|
Splint extn xsm w sof-stretch rolyan
|
$36.68 |
$36.68 |
$36.68 |
$71.44
|
|
Splint func pos polyflex ii med
|
$208.58 |
$208.58 |
$208.58 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$106.96 |
$106.96 |
$106.96 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,731.41 |
$2,731.41 |
$2,731.41 |
$4,689.60
|
|
Split blood or products
|
$62.78 |
$94.53 |
$266.26 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$1,794.87 |
$1,794.87 |
$1,794.87 |
$1,612.78
|
|
Sputum specimen collection
|
$62.78 |
$62.78 |
$94.53 |
$180.00
|
|
Srs linear based
|
$8,007.57 |
$8,007.57 |
$10,377.80 |
$14,124.25
|
|
Srs multisource
|
$30,508.82 |
$30,508.82 |
$30,508.82 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$62.26 |
$93.39 |
$210.10 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$93.39 |
$130.99 |
$237.61 |
$286.00
|
|
Stem cells total count
|
$123.39 |
$123.39 |
$123.39 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,092.06 |
$14,152.59 |
$19,890.74 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,762.06 |
$15,602.66 |
$34,899.52 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,191.54 |
$2,538.61 |
$2,748.00 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,969.40 |
$9,602.06 |
$16,281.99 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$2,538.61 |
$2,649.79 |
$3,876.54 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,357.87 |
$9,034.90 |
$15,848.80 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,124.88 |
$4,459.01 |
$7,015.05 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,425.21 |
$11,425.21 |
$12,350.72 |
$16,875.93
|
|
St evaluate speech sound production
|
$51.92 |
$77.88 |
$224.62 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$111.07 |
$177.12 |
$235.70 |
$400.00
|
|
Stimulants synthetic
|
$25.28 |
$25.28 |
$25.60 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$394.15 |
$741.60 |
$1,245.32 |
$1,342.00
|
|
Strep a ag ia
|
$11.27 |
$11.27 |
$13.82 |
$75.40
|
|
Strep b dna amp probe
|
$23.43 |
$23.43 |
$28.73 |
$122.43
|
|
Stress test pulmonary
|
$100.27 |
$191.33 |
$194.06 |
$324.00
|
|
Stress tte complete
|
$478.61 |
$597.53 |
$952.33 |
$1,894.20
|
|
Str markers specimen anal
|
$266.85 |
$398.13 |
$1,341.59 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$0.01 |
$30.18 |
$38.48 |
$54.80
|
|
Sugars single quant
|
$15.35 |
$15.35 |
$17.58 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$15.28 |
$15.28 |
$15.28 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$28.12 |
$28.12 |
$28.48 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$22.92 |
$22.92 |
$29.32 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$4.36 |
$4.36 |
$106.96 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$13.83 |
$15.57 |
$106.26 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$31.86 |
$35.86 |
$133.70 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$82.25 |
$92.57 |
$396.14 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$125.48 |
$141.22 |
$961.58 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$280.59 |
$315.81 |
$534.42 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$422.86 |
$429.84 |
$612.73 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$10.08 |
$14.59 |
$100.85 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$5.27 |
$12.38 |
$26.36 |
$35.75
|
|
Susceptibility mic per plate
|
$47.74 |
$58.54 |
$121.48 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$25.41 |
$31.17 |
$81.37 |
$59.28
|
|
Svc venogram s&i
|
$334.60 |
$361.52 |
$1,809.92 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$103.05 |
$104.06 |
$182.22 |
$316.55
|
|
Swallowing Therapy Session
|
$36.30 |
$54.45 |
$171.90 |
$240.31
|
|
Sweat collection by iontophoresis
|
$19.61 |
$19.61 |
