|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$1,622.88 |
$1,622.88 |
$1,622.88 |
$55.69
|
|
Transcatheter bx s&i
|
$4,152.15 |
$4,152.15 |
$4,152.15 |
$1,958.00
|
|
Transferrin
|
$895.49 |
$895.49 |
$895.49 |
$81.60
|
|
Trastuzumab 150 mg intravenous solution
|
$1,555.15 |
$1,555.15 |
$1,555.15 |
$3,141.85
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$796.59 |
$796.59 |
$796.59 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$607.07 |
$607.07 |
$607.07 |
$143.16
|
|
Treatment radiation delivery level 2
|
$2.30 |
$2.30 |
$2.30 |
$787.80
|
|
Trg gene rearrangement anal
|
$1,580.87 |
$1,580.87 |
$1,580.87 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$294.58 |
$294.58 |
$294.58 |
$43.05
|
|
#tricyclicantidprssnt
|
$5,116.11 |
$5,116.11 |
$5,116.11 |
$50.86
|
|
Trimethobenzamide hcl inj
|
$126.14 |
$126.14 |
$126.14 |
$117.49
|
|
Tube drain vert dev st 5-40f
|
$293.00 |
$293.00 |
$293.00 |
$27.60
|
|
Tx atrial fib pulm vein isol
|
$92,602.13 |
$92,602.13 |
$92,602.13 |
$29,199.75
|
|
Tx l/r atrial fib addl
|
$25,222.00 |
$25,222.00 |
$25,222.00 |
$6,986.85
|
|
Ultrasound elastography ea l target les
|
$2,556.07 |
$2,556.07 |
$2,556.07 |
$178.70
|
|
Ultrasound elastography parenchyma
|
$3,195.08 |
$3,195.08 |
$3,195.08 |
$289.20
|
|
Ultrasound encephalogram
|
$2,865.76 |
$2,865.76 |
$2,865.76 |
$488.80
|
|
Ultrasound guide intraoperative
|
$3,094.79 |
$3,094.79 |
$3,094.79 |
$625.15
|
|
Ultrasound guide tissue ablation
|
$6,443.24 |
$6,443.24 |
$6,443.24 |
$560.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$4,131.21 |
$4,131.21 |
$4,131.21 |
$698.50
|
|
Ultrasound spinal canal and contents
|
$2,866.63 |
$2,866.63 |
$2,866.63 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$2,446.84 |
$2,446.84 |
$2,446.84 |
$423.36
|
|
Unlisted px med radj physics
|
$2.30 |
$2.30 |
$2.30 |
$404.40
|
|
Unsched dialysis esrd pt hos
|
$6,046.04 |
$6,046.04 |
$6,046.04 |
$1,266.30
|
|
Urea nitrogen 24 hour urine
|
$823.78 |
$823.78 |
$823.78 |
$51.84
|
|
Ureteral reflux study
|
$4,744.90 |
$4,744.90 |
$4,744.90 |
$986.29
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,125.14 |
$2,125.14 |
$2,125.14 |
$584.00
|
|
Urography, antegrade
|
$1,856.82 |
$1,856.82 |
$1,856.82 |
$622.35
|
|
Use 1st target lesion
|
$3,195.08 |
$3,195.08 |
$3,195.08 |
$332.00
|
|
Vaccine dtap < 7 years im
|
$167.00 |
$167.00 |
$167.00 |
$69.46
|
|
Vaccine dtap-hep b-ipv im
|
$818.27 |
$818.27 |
$818.27 |
$164.63
|
|
Vaccine dtap-ipv/hib im
|
$388.59 |
$388.59 |
$388.59 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$86.72 |
$86.72 |
$86.72 |
$71.62
|
|
Vaccine hepatitis a (hepa) adult im
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$168.95
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$413.36 |
$413.36 |
$413.36 |
$72.24
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$342.32 |
$342.32 |
$342.32 |
$30.00
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$265.89 |
$265.89 |
$265.89 |
$35.28
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$521.23 |
$521.23 |
$521.23 |
$72.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,278.33 |
$1,278.33 |
$1,278.33 |
$330.07
|
|
Vaccine mmr live subcutaneous
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,148.47 |
$1,148.47 |
$1,148.47 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,585.13 |
$1,585.13 |
$1,585.13 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,117.14 |
$1,117.14 |
$1,117.14 |
$414.46
|
|
Vaccine polio (ipv) subcutaneous/im
|
$849.78 |
$849.78 |
$849.78 |
$90.70
|
|
Vaccine rabies im
|
$4,085.43 |
$4,085.43 |
$4,085.43 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,616.25 |
$2,616.25 |
$2,616.25 |
$1,104.47
|
|
Vaccine tdap >=7 years im
|
$1,186.81 |
$1,186.81 |
$1,186.81 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$622.30 |
$622.30 |
$622.30 |
$112.10
|
|
Varus/valgus strap padded/li
|
$264.00 |
$264.00 |
$264.00 |
$115.53
|
|
Veeg cont 2-12 hrs
|
$9,391.34 |
