|
Thrombin time
|
$959.55 |
$959.55 |
$959.55 |
$48.75
|
|
Thyroglobulin antibody
|
$682.62 |
$682.62 |
$682.62 |
$84.00
|
|
Thyroid mets imag whole body
|
$2,882.64 |
$2,882.64 |
$2,882.64 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$1,799.97 |
$1,799.97 |
$1,799.97 |
$120.00
|
|
Thyroid uptake measurement
|
$8,751.68 |
$8,751.68 |
$8,751.68 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$15,679.53 |
$15,679.53 |
$15,679.53 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$503.94 |
$503.94 |
$503.94 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$87,996.47 |
$87,996.47 |
$87,996.47 |
$21,900.00
|
|
Tigecycline injection
|
$1,358.31 |
$1,358.31 |
$1,358.31 |
$308.75
|
|
Tilt table study
|
$6,218.33 |
$6,218.33 |
$6,218.33 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$6,571.94 |
$6,571.94 |
$6,571.94 |
$558.87
|
|
Tissue culture tumor
|
$4,532.09 |
$4,532.09 |
$4,532.09 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$198.03 |
$198.03 |
$198.03 |
$47.40
|
|
Tl-201 thallium diag per mci
|
$5,885.86 |
$5,885.86 |
$5,885.86 |
$77.22
|
|
Tobramycin non-comp unit
|
$117.27 |
$117.27 |
$117.27 |
$107.07
|
|
Tomosynthesis breast screen bilateral
|
$1,813.19 |
$1,813.19 |
$1,813.19 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$607.81 |
$607.81 |
$607.81 |
$303.88
|
|
Toxoplasma antibody igg
|
$914.47 |
$914.47 |
$914.47 |
$84.35
|
|
Toxoplasma antibody igm
|
$914.47 |
$914.47 |
$914.47 |
$83.20
|
|
Tp53 gene trgt sequence alys
|
$2,064.91 |
$2,064.91 |
$2,064.91 |
$919.10
|
|
Transcath biopsy
|
$15,224.45 |
$15,224.45 |
$15,224.45 |
$4,298.05
|
|
Transcath closure of asd
|
$31,795.09 |
$31,795.09 |
$31,795.09 |
$18,772.00
|
|
Transcatheter bx s&i
|
$3,844.68 |
$3,844.68 |
$3,844.68 |
$1,875.96
|
|
Transcath occlusion cns
|
$101,441.86 |
$101,441.86 |
$101,441.86 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$96,804.71 |
$96,804.71 |
$96,804.71 |
$12,427.79
|
|
Transferrin
|
$827.53 |
$827.53 |
$827.53 |
$87.30
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$489.90 |
$489.90 |
$489.90 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$347.66 |
$347.66 |
$347.66 |
$149.00
|
|
Treatment radiation delivery level 2
|
$1,314.90 |
$1,314.90 |
$1,314.90 |
$735.00
|
|
Trg gene rearrangement anal
|
$273.05 |
$273.05 |
$273.05 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$350.64 |
$350.64 |
$350.64 |
$48.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$36,011.23 |
$36,011.23 |
$36,011.23 |
$15,111.95
|
|
Trnscath plc stent crv crtd without prtct
|
$30,882.66 |
$30,882.66 |
$30,882.66 |
$7,944.75
|
|
Trnscath plc stnt ante carotid art
|
$30,882.66 |
$30,882.66 |
$30,882.66 |
$9,114.56
|
|
Trnscath retrv pq vasc fb w/guide
|
$13,228.27 |
$13,228.27 |
$13,228.27 |
$4,969.90
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$3,302.47 |
$3,302.47 |
$3,302.47 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$1,818.20 |
$1,818.20 |
$1,818.20 |
$4,793.13
|
|
Tx atrial fib pulm vein isol
|
$44,557.62 |
$44,557.62 |
$44,557.62 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$51,784.92 |
$51,784.92 |
$51,784.92 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,212.75 |
$1,212.75 |
$1,212.75 |
$403.26
|
|
Ultrasound encephalogram
|
$3,786.23 |
$3,786.23 |
$3,786.23 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,292.93 |
$1,292.93 |
$1,292.93 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$5,739.64 |
$5,739.64 |
$5,739.64 |
$477.88
|
|
Ultrasound guide intraoperative
|
$2,700.85 |
$2,700.85 |
$2,700.85 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$4,125.59 |
$4,125.59 |
$4,125.59 |
$403.00
|
|
Ultrasound prostate/transrectal
|
$2,908.39 |
$2,908.39 |
$2,908.39 |
$545.16
|
|
Unlisted CT procedure
|
$5,129.40 |
$5,129.40 |
$5,129.40 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$227.84 |
$227.84 |
$227.84 |
$324.85
|
|
Unsched dialysis esrd pt hos
|
$5,393.00 |
$5,393.00 |
$5,393.00 |
$1,505.29
|
|
Upgrade pm system
|
$65,912.80 |
$65,912.80 |
$65,912.80 |
$12,324.60
|
