|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,210.72 |
$1,210.72 |
$1,210.72 |
$536.34
|
|
St analysis behavior qualitative voice/resonance
|
$228.85 |
$228.85 |
$228.85 |
$295.10
|
|
St cognitve performance testing healthcare professional each hour
|
$768.10 |
$768.10 |
$768.10 |
$284.65
|
|
St evaluate speech sound production
|
$657.89 |
$657.89 |
$657.89 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$455.87 |
$455.87 |
$455.87 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,520.75 |
$1,520.75 |
$1,520.75 |
$373.50
|
|
St evaluation swallow function
|
$1,146.82 |
$1,146.82 |
$1,146.82 |
$311.36
|
|
Strep a ag ia
|
$401.98 |
$401.98 |
$401.98 |
$75.40
|
|
Strep b assay w/optic
|
$636.59 |
$636.59 |
$636.59 |
$80.16
|
|
Stress test pulmonary
|
$1,901.32 |
$1,901.32 |
$1,901.32 |
$311.40
|
|
Stress tte complete
|
$4,289.25 |
$4,289.25 |
$4,289.25 |
$1,784.25
|
|
St treatment swallow dysfunction/oral
|
$567.89 |
$567.89 |
$567.89 |
$245.50
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$319.63 |
$319.63 |
$319.63 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$580.78 |
$580.78 |
$580.78 |
$152.64
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,615.65 |
$1,615.65 |
$1,615.65 |
$123.58
|
|
Surgical pathology level 1 gross examination only
|
$512.00 |
$512.00 |
$512.00 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$789.44 |
$789.44 |
$789.44 |
$146.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$935.39 |
$935.39 |
$935.39 |
$184.50
|
|
Surgical pathology level 5 gross & microscopic examination
|
$2,437.82 |
$2,437.82 |
$2,437.82 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,728.20 |
$2,728.20 |
$2,728.20 |
$730.20
|
|
Susceptibility enzyme detection per enzyme
|
$136.19 |
$136.19 |
$136.19 |
$35.10
|
|
Susceptibility mic per plate
|
$759.61 |
$759.61 |
$759.61 |
$104.00
|
|
Suscept studies macrobroth dilution ea
|
$160.86 |
$160.86 |
$160.86 |
$59.28
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$531.50 |
$531.50 |
$531.50 |
$40.11
|
|
T3 (triiodothyronine) total
|
$963.27 |
$963.27 |
$963.27 |
$93.52
|
|
T4 (thyroxine) free
|
$618.62 |
$618.62 |
$618.62 |
$85.20
|
|
T4 (thyroxine) total
|
$613.65 |
$613.65 |
$613.65 |
$67.80
|
|
Tacrolimus therapeutic drug level
|
$1,371.73 |
$1,371.73 |
$1,371.73 |
$120.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$595.69 |
$595.69 |
$595.69 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$670.98 |
$670.98 |
$670.98 |
$175.00
|
|
Tc-99m exametazime diag
|
$9,788.47 |
$9,788.47 |
$9,788.47 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$1,279.47 |
$1,279.47 |
$1,279.47 |
$302.40
|
|
Tc-99m maa
|
$243.61 |
$243.61 |
$243.61 |
$283.41
|
|
Tc-99m mebrofenin
|
$715.10 |
$715.10 |
$715.10 |
$160.58
|
|
Tc-99m medronate
|
$243.61 |
$243.61 |
$243.61 |
$109.50
|
|
Tc-99m mertiatide
|
$649.01 |
$649.01 |
$649.01 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$419.70 |
$419.70 |
$419.70 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$181.37
|
|
Tc-99m pertechnetate per mci
|
$286.10 |
$286.10 |
$286.10 |
$27.20
|
|
Tc-99m sestamibi p study dose
|
$1,345.18 |
$1,345.18 |
$1,345.18 |
$293.73
|
|
Tc-99m sulfur colloid
|
$286.10 |
$286.10 |
$286.10 |
$239.40
|
|
Tc-99m tilmanocept diag
|
$4,897.87 |
$4,897.87 |
$4,897.87 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$1,209.35 |
$1,209.35 |
$1,209.35 |
$175.00
|
|
T cells absolute cd 4 count
|
$636.59 |
$636.59 |
$636.59 |
$110.00
|
|
T cells total count
|
$181.87 |
$181.87 |
$181.87 |
$123.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$51,809.33 |
$51,809.33 |
$51,809.33 |
$15,600.75
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$229.99 |
$229.99 |
$229.99 |
$39.18
|
|
Test for porphobilinogen
|
$485.64 |
$485.64 |
$485.64 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$3,987.68 |
$3,987.68 |
$3,987.68 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$380.57 |
$380.57 |
