,483.30 |
$1,483.30 |
$1,483.30 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$761.60 |
$761.60 |
$761.60 |
$790.68
|
|
Tpmt gene com vrnts
|
$490.70 |
$490.70 |
$490.70 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$9,430.40 |
$9,430.40 |
$9,430.40 |
$7,144.80
|
|
Transcath closure of vsd
|
$39,478.60 |
$39,478.60 |
$39,478.60 |
$17,115.04
|
|
Transcatheter bx s&i
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$1,915.00
|
|
Transcath occlusion cns
|
$37,463.30 |
$37,463.30 |
$37,463.30 |
$7,157.76
|
|
Trans cath replace aortic valve 33366
|
$22,570.10 |
$22,570.10 |
$22,570.10 |
$14,363.70
|
|
Transcath rmvl perm ldss pmkr rv
|
$7,154.00 |
$7,154.00 |
$7,154.00 |
$4,775.16
|
|
Transferrin
|
$44.10 |
$44.10 |
$44.10 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$983.00
|
|
Transorl lwr esophgl myotomy
|
$7,436.10 |
$7,436.10 |
$7,436.10 |
$6,588.93
|
|
Transplj hematopoietic boost
|
$2,987.60 |
$2,987.60 |
$2,987.60 |
$2,667.20
|
|
Transplt allo hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$29,206.10
|
|
Transplt allo lymphocytes
|
$2,433.20 |
$2,433.20 |
$2,433.20 |
$2,456.00
|
|
Transplt autol hct/donor
|
$4,373.60 |
$4,373.60 |
$4,373.60 |
$3,786.00
|
|
Trastuzumab 150 mg intravenous solution
|
$15,921.50 |
$15,921.50 |
$15,921.50 |
$3,141.85
|
|
Treat elbow dislocation
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$2,223.20
|
|
Treat elbow fracture
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,919.13
|
|
Treat finger fracture each
|
$886.90 |
$886.90 |
$886.90 |
$1,536.00
|
|
Treat foot dislocation
|
$741.30 |
$741.30 |
$741.30 |
$527.28
|
|
Treat foot dislocation
|
$541.80 |
$541.80 |
$541.80 |
$445.80
|
|
Treat hip dislocation
|
$2,779.70 |
$2,779.70 |
$2,779.70 |
$2,641.60
|
|
Treat lower jaw fracture 21462
|
$17,292.10 |
$17,292.10 |
$17,292.10 |
$7,000.36
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$51.80 |
$51.80 |
$51.80 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$5,276.60 |
$5,276.60 |
$5,276.60 |
$3,982.44
|
|
Treatment of foot infection
|
$5,389.30 |
$5,389.30 |
$5,389.30 |
$2,614.25
|
|
Treatment of toe fracture 28510
|
$829.50 |
$829.50 |
$829.50 |
$369.70
|
|
Treat thigh fx growth plate
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,938.38
|
|
Treponema pallidum antibody
|
$93.10 |
$93.10 |
$93.10 |
$70.40
|
|
Trg gene rearrangement anal
|
$844.90 |
$844.90 |
$844.90 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$20.65 |
$20.65 |
$20.65 |
$43.21
|
|
Trichomonas assay w/optic
|
$57.40 |
$57.40 |
$57.40 |
$55.50
|
|
#tricyclicantidprssnt
|
$43.40 |
$43.40 |
$43.40 |
$50.86
|
|
Triglycerides
|
$66.50 |
$66.50 |
$66.50 |
$58.05
|
|
Trim nondyst nails
|
$113.40 |
$113.40 |
$113.40 |
$113.40
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$26,989.20 |
$26,989.20 |
$26,989.20 |
$15,226.08
|
|
Trml dstrj ios bvn ea addl
|
$13,493.90 |
$13,493.90 |
$13,493.90 |
$7,354.00
|
|
Trnscath plc stnt ante carotid art
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$6,069.00
|
|
Troponin quantitative
|
$170.80 |
$170.80 |
$170.80 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$2,012.40
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,628.70 |
$5,628.70 |
$5,628.70 |
$3,977.49
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$8,633.80 |
$8,633.80 |
$8,633.80 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$116.90 |
$116.90 |
$116.90 |
$170.00
|
|
Ugt1a1 gene analy common variants
|
$718.90 |
$718.90 |
$718.90 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$852.60 |
$852.60 |
$852.60 |
$394.20
|
|
Ultrasound breast complete
|
$532.00 |
$532.00 |
$532.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$438.90 |
$438.90 |
$438.90 |
$449.35
|
|
Ultrasound chest
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$969.50 |
$969.50 |
$969.50 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$434.00 |
$434.00 |
$434.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$482.30 |
$482.30 |
$482.30 |
$307.00
|
|
Ultrasound encephalogram
|
$1,406.30 |
$1,406.30 |
$1,406.30 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,120.70 |
$1,120.70 |
$1,120.70 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$1,292.20 |
$1,292.20 |
$1,292.20 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$720.15
|
|
Ultrasound guide intraoperative
|
$2,104.20 |
$2,104.20 |
$2,104.20 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$2,603.30 |
$2,603.30 |
$2,603.30 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$1,275.40 |
$1,275.40 |
$1,275.40 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$311.25
|
|
Ultrasound joint complete left
|
$1,269.80 |
$1,269.80 |
$1,269.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$774.90 |
$774.90 |
$774.90 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$245.70 |
$245.70 |
$245.70 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,598.10 |
$1,598.10 |
$1,598.10 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$819.70 |
$819.70 |
$819.70 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$830.90 |
$830.90 |
$830.90 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$718.90 |
$718.90 |
$718.90 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$749.00 |
$749.00 |
$749.00 |
$497.12
|
