|
Thyroid Ultrasound
|
$529.10 |
$529.10 |
$529.10 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$75.40 |
$75.40 |
$75.40 |
$75.00
|
|
Tissue culture placenta
|
$440.05 |
$440.05 |
$440.05 |
$470.00
|
|
Tissue culture skin/biopsy
|
$453.05 |
$453.05 |
$453.05 |
$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
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$1,762.02 |
$1,762.02 |
$1,762.02 |
$2,743.02
|
|
Toxoplasma antibody igg
|
$85.80 |
$85.80 |
$85.80 |
$83.20
|
|
Toxoplasma antibody igm
|
$87.75 |
$87.75 |
$87.75 |
$85.80
|
|
Tpmt gene com vrnts
|
$360.75 |
$360.75 |
$360.75 |
$402.35
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$97.50 |
$97.50 |
$97.50 |
$90.35
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$91.86 |
$91.86 |
$91.86 |
$77.65
|
|
Transferrin
|
$96.20 |
$96.20 |
$96.20 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,935.05 |
$1,935.05 |
$1,935.05 |
$988.24
|
|
Treat finger fracture each
|
$611.00 |
$611.00 |
$611.00 |
$1,808.00
|
|
Treat fracture of radius
|
$793.00 |
$793.00 |
$793.00 |
$1,884.74
|
|
Treat humerus fracture
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$2,055.00
|
|
Treat knee fracture 27530
|
$768.30 |
$768.30 |
$768.30 |
$576.13
|
|
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
|
$128.70 |
$128.70 |
$128.70 |
$197.60
|
|
Treatment of ankle fracture 27786
|
$590.85 |
$590.85 |
$590.85 |
$575.25
|
|
Treatment of toe fracture 28510
|
$227.50 |
$227.50 |
$227.50 |
$362.00
|
|
Treat ulnar fracture
|
$802.10 |
$802.10 |
$802.10 |
$1,771.43
|
|
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
|
$37.19 |
$37.19 |
$37.19 |
$28.90
|
|
Trichinella antibody
|
$72.80 |
$72.80 |
$72.80 |
$56.55
|
|
Triglycerides
|
$95.55 |
$95.55 |
$95.55 |
$48.75
|
|
Troponin quantitative
|
$137.80 |
$137.80 |
$137.80 |
$112.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$410.80 |
$410.80 |
$410.80 |
$394.20
|
|
Ultrasound breast complete
|
$569.40 |
$569.40 |
$569.40 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$553.80 |
$553.80 |
$553.80 |
$427.00
|
|
Ultrasound chest
|
$420.55 |
$420.55 |
$420.55 |
$430.10
|
|
Ultrasound encephalogram
|
$469.95 |
$469.95 |
$469.95 |
$463.50
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$450.45 |
$450.45 |
$450.45 |
$428.68
|
|
Ultrasound guided needle placement supervision & interpretation
|
$747.50 |
$747.50 |
$747.50 |
$629.64
|
|
Ultrasound joint complete left
|
$577.85 |
$577.85 |
$577.85 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$446.55 |
$446.55 |
$446.55 |
$426.60
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$300.30 |
$300.30 |
$300.30 |
$304.80
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$421.85 |
$421.85 |
$421.85 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$464.10 |
$464.10 |
$464.10 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$494.65 |
$494.65 |
$494.65 |
$469.58
|
|
Ultrasound scrotum and contents
|
$590.20 |
$590.20 |
$590.20 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$533.65 |
$533.65 |
$533.65 |
$523.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,893.15 |
$2,893.15 |
$2,893.15 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,645.50 |
$2,645.50 |
$2,645.50 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,156.70 |
$2,156.70 |
$2,156.70 |
$1,794.00
|
|
Urea nitrogen
|
$37.05 |
$37.05 |
$37.05 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$52.00 |
$52.00 |
$52.00 |
$42.90
|
|
Uric acid blood
|
$38.35 |
$38.35 |
$38.35 |
$44.00
|
|
Uric acid urine
|
$42.25 |
$42.25 |
$42.25 |
$43.20
|
|
Urinalysis microscopic only
