|
Thyroid Ultrasound
|
$431.00 |
$431.00 |
$431.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,213.25 |
$5,213.25 |
$5,213.25 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$143.50 |
$143.50 |
$143.50 |
$64.35
|
|
Tigecycline injection
|
$197.14 |
$197.14 |
$197.14 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$578.62 |
$578.62 |
$578.62 |
$458.85
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$17,166.00 |
$17,166.00 |
$17,166.00 |
$13,339.20
|
|
Tissue exam koh skin/hair/nails
|
$48.00 |
$48.00 |
$48.00 |
$47.20
|
|
Tissue transglutaminase iga
|
$68.50 |
$68.50 |
$68.50 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$567.22 |
$567.22 |
$567.22 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$568.61 |
$568.61 |
$568.61 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$201.50 |
$201.50 |
$201.50 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$6,433.20 |
$6,433.20 |
$6,433.20 |
$5,258.52
|
|
Tomosynthesis breast screen bilateral
|
$39.50 |
$39.50 |
$39.50 |
$72.68
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$114.92 |
$114.92 |
$114.92 |
$325.00
|
|
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution
|
$22,700.68 |
$22,700.68 |
$22,700.68 |
$15,383.12
|
|
Total tau
|
$238.00 |
$238.00 |
$238.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$123.50 |
$123.50 |
$123.50 |
$89.40
|
|
Toxoplasma antibody igm
|
$136.00 |
$136.00 |
$136.00 |
$87.00
|
|
Tpmt gene com vrnts
|
$401.50 |
$401.50 |
$401.50 |
$371.80
|
|
Trabectedin 1 mg intravenous solution
|
$8,645.95 |
$8,645.95 |
$8,645.95 |
$6,827.00
|
|
Transferrin
|
$66.50 |
$66.50 |
$66.50 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$983.00
|
|
Trastuzumab 150 mg intravenous solution
|
$3,921.88 |
$3,921.88 |
$3,921.88 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,169.45 |
$9,169.45 |
$9,169.45 |
$7,540.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$5,316.26 |
$5,316.26 |
$5,316.26 |
$5,835.15
|
|
Tray bonemarrw oncontrol 102mm
|
$1,799.44 |
$1,799.44 |
$1,799.44 |
$940.80
|
|
Treat fracture of radius
|
$592.50 |
$592.50 |
$592.50 |
$1,790.00
|
|
Treat fracture of ulna
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$726.05
|
|
Treat humerus fracture
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$1,771.43
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$48.50 |
$48.50 |
$48.50 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$48.50 |
$48.50 |
$48.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$120.50 |
$120.50 |
$120.50 |
$203.35
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$99,476.00 |
$99,476.00 |
$99,476.00 |
$73,346.25
|
|
Treponema pallidum antibody
|
$94.50 |
$94.50 |
$94.50 |
$70.40
|
|
Treprostinil injection
|
$10,371.45 |
$10,371.45 |
$10,371.45 |
$19,071.84
|
|
Treprostinil, non-comp unit
|
$7,365.50 |
$7,365.50 |
$7,365.50 |
$3,894.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$82.74 |
$82.74 |
$82.74 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$3,116.36 |
$3,116.36 |
$3,116.36 |
$223.56
|
|
Triglycerides
|
$35.50 |
$35.50 |
$35.50 |
$58.05
|
|
Trilaciclib 300 mg intravenous solution
|
$3,903.74 |
$3,903.74 |
$3,903.74 |
$4,043.12
|
|
Trimethobenzamide hcl inj
|
$262.24 |
$262.24 |
$262.24 |
$117.49
|
|
Trim nail(s)
|
$260.00 |
$260.00 |
$260.00 |
$79.00
|
|
Triptorelin pamoate
|
$10,504.62 |
$10,504.62 |
$10,504.62 |
$4,619.39
|
|
Troponin quantitative
|
$150.50 |
$150.50 |
$150.50 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$2,266.00 |
$2,266.00 |
$2,266.00 |
$2,012.40
|
|
Tx closed hip disl traumatic without anes
|
$708.50 |
$708.50 |
$708.50 |
$581.07
|
|
Tympanometry & reflex thresh
|
$349.50 |
$349.50 |
$349.50 |
$170.00
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$26,207.26 |
$26,207.26 |
$26,207.26 |
$20,945.01
|
|
Ultrasound abdomen aorta screening study aaa
