|
Tc-99m sestamibi p study dose
|
$1,541.72 |
$1,541.72 |
$1,541.72 |
$293.73
|
|
Tc-99m sulfur colloid
|
$1,541.72 |
$1,541.72 |
$1,541.72 |
$239.40
|
|
Tc-99m tetrofosmin p study dose
|
$274.58 |
$274.58 |
$274.58 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$1,787.93 |
$1,787.93 |
$1,787.93 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$335.00 |
$335.00 |
$335.00 |
$175.00
|
|
T cells absolute cd 4 count
|
$325.00 |
$325.00 |
$325.00 |
$110.00
|
|
T cells total count
|
$288.00 |
$288.00 |
$288.00 |
$123.00
|
|
Telethx isodose plan cplx
|
$9,611.28 |
$9,611.28 |
$9,611.28 |
$1,488.40
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$46,367.66 |
$46,367.66 |
$46,367.66 |
$15,600.75
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$260.87 |
$260.87 |
$260.87 |
$39.18
|
|
Tert gene targeted seq alys
|
$356.92 |
$356.92 |
$356.92 |
$335.00
|
|
Test pathogen(s) for platelets reference
|
$115.00 |
$115.00 |
$115.00 |
$66.00
|
|
Test stress cardiovascular tracing only
|
$5,173.61 |
$5,173.61 |
$5,173.61 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,419.40 |
$1,419.40 |
$1,419.40 |
$1,228.80
|
|
Theophylline therapeutic drug level
|
$285.00 |
$285.00 |
$285.00 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$168.77 |
$168.77 |
$168.77 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$142.38 |
$142.38 |
$142.38 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$209.23 |
$209.23 |
$209.23 |
$25.54
|
|
Thrombin time
|
$453.00 |
$453.00 |
$453.00 |
$53.60
|
|
Thyroglobulin antibody
|
$426.00 |
$426.00 |
$426.00 |
$81.90
|
|
Thyroid imaging
|
$3,892.19 |
$3,892.19 |
$3,892.19 |
$673.01
|
|
Thyroid uptake measurement
|
$2,808.62 |
$2,808.62 |
$2,808.62 |
$580.20
|
|
Thyroxine binding globulin (tbg)
|
$365.00 |
$365.00 |
$365.00 |
$64.92
|
|
Tigecycline injection
|
$1,126.55 |
$1,126.55 |
$1,126.55 |
$234.00
|
|
Tobramycin non-comp unit
|
$89.81 |
$89.81 |
$89.81 |
$105.75
|
|
Total tau
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$297.70
|
|
Toxoplasma antibody igg
|
$350.59 |
$350.59 |
$350.59 |
$89.57
|
|
Toxoplasma antibody igm
|
$537.00 |
$537.00 |
$537.00 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$1,222.97 |
$1,222.97 |
$1,222.97 |
$823.00
|
|
Transferrin
|
$224.00 |
$224.00 |
$224.00 |
$81.60
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$1,218.99 |
$1,218.99 |
$1,218.99 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$1,117.64 |
$1,117.64 |
$1,117.64 |
$141.00
|
|
Treatment radiation delivery level 2
|
$7,798.96 |
$7,798.96 |
$7,798.96 |
$737.25
|
|
Treponema pallidum antibody
|
$396.00 |
$396.00 |
$396.00 |
$70.85
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$116.32 |
$116.32 |
$116.32 |
$43.80
|
|
#tricyclicantidprssnt
|
$138.00 |
$138.00 |
$138.00 |
$45.40
|
|
Ultrasound abdomen aorta screening study aaa
|
$875.11 |
$875.11 |
$875.11 |
$394.20
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,557.98 |
$1,557.98 |
$1,557.98 |
$338.00
|
|
Ultrasound encephalogram
|
$2,574.78 |
$2,574.78 |
$2,574.78 |
$494.92
|
|
Ultrasound guidance for vascular access
|
$3,085.00 |
$3,085.00 |
$3,085.00 |
$379.36
|
|
Ultrasound guided needle placement supervision & interpretation
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$720.00
|
|
Ultrasound guide intraoperative
|
$1,184.35 |
$1,184.35 |
$1,184.35 |
$625.15
|
|
Ultrasound ob >=14wks ea addl gest
|
$2,820.36 |
$2,820.36 |
$2,820.36 |
$397.15
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$2,796.68 |
$2,796.68 |
$2,796.68 |
$323.40
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$2,075.39 |
$2,075.39 |
$2,075.39 |
$693.00
|
|
Ultrasound prostate/transrectal
|
$2,678.91 |
$2,678.91 |
$2,678.91 |
$545.16
|
|
Ultrasound spinal canal and contents
|
$2,004.08 |
$2,004.08 |
$2,004.08 |
$459.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$21,531.05 |
$21,531.05 |
$21,531.05 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$13,708.77 |
$13,708.77 |
$13,708.77 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$11,581.99 |
$11,581.99 |
