|
Tb test cell mediated immunity antigen response gamma interferon
|
$431.72 |
$431.72 |
$431.72 |
$175.00
|
|
Tc-99m exametazime diag
|
$7,597.96 |
$7,597.96 |
$7,597.96 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$712.89 |
$712.89 |
$712.89 |
$302.40
|
|
Tc-99m maa
|
$279.46 |
$279.46 |
$279.46 |
$283.41
|
|
Tc-99m mebrofenin
|
$555.77 |
$555.77 |
$555.77 |
$160.58
|
|
Tc-99m medronate
|
$357.48 |
$357.48 |
$357.48 |
$109.50
|
|
Tc-99m mertiatide
|
$2,791.54 |
$2,791.54 |
$2,791.54 |
$756.00
|
|
Tc-99m pentetate dtpa aerosol
|
$555.77 |
$555.77 |
$555.77 |
$181.37
|
|
Tc-99m pertechnetate per mci
|
$7.88 |
$7.88 |
$7.88 |
$27.20
|
|
Tc-99m sestamibi p study dose
|
$1,655.19 |
$1,655.19 |
$1,655.19 |
$293.73
|
|
Tc-99m sulfur colloid
|
$513.04 |
$513.04 |
$513.04 |
$239.40
|
|
T cells absolute cd4/cd8 including ratio
|
$1,462.23 |
$1,462.23 |
$1,462.23 |
$175.00
|
|
T cells total count
|
$207.52 |
$207.52 |
$207.52 |
$123.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$113.17 |
$113.17 |
$113.17 |
$39.18
|
|
Tetanus immune globulin inj
|
$1,849.95 |
$1,849.95 |
$1,849.95 |
$1,228.80
|
|
Theophylline therapeutic drug level
|
$1,178.58 |
$1,178.58 |
$1,178.58 |
$108.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$44.39 |
$44.39 |
$44.39 |
$25.54
|
|
Thrombin time
|
$600.12 |
$600.12 |
$600.12 |
$53.60
|
|
Thromboplastin inhibition
|
$52.97 |
$52.97 |
$52.97 |
$53.30
|
|
Thyroglobulin antibody
|
$449.88 |
$449.88 |
$449.88 |
$81.90
|
|
Thyroid imaging
|
$4,151.53 |
$4,151.53 |
$4,151.53 |
$673.01
|
|
Thyroid mets imag whole body
|
$2,299.05 |
$2,299.05 |
$2,299.05 |
$1,544.00
|
|
Thyroid (TSH) Test
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$112.00
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,465.30 |
$6,465.30 |
$6,465.30 |
$4,044.25
|
|
Tigecycline injection
|
$609.34 |
$609.34 |
$609.34 |
$234.00
|
|
Tomosynthesis breast diagnostic left
|
$525.00 |
$525.00 |
$525.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$676.05 |
$676.05 |
$676.05 |
$70.89
|
|
Toxoplasma antibody igg
|
$1,070.99 |
$1,070.99 |
$1,070.99 |
$89.57
|
|
Toxoplasma antibody igm
|
$1,471.29 |
$1,471.29 |
$1,471.29 |
$87.00
|
|
Transferrin
|
$742.60 |
$742.60 |
$742.60 |
$81.60
|
|
Trastuzumab 150 mg intravenous solution
|
$588.17 |
$588.17 |
$588.17 |
$3,141.85
|
|
Treponema pallidum antibody
|
$751.73 |
$751.73 |
$751.73 |
$70.85
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$423.23 |
$423.23 |
$423.23 |
$43.80
|
|
Trichomonas assay w/optic
|
$42.82 |
$42.82 |
$42.82 |
$58.25
|
|
Ultrasound abdomen aorta screening study aaa
|
$774.92 |
$774.92 |
$774.92 |
$394.20
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$2,828.59 |
$2,828.59 |
$2,828.59 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$1,088.48 |
$1,088.48 |
$1,088.48 |
$379.36
|
|
Ultrasound guided needle placement supervision & interpretation
|
$2,943.54 |
$2,943.54 |
$2,943.54 |
$720.00
|
|
Unlisted ultrasound procedure
|
$1,131.64 |
$1,131.64 |
$1,131.64 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$19,736.18 |
$19,736.18 |
$19,736.18 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$17,106.64 |
$17,106.64 |
$17,106.64 |
$2,034.41
|
|
Urea nitrogen
|
$574.26 |
$574.26 |
$574.26 |
$39.90
|
|
Urea nitrogen 24 hour urine
|
$574.26 |
$574.26 |
$574.26 |
$52.00
|
|
Uric acid blood
|
$812.45 |
$812.45 |
$812.45 |
$49.32
|
|
Urinalysis (with microscopy)
|
$819.49 |
$819.49 |
$819.49 |
$55.00
|
|
Urine Culture Test
|
$22.60 |
$22.60 |
$22.60 |
$84.00
|
|
Urine ost pouch w faucet/tap
|
$164.00 |
$164.00 |
$164.00 |
$2.00
|
|
Urine pregnancy test
|
$843.92 |
$843.92 |
$843.92 |
$69.48
|
|
Vaccine dtap < 7 years im
|
$113.00 |
$113.00 |
$113.00 |
$73.01
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$66.95 |
$66.95 |
$66.95 |
$42.90
|
|
Vaccine hepatitis a (hepa) adult im
|
$423.13 |
$423.13 |
$423.13 |
$170.09
