|
Training self management diabetes individual outpatient department per 30 minutes
|
$144.83 |
$144.83 |
$144.83 |
$104.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1,159.09 |
$1,159.09 |
$1,159.09 |
$55.69
|
|
Transcatheter bx s&i
|
$3,795.04 |
$3,795.04 |
$3,795.04 |
$1,973.01
|
|
Transferrin
|
$836.55 |
$836.55 |
$836.55 |
$82.00
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$427.18 |
$427.18 |
$427.18 |
$5,910.00
|
|
Trauma partial team response w/critical care services level 4
|
$37,914.00 |
$37,914.00 |
$37,914.00 |
$4,063.80
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$1,086.96 |
$1,086.96 |
$1,086.96 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$490.28 |
$490.28 |
$490.28 |
$143.48
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$1,288.87 |
$1,288.87 |
$1,288.87 |
$69,118.20
|
|
Treponema pallidum antibody
|
$945.91 |
$945.91 |
$945.91 |
$72.80
|
|
Trg gene rearrangement anal
|
$626.67 |
$626.67 |
$626.67 |
$455.70
|
|
Trichinella antibody
|
$1,633.34 |
$1,633.34 |
$1,633.34 |
$72.24
|
|
#tricyclicantidprssnt
|
$1,053.85 |
$1,053.85 |
$1,053.85 |
$47.03
|
|
Trimethobenzamide hcl inj
|
$171.56 |
$171.56 |
$171.56 |
$117.49
|
|
Trnscath plc stnt ante carotid art
|
$20,629.07 |
$20,629.07 |
$20,629.07 |
$7,058.50
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$8,993.96 |
$8,993.96 |
$8,993.96 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$31,547.34 |
$31,547.34 |
$31,547.34 |
$4,250.25
|
|
Troponin quantitative
|
$1,359.21 |
$1,359.21 |
$1,359.21 |
$129.15
|
|
Tx atrial fib pulm vein isol
|
$77,092.53 |
$77,092.53 |
$77,092.53 |
$29,199.75
|
|
Tx l/r atrial fib addl
|
$19,199.75 |
$19,199.75 |
$19,199.75 |
$6,986.85
|
|
Ultrasound abdomen aorta screening study aaa
|
$2,542.35 |
$2,542.35 |
$2,542.35 |
$395.20
|
|
Ultrasound chest
|
$1,928.95 |
$1,928.95 |
$1,928.95 |
$461.40
|
|
Ultrasound encephalogram
|
$6,953.19 |
$6,953.19 |
$6,953.19 |
$496.36
|
|
Ultrasound exam k transpl w/doppler
|
$2,809.82 |
$2,809.82 |
$2,809.82 |
$585.15
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$3,013.00 |
$3,013.00 |
$3,013.00 |
$477.10
|
|
Ultrasound hips infant dynamic
|
$1,809.35 |
$1,809.35 |
$1,809.35 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$1,471.14 |
$1,471.14 |
$1,471.14 |
$303.50
|
|
Ultrasound joint complete left
|
$2,553.92 |
$2,553.92 |
$2,553.92 |
$565.60
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,957.24 |
$1,957.24 |
$1,957.24 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$3,977.48 |
$3,977.48 |
$3,977.48 |
$397.15
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$2,471.92 |
$2,471.92 |
$2,471.92 |
$330.75
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,741.30 |
$1,741.30 |
$1,741.30 |
$708.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,435.13 |
$1,435.13 |
$1,435.13 |
$428.25
|
|
Ultrasound pregnant uterus transvaginal
|
$2,683.79 |
$2,683.79 |
$2,683.79 |
$492.80
|
|
Ultrasound prostate/transrectal
|
$1,670.46 |
$1,670.46 |
$1,670.46 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$3,127.46 |
$3,127.46 |
$3,127.46 |
$483.99
|
|
Ultrasound scrotum and contents
|
$2,656.79 |
$2,656.79 |
$2,656.79 |
$612.55
|
|
Ultrasound spinal canal and contents
|
$2,263.29 |
$2,263.29 |
$2,263.29 |
$477.10
|
|
Ultrasound transvaginal non obstetric
|
$1,939.23 |
$1,939.23 |
$1,939.23 |
$558.35
|
|
Unlisted chemotherapy px
|
$119.07 |
$119.07 |
$119.07 |
$150.00
|
|
Unlisted resp px dx nuc med
|
$3,645.04 |
$3,645.04 |
$3,645.04 |
$670.60
|
|
Unlisted ultrasound procedure
|
$1,859.51 |
$1,859.51 |
$1,859.51 |
$332.16
|
|
Unsched dialysis esrd pt hos
|
$5,515.52 |
$5,515.52 |
$5,515.52 |
$1,280.50
|
|
Upgrade pm system
|
$10,380.89 |
$10,380.89 |
$10,380.89 |
$12,334.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$14,801.88 |
$14,801.88 |
$14,801.88 |
$3,036.80
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$12,864.93 |
$12,864.93 |
$12,864.93 |
$2,410.98
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$10,962.95 |
$10,962.95 |
$10,962.95 |
$2,034.41
|
|
Urea nitrogen 24 hour urine
|
$593.69 |
$593.69 |
$593.69 |
$54.12
|
|
Urea nitrogen clearance
