|
Strapping of hand or finger
|
$10.10 |
$38.18 |
$151.27 |
|
|
Strapping of hip
|
$50.73 |
$50.73 |
$76.67 |
|
|
Strapping of knee
|
$46.08 |
$76.67 |
$269.88 |
|
|
Strapping of toes 29550
|
$40.41 |
$40.41 |
$91.10 |
|
|
Strep a ag ia
|
$8.31 |
$11.93 |
$49.90 |
|
|
Strep b dna amp probe
|
$17.28 |
$23.64 |
$59.36 |
|
|
Streptomycin injection
|
$99.43 |
$99.43 |
$99.43 |
|
|
Stress test pulmonary
|
$13.01 |
$134.68 |
$375.61 |
|
|
Stress tte complete
|
$429.93 |
$597.53 |
$2,967.26 |
|
|
Str markers spec anal addl
|
$161.95 |
$161.95 |
$161.95 |
|
|
Str markers specimen anal
|
$95.61 |
$309.66 |
$1,653.89 |
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$187.73 |
$187.73 |
$187.73 |
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$181.79 |
$181.79 |
$181.79 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$0.01 |
$41.33 |
$126.89 |
|
|
Sugars multiple quant
|
$46.77 |
$46.77 |
$47.95 |
|
|
Sugars single quant
|
$9.15 |
$15.35 |
$92.75 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,970.23 |
$3,208.80 |
$4,783.80 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$15.28 |
$20.91 |
$61.59 |
|
|
Sulfonylurea screen qn-sendout
|
$14.95 |
$28.12 |
$99.86 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$22.92 |
$31.49 |
$34.31 |
|
|
Support clav 29.6-40.5in med
|
$4.36 |
$25.59 |
$106.96 |
|
|
Suprv interfacilty transport
|
$112.05 |
$112.05 |
$112.05 |
|
|
Suprv interfac trnsport addl
|
$98.69 |
$98.69 |
$98.69 |
|
|
Surg dx exam anorectal
|
$130.47 |
$130.47 |
$152.86 |
|
|
Surg ect salp-oophorectomy 59120
|
$249.63 |
$249.63 |
$249.63 |
|
|
Surgical opening of stomach 43500
|
$1,137.49 |
$1,137.49 |
$1,137.49 |
|
|
Surgical pathology level 1 gross examination only
|
$5.99 |
$14.89 |
$163.99 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$13.80 |
$33.80 |
$293.20 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$35.63 |
$81.58 |
$416.21 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$54.36 |
$124.46 |
$1,092.64 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$121.55 |
$297.63 |
$907.47 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$183.18 |
$453.68 |
$1,508.49 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$618.83 |
$618.83 |
$618.83 |
|
|
Susceptibility agar dilution per agent
|
$10.08 |
$15.44 |
$188.71 |
|
|
Susceptibility enzyme detection per enzyme
|
$5.27 |
$13.10 |
$73.46 |
|
|
Susceptibility mic per plate
|
$35.21 |
$57.89 |
$683.67 |
|
|
Suscept studies macrobroth dilution ea
|
$18.75 |
$29.09 |
$133.21 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,308.44 |
$1,308.44 |
$1,593.08 |
|
|
Svc venogram s&i
|
$243.58 |
$369.22 |
$2,495.35 |
|
|
Swallowing Evaluation (Bedside)
|
$48.81 |
$100.67 |
$350.23 |
|
|
Swallowing Therapy Session
|
$31.02 |
$70.69 |
$273.06 |
|
|
Sweat collection by iontophoresis
|
$18.81 |
$23.37 |
$52.21 |
|
|
Synch audio-only est high 40
|
$140.98 |
$140.98 |
$140.98 |
|
|
Synch audio-only est low 20
|
$66.78 |
$66.78 |
$66.78 |
|
|
Synch audio-only est mod 30
|
$97.95 |
$97.95 |
$97.95 |
|
|
Synch audio-only est sf 10
|
$38.59 |
$38.59 |
$38.59 |
|
|
Synch audio-only new high 60
|
$172.15 |
$172.15 |
$172.15 |
|
|
Synch audio-only new low 30
|
$84.59 |
$84.59 |
$84.59 |
|
|
Synch audio-only new mod 45
|
$132.08 |
$132.08 |
$132.08 |
|
|
Synch audio-only new sf 15
|
$50.46 |
$50.46 |
