|
Tp53 gene full gene sequence
|
$2,544.30 |
$2,544.30 |
$2,544.30 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$919.10
|
|
Tpmt gene com vrnts
|
$218.35 |
$218.35 |
$218.35 |
$381.55
|
|
Transcath biopsy
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$4,298.05
|
|
Transcatheter bx s&i
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$1,875.96
|
|
Transferrin
|
$18.70 |
$18.70 |
$18.70 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,373.35 |
$1,373.35 |
$1,373.35 |
$988.24
|
|
Treat foot dislocation
|
$534.05 |
$534.05 |
$534.05 |
$527.28
|
|
Treat fracture of radius
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$2,030.33
|
|
Treat humerus fracture
|
$4,444.55 |
$4,444.55 |
$4,444.55 |
$1,950.60
|
|
Treatment incomplete abortion completed surgically any trimester
|
$14,659.70 |
$14,659.70 |
$14,659.70 |
$3,806.40
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$134.20 |
$134.20 |
$134.20 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$127.60 |
$127.60 |
$127.60 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$234.85 |
$234.85 |
$234.85 |
$210.00
|
|
Treatment of thigh fracture
|
$3,110.80 |
$3,110.80 |
$3,110.80 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$342.65 |
$342.65 |
$342.65 |
$371.40
|
|
Treatment radiation delivery level 2
|
$618.20 |
$618.20 |
$618.20 |
$735.00
|
|
Treat sternum fracture
|
$342.65 |
$342.65 |
$342.65 |
$423.00
|
|
Treat toe dislocation
|
$2,603.70 |
$2,603.70 |
$2,603.70 |
$855.66
|
|
Treat ulnar fracture
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$1,861.60
|
|
Treponema pallidum antibody
|
$163.90 |
$163.90 |
$163.90 |
$72.80
|
|
Trg gene rearrangement anal
|
$609.40 |
$609.40 |
$609.40 |
$455.70
|
|
Trichinella antibody
|
$82.50 |
$82.50 |
$82.50 |
$70.65
|
|
Trichomonas assay w/optic
|
$101.75 |
$101.75 |
$101.75 |
$66.00
|
|
#tricyclicantidprssnt
|
$77.00 |
$77.00 |
$77.00 |
$57.08
|
|
Triglycerides
|
$117.15 |
$117.15 |
$117.15 |
$54.60
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,523.40 |
$2,523.40 |
$2,523.40 |
$8,244.55
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$5,613.85 |
$5,613.85 |
$5,613.85 |
$6,156.00
|
|
Trnscath tx thromblytc vein ini day
|
$5,470.30 |
$5,470.30 |
$5,470.30 |
$4,329.36
|
|
Troponin quantitative
|
$218.90 |
$218.90 |
$218.90 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$851.40 |
$851.40 |
$851.40 |
$1,582.75
|
|
Tte w or without fol w/cont, com
|
$932.25 |
$932.25 |
$932.25 |
$1,220.31
|
|
Tx closed hip disl traumatic without anes
|
$523.05 |
$523.05 |
$523.05 |
$657.28
|
|
Ugt1a1 gene analy common variants
|
$838.20 |
$838.20 |
$838.20 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$703.45 |
$703.45 |
$703.45 |
$403.26
|
|
Ultrasound breast complete
|
$933.90 |
$933.90 |
$933.90 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,150.60 |
$1,150.60 |
$1,150.60 |
$449.35
|
|
Ultrasound chest
|
$884.40 |
$884.40 |
$884.40 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$680.35 |
$680.35 |
$680.35 |
$340.14
|
|
Ultrasound dx ophth b-scan
|
$288.75 |
$288.75 |
$288.75 |
$330.40
|
|
Ultrasound encephalogram
|
$645.70 |
$645.70 |
$645.70 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,197.35 |
$1,197.35 |
$1,197.35 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$444.95 |
$444.95 |
$444.95 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$2,735.15 |
$2,735.15 |
$2,735.15 |
$701.35
|
|
Ultrasound guide intraoperative
|
$1,552.10 |
$1,552.10 |
$1,552.10 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,290.30 |
$1,290.30 |
$1,290.30 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$1,012.55 |
$1,012.55 |
$1,012.55 |
$321.35
|
|
Ultrasound joint complete left
|
$906.40 |
$906.40 |
$906.40 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$656.70 |
$656.70 |