|
$629.19 |
$629.19 |
$629.19 |
$47.73
|
|
Ureteral reflux study
|
$4,124.48 |
$4,124.48 |
$4,124.48 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,795.81 |
$1,795.81 |
$1,795.81 |
$595.26
|
|
Urethrocystography void s&i
|
$2,512.52 |
$2,512.52 |
$2,512.52 |
$648.05
|
|
Uric acid blood
|
$515.56 |
$515.56 |
$515.56 |
$50.24
|
|
Urinalysis microscopic only
|
$299.69 |
$299.69 |
$299.69 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$515.56 |
$515.56 |
$515.56 |
$25.85
|
|
Urinalysis (with microscopy)
|
$626.35 |
$626.35 |
$626.35 |
$55.20
|
|
Urine Culture Test
|
$1,116.35 |
$1,116.35 |
$1,116.35 |
$84.80
|
|
Urine pregnancy test
|
$894.78 |
$894.78 |
$894.78 |
$69.75
|
|
Urography, antegrade
|
$5,396.85 |
$5,396.85 |
$5,396.85 |
$616.44
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,026.32 |
$3,026.32 |
$3,026.32 |
$5,084.76
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$43.74 |
$43.74 |
$43.74 |
$51,633.07
|
|
Vaccine dtap < 7 years im
|
$4.95 |
$4.95 |
$4.95 |
$73.01
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$100.52 |
$100.52 |
$100.52 |
$72.98
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$100.52 |
$100.52 |
$100.52 |
$42.90
|
|
Vaccine hepatitis a (hepa) adult im
|
$1,580.99 |
$1,580.99 |
$1,580.99 |
$170.09
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$257.18 |
$257.18 |
$257.18 |
$80.92
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$317.27 |
$317.27 |
$317.27 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$491.98 |
$491.98 |
$491.98 |
$274.93
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$186.65 |
$186.65 |
$186.65 |
$35.28
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$226.11 |
$226.11 |
$226.11 |
$72.00
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$242.91 |
$242.91 |
$242.91 |
$31.20
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$998.78 |
$998.78 |
$998.78 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,612.56 |
$1,612.56 |
$1,612.56 |
$382.44
|
|
Vaccine mmr live subcutaneous
|
$835.78 |
$835.78 |
$835.78 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,073.21 |
$1,073.21 |
$1,073.21 |
$252.90
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$2,490.88 |
$2,490.88 |
$2,490.88 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,794.13 |
$1,794.13 |
$1,794.13 |
$385.45
|
|
Vaccine rabies im
|
$3,805.63 |
$3,805.63 |
$3,805.63 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$4.95 |
$4.95 |
$4.95 |
$136.80
|
|
Vaccine td preservative free >= 7 years im
|
$422.69 |
$422.69 |
$422.69 |
$117.00
|
|
Valproic acid total therapeutic drug level
|
$1,073.74 |
$1,073.74 |
$1,073.74 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$1,073.74 |
$1,073.74 |
$1,073.74 |
$136.13
|
|
Varus/valgus strap padded/li
|
$319.00 |
$319.00 |
$319.00 |
$127.04
|
|
Vasopressin 20 unit/ml intravenous solution
|
$226.54 |
$226.54 |
$226.54 |
$335.07
|
|
Vedolizumab 300 mg intravenous solution
|
$75,815.25 |
$75,815.25 |
$75,815.25 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$7,011.12 |
$7,011.12 |
$7,011.12 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$10,611.48 |
$10,611.48 |
$10,611.48 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$6,316.95 |
$6,316.95 |
$6,316.95 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$9,113.67 |
$9,113.67 |
$9,113.67 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$4,557.50 |
$4,557.50 |
$4,557.50 |
$826.15
|
|
Vein x-ray adrenal gland
|
$15,920.28 |
$15,920.28 |
$15,920.28 |
$2,891.20
|
|
Vein x-ray kidney
|
$9,341.43 |
$9,341.43 |
$9,341.43 |
$2,770.08
|
|
Vein x-ray liver
|
$5,536.95 |
$5,536.95 |
$5,536.95 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$5,536.95 |
$5,536.95 |
$5,536.95 |
$3,439.84
|
|
Vein x-ray liver w/hemodynam
|
$5,536.95 |
$5,536.95 |
$5,536.95 |
$3,483.84
|
|
Vein x-ray spleen/liver
|
$14,472.69 |
$14,472.69 |
$14,472.69 |
$3,450.30
|
|
Venogram ext bil s&i
|
$5,699.97 |
$5,699.97 |
$5,699.97 |
$1,829.42
|
|
Venous thrombosis imaging
|
$3,633.69 |
$3,633.69 |
$3,633.69 |
$697.20
|
|
Ven thrombosis images bilat
|
$5,109.87 |
$5,109.87 |
$5,109.87 |
$800.50
|
