|
St evaluation motion fluoroscopic swallow function cine/video
|
$329.55 |
$329.55 |
$329.55 |
$336.00
|
|
St evaluation swallow function
|
$323.05 |
$323.05 |
$323.05 |
$323.72
|
|
Strapping of elbow or wrist 29260
|
$87.10 |
$87.10 |
$87.10 |
$176.31
|
|
Strep a ag ia
|
$96.85 |
$96.85 |
$96.85 |
$75.40
|
|
Strep b dna amp probe
|
$102.70 |
$102.70 |
$102.70 |
$124.20
|
|
Stress test pulmonary
|
$271.70 |
$271.70 |
$271.70 |
$330.63
|
|
Str markers specimen anal
|
$815.10 |
$815.10 |
$815.10 |
$978.25
|
|
St treatment speech individual
|
$222.30 |
$222.30 |
$222.30 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$280.15 |
$280.15 |
$280.15 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Surgical pathology level 4 gross & microscopic examination
|
$312.65 |
$312.65 |
$312.65 |
$239.85
|
|
Susceptibility agar dilution per agent
|
$31.85 |
$31.85 |
$31.85 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$33.15 |
$33.15 |
$33.15 |
$31.85
|
|
Susceptibility mic per plate
|
$128.70 |
$128.70 |
$128.70 |
$89.70
|
|
Sweat collection by iontophoresis
|
$116.35 |
$116.35 |
$116.35 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.65 |
$52.65 |
$52.65 |
$45.70
|
|
T3 (triiodothyronine) free
|
$98.80 |
$98.80 |
$98.80 |
$91.20
|
|
T3 (triiodothyronine) total
|
$79.95 |
$79.95 |
$79.95 |
$88.00
|
|
T4 (thyroxine) free
|
$91.00 |
$91.00 |
$91.00 |
$65.00
|
|
T4 (thyroxine) total
|
$54.60 |
$54.60 |
$54.60 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$169.65 |
$169.65 |
$169.65 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$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
|
$132.60 |
$132.60 |
$132.60 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$193.70 |
$193.70 |
$193.70 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$215.15 |
$215.15 |
$215.15 |
$189.60
|
|
T cells absolute cd 4 count
|
$168.35 |
$168.35 |
$168.35 |
$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)
|
$24,269.49 |
$24,269.49 |
$24,269.49 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$86.18 |
$86.18 |
$86.18 |
$39.33
|
|
Test for porphobilinogen
|
$42.25 |
$42.25 |
$42.25 |
$33.57
|
|
Theophylline therapeutic drug level
|
$100.10 |
$100.10 |
$100.10 |
$101.40
|
|
Therapeutic procd strg endur
|
$67.60 |
$67.60 |
$67.60 |
$72.39
|
|
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
|
$37.70 |
$37.70 |
$37.70 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$26.25 |
$26.25 |
$26.25 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$410.80 |
$410.80 |
$410.80 |
$1,658.70
|
|
Thrombin time
|
$63.05 |
$63.05 |
$63.05 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$46.15 |
$46.15 |
$46.15 |
$56.93
|
|
Thyroglobulin antibody
|
$85.15 |
$85.15 |
$85.15 |
$86.40
|
|
Thyroid (TSH) Test
|
$96.85 |
$96.85 |
$96.85 |
$101.40
|
|
Thyroid Ultrasound
|
$399.10 |
$399.10 |
$399.10 |
$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
|
$274.30 |
$274.30 |
$274.30 |
$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
|
|
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
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$89.68 |
$89.68 |
$89.68 |
$77.65
|
|
Transferrin
|
$96.20 |
$96.20 |
$96.20 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,990.95 |
$1,990.95 |
$1,990.95 |
$988.24
|
|
Treat ankle dislocation
|
$979.55 |
$979.55 |
$979.55 |
$2,132.50
|
|
Treat elbow dislocation
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$2,326.40
|
|
Treat fracture of ulna
|
$791.05 |
$791.05 |
$791.05 |
$806.13
|
|
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
|
$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
|
$944.45 |
$944.45 |
$944.45 |
$1,771.43
|
|
Treat wrist bone fracture
|
$741.65 |
$741.65 |
$741.65 |
$1,858.61
|
|
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
|
|
Trmt of fracture (femoral shaft) 27500
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$857.58
|
|
Troponin quantitative
|
$137.80 |
$137.80 |
$137.80 |
$112.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$406.90 |
$406.90 |
$406.90 |
$394.20
|
|
Ultrasound chest
|
$416.65 |
$416.65 |
$416.65 |
$430.10
|
|
Ultrasound joint complete left
|
$397.15 |
$397.15 |
$397.15 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$350.35 |
$350.35 |
$350.35 |
$426.60
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$300.30 |
$300.30 |
$300.30 |
$304.80
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$318.50 |
$318.50 |
$318.50 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$460.20 |
$460.20 |
$460.20 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$381.55 |
$381.55 |
$381.55 |
$469.58
|
|
Ultrasound scrotum and contents
|
$364.00 |
$364.00 |
$364.00 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$341.90 |
$341.90 |
$341.90 |
$523.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,889.25 |
$2,889.25 |
$2,889.25 |
$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)
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,794.00
|
|
Urea nitrogen
|
$34.45 |
$34.45 |
$34.45 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$42.90
|
|
Uric acid blood
|
$43.55 |
$43.55 |
$43.55 |
$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)
|
$35.10 |
$35.10 |
$35.10 |
$33.00
|
|
Urine Culture Test
|
$75.40 |
$75.40 |
$75.40 |
$63.84
|
|
Urine pregnancy test
|
$53.95 |
$53.95 |
$53.95 |
$57.00
|
|
Vaccine dtap < 7 years im
|
$124.39 |
$124.39 |
$124.39 |
$66.69
|
|
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
|
