|
Tamoxifen 10 mg tabs 60 each bottle
|
$14.04 |
$14.04 |
$14.04 |
$32.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$166.46
|
|
Tc-99m bicisate
|
$3,827.52 |
$3,827.52 |
$3,827.52 |
$1,969.45
|
|
Tc-99m disofenin
|
$153.36 |
$153.36 |
$153.36 |
$151.32
|
|
Tc-99m exametazime diag
|
$4,709.88 |
$4,709.88 |
$4,709.88 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$4,034.88 |
$4,034.88 |
$4,034.88 |
$323.01
|
|
Tc-99m maa
|
$581.04 |
$581.04 |
$581.04 |
$312.06
|
|
Tc-99m mebrofenin
|
$910.44 |
$910.44 |
$910.44 |
$169.53
|
|
Tc-99m medronate
|
$299.16 |
$299.16 |
$299.16 |
$122.46
|
|
Tc-99m mertiatide
|
$3,522.96 |
$3,522.96 |
$3,522.96 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$581.04 |
$581.04 |
$581.04 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,658.88 |
$1,658.88 |
$1,658.88 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$35.64 |
$35.64 |
$35.64 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$708.48 |
$708.48 |
$708.48 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$1,651.32 |
$1,651.32 |
$1,651.32 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$624.24 |
$624.24 |
$624.24 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$878.04 |
$878.04 |
$878.04 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,951.56 |
$1,951.56 |
$1,951.56 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$592.92 |
$592.92 |
$592.92 |
$186.00
|
|
T cells absolute cd 4 count
|
$996.84 |
$996.84 |
$996.84 |
$120.25
|
|
T cells total count
|
$372.60 |
$372.60 |
$372.60 |
$124.11
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$108.00 |
$108.00 |
$108.00 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$183.60 |
$183.60 |
$183.60 |
$73.45
|
|
Tetanus immune globulin inj
|
$667.44 |
$667.44 |
$667.44 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$390.96 |
$390.96 |
$390.96 |
$108.00
|
|
Thrombin time
|
$545.40 |
$545.40 |
$545.40 |
$48.75
|
|
Thyroglobulin antibody
|
$545.40 |
$545.40 |
$545.40 |
$84.00
|
|
Thyroid (TSH) Test
|
$832.68 |
$832.68 |
$832.68 |
$120.00
|
|
Thyroid Ultrasound
|
$1,525.68 |
$1,525.68 |
$1,525.68 |
$589.96
|
|
Thyroid uptake measurement
|
$3,463.56 |
$3,463.56 |
$3,463.56 |
$653.60
|
|
Tigecycline injection
|
$628.56 |
$628.56 |
$628.56 |
$277.31
|
|
Tl-201 thallium diag per mci
|
$562.68 |
$562.68 |
$562.68 |
$77.22
|
|
Tomosynthesis breast diagnostic left
|
$59.28 |
$59.28 |
$59.28 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$59.28 |
$59.28 |
$59.28 |
$73.45
|
|
Toxoplasma antibody igg
|
$525.96 |
$525.96 |
$525.96 |
$84.35
|
|
Toxoplasma antibody igm
|
$447.12 |
$447.12 |
$447.12 |
$83.20
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$371.52 |
$371.52 |
$371.52 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$235.00 |
$235.00 |
$235.00 |
$77.65
|
|
Transferrin
|
$282.96 |
$282.96 |
$282.96 |
$87.30
|
|
Treponema pallidum antibody
|
$405.00 |
$405.00 |
$405.00 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$248.40 |
$248.40 |
$248.40 |
$55.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,452.88 |
$1,452.88 |
$1,452.88 |
$403.26
|
|
Ultrasound chest
|
$1,832.48 |
$1,832.48 |
$1,832.48 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$2,664.94 |
$2,664.94 |
$2,664.94 |
$340.14
|
|
Ultrasound encephalogram
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,176.24 |
$1,176.24 |
$1,176.24 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,794.87 |
$1,794.87 |
$1,794.87 |
$477.88
|
|
Ultrasound hips infant dynamic
|
$1,894.88 |
$1,894.88 |
$1,894.88 |
$403.00
|
|
Ultrasound joint complete left
|
$1,552.72 |
$1,552.72 |
$1,552.72 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$1,552.72 |
$1,552.72 |
$1,552.72 |
$448.50
|
|
Ultrasound prostate/transrectal
