|
Stress test pulmonary
|
$231.20 |
$231.20 |
$231.20 |
$322.85
|
|
St treatment speech individual
|
$213.40 |
$213.40 |
$213.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$195.00 |
$195.00 |
$195.00 |
$240.31
|
|
Sugars single quant
|
$56.20 |
$56.20 |
$56.20 |
$64.28
|
|
Surgical pathology level 1 gross examination only
|
$56.20 |
$56.20 |
$56.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$193.80 |
$193.80 |
$193.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$217.40 |
$217.40 |
$217.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$256.80 |
$256.80 |
$256.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$466.00 |
$466.00 |
$466.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$705.60 |
$705.60 |
$705.60 |
$718.00
|
|
Susceptibility enzyme detection per enzyme
|
$20.20 |
$20.20 |
$20.20 |
$35.70
|
|
Susceptibility mic per plate
|
$271.00 |
$271.00 |
$271.00 |
$106.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$80.40 |
$80.40 |
$80.40 |
$41.60
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$9,995.97 |
$9,995.97 |
$9,995.97 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$159.60 |
$159.60 |
$159.60 |
$99.20
|
|
T3 (triiodothyronine) total
|
$276.00 |
$276.00 |
$276.00 |
$93.52
|
|
T4 (thyroxine) free
|
$35.00 |
$35.00 |
$35.00 |
$85.20
|
|
T4 (thyroxine) total
|
$101.40 |
$101.40 |
$101.40 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.20 |
$7.20 |
$7.20 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$50.00 |
$50.00 |
$50.00 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$365.20 |
$365.20 |
$365.20 |
$177.65
|
|
T cells absolute cd 4 count
|
$234.40 |
$234.40 |
$234.40 |
$111.20
|
|
T cells total count
|
$207.80 |
$207.80 |
$207.80 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$46,983.60 |
$46,983.60 |
$46,983.60 |
$15,245.38
|
|
Test stress cardiovascular tracing only
|
$1,796.60 |
$1,796.60 |
$1,796.60 |
$949.70
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,669.80 |
$3,669.80 |
$3,669.80 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$7,599.40 |
$7,599.40 |
$7,599.40 |
$3,580.00
|
|
Thrombin time
|
$17.60 |
$17.60 |
$17.60 |
$53.76
|
|
Thyroglobulin antibody
|
$163.80 |
$163.80 |
$163.80 |
$82.00
|
|
Thyroid (TSH) Test
|
$40.00 |
$40.00 |
$40.00 |
$111.00
|
|
Thyroid Ultrasound
|
$792.40 |
$792.40 |
$792.40 |
$588.50
|
|
Tissue exam koh skin/hair/nails
|
$135.20 |
$135.20 |
$135.20 |
$47.20
|
|
Tissue transglutaminase iga
|
$38.20 |
$38.20 |
$38.20 |
$44.16
|
|
Tomosynthesis breast screen bilateral
|
$103.00 |
$103.00 |
$103.00 |
$72.68
|
|
Toxoplasma antibody igg
|
$133.40 |
$133.40 |
$133.40 |
$89.40
|
|
Toxoplasma antibody igm
|
$532.40 |
$532.40 |
$532.40 |
$87.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$77.60 |
$77.60 |
$77.60 |
$56.38
|
|
Transferrin
|
$50.00 |
$50.00 |
$50.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,680.40 |
$2,680.40 |
$2,680.40 |
$983.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$256.60 |
$256.60 |
$256.60 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$232.00 |
$232.00 |
$232.00 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$427.00 |
$427.00 |
$427.00 |
$203.35
|
|
Treponema pallidum antibody
|
$150.00 |
$150.00 |
$150.00 |
$70.40
|
|
Trichomonas assay w/optic
|
$383.40 |
$383.40 |
$383.40 |
$55.50
|
|
Triglycerides
|
$132.20 |
$132.20 |
$132.20 |
$58.05
|
|
Troponin quantitative
|
$63.00 |
$63.00 |
$63.00 |
$127.20
|
|
Ultrasound abdomen aorta screening study aaa
|
$855.40 |
$855.40 |
$855.40 |
$394.20
|
|
Ultrasound breast complete
|
$547.80 |
$547.80 |
$547.80 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$531.60 |
$531.60 |
$531.60 |
$449.35
|
|
Ultrasound chest
|
$564.20 |
$564.20 |
$564.20 |
$460.85