$29.53 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.88 |
$12.74 |
$48.90 |
$41.60
|
|
System cardiomems hosp electronics
|
$23,837.95 |
$30,004.10 |
$31,318.14 |
$38,234.70
|
|
System pacing micra av
|
$13,455.95 |
$17,709.58 |
$18,581.17 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$13,455.95 |
$33,179.71 |
$34,055.74 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$6,592.76 |
$6,592.76 |
$6,592.76 |
$11,183.00
|
|
System sealant biosentry tract
|
$738.43 |
$738.43 |
$3,973.97 |
$889.35
|
|
T3 (triiodothyronine) free
|
$11.22 |
$11.36 |
$68.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$6.79 |
$6.88 |
$101.23 |
$93.52
|
|
T4 (thyroxine) free
|
$33.50 |
$33.92 |
$119.57 |
$88.44
|
|
T4 (thyroxine) total
|
$8.85 |
$8.96 |
$76.40 |
$69.58
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.27 |
$5.27 |
$33.24 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$10.11 |
$10.24 |
$87.48 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,233.56 |
$2,233.56 |
$2,233.56 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$94.74 |
$102.37 |
$263.97 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$10,651.69 |
$10,651.69 |
$10,651.69 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$684.42 |
$1,021.14 |
$4,507.60 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,630.53 |
$3,924.69 |
$6,993.28 |
$3,746.70
|
|
Target gsa panel organ neop
|
$538.75 |
$803.80 |
$4,736.80 |
$1,681.28
|
|
Tas congenital car anomal
|
$3,817.00 |
$4,126.19 |
$30,655.50 |
$6,003.27
|
|
Tavr perq femoral
|
$4,239.44 |
$4,582.85 |
$41,855.36 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$666.59 |
$666.59 |
$666.59 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$57.00 |
$57.00 |
$73.50 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$35.34 |
$45.57 |
$139.05 |
$180.80
|
|
Tc-99m arcitumomab
|
$2,489.89 |
$2,489.89 |
$2,489.89 |
$2,085.68
|
|
Tc-99m bicisate
|
$471.80 |
$826.98 |
$2,672.48 |
$2,070.00
|
|
Tc-99m disofenin
|
$42.02 |
$42.02 |
$42.02 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$438.54 |
$1,316.00 |
$2,486.31 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$632.80 |
$2,541.87 |
$2,715.79 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$127.80 |
$224.11 |
$244.10 |
$306.00
|
|
Tc-99m maa
|
$8.94 |
$23.00 |
$86.72 |
$312.06
|
|
Tc-99m mebrofenin
|
$19.93 |
$45.40 |
$105.05 |
$157.65
|
|
Tc-99m medronate
|
$70.86 |
$79.46 |
$126.84 |
$111.01
|
|
Tc-99m mertiatide
|
$233.80 |
$409.55 |
$680.13 |
$756.00
|
|
Tc-99m oxidronate
|
$164.75 |
$164.75 |
$164.75 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$12.83 |
$46.40 |
$81.62 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$99.88 |
$566.89 |
$583.50 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$1.07 |
$27.20 |
$79.46 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$43.20 |
$109.05 |
$116.36 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$55.58 |
$77.17 |
$99.49 |
$287.20
|
|
Tc-99m sulfur colloid
|
$43.97 |
$44.40 |
$109.55 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$98.94 |
$181.40 |
$293.56 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$375.51 |
$479.90 |
$859.02 |
$985.60
|
|
Tcd emboli detect w/inj
|
$225.57 |
$225.57 |
$422.88 |
$475.80
|
|
Tcd emboli detect without inj
|
$205.62 |
$205.62 |
$422.88 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$26.79 |
$34.55 |
$106.20 |
$185.28
|
|
T cells absolute cd 4 count
|
$19.84 |
$19.84 |
$45.84 |
$111.20
|
|
T cells total count
|
$21.66 |
$27.93 |
$83.28 |
$130.35
|
|
Team conf without pat by hc pro
|
$25.58 |
$25.58 |
$25.58 |
$110.62
|
|
Team conf w/pat by hc prof
|
$33.99 |
$33.99 |
$229.97 |
$104.59
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$37,148.74 |
$37,148.74 |
$37,148.74 |
$40,114.80
|