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$1,316.64 |
$1,316.64 |
$1,316.64 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,985.36 |
$1,985.36 |
$1,985.36 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$2,010.32 |
$2,010.32 |
$2,010.32 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$2,695.24 |
$2,695.24 |
$2,695.24 |
$425.10
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$12,324.63 |
$12,324.63 |
$12,324.63 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$7,983.16 |
$7,983.16 |
$7,983.16 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$7,717.20 |
$7,717.20 |
$7,717.20 |
$2,013.08
|
|
Urea nitrogen
|
$340.20 |
$340.20 |
$340.20 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$525.96 |
$525.96 |
$525.96 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,062.32 |
$2,062.32 |
$2,062.32 |
$574.40
|
|
Urethrocystography void s&i
|
$1,465.36 |
$1,465.36 |
$1,465.36 |
$634.50
|
|
Uric acid blood
|
$176.04 |
$176.04 |
$176.04 |
$46.64
|
|
Urinalysis (with microscopy)
|
$270.00 |
$270.00 |
$270.00 |
$48.14
|
|
Urine Culture Test
|
$599.40 |
$599.40 |
$599.40 |
$84.81
|
|
Urine pregnancy test
|
$289.44 |
$289.44 |
$289.44 |
$66.40
|
|
Urography inf drip &/or bolus
|
$2,240.16 |
$2,240.16 |
$2,240.16 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$187.92 |
$187.92 |
$187.92 |
$87.80
|
|
Vaccine dtap-ipv/hib im
|
$613.44 |
$613.44 |
$613.44 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$85.00
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$294.84 |
$294.84 |
$294.84 |
$79.04
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$877.48 |
$877.48 |
$877.48 |
$157.41
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$259.38 |
$259.38 |
$259.38 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,762.56 |
$1,762.56 |
$1,762.56 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$1,547.64 |
$1,547.64 |
$1,547.64 |
$349.15
|
|
Vaccine mmr live subcutaneous
|
$1,105.92 |
$1,105.92 |
$1,105.92 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,203.12 |
$1,203.12 |
$1,203.12 |
$274.95
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$2,018.52 |
$2,018.52 |
$2,018.52 |
$385.45
|
|
Vaccine rabies im
|
$2,070.36 |
$2,070.36 |
$2,070.36 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$3,386.88 |
$3,386.88 |
$3,386.88 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$925.56 |
$925.56 |
$925.56 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$145.80 |
$145.80 |
$145.80 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$581.04 |
$581.04 |
$581.04 |
$115.00
|
|
Vancomycin 750 mg intravenous solution
|
$137.16 |
$137.16 |
$137.16 |
$100.15
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$2,540.79 |
$2,540.79 |
$2,540.79 |
$188.65
|
|
Vitamin b-12
|
$581.04 |
$581.04 |
$581.04 |
$94.90
|
|
Vitamin D Test
|
$899.64 |
$899.64 |
$899.64 |
$132.00
|
|
Volume measurement urine timed
|
$55.08 |
$55.08 |
$55.08 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$899.64 |
$899.64 |
$899.64 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,272.24 |
$1,272.24 |
$1,272.24 |
$72.50
|
|
Warde 3004000 immunoglobulin subclass 1
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$788.40 |
$788.40 |
$788.40 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$392.04 |
$392.04 |
$392.04 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$392.04 |
$392.04 |
$392.04 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$455.76 |
$455.76 |
$455.76 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$180.36 |
$180.36 |
$180.36 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$99.36 |
$99.36 |
$99.36 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$382.32 |
$382.32 |
$382.32 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,237.68 |
$1,237.68 |
$1,237.68 |
$129.75
|