$11,581.99 |
$2,034.41
|
|
Urea nitrogen 24 hour urine
|
$365.00 |
$365.00 |
$365.00 |
$52.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,497.62 |
$2,497.62 |
$2,497.62 |
$584.00
|
|
Urethrocystography void s&i
|
$3,108.56 |
$3,108.56 |
$3,108.56 |
$622.35
|
|
Uric acid urine
|
$468.14 |
$468.14 |
$468.14 |
$44.14
|
|
Urine Culture Test
|
$450.00 |
$450.00 |
$450.00 |
$84.00
|
|
Vaccine dtap < 7 years im
|
$203.13 |
$203.13 |
$203.13 |
$73.01
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$159.42 |
$159.42 |
$159.42 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$61.36 |
$61.36 |
$61.36 |
$42.90
|
|
Vaccine hepatitis a (hepa) adult im
|
$484.23 |
$484.23 |
$484.23 |
$170.09
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$231.49 |
$231.49 |
$231.49 |
$79.15
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$332.80 |
$332.80 |
$332.80 |
$154.78
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$158.94 |
$158.94 |
$158.94 |
$74.42
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$365.21 |
$365.21 |
$365.21 |
$143.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$95.87 |
$95.87 |
$95.87 |
$47.88
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$933.07 |
$933.07 |
$933.07 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$864.75 |
$864.75 |
$864.75 |
$310.93
|
|
Vaccine mmr live subcutaneous
|
$1,021.59 |
$1,021.59 |
$1,021.59 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$785.88 |
$785.88 |
$785.88 |
$252.90
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,236.05 |
$1,236.05 |
$1,236.05 |
$385.45
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1,092.45 |
$1,092.45 |
$1,092.45 |
$90.70
|
|
Vaccine rabies im
|
$2,656.53 |
$2,656.53 |
$2,656.53 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,667.44 |
$2,667.44 |
$2,667.44 |
$1,105.21
|
|
Vaccine tdap >=7 years im
|
$269.37 |
$269.37 |
$269.37 |
$136.80
|
|
Vaccine td preservative free >= 7 years im
|
$310.74 |
$310.74 |
$310.74 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$852.00 |
$852.00 |
$852.00 |
$115.00
|
|
Veeg unmon 12-26 hrs
|
$11,575.65 |
$11,575.65 |
$11,575.65 |
$1,647.00
|
|
Veeg unmon 2-12 hrs
|
$11,575.65 |
$11,575.65 |
$11,575.65 |
$813.95
|
|
Vein x-ray liver w/hemodynam
|
$6,679.12 |
$6,679.12 |
$6,679.12 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$277.00 |
$277.00 |
$277.00 |
$3,421.50
|
|
Vein x-ray liver without hemodyn
|
$10,316.15 |
$10,316.15 |
$10,316.15 |
$2,489.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,111.70 |
$1,111.70 |
$1,111.70 |
$188.83
|
|
Venogram ext bil s&i
|
$6,598.88 |
$6,598.88 |
$6,598.88 |
$1,794.54
|
|
Ventilator each subsequent day
|
$6,375.90 |
$6,375.90 |
$6,375.90 |
$1,148.00
|
|
Ventilator initial day
|
$7,560.17 |
$7,560.17 |
$7,560.17 |
$1,433.60
|
|
Very long chain fatty acids
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$139.88
|
|
Virus isolation addl studies ea
|
$111.26 |
$111.26 |
$111.26 |
$79.34
|
|
Vital capacity test
|
$167.01 |
$167.01 |
$167.01 |
$170.99
|
|
Vitamin b-12
|
$176.32 |
$176.32 |
$176.32 |
$100.00
|
|
Volume measurement urine timed
|
$86.00 |
$86.00 |
$86.00 |
$21.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$3,484.24 |
$3,484.24 |
$3,484.24 |
$165.81
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$590.00 |
$590.00 |
$590.00 |
$68.25
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$668.00 |
$668.00 |
$668.00 |
$78.60
|
|
Warde 3004000 immunoglobulin subclass 1
|
$145.00 |
$145.00 |
$145.00 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$795.00 |
$795.00 |
$795.00 |
$103.95
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$594.00 |
$594.00 |
$594.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$140.40 |
$140.40 |
$140.40 |
$70.20
|
|
Warde acetylcholine receptor blocking antibody
|
$139.97 |
$139.97 |
$139.97 |
$70.56
|
|
Warde actin (smooth muscle) antibody each
|
$132.24 |
$132.24 |
$132.24 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$150.60
|
|
Warde aldolase
|
$159.00 |
$159.00 |
$159.00 |
$54.50
|
