|
T4 (thyroxine) free
|
$63.60 |
$63.60 |
$63.60 |
$65.00
|
|
T4 (thyroxine) total
|
$63.00 |
$63.00 |
$63.00 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.81 |
$10.81 |
$10.81 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$187.80 |
$187.80 |
$187.80 |
$137.15
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$810.19 |
$810.19 |
$810.19 |
$760.95
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$205.20 |
$205.20 |
$205.20 |
$178.40
|
|
Tc-99m non-heu per study dose
|
$6.00 |
$6.00 |
$6.00 |
$10.00
|
|
Tc-99m sestamibi p study dose
|
$153.00 |
$153.00 |
$153.00 |
$221.60
|
|
T cells absolute cd4/cd8 including ratio
|
$197.40 |
$197.40 |
$197.40 |
$189.60
|
|
T cells absolute cd 4 count
|
$255.60 |
$255.60 |
$255.60 |
$120.25
|
|
T cells total count
|
$160.80 |
$160.80 |
$160.80 |
$126.90
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.33 |
$39.33 |
$39.33 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$1,016.00
|
|
Theophylline therapeutic drug level
|
$133.80 |
$133.80 |
$133.80 |
$101.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$41.86 |
$41.86 |
$41.86 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$1,658.70
|
|
Thrombin time
|
$95.40 |
$95.40 |
$95.40 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$61.20 |
$61.20 |
$61.20 |
$56.93
|
|
Thyroglobulin antibody
|
$139.80 |
$139.80 |
$139.80 |
$86.40
|
|
Thyroid (TSH) Test
|
$147.60 |
$147.60 |
$147.60 |
$101.40
|
|
Thyroid Ultrasound
|
$639.60 |
$639.60 |
$639.60 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$80.40 |
$80.40 |
$80.40 |
$75.00
|
|
Tigecycline injection
|
$8.38 |
$8.38 |
$8.38 |
$7.44
|
|
Tissue exam koh skin/hair/nails
|
$81.60 |
$81.60 |
$81.60 |
$45.23
|
|
Tissue transglutaminase iga
|
$22.20 |
$22.20 |
$22.20 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$39.35 |
$39.35 |
$39.35 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$190.20 |
$190.20 |
$190.20 |
$117.00
|
|
Toxoplasma antibody igg
|
$174.60 |
$174.60 |
$174.60 |
$83.20
|
|
Toxoplasma antibody igm
|
$71.40 |
$71.40 |
$71.40 |
$85.80
|
|
Transferrin
|
$94.20 |
$94.20 |
$94.20 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
$988.24
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$109.80 |
$109.80 |
$109.80 |
$197.60
|
|
Treponema pallidum antibody
|
$109.20 |
$109.20 |
$109.20 |
$74.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.00 |
$44.00 |
$44.00 |
$28.90
|
|
Triamcinolone a inj prs-free
|
$35.02 |
$35.02 |
$35.02 |
$696.00
|
|
Trichomonas assay w/optic
|
$72.60 |
$72.60 |
$72.60 |
$68.90
|
|
Triglycerides
|
$36.60 |
$36.60 |
$36.60 |
$48.75
|
|
Troponin quantitative
|
$70.20 |
$70.20 |
$70.20 |
$112.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$523.80 |
$523.80 |
$523.80 |
$394.20
|
|
Ultrasound chest
|
$265.20 |
$265.20 |
$265.20 |
$430.10
|
|
Ultrasound guidance for vascular access
|
$539.40 |
$539.40 |
$539.40 |
$300.00
|
|
Ultrasound guide intraoperative
|
$523.80 |
$523.80 |
$523.80 |
$628.80
|
|
Ultrasound joint/nonvascular extremity limited left
|
$523.80 |
$523.80 |
$523.80 |
$426.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$544.20 |
$544.20 |
$544.20 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$523.80 |
$523.80 |
$523.80 |
$477.10
|
|
Ultrasound scrotum and contents
|
$523.80 |
$523.80 |
$523.80 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$544.20 |
$544.20 |
$544.20 |
$523.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$1,794.00
|
|
Urea nitrogen
|
$52.20 |
$52.20 |
$52.20 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$46.80 |
$46.80 |
$46.80 |
$42.90
|
|
