|
Support clav 29.6-40.5in med
|
$25.59 |
$25.59 |
$25.59 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$11.82 |
$11.82 |
$25.59 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$27.22 |
$27.22 |
$269.13 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$70.26 |
$70.26 |
$382.04 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$107.19 |
$107.19 |
$1,002.95 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$239.70 |
$239.70 |
$377.37 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$361.23 |
$361.23 |
$856.82 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$10.76 |
$10.76 |
$116.61 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$9.13 |
$9.13 |
$13.29 |
$35.75
|
|
Susceptibility mic per plate
|
$35.21 |
$35.21 |
$627.55 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$18.75 |
$18.75 |
$44.17 |
$59.28
|
|
Svc venogram s&i
|
$380.75 |
$380.75 |
$1,165.55 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$118.44 |
$118.44 |
$118.44 |
$316.55
|
|
Swallowing Therapy Session
|
$123.09 |
$123.09 |
$123.09 |
$240.31
|
|
Sweat collection by iontophoresis
|
$18.81 |
$18.81 |
$18.81 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$7.64 |
$7.64 |
$23.62 |
$41.60
|
|
System pacing micra av
|
$12,078.27 |
$12,078.27 |
$30,025.29 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$30,025.29 |
$30,025.29 |
$37,741.65 |
$12,003.00
|
|
System sealant biosentry tract
|
$808.50 |
$808.50 |
$811.80 |
$889.35
|
|
T3 (triiodothyronine) free
|
$11.79 |
$11.79 |
$39.86 |
$100.32
|
|
T3 (triiodothyronine) total
|
$7.14 |
$7.14 |
$80.69 |
$93.52
|
|
T4 (thyroxine) free
|
$35.19 |
$35.19 |
$102.83 |
$88.44
|
|
T4 (thyroxine) total
|
$9.30 |
$9.30 |
$71.10 |
$69.58
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.60 |
$9.60 |
$9.60 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$376.88 |
$376.88 |
$376.88 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$10.62 |
$10.62 |
$64.21 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$107.81 |
$107.81 |
$251.17 |
$289.90
|
|
Target gsa panel hmtlmph neop
|
$647.82 |
$647.82 |
$747.38 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,489.86 |
$2,489.86 |
$2,872.89 |
$3,746.70
|
|
Target gsa panel organ neop
|
$509.94 |
$509.94 |
$588.35 |
$1,681.28
|
|
Tas congenital car anomal
|
$1,802.94 |
$1,802.94 |
$1,802.94 |
$6,003.27
|
|
Tavr perq femoral
|
$7,990.58 |
$7,990.58 |
$7,990.58 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$44.10 |
$44.10 |
$44.10 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$27.34 |
$27.34 |
$61.01 |
$180.80
|
|
Tc-99m arcitumomab
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$2,085.68
|
|
Tc-99m bicisate
|
$714.70 |
$714.70 |
$1,054.61 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$1,368.01 |
$1,368.01 |
$2,213.16 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$595.32 |
$595.32 |
$958.61 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$215.02 |
$215.02 |
$319.56 |
$306.00
|
|
Tc-99m maa
|
$16.24 |
$16.24 |
$39.02 |
$312.06
|
|
Tc-99m mebrofenin
|
$75.72 |
$75.72 |
$92.75 |
$157.65
|
|
Tc-99m medronate
|
$62.49 |
$62.49 |
$102.39 |
$111.01
|
|
Tc-99m mertiatide
|
$319.06 |
$319.06 |
$730.62 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$78.61 |
$78.61 |
$199.02 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$199.70 |
$199.70 |
$626.81 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$33.21 |
$33.21 |
$41.33 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$72.54 |
$72.54 |
$142.44 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$80.31 |
$80.31 |
$117.84 |
$287.20
|
|
Tc-99m sulfur colloid
|
$73.12 |
$73.12 |
$227.80 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$304.61 |
$304.61 |
$304.61 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$305.78 |