$9,391.34 |
$9,391.34 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$18,827.52 |
$18,827.52 |
$18,827.52 |
$3,017.00
|
|
Veeg intrmnt 2-12 hrs
|
$4,485.41 |
$4,485.41 |
$4,485.41 |
$961.00
|
|
Vein x-ray adrenal gland
|
$5,866.37 |
$5,866.37 |
$5,866.37 |
$2,947.68
|
|
Vein x-ray adrenal glands
|
$14,403.74 |
$14,403.74 |
$14,403.74 |
$3,935.00
|
|
Vein x-ray kidney
|
$5,866.37 |
$5,866.37 |
$5,866.37 |
$2,870.00
|
|
Vein x-ray liver
|
$7,318.40 |
$7,318.40 |
$7,318.40 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$5,866.37 |
$5,866.37 |
$5,866.37 |
$3,483.84
|
|
Vein x-ray liver w/hemodynam
|
$5,182.52 |
$5,182.52 |
$5,182.52 |
$3,564.40
|
|
Vein x-ray liver without hemodyn
|
$3,612.43 |
$3,612.43 |
$3,612.43 |
$2,489.25
|
|
Vein x-ray skull epidural
|
$5,746.77 |
$5,746.77 |
$5,746.77 |
$1,855.10
|
|
Venogram ext bil s&i
|
$5,561.25 |
$5,561.25 |
$5,561.25 |
$1,838.28
|
|
Venous sampling s&i
|
$14,403.74 |
$14,403.74 |
$14,403.74 |
$4,294.50
|
|
Ven thrombosis images bilat
|
$2,799.54 |
$2,799.54 |
$2,799.54 |
$800.50
|
|
Ventilator each subsequent day
|
$9,060.66 |
$9,060.66 |
$9,060.66 |
$1,184.00
|
|
Vinblastine 1 mg/ml intravenous solution
|
$92.62 |
$92.62 |
$92.62 |
$152.05
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$11,688.56 |
$11,688.56 |
$11,688.56 |
$223.55
|
|
Virus isolation addl studies ea
|
$80.80 |
$80.80 |
$80.80 |
$74.36
|
|
Vital capacity test
|
$1,367.69 |
$1,367.69 |
$1,367.69 |
$170.00
|
|
Vitamin b-12
|
$528.62 |
$528.62 |
$528.62 |
$100.00
|
|
Vitamin D Test
|
$2,214.54 |
$2,214.54 |
$2,214.54 |
$132.00
|
|
Volume measurement urine timed
|
$256.81 |
$256.81 |
$256.81 |
$21.00
|
|
Warde 1003990 aldosterone
|
$2,553.06 |
$2,553.06 |
$2,553.06 |
$144.67
|
|
Warde 1005020 citrate 24 hour urine
|
$617.01 |
$617.01 |
$617.01 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,307.38 |
$1,307.38 |
$1,307.38 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$1,612.55 |
$1,612.55 |
$1,612.55 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,240.67 |
$1,240.67 |
$1,240.67 |
$70.85
|
|
Warde 3004000 immunoglobulin subclass 1
|
$2,944.93 |
$2,944.93 |
$2,944.93 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$1,632.55 |
$1,632.55 |
$1,632.55 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$982.19 |
$982.19 |
$982.19 |
$68.64
|
|
Warde 3016000 west nile virus antibody igg
|
$982.19 |
$982.19 |
$982.19 |
$69.00
|
|
Warde actin (smooth muscle) antibody each
|
$1,045.57 |
$1,045.57 |
$1,045.57 |
$43.32
|
|
Warde adrenocorticotropic hormone (acth)
|
$2,531.38 |
$2,531.38 |
$2,531.38 |
$149.20
|
|
Warde aldolase
|
$335.18 |
$335.18 |
$335.18 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$3,790.38 |
$3,790.38 |
$3,790.38 |
$192.40
|
|
Warde amiodarone therapeutic drug level
|
$1,140.36 |
$1,140.36 |
$1,140.36 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$1,457.45 |
$1,457.45 |
$1,457.45 |
$266.00
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$5,793.13 |
$5,793.13 |
$5,793.13 |
$363.00
|
|
Warde apolipoprotein b
|
$520.29 |
$520.29 |
$520.29 |
$61.80
|
|
Warde bile acids
|
$593.66 |
$593.66 |
$593.66 |
$63.05
|
|
Warde calcitonin
|
$1,142.28 |
$1,142.28 |
$1,142.28 |
$96.97
|
|
Warde complement total hemolytic
|
$1,634.23 |
$1,634.23 |
$1,634.23 |
$104.82
|
|
Warde cryoglobulin
|
$128.40 |
$128.40 |
$128.40 |
$51.00
|
|
Warde erythropoietin
|
$863.81 |
$863.81 |
$863.81 |
$90.36
|
|
Warde estrogen fractionated
|
$2,966.60 |
$2,966.60 |
$2,966.60 |
$99.63
|
|
Warde fluorescent antibody screen endomysial iga
|
$1,752.62 |
$1,752.62 |
$1,752.62 |
$43.20
|
|
Warde folic acid rbc
|
$645.35 |
$645.35 |
$645.35 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$1,217.34 |
$1,217.34 |
$1,217.34 |
$43.55
|
|
Warde gastrin
|
$987.20 |
$987.20 |
$987.20 |
$75.25
|
|
Warde growth hormone (hgh)
|
$1,033.88 |
$1,033.88 |
$1,033.88 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$832.11 |
$832.11 |
$832.11 |
$66.43
|