|
$259.50 |
$259.50 |
$259.50 |
$394.20
|
|
Ultrasound breast complete
|
$604.50 |
$604.50 |
$604.50 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$482.50 |
$482.50 |
$482.50 |
$449.35
|
|
Ultrasound chest
|
$363.00 |
$363.00 |
$363.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$374.50 |
$374.50 |
$374.50 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$337.50 |
$337.50 |
$337.50 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$205.50 |
$205.50 |
$205.50 |
$307.00
|
|
Ultrasound encephalogram
|
$559.50 |
$559.50 |
$559.50 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$500.00 |
$500.00 |
$500.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$405.00 |
$405.00 |
$405.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$297.50 |
$297.50 |
$297.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$395.50 |
$395.50 |
$395.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$513.50 |
$513.50 |
$513.50 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$592.00 |
$592.00 |
$592.00 |
$403.88
|
|
Ultrasound joint/nonvascular extremity limited left
|
$443.00 |
$443.00 |
$443.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$347.50 |
$347.50 |
$347.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$333.50 |
$333.50 |
$333.50 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$805.00 |
$805.00 |
$805.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$537.50 |
$537.50 |
$537.50 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$517.00 |
$517.00 |
$517.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$439.00 |
$439.00 |
$439.00 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$341.00 |
$341.00 |
$341.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$405.00 |
$405.00 |
$405.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$405.00 |
$405.00 |
$405.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$416.00 |
$416.00 |
$416.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$342.50 |
$342.50 |
$342.50 |
$558.35
|
|
Unlistd noninvas vasc dx std
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$528.80
|
|
Unlisted maaa
|
$466.00 |
$466.00 |
$466.00 |
$235.20
|
|
Unlisted orl service/px
|
$391.50 |
$391.50 |
$391.50 |
$132.60
|
|
Unlisted px tongue flr mouth
|
$241.00 |
$241.00 |
$241.00 |
$282.50
|
|
Unlisted ultrasound procedure
|
$409.50 |
$409.50 |
$409.50 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$907.50 |
$907.50 |
$907.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$814.50 |
$814.50 |
$814.50 |
$2,034.41
|
|
Urea nitrogen
|
$23.00 |
$23.00 |
$23.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$59.00 |
$59.00 |
$59.00 |
$51.75
|
|
Urea nitrogen clearance
|
$111.00 |
$111.00 |
$111.00 |
$42.25
|
|
Urethrcystgrphy rtrgrde s&i
|
$619.00 |
$619.00 |
$619.00 |
$579.73
|
|
Urethrocystography void s&i
|
$574.00 |
$574.00 |
$574.00 |
$622.35
|
|
Uric acid blood
|
$32.50 |
$32.50 |
$32.50 |
$48.75
|
|
Uric acid urine
|
$53.00 |
$53.00 |
$53.00 |
$44.33
|
|
Urinalysis microscopic only
|
$14.00 |
$14.00 |
$14.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$41.50 |
$41.50 |
$41.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$24.50 |
$24.50 |
$24.50 |
$35.75
|
|
Urine Culture Test
|
$41.00 |
$41.00 |
$41.00 |
$81.50
|
|
Urine pregnancy test
|
$53.00 |
$53.00 |
$53.00 |
$67.20
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,084.76 |
$5,084.76 |
$5,084.76 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$37,645.70 |
$37,645.70 |
$37,645.70 |
$51,633.07
|
|
Vaccine dtap < 7 years im
|
$99.83 |
$99.83 |
$99.83 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$165.26 |
$165.26 |
$165.26 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$150.98 |
$150.98 |
$150.98 |
$105.95
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$61.05 |
$61.05 |
$61.05 |
$43.12
|