$305.78 |
$693.46 |
$985.60
|
|
Tcd emboli detect w/inj
|
$371.46 |
$371.46 |
$371.46 |
$475.80
|
|
T cells absolute cd4/cd8 including ratio
|
$20.73 |
$20.73 |
$46.23 |
$185.28
|
|
T cells absolute cd 4 count
|
$11.91 |
$11.91 |
$26.36 |
$111.20
|
|
T cells total count
|
$16.76 |
$16.76 |
$37.13 |
$130.35
|
|
Team conf without pat by hc pro
|
$57.81 |
$57.81 |
$57.81 |
$110.62
|
|
Team conf w/pat by hc prof
|
$76.84 |
$76.84 |
$76.84 |
$104.59
|
|
Telethx isodose plan cplx
|
$555.32 |
$555.32 |
$555.32 |
$1,526.85
|
|
Telethx isodose plan simple
|
$360.82 |
$360.82 |
$360.82 |
$877.09
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,957.65 |
$3,957.65 |
$3,957.65 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,623.30 |
$7,623.30 |
$7,623.30 |
$14,951.87
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,985.22 |
$1,985.22 |
$1,985.22 |
$2,175.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$45.27 |
$45.27 |
$45.27 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$426.28 |
$426.28 |
$426.28 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$273.84 |
$273.84 |
$463.47 |
$953.40
|
|
Tetanus immune globulin inj
|
$947.60 |
$947.60 |
$947.60 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$1,804.34 |
$1,804.34 |
$1,804.34 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$369.58 |
$369.58 |
$369.58 |
$1,019.60
|
|
Thaw preserved stem cells
|
$205.90 |
$205.90 |
$205.90 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$7.14 |
$7.14 |
$126.94 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$46.85 |
$46.85 |
$46.85 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$41.61 |
$41.61 |
$41.61 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$38.13 |
$38.13 |
$38.13 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$41.82 |
$41.82 |
$41.82 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$398.57 |
$398.57 |
$398.57 |
$538.88
|
|
Ther/proph/diag inj ia
|
$121.35 |
$121.35 |
$251.42 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.10 |
$25.10 |
$25.10 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$109.89 |
$109.89 |
$109.89 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,038.58 |
$1,038.58 |
$1,038.58 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$993.84 |
$993.84 |
$1,204.84 |
$1,684.80
|
|
Throat x-ray & fluoroscopy
|
$156.82 |
$156.82 |
$156.82 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$2,487.06 |
$2,487.06 |
$2,487.06 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,150.23 |
$5,150.23 |
$5,150.23 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$7,725.04 |
$7,725.04 |
$7,725.04 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,437.49 |
$12,437.49 |
$15,697.26 |
$21,413.60
|
|
Thrombin time
|
$5.68 |
$5.68 |
$9.69 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$12.80 |
$12.80 |
$17.82 |
$61.52
|
|
Thyroglobulin antibody
|
$14.11 |
$14.11 |
$112.67 |
$82.73
|
|
Thyroid imaging
|
$306.63 |
$306.63 |
$306.63 |
$696.75
|
|
Thyroid met imaging
|
$430.61 |
$430.61 |
$430.61 |
$838.25
|
|
Thyroid mets imag whole body
|
$560.64 |
$560.64 |
$747.35 |
$1,524.99
|
|
Thyroid met uptake
|
$155.48 |
$155.48 |
$155.48 |
$407.40
|
|
Thyroid (TSH) Test
|
$54.45 |
$54.45 |
$112.67 |
$112.67
|
|
Thyroid Ultrasound
|
$204.49 |
$204.49 |
$264.21 |
$588.50
|
|
Thyroid uptake measurement
|
$177.16 |
$177.16 |
$177.16 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$7.47 |
$7.47 |
$14.55 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$8,077.91 |
$8,077.91 |
$11,083.31 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$3,341.18 |
$3,341.18 |
$7,323.48 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$5,937.69 |
$5,937.69 |
$6,893.66 |
$10,165.00
|
|
Tigecycline injection
|
$347.60 |
$347.60 |
$347.60 |
$235.29
|