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$153.35 |
$153.35 |
$153.35 |
$79.15
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$178.03 |
$178.03 |
$178.03 |
$154.78
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$72.00 |
$72.00 |
$72.00 |
$74.42
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$206.65 |
$206.65 |
$206.65 |
$143.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$48.87 |
$48.87 |
$48.87 |
$47.88
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$537.04 |
$537.04 |
$537.04 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$445.42 |
$445.42 |
$445.42 |
$310.93
|
|
Vaccine mmr live subcutaneous
|
$629.10 |
$629.10 |
$629.10 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$396.33 |
$396.33 |
$396.33 |
$252.90
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$593.76 |
$593.76 |
$593.76 |
$385.45
|
|
Vaccine rabies im
|
$1,589.61 |
$1,589.61 |
$1,589.61 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$389.31 |
$389.31 |
$389.31 |
$136.80
|
|
Vaccine td preservative free >= 7 years im
|
$169.96 |
$169.96 |
$169.96 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$544.41 |
$544.41 |
$544.41 |
$396.97
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$151.45 |
$151.45 |
$151.45 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$1,421.67 |
$1,421.67 |
$1,421.67 |
$115.00
|
|
Varicella zoster antibody igg
|
$224.94 |
$224.94 |
$224.94 |
$85.05
|
|
Vasopressin 20 unit/ml intravenous solution
|
$306.05 |
$306.05 |
$306.05 |
$342.98
|
|
Venogram ext bil s&i
|
$4,572.99 |
$4,572.99 |
$4,572.99 |
$1,794.54
|
|
Virus isolation addl studies ea
|
$56.56 |
$56.56 |
$56.56 |
$79.34
|
|
Vitamin b-12
|
$1,001.83 |
$1,001.83 |
$1,001.83 |
$100.00
|
|
Vitamin D Test
|
$633.62 |
$633.62 |
$633.62 |
$132.00
|
|
Volume measurement urine timed
|
$119.46 |
$119.46 |
$119.46 |
$21.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$1,028.97 |
$1,028.97 |
$1,028.97 |
$165.81
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,070.99 |
$1,070.99 |
$1,070.99 |
$68.25
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,153.41 |
$1,153.41 |
$1,153.41 |
$78.60
|
|
Warde 3004000 immunoglobulin subclass 1
|
$584.74 |
$584.74 |
$584.74 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$642.73 |
$642.73 |
$642.73 |
$103.95
|
|
Warde 3016000 west nile virus antibody igg
|
$340.21 |
$340.21 |
$340.21 |
$72.15
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$846.01 |
$846.01 |
$846.01 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$50.34 |
$50.34 |
$50.34 |
$70.20
|
|
Warde 3400852 arsenic
|
$762.16 |
$762.16 |
$762.16 |
$101.00
|
|
Warde 3708165 mercury urine
|
$424.76 |
$424.76 |
$424.76 |
$72.00
|
|
Warde acetylcholine receptor blocking antibody
|
$84.00 |
$84.00 |
$84.00 |
$70.56
|
|
Warde actin (smooth muscle) antibody each
|
$373.04 |
$373.04 |
$373.04 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$731.42 |
$731.42 |
$731.42 |
$150.60
|
|
Warde aldolase
|
$738.43 |
$738.43 |
$738.43 |
$54.50
|
|
Warde amiodarone therapeutic drug level
|
$545.93 |
$545.93 |
$545.93 |
$53.25
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$237.41 |
$237.41 |
$237.41 |
$363.00
|
|
Warde anti-mullerian hormone
|
$135.24 |
$135.24 |
$135.24 |
$80.08
|
|
Warde bile acids
|
$47.94 |
$47.94 |
$47.94 |
$64.28
|
|
Warde calcitonin
|
$192.82 |
$192.82 |
$192.82 |
$101.40
|
|
Warde calculus (stone) infrared
|
$1,395.13 |
$1,395.13 |
$1,395.13 |
$59.52
|
|
Warde cobalt heavy metal quantitative each nes
|
$184.43 |
$184.43 |
$184.43 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$382.09 |
$382.09 |
$382.09 |
$96.85
|
|
Warde complement total hemolytic
|
$1,901.66 |
$1,901.66 |
$1,901.66 |
$105.78
|
|
Warde cryoglobulin
|
$544.92 |
$544.92 |
$544.92 |
$50.35
|
|
Warde erythropoietin
|
$862.76 |
$862.76 |
$862.76 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$353.00 |
$353.00 |
$353.00 |
$46.56
|
