|
Susceptibility mic per plate
|
$133.20 |
$133.20 |
$133.20 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$78.60 |
$78.60 |
$78.60 |
$45.70
|
|
T3 (triiodothyronine) free
|
$333.00 |
$333.00 |
$333.00 |
$91.20
|
|
T3 (triiodothyronine) total
|
$256.80 |
$256.80 |
$256.80 |
$88.00
|
|
T4 (thyroxine) free
|
$222.60 |
$222.60 |
$222.60 |
$65.00
|
|
T4 (thyroxine) total
|
$136.20 |
$136.20 |
$136.20 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$389.40 |
$389.40 |
$389.40 |
$137.15
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$422.65 |
$422.65 |
$422.65 |
$760.95
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$244.80 |
$244.80 |
$244.80 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$261.00 |
$261.00 |
$261.00 |
$189.60
|
|
T cells absolute cd 4 count
|
$200.40 |
$200.40 |
$200.40 |
$120.25
|
|
T cells total count
|
$123.60 |
$123.60 |
$123.60 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$240.21 |
$240.21 |
$240.21 |
$16,233.59
|
|
Test stress cardiovascular tracing only
|
$1,312.20 |
$1,312.20 |
$1,312.20 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$181.80 |
$181.80 |
$181.80 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$34.20 |
$34.20 |
$34.20 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$34.20 |
$34.20 |
$34.20 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$41.86 |
$41.86 |
$41.86 |
$25.80
|
|
Thrombin time
|
$100.20 |
$100.20 |
$100.20 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$150.00 |
$150.00 |
$150.00 |
$56.93
|
|
Thyroglobulin antibody
|
$222.00 |
$222.00 |
$222.00 |
$86.40
|
|
Thyroid (TSH) Test
|
$224.40 |
$224.40 |
$224.40 |
$101.40
|
|
Thyroid Ultrasound
|
$536.40 |
$536.40 |
$536.40 |
$553.80
|
|
Tigecycline injection
|
$8.38 |
$8.38 |
$8.38 |
$7.44
|
|
Tissue culture skin/biopsy
|
$967.80 |
$967.80 |
$967.80 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$110.40 |
$110.40 |
$110.40 |
$45.23
|
|
Tissue transglutaminase iga
|
$25.80 |
$25.80 |
$25.80 |
$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
|
$232.80 |
$232.80 |
$232.80 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$41.24 |
$41.24 |
$41.24 |
$2,743.02
|
|
Tomosynthesis breast screen bilateral
|
$57.00 |
$57.00 |
$57.00 |
$77.46
|
|
Toxoplasma antibody igg
|
$47.40 |
$47.40 |
$47.40 |
$83.20
|
|
Toxoplasma antibody igm
|
$133.20 |
$133.20 |
$133.20 |
$85.80
|
|
Transferrin
|
$172.80 |
$172.80 |
$172.80 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,572.60 |
$1,572.60 |
$1,572.60 |
$988.24
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$226.20 |
$226.20 |
$226.20 |
$197.60
|
|
Treponema pallidum antibody
|
$64.20 |
$64.20 |
$64.20 |
$74.40
|
|
Trg gene rearrangement anal
|
$438.60 |
$438.60 |
$438.60 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.00 |
$44.00 |
$44.00 |
$28.90
|
|
Trichomonas assay w/optic
|
$70.20 |
$70.20 |
$70.20 |
$68.90
|
|
Triglycerides
|
$89.40 |
$89.40 |
$89.40 |
$48.75
|
|
Trimethobenzamide hcl inj
|
$120.73 |
$120.73 |
$120.73 |
$105.89
|
|
Troponin quantitative
|
$288.00 |
$288.00 |
$288.00 |
$112.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$555.00 |
$555.00 |
$555.00 |
$394.20
|
|
Ultrasound breast complete
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$799.20 |
$799.20 |
$799.20 |
$427.00
|
|
Ultrasound chest
|
$168.00 |
$168.00 |
$168.00 |
$430.10
|
|
Ultrasound guidance for vascular access
|
$303.00 |
$303.00 |
$303.00 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$491.40 |
$491.40 |