$380.57 |
$66.00
|
|
Test stress cardiovascular tracing only
|
$3,624.95 |
$3,624.95 |
$3,624.95 |
$953.40
|
|
Test urine for porphyrins
|
$510.12 |
$510.12 |
$510.12 |
$50.50
|
|
Tetanus immune globulin inj
|
$6,249.74 |
$6,249.74 |
$6,249.74 |
$1,228.80
|
|
Theophylline therapeutic drug level
|
$769.55 |
$769.55 |
$769.55 |
$108.00
|
|
Therapeutic procd strg endur
|
$459.80 |
$459.80 |
$459.80 |
$83.16
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$128.70 |
$128.70 |
$128.70 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$128.70 |
$128.70 |
$128.70 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$340.71 |
$340.71 |
$340.71 |
$25.54
|
|
Thrombin time
|
$589.21 |
$589.21 |
$589.21 |
$53.60
|
|
Thyroglobulin antibody
|
$731.72 |
$731.72 |
$731.72 |
$81.90
|
|
Thyroid imaging
|
$2,896.10 |
$2,896.10 |
$2,896.10 |
$673.01
|
|
Thyroid mets imag whole body
|
$2,638.92 |
$2,638.92 |
$2,638.92 |
$1,544.00
|
|
Thyroid (TSH) Test
|
$1,004.16 |
$1,004.16 |
$1,004.16 |
$112.00
|
|
Thyroid Ultrasound
|
$2,533.20 |
$2,533.20 |
$2,533.20 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$14,743.68 |
$14,743.68 |
$14,743.68 |
$4,044.25
|
|
Thyroxine binding globulin (tbg)
|
$828.78 |
$828.78 |
$828.78 |
$64.92
|
|
Tigecycline injection
|
$1,121.03 |
$1,121.03 |
$1,121.03 |
$234.00
|
|
Tilt table study
|
$2,135.53 |
$2,135.53 |
$2,135.53 |
$1,495.00
|
|
Tissue culture placenta
|
$3,001.79 |
$3,001.79 |
$3,001.79 |
$462.80
|
|
Tissue culture tumor
|
$2,069.47 |
$2,069.47 |
$2,069.47 |
$513.00
|
|
Tissue exam koh skin/hair/nails
|
$410.38 |
$410.38 |
$410.38 |
$47.40
|
|
Tlso 3mod sacro-scap pre
|
$11,132.00 |
$11,132.00 |
$11,132.00 |
$1,986.72
|
|
Tlso rig fram pelvic pre cst
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$1,125.03
|
|
Tlso rigid lined custom fab
|
$12,859.00 |
$12,859.00 |
$12,859.00 |
$2,831.21
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$373.93 |
$373.93 |
$373.93 |
$152.80
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$19,209.21 |
$19,209.21 |
$19,209.21 |
$4,779.11
|
|
Tocilizumab for covid-19
|
$19,209.21 |
$19,209.21 |
$19,209.21 |
$21.08
|
|
Tomosynthesis breast screen bilateral
|
$215.38 |
$215.38 |
$215.38 |
$70.89
|
|
Toxoplasma antibody igg
|
$768.03 |
$768.03 |
$768.03 |
$89.57
|
|
Toxoplasma antibody igm
|
$733.64 |
$733.64 |
$733.64 |
$87.00
|
|
Tpmt gene com vrnts
|
$982.77 |
$982.77 |
$982.77 |
$373.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$20.62 |
$20.62 |
$20.62 |
$55.69
|
|
Transferrin
|
$603.72 |
$603.72 |
$603.72 |
$81.60
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$804.92 |
$804.92 |
$804.92 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$489.12 |
$489.12 |
$489.12 |
$141.00
|
|
Trg gene rearrangement anal
|
$1,895.23 |
$1,895.23 |
$1,895.23 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$539.62 |
$539.62 |
$539.62 |
$43.80
|
|
Trichinella antibody
|
$11.48 |
$11.48 |
$11.48 |
$70.65
|
|
Triglycerides
|
$779.49 |
$779.49 |
$779.49 |
$57.85
|
|
Troponin quantitative
|
$1,132.16 |
$1,132.16 |
$1,132.16 |
$128.80
|
|
Tte w or without contr, cont ecg
|
$5,963.26 |
$5,963.26 |
$5,963.26 |
$1,966.90
|
|
Tx atrial fib pulm vein isol
|
$80,095.45 |
$80,095.45 |
$80,095.45 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$2,915.89 |
$2,915.89 |
$2,915.89 |
$7,005.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$2,910.40 |
$2,910.40 |
$2,910.40 |
$394.20
|
|
Ultrasound chest
|
$3,603.34 |
$3,603.34 |
$3,603.34 |
$451.52
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$4,864.95 |
$4,864.95 |
$4,864.95 |
$469.50
|
|
Ultrasound joint complete left
|
$2,197.43 |
$2,197.43 |
$2,197.43 |
$556.14
|
|
Ultrasound ob >=14wks ea addl gest
|
$7,348.14 |
$7,348.14 |
$7,348.14 |
$397.15
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$3,104.71 |
$3,104.71 |
$3,104.71 |
$323.40
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,495.91 |
$1,495.91 |
$1,495.91 |
$420.80
|