|
Stress tte complete
|
$6,818.00 |
$6,818.00 |
$6,818.00 |
$1,964.95
|
|
St treatment speech individual
|
$213.00 |
$213.00 |
$213.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$396.00 |
$396.00 |
$396.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$65.22 |
$65.22 |
$65.22 |
$49.13
|
|
Sugars single quant
|
$115.00 |
$115.00 |
$115.00 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,163.73 |
$5,163.73 |
$5,163.73 |
$5,446.00
|
|
Sulfonylurea screen qn-sendout
|
$118.00 |
$118.00 |
$118.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$45.36 |
$45.36 |
$45.36 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$214.00 |
$214.00 |
$214.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$330.00 |
$330.00 |
$330.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$469.00 |
$469.00 |
$469.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$581.00 |
$581.00 |
$581.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$893.00 |
$893.00 |
$893.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$266.00 |
$266.00 |
$266.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$147.00 |
$147.00 |
$147.00 |
$34.48
|
|
Susceptibility mic per plate
|
$256.00 |
$256.00 |
$256.00 |
$94.38
|
|
Synvisc or synvisc-one
|
$670.59 |
$670.59 |
$670.59 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$58.00 |
$58.00 |
$58.00 |
$44.85
|
|
T3 (triiodothyronine) free
|
$159.00 |
$159.00 |
$159.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$159.00 |
$159.00 |
$159.00 |
$94.90
|
|
T4 (thyroxine) free
|
$240.00 |
$240.00 |
$240.00 |
$81.60
|
|
T4 (thyroxine) total
|
$72.00 |
$72.00 |
$72.00 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$343.00 |
$343.00 |
$343.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$4,093.00 |
$4,093.00 |
$4,093.00 |
$3,385.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,232.90 |
$1,232.90 |
$1,232.90 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$234.00 |
$234.00 |
$234.00 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$331.00 |
$331.00 |
$331.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$411.00 |
$411.00 |
$411.00 |
$120.25
|
|
T cells total count
|
$491.00 |
$491.00 |
$491.00 |
$124.11
|
|
Telethx isodose plan cplx
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$1,617.00
|
|
Telethx isodose plan simple
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$848.72
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$20.42 |
$20.42 |
$20.42 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$520.00 |
$520.00 |
$520.00 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$13,808.20 |
$13,808.20 |
$13,808.20 |
$9,460.16
|
|
Tgsap so neo 5-50 rna alys
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$816.27
|
|
Theophylline therapeutic drug level
|
$101.00 |
$101.00 |
$101.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$278.00 |
$278.00 |
$278.00 |
$85.80
|
|
Ther/proph/diag inj ia
|
$475.00 |
$475.00 |
$475.00 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$58.91 |
$58.91 |
$58.91 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,571.00 |
$1,571.00 |
$1,571.00 |
$1,804.00
|
|
Thrombin time
|
$130.00 |
$130.00 |
$130.00 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$115.00 |
$115.00 |
$115.00 |
$56.93
|
|
Thyroglobulin antibody
|
$186.00 |
$186.00 |
$186.00 |
$84.00
|
|
Thyroid mets imag whole body
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$131.00 |
$131.00 |
$131.00 |
$120.00
|
|
Thyroid Ultrasound
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$589.96
|
|
Thyroid uptake measurement
|
$863.00 |
$863.00 |
$863.00 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$73.00 |
$73.00 |
$73.00 |
$63.60
|
|
Tissue exam koh skin/hair/nails
|
$37.00 |
$37.00 |
$37.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$143.00 |
$143.00 |
$143.00 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$44.13 |
$44.13 |
$44.13 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$84.00 |
$84.00 |
$84.00 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,492.51 |
$2,492.51 |
$2,492.51 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$105.00 |
$105.00 |
$105.00 |
$73.45
|
|
Tongue biopsy; posterior one-third 41105
|
$19,751.00 |
$19,751.00 |
$19,751.00 |
$3,589.62
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$182.79 |
$182.79 |
$182.79 |
$404.20
|
|
Toxoplasma antibody igg
|
$361.00 |
$361.00 |
$361.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$114.00 |
$114.00 |
$114.00 |
$83.20
|
|
Tpmt gene com vrnts
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$381.55
|
|
Transferrin
|
$72.00 |
$72.00 |
$72.00 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$988.24
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$210.00
|
|
Treatment of fibula fracture 27780
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$558.75
|
|
Treatment radiation delivery level 2
|
$1,823.00 |
$1,823.00 |
$1,823.00 |
$735.00
|
|
Treat wrist dislocation
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$202,888.76 |
$202,888.76 |
$202,888.76 |
$101,032.80
|
|
Treponema pallidum antibody
|
$114.00 |
$114.00 |
$114.00 |
$72.80
|
|
Trg gene rearrangement anal
|
$2,354.00 |
$2,354.00 |
$2,354.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$79.10 |
$79.10 |
$79.10 |
$55.80
|
|
Trichinella antibody
|
$168.00 |
$168.00 |
$168.00 |
$70.65
|
|
Triglycerides
|
$65.00 |
$65.00 |
$65.00 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$192.32 |
$192.32 |
$192.32 |
$128.00
|
|
Trim nondyst nails
|
$221.00 |
$221.00 |
$221.00 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$18,646.00 |
$18,646.00 |
$18,646.00 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$6,688.00 |
$6,688.00 |
$6,688.00 |
$9,781.50
|
|
Troponin quantitative
|
$140.00 |
$140.00 |
$140.00 |
$123.75
|
|
Tx closed tib shaft fx without manip
|
$1,658.00 |
$1,658.00 |
$1,658.00 |
$635.46
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$24,461.00 |
$24,461.00 |
$24,461.00 |
$4,499.12
|
|
Tympanometry & reflex thresh
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$173.18
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$911.43
|
|
Ultrasound abdomen aorta screening study aaa
|
$989.00 |
$989.00 |
$989.00 |
$403.26
|
|
Ultrasound breast complete
|
$574.00 |
$574.00 |
$574.00 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$574.00 |
$574.00 |
$574.00 |
$449.35
|
|
Ultrasound chest
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$340.14
|
|
Ultrasound encephalogram
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$978.00 |
$978.00 |
$978.00 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$772.00 |
$772.00 |
$772.00 |
$701.35
|
|
Ultrasound joint complete left
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$448.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$646.00 |
$646.00 |
$646.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$751.00 |
$751.00 |
$751.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$498.00
|
