|
Stress test pulmonary
|
$321.75 |
$321.75 |
$321.75 |
$330.63
|
|
Str markers specimen anal
|
$811.20 |
$811.20 |
$811.20 |
$978.25
|
|
St treatment speech individual
|
$681.20 |
$681.20 |
$681.20 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$226.20 |
$226.20 |
$226.20 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$54.86 |
$54.86 |
$54.86 |
$0.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$52.49 |
$52.49 |
$52.49 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$79.95 |
$79.95 |
$79.95 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$128.05 |
$128.05 |
$128.05 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$201.50 |
$201.50 |
$201.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$300.30 |
$300.30 |
$300.30 |
$239.85
|
|
Susceptibility agar dilution per agent
|
$31.20 |
$31.20 |
$31.20 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$31.85 |
$31.85 |
$31.85 |
$31.85
|
|
Susceptibility mic per plate
|
$46.80 |
$46.80 |
$46.80 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.65 |
$52.65 |
$52.65 |
$45.70
|
|
T3 (triiodothyronine) free
|
$122.85 |
$122.85 |
$122.85 |
$91.20
|
|
T3 (triiodothyronine) total
|
$94.90 |
$94.90 |
$94.90 |
$88.00
|
|
T4 (thyroxine) free
|
$96.20 |
$96.20 |
$96.20 |
$65.00
|
|
T4 (thyroxine) total
|
$59.80 |
$59.80 |
$59.80 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$185.90 |
$185.90 |
$185.90 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,636.70 |
$1,636.70 |
$1,636.70 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,169.68 |
$1,169.68 |
$1,169.68 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$130.65 |
$130.65 |
$130.65 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$192.40 |
$192.40 |
$192.40 |
$178.40
|
|
Tc-99m labeled rbc
|
$343.85 |
$343.85 |
$343.85 |
$312.70
|
|
Tc-99m maa
|
$134.55 |
$134.55 |
$134.55 |
$306.60
|
|
Tc-99m mebrofenin
|
$234.00 |
$234.00 |
$234.00 |
$169.53
|
|
Tc-99m medronate
|
$153.40 |
$153.40 |
$153.40 |
$120.35
|
|
Tc-99m oxidronate
|
$135.20 |
$135.20 |
$135.20 |
$132.05
|
|
Tc-99m pertechnetate per mci
|
$48.10 |
$48.10 |
$48.10 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$382.85 |
$382.85 |
$382.85 |
$221.60
|
|
Tc-99m sulfur colloid
|
$168.35 |
$168.35 |
$168.35 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$214.50 |
$214.50 |
$214.50 |
$189.60
|
|
T cells absolute cd 4 count
|
$167.70 |
$167.70 |
$167.70 |
$120.25
|
|
T cells total count
|
$113.10 |
$113.10 |
$113.10 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,997.58 |
$24,997.58 |
$24,997.58 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$17.50 |
$17.50 |
$17.50 |
$39.33
|
|
Theophylline therapeutic drug level
|
$100.10 |
$100.10 |
$100.10 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$41.60 |
$41.60 |
$41.60 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$33.15 |
$33.15 |
$33.15 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$31.50 |
$31.50 |
$31.50 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$410.80 |
$410.80 |
$410.80 |
$1,658.70
|
|
Throat x-ray & fluoroscopy
|
$271.05 |
$271.05 |
$271.05 |
$188.00
|
|
Thrombin time
|
$63.05 |
$63.05 |
$63.05 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$44.85 |
$44.85 |
$44.85 |
$56.93
|
|
Thyroglobulin antibody
|
$87.75 |
$87.75 |
$87.75 |
$86.40
|
|
Thyroid imaging
|
$698.75 |
$698.75 |
$698.75 |
$577.80
|
|
Thyroid (TSH) Test
|
$98.80 |
$98.80 |
$98.80 |
$101.40
|
|
Thyroid Ultrasound
|
$533.00 |
$533.00 |
$533.00 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$75.40 |
$75.40 |
$75.40 |
$75.00
|
|
Tissue culture placenta
|
$438.10 |
$438.10 |