Uric acid blood
|
$24.60 |
$24.60 |
$24.60 |
$44.00
|
|
Uric acid urine
|
$43.80 |
$43.80 |
$43.80 |
$43.20
|
|
Urinalysis microscopic only
|
$38.40 |
$38.40 |
$38.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$40.20 |
$40.20 |
$40.20 |
$37.39
|
|
Urinalysis (without microscopy)
|
$24.00 |
$24.00 |
$24.00 |
$33.00
|
|
Urine Culture Test
|
$78.00 |
$78.00 |
$78.00 |
$63.84
|
|
Urine pregnancy test
|
$87.00 |
$87.00 |
$87.00 |
$57.00
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$55.28 |
$55.28 |
$55.28 |
$84.38
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$45.91 |
$45.91 |
$45.91 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$179.55 |
$179.55 |
$179.55 |
$130.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$47.88 |
$47.88 |
$47.88 |
$47.38
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$49.02 |
$49.02 |
$49.02 |
$29.60
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$166.40 |
$166.40 |
$166.40 |
$195.69
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$429.30 |
$429.30 |
$429.30 |
$393.25
|
|
Vaccine tdap >=7 years im
|
$131.34 |
$131.34 |
$131.34 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$120.13 |
$120.13 |
$120.13 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$122.40 |
$122.40 |
$122.40 |
$100.80
|
|
Vancomycin peak therapeutic drug level
|
$240.00 |
$240.00 |
$240.00 |
$116.00
|
|
Varicella zoster antibody igg
|
$61.80 |
$61.80 |
$61.80 |
$90.35
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$267.00 |
$267.00 |
$267.00 |
$123.00
|
|
Very long chain fatty acids
|
$415.80 |
$415.80 |
$415.80 |
$157.30
|
|
Visit established high 40-54 minutes/level 5
|
$154.80 |
$154.80 |
$154.80 |
$186.60
|
|
Vital capacity test
|
$118.20 |
$118.20 |
$118.20 |
$170.00
|
|
Vitamin b-12
|
$102.00 |
$102.00 |
$102.00 |
$89.70
|
|
Vitamin D Test
|
$192.00 |
$192.00 |
$192.00 |
$132.60
|
|
Volume measurement urine timed
|
$14.40 |
$14.40 |
$14.40 |
$17.40
|
|
Warde 1003990 aldosterone
|
$396.00 |
$396.00 |
$396.00 |
$182.65
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$79.80 |
$79.80 |
$79.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$267.00 |
$267.00 |
$267.00 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$184.80 |
$184.80 |
$184.80 |
$83.06
|
|
Warde 3004000 immunoglobulin subclass 1
|
$80.40 |
$80.40 |
$80.40 |
$51.20
|
|
Warde 3016000 west nile virus antibody
|
$43.80 |
$43.80 |
$43.80 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$61.20 |
$61.20 |
$61.20 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$88.80 |
$88.80 |
$88.80 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$82.80 |
$82.80 |
$82.80 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$93.60 |
$93.60 |
$93.60 |
$79.30
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$256.80 |
$256.80 |
$256.80 |
$250.90
|
|
Warde 3400852 arsenic
|
$117.00 |
$117.00 |
$117.00 |
$107.38
|
|
Warde 3708165 mercury urine
|
$96.60 |
$96.60 |
$96.60 |
$82.20
|
|
Warde adenosine deaminase pleural fluid
|
$40.20 |
$40.20 |
$40.20 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$299.40 |
$299.40 |
$299.40 |
$147.55
|
|
Warde aldolase
|
$130.80 |
$130.80 |
$130.80 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$102.60 |
$102.60 |
$102.60 |
$177.60
|
|
Warde analysis gene hfe common variants
|
$314.40 |
$314.40 |
$314.40 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$343.20 |
$343.20 |
$343.20 |
$403.20
|
|
Warde apolipoprotein b
|
$109.80 |
$109.80 |
$109.80 |
$80.60
|
|
Warde bile acids
|
$56.40 |
$56.40 |
$56.40 |
$76.70
|
|
Warde cadmium blood
|
$79.20 |
$79.20 |
$79.20 |
$79.20
|