$491.40 |
$629.64
|
|
Ultrasound guide intraoperative
|
$513.00 |
$513.00 |
$513.00 |
$628.80
|
|
Ultrasound joint/nonvascular extremity limited left
|
$432.00 |
$432.00 |
$432.00 |
$426.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$403.20 |
$403.20 |
$403.20 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$488.40 |
$488.40 |
$488.40 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$541.20 |
$541.20 |
$541.20 |
$469.58
|
|
Ultrasound scrotum and contents
|
$589.80 |
$589.80 |
$589.80 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$510.00 |
$510.00 |
$510.00 |
$523.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,544.80 |
$3,544.80 |
$3,544.80 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,953.20 |
$2,953.20 |
$2,953.20 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,362.80 |
$2,362.80 |
$2,362.80 |
$1,794.00
|
|
Urea nitrogen
|
$72.60 |
$72.60 |
$72.60 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$82.20 |
$82.20 |
$82.20 |
$42.90
|
|
Uric acid blood
|
$84.60 |
$84.60 |
$84.60 |
$44.00
|
|
Uric acid urine
|
$94.80 |
$94.80 |
$94.80 |
$43.20
|
|
Urinalysis microscopic only
|
$41.40 |
$41.40 |
$41.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$109.20 |
$109.20 |
$109.20 |
$37.39
|
|
Urinalysis (without microscopy)
|
$82.80 |
$82.80 |
$82.80 |
$33.00
|
|
Urine Culture Test
|
$167.40 |
$167.40 |
$167.40 |
$63.84
|
|
Urine pregnancy test
|
$123.00 |
$123.00 |
$123.00 |
$57.00
|
|
Vaccine dtap < 7 years im
|
$49.35 |
$49.35 |
$49.35 |
$66.69
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$175.91 |
$175.91 |
$175.91 |
$162.07
|
|
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 inactivated adjuvant im
|
$34.61 |
$34.61 |
$34.61 |
$81.00
|
|
Vaccine influenza nos 0.5ml dose im
|
$39.94 |
$39.94 |
$39.94 |
$31.00
|
|
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 influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$53.06 |
$53.06 |
$53.06 |
$72.00
|
|
Vaccine mmr live subcutaneous
|
$417.25 |
$417.25 |
$417.25 |
$222.36
|
|
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 rabies im
|
$659.39 |
$659.39 |
$659.39 |
$800.00
|
|
Vaccine tdap >=7 years im
|
$122.69 |
$122.69 |
$122.69 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$46.48 |
$46.48 |
$46.48 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$100.80
|
|
Vancomycin peak therapeutic drug level
|
$252.60 |
$252.60 |
$252.60 |
$116.00
|
|
Varicella zoster antibody igg
|
$217.80 |
$217.80 |
$217.80 |
$90.35
|
|
Vasopressin 20 unit/ml intravenous solution
|
$543.52 |
$543.52 |
$543.52 |
$330.41
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$252.60 |
$252.60 |
$252.60 |
$123.00
|
|
Virus isolation addl studies ea
|
$60.60 |
$60.60 |
$60.60 |
$90.35
|
|
Vitamin b-12
|
$202.80 |
$202.80 |
$202.80 |
$89.70
|
|
Vitamin D Test
|
$312.60 |
$312.60 |
$312.60 |
$132.60
|
|
Volume measurement urine timed
|
$27.60 |
$27.60 |
$27.60 |
$17.40
|
|
Warde 1003990 aldosterone
|
$523.20 |
$523.20 |
$523.20 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$159.60 |
$159.60 |
$159.60 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$232.20 |
$232.20 |
$232.20 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$420.60 |
$420.60 |
$420.60 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$250.80 |
$250.80 |
$250.80 |
$83.06
|
|
Warde 3004000 immunoglobulin subclass 1
|
$12.60 |
$12.60 |
$12.60 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$470.40 |
$470.40 |
$470.40 |
$117.13
|
