|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,332.90 |
$4,332.90 |
$4,332.90 |
$4,627.00
|
|
Transferrin
|
$85.25 |
$85.25 |
$85.25 |
$84.50
|
|
Transfusion blood/blood component(s)
|
$434.50 |
$434.50 |
$434.50 |
$1,005.00
|
|
Treat clavicle dislocation 23545
|
$957.55 |
$957.55 |
$957.55 |
$759.61
|
|
Treat elbow dislocation
|
$2,259.95 |
$2,259.95 |
$2,259.95 |
$2,326.40
|
|
Treat elbow fracture
|
$1,840.85 |
$1,840.85 |
$1,840.85 |
$2,125.60
|
|
Treat finger fracture each
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$1,815.75
|
|
Treat fracture of radius
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$2,030.33
|
|
Treat fracture of ulna
|
$1,234.75 |
$1,234.75 |
$1,234.75 |
$800.66
|
|
Treat hip dislocation
|
$1,823.80 |
$1,823.80 |
$1,823.80 |
$2,558.85
|
|
Treat kneecap dislocation
|
$723.80 |
$723.80 |
$723.80 |
$1,554.80
|
|
Treat knuckle dislocation
|
$2,915.00 |
$2,915.00 |
$2,915.00 |
$1,893.86
|
|
Treat lower leg dislocation
|
$5,104.55 |
$5,104.55 |
$5,104.55 |
$4,108.00
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,938.90 |
$5,938.90 |
$5,938.90 |
$3,801.60
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$343.20 |
$343.20 |
$343.20 |
$241.24
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$134.20 |
$134.20 |
$134.20 |
$155.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$341.00 |
$341.00 |
$341.00 |
$204.65
|
|
Treatment of thigh fracture
|
$925.10 |
$925.10 |
$925.10 |
$2,055.00
|
|
Treat trigeminal tract
|
$2,799.50 |
$2,799.50 |
$2,799.50 |
$3,786.00
|
|
Treat ulnar fracture
|
$2,609.75 |
$2,609.75 |
$2,609.75 |
$1,818.60
|
|
Treat wrist dislocation
|
$702.90 |
$702.90 |
$702.90 |
$777.00
|
|
Treponema pallidum antibody
|
$44.55 |
$44.55 |
$44.55 |
$72.05
|
|
Trichinella antibody
|
$82.50 |
$82.50 |
$82.50 |
$72.80
|
|
#tricyclicantidprssnt
|
$109.45 |
$109.45 |
$109.45 |
$53.33
|
|
Triglycerides
|
$53.35 |
$53.35 |
$53.35 |
$54.60
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$9,773.50 |
$9,773.50 |
$9,773.50 |
$8,196.29
|
|
Troponin quantitative
|
$147.95 |
$147.95 |
$147.95 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$924.00 |
$924.00 |
$924.00 |
$1,417.90
|
|
Tx closed hip disl traumatic without anes
|
$487.30 |
$487.30 |
$487.30 |
$665.66
|
|
Ultrasound abdomen aorta screening study aaa
|
$485.65 |
$485.65 |
$485.65 |
$406.90
|
|
Ultrasound breast complete
|
$395.45 |
$395.45 |
$395.45 |
$522.40
|
|
Ultrasound breast unilateral limited (both sides)
|
$365.75 |
$365.75 |
$365.75 |
$455.26
|
|
Ultrasound chest
|
$506.00 |
$506.00 |
$506.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$168.85 |
$168.85 |
$168.85 |
$340.14
|
|
Ultrasound encephalogram
|
$519.75 |
$519.75 |
$519.75 |
$477.10
|
|
Ultrasound exam k transpl w/doppler
|
$702.35 |
$702.35 |
$702.35 |
$556.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$214.50 |
$214.50 |
$214.50 |
$477.10
|
|
Ultrasound guidance for vascular access
|
$1,051.60 |
$1,051.60 |
$1,051.60 |
$333.60
|
|
Ultrasound guided needle placement supervision & interpretation
|
$838.20 |
$838.20 |
$838.20 |
$673.19
|
|
Ultrasound guide intraoperative
|
$616.00 |
$616.00 |
$616.00 |
$632.90
|
|
Ultrasound joint complete left
|
$418.55 |
$418.55 |
$418.55 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$319.00 |
$319.00 |
$319.00 |
$454.74
|
|
Ultrasound ob >=14wks ea addl gest
|
$572.00 |
$572.00 |
$572.00 |
$442.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$350.90 |
$350.90 |
$350.90 |
$323.40
|
|
Ultrasound pregnant uterus follow up per fetus
|
$323.95 |
$323.95 |
$323.95 |
$447.30
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$452.10 |
$452.10 |
$452.10 |
$452.30
|
|
Ultrasound pregnant uterus transvaginal
|
$526.35 |
$526.35 |
$526.35 |
$481.65
|
|
Ultrasound retroperitoneal limited
|
$436.15 |
$436.15 |
$436.15 |
$483.99
|
|