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$701.80 |
$701.80 |
$701.80 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$644.20 |
$644.20 |
$644.20 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
$720.15
|
|
Ultrasound joint/nonvascular extremity limited left
|
$728.40 |
$728.40 |
$728.40 |
$425.45
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$376.00 |
$376.00 |
$376.00 |
$331.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$909.20 |
$909.20 |
$909.20 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$867.60 |
$867.60 |
$867.60 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$831.80 |
$831.80 |
$831.80 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$856.60 |
$856.60 |
$856.60 |
$486.50
|
|
Ultrasound scrotum and contents
|
$792.40 |
$792.40 |
$792.40 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$512.80 |
$512.80 |
$512.80 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$831.80 |
$831.80 |
$831.80 |
$558.35
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$700.50 |
$700.50 |
$700.50 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$633.50 |
$633.50 |
$633.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$2,034.41
|
|
Urea nitrogen
|
$49.00 |
$49.00 |
$49.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$51.75
|
|
Uric acid blood
|
$15.00 |
$15.00 |
$15.00 |
$48.75
|
|
Urinalysis (with microscopy)
|
$10.00 |
$10.00 |
$10.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$10.00 |
$10.00 |
$10.00 |
$35.75
|
|
Urine Culture Test
|
$25.00 |
$25.00 |
$25.00 |
$81.50
|
|
Urine pregnancy test
|
$139.60 |
$139.60 |
$139.60 |
$67.20
|
|
Valproic acid total therapeutic drug level
|
$259.60 |
$259.60 |
$259.60 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$337.00 |
$337.00 |
$337.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$161.20 |
$161.20 |
$161.20 |
$86.80
|
|
Vedolizumab 300 mg intravenous solution
|
$54,155.80 |
$54,155.80 |
$54,155.80 |
$18,732.33
|
|
Ventilator each subsequent day
|
$823.40 |
$823.40 |
$823.40 |
$1,204.00
|
|
Ventilator initial day
|
$1,293.40 |
$1,293.40 |
$1,293.40 |
$1,431.43
|
|
Version cephalic external
|
$8,106.60 |
$8,106.60 |
$8,106.60 |
$2,361.75
|
|
Vitamin b-12
|
$40.00 |
$40.00 |
$40.00 |
$100.00
|
|
Vitamin D Test
|
$100.00 |
$100.00 |
$100.00 |
$132.00
|
|
Warde 1003990 aldosterone
|
$697.80 |
$697.80 |
$697.80 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$459.20 |
$459.20 |
$459.20 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$429.20 |
$429.20 |
$429.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$181.80 |
$181.80 |
$181.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$305.20 |
$305.20 |
$305.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$294.20 |
$294.20 |
$294.20 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$246.60 |
$246.60 |
$246.60 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$83.60 |
$83.60 |
$83.60 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$83.60 |
$83.60 |
$83.60 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$281.60 |
$281.60 |
$281.60 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$368.80 |
$368.80 |
$368.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$75.20 |
$75.20 |
$75.20 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$398.40 |
$398.40 |
$398.40 |
$218.40
|
|
Warde 3400852 arsenic
|
$173.00 |
$173.00 |
$173.00 |
$100.88
|
|
Warde 3708165 mercury urine
|
$174.60 |
$174.60 |
$174.60 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$49.60 |
$49.60 |
$49.60 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$759.20 |
$759.20 |
$759.20 |
$151.20
|
|
Warde analysis gene hfe common variants
|
$751.20 |
$751.20 |
$751.20 |
$267.28
|
|
Warde anti-mullerian hormone
|
$160.80 |
$160.80 |
$160.80 |
$80.08
|
