|
Smear gram stain
|
$20.83 |
$30.99 |
$63.98 |
$55.55
|
|
Smear nasal eosinophil
|
$24.70 |
$24.70 |
$24.70 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$11.81 |
$16.06 |
$73.86 |
$73.50
|
|
Smear wet mount
|
$8.69 |
$11.82 |
$84.97 |
$67.55
|
|
Snrpn/ube3a gene
|
$19.56 |
$63.66 |
$330.98 |
$230.63
|
|
Sodium 24 hour urine
|
$6.05 |
$9.14 |
$21.74 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$86.45 |
$86.45 |
$86.45 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$86.45 |
$86.45 |
$86.45 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$86.45 |
$86.45 |
$86.45 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$0.01 |
$86.45 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$80.03 |
$80.03 |
$80.03 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$8.57 |
$12.95 |
$22.48 |
$46.26
|
|
Special physics consult
|
$562.61 |
$562.61 |
$562.61 |
$725.00
|
|
Special radiation dosimetry
|
$286.80 |
$286.80 |
$286.80 |
$392.50
|
|
Special radiation treatment
|
$1,608.47 |
$1,608.47 |
$1,608.47 |
$2,052.00
|
|
Special teletx port plan
|
$881.43 |
$881.43 |
$881.43 |
$1,095.05
|
|
Specific gravity body fluid
|
$0.84 |
$1.27 |
$13.84 |
$22.00
|
|
Specimen fat stain
|
$1.40 |
$3.58 |
$10.46 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$113.85 |
$150.65 |
$296.16 |
$384.80
|
|
Speech audiometry complete
|
$117.34 |
$117.34 |
$117.34 |
$109.20
|
|
Speech evaluation complex
|
$209.16 |
$209.16 |
$209.16 |
$527.06
|
|
Speech recep thresh
|
$73.80 |
$73.80 |
$73.80 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$77.42 |
$99.79 |
$103.55 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$518.46 |
$626.54 |
$648.53 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$68.04 |
$69.98 |
$115.11 |
$251.00
|
|
Spleen imaging
|
$136.55 |
$285.32 |
$319.97 |
$679.00
|
|
Split blood or products
|
$28.47 |
$72.64 |
$212.06 |
$127.80
|
|
Sputum specimen collection
|
$28.47 |
$72.64 |
$212.06 |
$180.00
|
|
Srs linear based
|
$8,302.86 |
$8,302.86 |
$8,302.86 |
$14,124.25
|
|
Staggered spondaic word test
|
$171.22 |
$171.22 |
$171.22 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$112.07 |
$135.85 |
$149.89 |
$297.60
|
|
Static or dynami afo pre ots
|
$351.18 |
$351.18 |
$351.18 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$112.07 |
$141.29 |
$149.89 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$10,349.31 |
$12,506.94 |
$12,945.78 |
$21,249.26
|
|
Stent axios caut enh 15x10mm electrocaut
|
$5,136.37 |
$15,488.77 |
$22,549.30 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,232.86 |
$2,445.96 |
$2,964.00 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,124.20 |
$8,445.60 |
$9,531.97 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$2,232.86 |
$2,520.08 |
$9,251.62 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,606.92 |
$7,984.33 |
$8,264.48 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,260.73 |
$3,940.52 |
$4,078.79 |
$8,925.76
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$9,031.66 |
$10,914.59 |
$11,297.56 |
$16,098.16
|
|
St evaluate speech sound production
|
$93.46 |
$123.66 |
$138.32 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$119.80 |
$121.68 |
$190.68 |
$400.00
|
|
Stimulants synthetic
|
$13.44 |
$20.32 |
$24.00 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$250.31 |
$523.04 |
$958.61 |
$1,345.40
|
|
Strapping of knee
|
$46.08 |
$46.08 |
$70.14 |
$205.20
|
|
Strep a ag ia
|
$8.36 |
$11.37 |
$12.44 |
$75.40
|
|
Strep b dna amp probe
|
$17.38 |
$23.64 |
$25.86 |
$124.15
|
|
Stress test pulmonary
|
$142.55 |
$142.55 |
$375.61 |
$324.00
|
|
Stress tte complete
|
$429.93 |
$516.23 |
$595.10 |
$1,900.96
|
|
Str markers specimen anal
