|
Tirofiban 12.5 mg/50 ml
|
$327.60 |
$327.60 |
$327.60 |
$456.00
|
|
Tissue exam koh skin/hair/nails
|
$14.56 |
$14.56 |
$14.56 |
$47.50
|
|
Tissue transglutaminase iga
|
$19.76 |
$19.76 |
$19.76 |
$44.16
|
|
Tixagev and cilgav inj
|
$264.68 |
$264.68 |
$264.68 |
$209.97
|
|
Tobramycin peak therapeutic drug level
|
$53.04 |
$53.04 |
$53.04 |
$121.55
|
|
Toxoplasma antibody igg
|
$68.12 |
$68.12 |
$68.12 |
$88.80
|
|
Toxoplasma antibody igm
|
$55.12 |
$55.12 |
$55.12 |
$87.00
|
|
Tp53 gene full gene sequence
|
$1,126.32 |
$1,126.32 |
$1,126.32 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$556.40 |
$556.40 |
$556.40 |
$823.00
|
|
Transferrin
|
$55.12 |
$55.12 |
$55.12 |
$81.60
|
|
Transfusion blood/blood component(s)
|
$292.24 |
$292.24 |
$292.24 |
$936.80
|
|
Trauma partial team response w/critical care services level 4
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$4,063.80
|
|
Trb@ gene rearrange dirprobe
|
$86.84 |
$86.84 |
$86.84 |
$73.46
|
|
Treat ankle dislocation
|
$2,265.64 |
$2,265.64 |
$2,265.64 |
$2,321.50
|
|
Treat elbow dislocation
|
$2,263.56 |
$2,263.56 |
$2,263.56 |
$2,259.95
|
|
Treat elbow fracture
|
$2,165.80 |
$2,165.80 |
$2,165.80 |
$1,912.50
|
|
Treat fracture of radius
|
$1,109.16 |
$1,109.16 |
$1,109.16 |
$1,849.00
|
|
Treat fracture of ulna
|
$328.64 |
$328.64 |
$328.64 |
$726.05
|
|
Treat hip dislocation
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$2,192.00
|
|
Treat knee dislocation
|
$1,091.48 |
$1,091.48 |
$1,091.48 |
$2,220.89
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$117.00 |
$117.00 |
$117.00 |
$224.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$208.52 |
$208.52 |
$208.52 |
$203.49
|
|
Treatment of thigh fracture
|
$163.28 |
$163.28 |
$163.28 |
$567.60
|
|
Treat vaginal bleeding
|
$279.24 |
$279.24 |
$279.24 |
$392.00
|
|
Treat wrist dislocation
|
$157.04 |
$157.04 |
$157.04 |
$656.25
|
|
Treponema pallidum antibody
|
$54.08 |
$54.08 |
$54.08 |
$69.60
|
|
Treprostinil injection
|
$16,538.40 |
$16,538.40 |
$16,538.40 |
$19,071.84
|
|
Trichomonas assay w/optic
|
$23.92 |
$23.92 |
$23.92 |
$55.50
|
|
Triglycerides
|
$16.64 |
$16.64 |
$16.64 |
$55.90
|
|
Trim nondyst nails
|
$89.44 |
$89.44 |
$89.44 |
$115.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,696.72 |
$2,696.72 |
$2,696.72 |
$2,986.34
|
|
Trnspl rej kdn mrna qpcr 139
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$3,232.32
|
|
Troponin quantitative
|
$70.72 |
$70.72 |
$70.72 |
$124.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,608.32 |
$2,608.32 |
$2,608.32 |
$3,955.50
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$5,022.16 |
$5,022.16 |
$5,022.16 |
$4,416.30
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$4,637.36 |
$4,637.36 |
$4,637.36 |
$4,395.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$126.36 |
$126.36 |
$126.36 |
$394.20
|
|
Ultrasound breast complete
|
$173.68 |
$173.68 |
$173.68 |
$528.55
|
|
Ultrasound breast unilateral limited (both sides)
|
$173.68 |
$173.68 |
$173.68 |
$455.25
|
|
Ultrasound chest
|
$268.84 |
$268.84 |
$268.84 |
$456.95
|
|
Ultrasound encephalogram
|
$273.00 |
$273.00 |
$273.00 |
$485.48
|
|
Ultrasound joint/nonvascular extremity limited left
|
$253.24 |
$253.24 |
$253.24 |
$419.25
|
|
Ultrasound pregnant uterus follow up per fetus
|
$337.48 |
$337.48 |
$337.48 |
$428.25
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$518.44 |
$518.44 |
$518.44 |
$451.00
|
|
Ultrasound pregnant uterus transvaginal
|
$278.20 |
$278.20 |
$278.20 |
$488.40
|
|
Ultrasound retroperitoneal limited
|
$379.60 |
$379.60 |
$379.60 |
$477.10
|
|
Ultrasound scrotum and contents
|
$273.00 |
$273.00 |
$273.00 |
$612.55
|
|
Ultrasound transvaginal non obstetric
|
$278.20 |
$278.20 |
$278.20 |
$555.83
|
|