$438.10 |
$470.00
|
|
Tissue culture skin/biopsy
|
$273.65 |
$273.65 |
$273.65 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$58.50 |
$58.50 |
$58.50 |
$45.23
|
|
Tissue transglutaminase iga
|
$96.20 |
$96.20 |
$96.20 |
$48.57
|
|
Tobramycin peak therapeutic drug level
|
$124.15 |
$124.15 |
$124.15 |
$117.00
|
|
Tomosynthesis breast screen bilateral
|
$102.70 |
$102.70 |
$102.70 |
$77.46
|
|
Total Hip Replacement
|
$3,415.75 |
$3,415.75 |
$3,415.75 |
$14,061.89
|
|
Total Knee Replacement
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$6,891.87
|
|
Toxoplasma antibody igg
|
$86.45 |
$86.45 |
$86.45 |
$83.20
|
|
Toxoplasma antibody igm
|
$89.05 |
$89.05 |
$89.05 |
$85.80
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$91.86 |
$91.86 |
$91.86 |
$77.65
|
|
Transferrin
|
$95.55 |
$95.55 |
$95.55 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$998.40 |
$998.40 |
$998.40 |
$988.24
|
|
Treat elbow dislocation
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$2,326.40
|
|
Treat finger fracture each
|
$717.60 |
$717.60 |
$717.60 |
$1,808.00
|
|
Treat fracture of radius
|
$793.00 |
$793.00 |
$793.00 |
$1,884.74
|
|
Treat fracture of ulna
|
$930.80 |
$930.80 |
$930.80 |
$806.13
|
|
Treat hip dislocation
|
$806.00 |
$806.00 |
$806.00 |
$3,493.90
|
|
Treat kneecap dislocation
|
$900.25 |
$900.25 |
$900.25 |
$1,931.40
|
|
Treat kneecap fracture
|
$1,519.05 |
$1,519.05 |
$1,519.05 |
$7,635.41
|
|
Treat knuckle dislocation
|
$937.95 |
$937.95 |
$937.95 |
$1,796.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$128.70 |
$128.70 |
$128.70 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$128.70 |
$128.70 |
$128.70 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$137.80 |
$137.80 |
$137.80 |
$197.60
|
|
Treatment of ankle fracture
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
$6,836.22
|
|
Treatment of ankle fracture
|
$1,810.90 |
$1,810.90 |
$1,810.90 |
$3,779.20
|
|
Treatment of ankle fracture 27786
|
$590.85 |
$590.85 |
$590.85 |
$575.25
|
|
Treatment of toe fracture 28510
|
$255.45 |
$255.45 |
$255.45 |
$362.00
|
|
Treat metacarpal fracture
|
$1,363.05 |
$1,363.05 |
$1,363.05 |
$3,743.15
|
|
Treat thigh fracture
|
$2,570.75 |
$2,570.75 |
$2,570.75 |
$6,048.00
|
|
Treat toe dislocation
|
$343.85 |
$343.85 |
$343.85 |
$512.20
|
|
Treat vaginal bleeding
|
$232.70 |
$232.70 |
$232.70 |
$342.25
|
|
Treat wrist dislocation
|
$763.10 |
$763.10 |
$763.10 |
$760.00
|
|
Treponema pallidum antibody
|
$75.40 |
$75.40 |
$75.40 |
$74.40
|
|
Trg gene rearrangement anal
|
$358.80 |
$358.80 |
$358.80 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$38.89 |
$38.89 |
$38.89 |
$28.90
|
|
Triglycerides
|
$95.55 |
$95.55 |
$95.55 |
$48.75
|
|
Troponin quantitative
|
$137.15 |
$137.15 |
$137.15 |
$112.80
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$1,023.10 |
$1,023.10 |
$1,023.10 |
$4,468.55
|
|
Ultrasound abdomen aorta screening study aaa
|
$406.90 |
$406.90 |
$406.90 |
$394.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$333.45 |
$333.45 |
$333.45 |
$427.00
|
|
Ultrasound chest
|
$459.55 |
$459.55 |
$459.55 |
$430.10
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$458.25 |
$458.25 |
$458.25 |
$428.68
|
|
Ultrasound guided needle placement supervision & interpretation
|
$747.50 |
$747.50 |
$747.50 |
$629.64
|
|
Ultrasound joint complete left
|
$786.50 |
$786.50 |
$786.50 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$507.65 |
$507.65 |
$507.65 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$485.55 |
$485.55 |
$485.55 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$300.30 |
$300.30 |
$300.30 |
$304.80
|