|
$27.95 |
$27.95 |
$27.95 |
$25.72
|
|
Urinalysis (with microscopy)
|
$51.35 |
$51.35 |
$51.35 |
$37.39
|
|
Urinalysis (without microscopy)
|
$39.65 |
$39.65 |
$39.65 |
$33.00
|
|
Urine Culture Test
|
$80.60 |
$80.60 |
$80.60 |
$63.84
|
|
Urine pregnancy test
|
$66.30 |
$66.30 |
$66.30 |
$57.00
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$124.74 |
$124.74 |
$124.74 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$373.94 |
$373.94 |
$373.94 |
$130.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$86.35 |
$86.35 |
$86.35 |
$47.38
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,346.83 |
$1,346.83 |
$1,346.83 |
$579.50
|
|
Vaccine rabies im
|
$1,372.44 |
$1,372.44 |
$1,372.44 |
$800.00
|
|
Vaccine tdap >=7 years im
|
$213.61 |
$213.61 |
$213.61 |
$131.34
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$29.31 |
$29.31 |
$29.31 |
$22.29
|
|
Valproic acid total therapeutic drug level
|
$74.10 |
$74.10 |
$74.10 |
$100.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$46.48 |
$46.48 |
$46.48 |
$112.14
|
|
Vancomycin 750 mg intravenous solution
|
$187.24 |
$187.24 |
$187.24 |
$187.24
|
|
Vancomycin peak therapeutic drug level
|
$118.95 |
$118.95 |
$118.95 |
$116.00
|
|
Varicella zoster antibody igg
|
$99.45 |
$99.45 |
$99.45 |
$90.35
|
|
Vasopressin 20 unit/ml intravenous solution
|
$459.78 |
$459.78 |
$459.78 |
$330.41
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$390.25 |
$390.25 |
$390.25 |
$123.00
|
|
Venipuncture <3 yrs other vein
|
$13.65 |
$13.65 |
$13.65 |
$46.80
|
|
Ventilator each subsequent day
|
$1,054.30 |
$1,054.30 |
$1,054.30 |
$1,138.50
|
|
Ventilator initial day
|
$1,164.15 |
$1,164.15 |
$1,164.15 |
$1,331.00
|
|
Very long chain fatty acids
|
$133.25 |
$133.25 |
$133.25 |
$157.30
|
|
Virus isolation addl studies ea
|
$143.65 |
$143.65 |
$143.65 |
$90.35
|
|
Vital capacity test
|
$167.05 |
$167.05 |
$167.05 |
$170.00
|
|
Vitamin b-12
|
$87.10 |
$87.10 |
$87.10 |
$89.70
|
|
Vitamin D Test
|
$150.80 |
$150.80 |
$150.80 |
$132.60
|
|
Volume measurement urine timed
|
$17.55 |
$17.55 |
$17.55 |
$17.40
|
|
Warde 1003990 aldosterone
|
$165.10 |
$165.10 |
$165.10 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$95.55 |
$95.55 |
$95.55 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$85.80 |
$85.80 |
$85.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$133.25 |
$133.25 |
$133.25 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$89.05 |
$89.05 |
$89.05 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$109.85 |
$109.85 |
$109.85 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$50.70 |
$50.70 |
$50.70 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$116.35 |
$116.35 |
$116.35 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$78.00 |
$78.00 |
$78.00 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$78.00 |
$78.00 |
$78.00 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$96.85 |
$96.85 |
$96.85 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$83.20 |
$83.20 |
$83.20 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$79.30 |
$79.30 |
$79.30 |
$79.30
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$263.25 |
$263.25 |
$263.25 |
$250.90
|
|
Warde 3400852 arsenic
|
$148.20 |
$148.20 |
$148.20 |
$107.38
|
|
Warde 3708165 mercury urine
|
$69.55 |
$69.55 |
$69.55 |
$82.20
|
|
Warde acetylcholine receptor blocking antibody
|
$136.50 |
$136.50 |
$136.50 |
$82.55
|
|
Warde actin (smooth muscle) antibody each
|
$92.30 |
$92.30 |
$92.30 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$102.70 |
$102.70 |
$102.70 |
$96.03
|