$656.70 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,111.00 |
$1,111.00 |
$1,111.00 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$579.15 |
$579.15 |
$579.15 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$755.70 |
$755.70 |
$755.70 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$916.30 |
$916.30 |
$916.30 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$956.45 |
$956.45 |
$956.45 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$794.75 |
$794.75 |
$794.75 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$462.00 |
$462.00 |
$462.00 |
$498.00
|
|
Ultrasound scrotum and contents
|
$923.45 |
$923.45 |
$923.45 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$489.50 |
$489.50 |
$489.50 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$960.30 |
$960.30 |
$960.30 |
$567.44
|
|
Unlisted mr procedure
|
$1,811.15 |
$1,811.15 |
$1,811.15 |
$1,032.20
|
|
Unlisted px casting/strpg
|
$321.20 |
$321.20 |
$321.20 |
$224.93
|
|
Unlisted px med radj physics
|
$512.05 |
$512.05 |
$512.05 |
$376.03
|
|
Unlisted surgical path px
|
$200.75 |
$200.75 |
$200.75 |
$71.65
|
|
Unlisted transfusion med px
|
$29.70 |
$29.70 |
$29.70 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,371.15 |
$1,371.15 |
$1,371.15 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,102.55 |
$3,102.55 |
$3,102.55 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,844.60 |
$2,844.60 |
$2,844.60 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,586.10 |
$2,586.10 |
$2,586.10 |
$2,013.08
|
|
Urea nitrogen
|
$57.75 |
$57.75 |
$57.75 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$84.70 |
$84.70 |
$84.70 |
$50.00
|
|
Ureteral reflux study
|
$851.40 |
$851.40 |
$851.40 |
$961.20
|
|
Urethrocystography void s&i
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$634.50
|
|
Uric acid blood
|
$45.65 |
$45.65 |
$45.65 |
$46.64
|
|
Uric acid urine
|
$45.65 |
$45.65 |
$45.65 |
$46.75
|
|
Urinalysis microscopic only
|
$57.20 |
$57.20 |
$57.20 |
$26.35
|
|
Urinalysis (with microscopy)
|
$67.10 |
$67.10 |
$67.10 |
$48.14
|
|
Urinalysis (without microscopy)
|
$39.05 |
$39.05 |
$39.05 |
$38.99
|
|
Urine Culture Test
|
$197.45 |
$197.45 |
$197.45 |
$84.81
|
|
Urine pregnancy test
|
$95.15 |
$95.15 |
$95.15 |
$66.40
|
|
Urography, antegrade
|
$517.00 |
$517.00 |
$517.00 |
$593.37
|
|
Valproic acid total therapeutic drug level
|
$181.50 |
$181.50 |
$181.50 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$157.30 |
$157.30 |
$157.30 |
$126.79
|
|
Varicella zoster antibody igg
|
$28.60 |
$28.60 |
$28.60 |
$82.55
|
|
Veeg unmon 2-12 hrs
|
$600.05 |
$600.05 |
$600.05 |
$704.79
|
|
Vein x-ray kidney
|
$2,197.80 |
$2,197.80 |
$2,197.80 |
$2,716.20
|
|
Vein x-ray liver
|
$4,846.60 |
$4,846.60 |
$4,846.60 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$2,850.65 |
$2,850.65 |
$2,850.65 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,846.60 |
$4,846.60 |
$4,846.60 |
$3,439.84
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$2,434.85 |
$2,434.85 |
$2,434.85 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$4,602.95 |
$4,602.95 |
$4,602.95 |
$82.11
|
|
Venogram ext bil s&i
|
$2,719.75 |
$2,719.75 |
$2,719.75 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,359.60 |
$1,359.60 |
$1,359.60 |
$1,326.00
|
|
Venous mech thrombectomy
|
$3,748.25 |
$3,748.25 |
$3,748.25 |
$8,869.50
|
|
Venous sampling s&i
|
$3,760.90 |
$3,760.90 |
$3,760.90 |
$4,416.78
|
|
Ventilator each subsequent day
|
$765.05 |
$765.05 |
$765.05 |
$1,305.92
|
|
Ventilator initial day
|
$817.30 |
$817.30 |
$817.30 |
$1,540.80
|
|
Version cephalic external
|
$2,165.35 |
$2,165.35 |
$2,165.35 |
$2,598.57
|
|
Very long chain fatty acids
|
$212.30 |
$212.30 |
$212.30 |
$140.40
|
|
Virus isolation addl studies ea
|
$118.25 |
$118.25 |
$118.25 |
$90.35
|
|
Vital capacity test
|
$162.80 |
$162.80 |
$162.80 |
$173.33
|