Unlisted px casting/strpg
|
$93.60 |
$93.60 |
$93.60 |
$219.70
|
|
Unlisted px leg/ankle
|
$128.96 |
$128.96 |
$128.96 |
$811.00
|
|
Unlisted px palate uvula
|
$327.60 |
$327.60 |
$327.60 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$1,488.24 |
$1,488.24 |
$1,488.24 |
$1,488.24
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$2,984.45
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,070.68 |
$1,070.68 |
$1,070.68 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$992.68 |
$992.68 |
$992.68 |
$2,034.41
|
|
Urea nitrogen
|
$34.84 |
$34.84 |
$34.84 |
$40.56
|
|
Urea nitrogen 24 hour urine
|
$11.44 |
$11.44 |
$11.44 |
$51.77
|
|
Uric acid blood
|
$34.84 |
$34.84 |
$34.84 |
$48.96
|
|
Uric acid urine
|
$121.68 |
$121.68 |
$121.68 |
$44.14
|
|
Urinalysis qual/semiquant excpt ia
|
$4.16 |
$4.16 |
$4.16 |
$25.72
|
|
Urinalysis (with microscopy)
|
$24.96 |
$24.96 |
$24.96 |
$55.20
|
|
Urinalysis (without microscopy)
|
$24.96 |
$24.96 |
$24.96 |
$36.00
|
|
Urine Culture Test
|
$53.04 |
$53.04 |
$53.04 |
$80.60
|
|
Urine pregnancy test
|
$29.12 |
$29.12 |
$29.12 |
$66.60
|
|
Valproic acid total therapeutic drug level
|
$32.76 |
$32.76 |
$32.76 |
$114.48
|
|
Valrubicin injection
|
$2,125.58 |
$2,125.58 |
$2,125.58 |
$2,813.49
|
|
Vancomycin peak therapeutic drug level
|
$33.28 |
$33.28 |
$33.28 |
$131.30
|
|
Varicella zoster antibody igg
|
$30.68 |
$30.68 |
$30.68 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$2,484.03 |
$2,484.03 |
$2,484.03 |
$325.80
|
|
Ventilator initial day
|
$1,043.12 |
$1,043.12 |
$1,043.12 |
$1,416.96
|
|
Vitamin b-12
|
$104.00 |
$104.00 |
$104.00 |
$100.00
|
|
Vitamin D Test
|
$57.20 |
$57.20 |
$57.20 |
$132.00
|
|
Volume measurement urine timed
|
$30.68 |
$30.68 |
$30.68 |
$21.00
|
|
Warde 1003990 aldosterone
|
$108.16 |
$108.16 |
$108.16 |
$144.67
|
|
Warde 1005020 citrate 24 hour urine
|
$84.76 |
$84.76 |
$84.76 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$52.52 |
$52.52 |
$52.52 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$48.88 |
$48.88 |
$48.88 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$65.00 |
$65.00 |
$65.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$65.00 |
$65.00 |
$65.00 |
$64.28
|
|
Warde 3016000 west nile virus antibody
|
$157.56 |
$157.56 |
$157.56 |
$68.64
|
|
Warde 3016000 west nile virus antibody igg
|
$157.56 |
$157.56 |
$157.56 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$50.96 |
$50.96 |
$50.96 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$41.08 |
$41.08 |
$41.08 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$49.92 |
$49.92 |
$49.92 |
$70.70
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$250.64 |
$250.64 |
$250.64 |
$219.13
|
|
Warde 3400852 arsenic
|
$142.48 |
$142.48 |
$142.48 |
$100.88
|
|
Warde 3708165 mercury urine
|
$31.72 |
$31.72 |
$31.72 |
$70.85
|
|
Warde acetylcholine receptor blocking antibody
|
$29.64 |
$29.64 |
$29.64 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$19.76 |
$19.76 |
$19.76 |
$42.18
|
|
Warde adrenocorticotropic hormone (acth)
|
$69.68 |
$69.68 |
$69.68 |
$149.20
|
|
Warde aldolase
|
$20.80 |
$20.80 |
$20.80 |
$53.25
|
|
Warde amiodarone therapeutic drug level
|
$40.04 |
$40.04 |
$40.04 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$131.56 |
$131.56 |
$131.56 |
$266.00
|
|
Warde anti-mullerian hormone
|
$62.92 |
$62.92 |
$62.92 |
$80.08
|
|
Warde apolipoprotein b
|
$55.12 |
$55.12 |
$55.12 |
$61.75
|
|
Warde calculus (stone) infrared
|
$27.04 |
$27.04 |
$27.04 |
$58.00
|
|
Warde complement total hemolytic
|
$34.84 |
$34.84 |
$34.84 |
$104.50
|
|
Warde copper
|
$14.56 |
$14.56 |
$14.56 |
$78.24
|
|
Warde cryoglobulin
|
$28.60 |
$28.60 |
$28.60 |
$50.98
|
|
Warde erythropoietin
|
$42.64 |
$42.64 |
$42.64 |
$90.36
|