$50.46 |
|
|
Synvisc or synvisc-one
|
$2,820.35 |
$2,820.35 |
$2,820.35 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$6.81 |
$12.74 |
$83.11 |
|
|
System cardiomems hosp electronics
|
$23,837.95 |
$31,318.14 |
$38,632.78 |
|
|
System pacing micra av
|
$7,470.68 |
$16,864.10 |
$32,710.48 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$13,455.95 |
$32,710.48 |
$73,932.72 |
|
|
System recell skin grafting/harvesting
|
$4,752.92 |
$6,224.79 |
$6,592.76 |
|
|
System sealant biosentry tract
|
$347.60 |
$808.50 |
$4,085.13 |
|
|
T3 (triiodothyronine) free
|
$5.96 |
$11.79 |
$175.12 |
|
|
T3 (triiodothyronine) total
|
$3.61 |
$7.14 |
$204.05 |
|
|
T4 (thyroxine) free
|
$10.92 |
$33.92 |
$125.40 |
|
|
T4 (thyroxine) total
|
$4.70 |
$9.30 |
$123.92 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.27 |
$9.60 |
$50.92 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$376.88 |
$376.88 |
$376.88 |
|
|
Tacrolimus therapeutic drug level
|
$4.79 |
$10.62 |
$87.48 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,233.56 |
$2,233.56 |
$2,233.56 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$68.97 |
$104.54 |
$464.50 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$10,651.69 |
$10,651.69 |
$10,651.69 |
|
|
Target gsa panel hmtlmph neop
|
$245.22 |
$814.22 |
$4,622.96 |
|
|
Target gsa panel organ/hmtlmph neop
|
$942.49 |
$3,052.54 |
$10,151.68 |
|
|
Target gsa panel organ neop
|
$193.03 |
$628.06 |
$4,736.80 |
|
|
Tas congenital car anomal
|
$1,802.94 |
$3,283.90 |
$30,655.50 |
|
|
Tavr perq femoral
|
$3,351.29 |
$4,582.85 |
$41,855.36 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$666.59 |
$666.59 |
$2,377.37 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$39.30 |
$57.00 |
$159.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$24.37 |
$45.57 |
$183.96 |
|
|
Tc-99m arcitumomab
|
$1,463.10 |
$1,617.78 |
$2,489.89 |
|
|
Tc-99m bicisate
|
$428.16 |
$714.70 |
$2,672.48 |
|
|
Tc-99m disofenin
|
$42.02 |
$42.02 |
$42.02 |
|
|
Tc-99m exame autol wbc diag per dose
|
$438.54 |
$1,490.35 |
$2,636.15 |
|
|
Tc-99m exametazime diag
|
$402.62 |
$595.32 |
$2,715.79 |
|
|
Tc-99m fanolesomab diag
|
$41.75 |
$41.75 |
$41.75 |
|
|
Tc-99m labeled rbc
|
$31.00 |
$175.27 |
$348.14 |
|
|
Tc-99m maa
|
$8.94 |
$31.87 |
$235.16 |
|
|
Tc-99m mebrofenin
|
$19.93 |
$60.00 |
$1,773.97 |
|
|
Tc-99m medronate
|
$56.69 |
$83.61 |
$180.34 |
|
|
Tc-99m mertiatide
|
$133.95 |
$320.00 |
$795.96 |
|
|
Tc-99m oxidronate
|
$115.05 |
$118.27 |
$164.75 |
|
|
Tc-99m pentetate dtpa
|
$12.83 |
$46.40 |
$216.82 |
|
|
Tc-99m pentetate dtpa aerosol
|
$40.00 |
$199.70 |
$682.87 |
|
|
Tc-99m pertechnetate per mci
|
$0.36 |
$27.20 |
$93.71 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$16.73 |
$76.15 |
$250.22 |
|
|
Tc-99m sestamibi p study dose
|
$44.46 |
$71.98 |
$141.45 |
|
|
Tc-99m succimer (dmsa)
|
$1,831.36 |
$1,831.36 |
$1,831.36 |
|
|
Tc-99m sulfur colloid
|
$26.70 |
$59.11 |
$248.17 |
|
|
Tc-99m tetrofosmin p study dose
|
$84.50 |
$172.64 |
$465.99 |
|
|
Tc-99m tilmanocept diag
|
$305.78 |
$479.90 |
$1,221.35 |
|
|
Tcd emboli detect w/inj
|
$151.79 |
$225.57 |
$422.88 |
|
|
Tcd emboli detect without inj
|
$138.37 |
$189.38 |
$422.88 |
|
|
T-cell depletion of harvest
|
$2,628.47 |
$2,628.47 |
$2,628.47 |
|
|
T cells absolute cd4/cd8 including ratio
|
$18.47 |
$34.55 |
$336.87 |
|