|
$95.61 |
$311.09 |
$627.88 |
$756.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$41.50 |
$41.50 |
$41.50 |
$54.80
|
|
Sugars single quant
|
$9.15 |
$9.15 |
$16.55 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$14.95 |
$22.61 |
$26.70 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$31.62 |
$31.62 |
$31.62 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$4.70 |
$4.70 |
$4.70 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$5.99 |
$12.32 |
$114.61 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$13.80 |
$28.38 |
$133.14 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$35.63 |
$73.26 |
$184.76 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$54.36 |
$111.76 |
$1,037.16 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$121.55 |
$249.92 |
$388.04 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$183.18 |
$376.64 |
$463.62 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$10.82 |
$10.87 |
$16.10 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$5.69 |
$9.18 |
$13.66 |
$35.89
|
|
Susceptibility mic per plate
|
$35.42 |
$52.70 |
$116.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$18.86 |
$25.64 |
$55.83 |
$59.28
|
|
Svc venogram s&i
|
$358.96 |
$369.22 |
$532.03 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$71.49 |
$100.67 |
$112.02 |
$316.80
|
|
Swallowing Therapy Session
|
$65.34 |
$86.46 |
$105.97 |
$232.56
|
|
Sweat collection by iontophoresis
|
$22.69 |
$22.69 |
$22.69 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$8.74 |
$9.62 |
$27.42 |
$42.24
|
|
System cardiomems hosp electronics
|
$28,909.06 |
$28,909.06 |
$31,668.36 |
$38,234.70
|
|
System pacing micra av
|
$13,249.28 |
$17,310.98 |
$19,194.41 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$27,601.58 |
$33,289.22 |
$34,274.75 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$4,752.92 |
$4,752.92 |
$4,752.92 |
$11,183.00
|
|
System sealant biosentry tract
|
$649.50 |
$649.50 |
$733.04 |
$889.35
|
|
T3 (triiodothyronine) free
|
$5.96 |
$9.02 |
$58.54 |
$100.32
|
|
T3 (triiodothyronine) total
|
$3.61 |
$5.46 |
$62.99 |
$93.52
|
|
T4 (thyroxine) free
|
$17.81 |
$26.92 |
$66.69 |
$89.60
|
|
T4 (thyroxine) total
|
$4.70 |
$7.11 |
$39.28 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.69 |
$5.69 |
$5.69 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$4.79 |
$7.24 |
$37.80 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$101.64 |
$104.54 |
$150.64 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$245.22 |
$797.88 |
$2,991.92 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$942.49 |
$3,066.61 |
$6,189.48 |
$3,746.70
|
|
Target gsa panel organ neop
|
$193.03 |
$628.06 |
$1,267.64 |
$1,701.91
|
|
Tas congenital car anomal
|
$3,774.35 |
$3,774.35 |
$3,774.35 |
$6,003.27
|
|
Tavr perq femoral
|
$3,351.29 |
$4,049.96 |
$4,192.07 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$50.40 |
$55.50 |
$78.30 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$31.25 |
$34.41 |
$62.99 |
$179.95
|
|
Tc-99m arcitumomab
|
$1,463.10 |
$1,463.10 |
$1,463.10 |
$2,085.68
|
|
Tc-99m bicisate
|
$428.16 |
$582.10 |
$733.22 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$1,539.36 |
$1,899.23 |
$2,636.15 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$576.19 |
$576.32 |
$986.95 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$141.28 |
$175.27 |
$241.94 |
$306.00
|
|
Tc-99m maa
|
$9.64 |
$27.68 |
$47.40 |
$312.06
|
|
Tc-99m mebrofenin
|
$21.49 |
$44.32 |
$75.90 |
$157.65
|
|
Tc-99m medronate
|
$56.69 |
$91.06 |
$97.08 |
$111.01
|
|
Tc-99m mertiatide
|
$203.20 |
$261.88 |
$733.59 |
$756.00
|
|
Tc-99m oxidronate
|
$118.27 |
$118.27 |
$118.27 |
$108.00
|