Ultrasound scrotum and contents
|
$506.00 |
$506.00 |
$506.00 |
$615.00
|
|
Ultrasound spinal canal and contents
|
$372.35 |
$372.35 |
$372.35 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$533.50 |
$533.50 |
$533.50 |
$561.60
|
|
Umbilical artery cath newborn 36660
|
$294.25 |
$294.25 |
$294.25 |
$235.00
|
|
Unlisted px casting/strpg
|
$248.05 |
$248.05 |
$248.05 |
$224.80
|
|
Unlisted px palate uvula
|
$1,480.44 |
$1,480.44 |
$1,480.44 |
$257.04
|
|
Unlisted surgical path px
|
$30.25 |
$30.25 |
$30.25 |
$71.65
|
|
Unsched dialysis esrd pt hos
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,467.65
|
|
Upgrade pm system
|
$14,177.90 |
$14,177.90 |
$14,177.90 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,241.25 |
$2,241.25 |
$2,241.25 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,934.35 |
$1,934.35 |
$1,934.35 |
$2,350.95
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,895.30 |
$1,895.30 |
$1,895.30 |
$2,013.08
|
|
Urea nitrogen
|
$53.35 |
$53.35 |
$53.35 |
$45.00
|
|
Urea nitrogen 24 hour urine
|
$52.80 |
$52.80 |
$52.80 |
$50.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$374.00 |
$374.00 |
$374.00 |
$574.40
|
|
Urethrocystography void s&i
|
$433.95 |
$433.95 |
$433.95 |
$622.05
|
|
Uric acid blood
|
$47.85 |
$47.85 |
$47.85 |
$46.64
|
|
Uric acid urine
|
$52.80 |
$52.80 |
$52.80 |
$47.20
|
|
Urinalysis qual/semiquant excpt ia
|
$30.25 |
$30.25 |
$30.25 |
$25.72
|
|
Urinalysis (with microscopy)
|
$55.00 |
$55.00 |
$55.00 |
$48.14
|
|
Urinalysis (without microscopy)
|
$56.10 |
$56.10 |
$56.10 |
$39.00
|
|
Urine Culture Test
|
$79.20 |
$79.20 |
$79.20 |
$84.60
|
|
Urine pregnancy test
|
$32.45 |
$32.45 |
$32.45 |
$66.87
|
|
Urography, antegrade
|
$433.95 |
$433.95 |
$433.95 |
$593.37
|
|
Valproic acid total therapeutic drug level
|
$151.25 |
$151.25 |
$151.25 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$174.35 |
$174.35 |
$174.35 |
$123.91
|
|
Varicella zoster antibody igg
|
$118.25 |
$118.25 |
$118.25 |
$82.55
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$243.65 |
$243.65 |
$243.65 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$243.65 |
$243.65 |
$243.65 |
$67.00
|
|
Venogram ext bil s&i
|
$2,154.90 |
$2,154.90 |
$2,154.90 |
$1,829.42
|
|
Ventilator each subsequent day
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,299.96
|
|
Ventilator initial day
|
$1,857.90 |
$1,857.90 |
$1,857.90 |
$1,501.44
|
|
Version cephalic external
|
$2,154.90 |
$2,154.90 |
$2,154.90 |
$2,507.22
|
|
Very long chain fatty acids
|
$108.90 |
$108.90 |
$108.90 |
$141.05
|
|
Virus isolation addl studies ea
|
$14.85 |
$14.85 |
$14.85 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$68.75 |
$68.75 |
$68.75 |
$173.25
|
|
Vital capacity test
|
$200.20 |
$200.20 |
$200.20 |
$170.99
|
|
Vitamin b-12
|
$76.45 |
$76.45 |
$76.45 |
$92.50
|
|
Vitamin D Test
|
$173.25 |
$173.25 |
$173.25 |
$132.00
|
|
Volume measurement urine timed
|
$8.80 |
$8.80 |
$8.80 |
$21.45
|
|
Warde 1003990 aldosterone
|
$160.05 |
$160.05 |
$160.05 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$218.90 |
$218.90 |
$218.90 |
$95.55
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$77.00 |
$77.00 |
$77.00 |
$68.25
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$208.45 |
$208.45 |
$208.45 |
$111.60
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$130.90 |
$130.90 |
$130.90 |
$68.80
|
|
Warde 1015200 kappa light chain free
|
$100.65 |
$100.65 |
$100.65 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$40.70 |
$40.70 |
$40.70 |
$41.40
|
|
Warde 3008005 oligoclonal bands
|
$96.25 |
$96.25 |
$96.25 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$108.35 |
$108.35 |
$108.35 |
$62.40
|
|
Warde 3016000 west nile virus antibody igg
|
$108.35 |
$108.35 |
$108.35 |
$65.65
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$147.40 |
$147.40 |
$147.40 |
$55.25
|