|
Urea nitrogen
|
$643.99 |
$643.99 |
$643.99 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$819.47 |
$819.47 |
$819.47 |
$50.00
|
|
Urea nitrogen clearance
|
$367.08 |
$367.08 |
$367.08 |
$33.57
|
|
Urethrcystgrphy rtrgrde s&i
|
$3,902.27 |
$3,902.27 |
$3,902.27 |
$574.40
|
|
Urethrocystography void s&i
|
$4,835.80 |
$4,835.80 |
$4,835.80 |
$634.50
|
|
Uric acid blood
|
$643.99 |
$643.99 |
$643.99 |
$46.64
|
|
Urinalysis (with microscopy)
|
$735.76 |
$735.76 |
$735.76 |
$48.14
|
|
Urine Culture Test
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$84.81
|
|
Urine pregnancy test
|
$595.70 |
$595.70 |
$595.70 |
$66.40
|
|
Urography, antegrade
|
$9,118.72 |
$9,118.72 |
$9,118.72 |
$593.37
|
|
Urography inf drip &/or bolus
|
$5,095.59 |
$5,095.59 |
$5,095.59 |
$641.69
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$10,593.84 |
$10,593.84 |
$10,593.84 |
$6,892.54
|
|
Vaccine dtap < 7 years im
|
$1,011.19 |
$1,011.19 |
$1,011.19 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$1,915.21 |
$1,915.21 |
$1,915.21 |
$193.83
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$1,014.20 |
$1,014.20 |
$1,014.20 |
$45.33
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,539.02 |
$1,539.02 |
$1,539.02 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$401.05 |
$401.05 |
$401.05 |
$157.41
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$184.35 |
$184.35 |
$184.35 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,486.88 |
$1,486.88 |
$1,486.88 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$1,273.35 |
$1,273.35 |
$1,273.35 |
$349.15
|
|
Vaccine mmr live subcutaneous
|
$1,273.48 |
$1,273.48 |
$1,273.48 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,806.96 |
$1,806.96 |
$1,806.96 |
$274.95
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,295.32 |
$1,295.32 |
$1,295.32 |
$385.45
|
|
Vaccine polio (ipv) subcutaneous/im
|
$588.25 |
$588.25 |
$588.25 |
$119.17
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,676.14 |
$2,676.14 |
$2,676.14 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,676.14 |
$2,676.14 |
$2,676.14 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$1,103.11 |
$1,103.11 |
$1,103.11 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$1,127.81 |
$1,127.81 |
$1,127.81 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$1,099.61 |
$1,099.61 |
$1,099.61 |
$115.00
|
|
Valvuloplasty aortic
|
$14,686.58 |
$14,686.58 |
$14,686.58 |
$7,324.85
|
|
Varicella-zoster immue globin im
|
$7,513.21 |
$7,513.21 |
$7,513.21 |
$2,372.84
|
|
Vedolizumab 300 mg intravenous solution
|
$51,066.83 |
$51,066.83 |
$51,066.83 |
$23,003.79
|
|
Veeg intrmnt 2-12 hrs
|
$2,561.37 |
$2,561.37 |
$2,561.37 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$2,488.64 |
$2,488.64 |
$2,488.64 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$2,305.25 |
$2,305.25 |
$2,305.25 |
$704.79
|
|
Vein x-ray adrenal gland
|
$4,301.67 |
$4,301.67 |
$4,301.67 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$5,005.64 |
$5,005.64 |
$5,005.64 |
$3,999.60
|
|
Vein x-ray liver
|
$8,047.52 |
$8,047.52 |
$8,047.52 |
$3,320.80
|
|
Vein x-ray skull
|
$3,304.91 |
$3,304.91 |
$3,304.91 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$1,872.65 |
$1,872.65 |
$1,872.65 |
$3,450.30
|
|
Venous m-thrombectomy add-on
|
$7,718.57 |
$7,718.57 |
$7,718.57 |
$5,352.00
|
|
Venous sampling s&i
|
$6,237.52 |
$6,237.52 |
$6,237.52 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,668.79 |
$1,668.79 |
$1,668.79 |
$1,305.92
|
|
Ventilator initial day
|
$1,959.56 |
$1,959.56 |
$1,959.56 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$290.22 |
$290.22 |
$290.22 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$222.26 |
$222.26 |
$222.26 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$745.35 |
$745.35 |
$745.35 |
$245.36
|
|
Viper venom prothrombin time
|
$859.73 |
$859.73 |
$859.73 |
$35.20
|
|
Virus isolation addl studies ea
|
$518.09 |
$518.09 |
$518.09 |
$90.35
|
|
Vital capacity test
|
$570.37 |
$570.37 |
$570.37 |
$173.33
|
