|
Sling arm deluxe w/pad xs
|
$159.00 |
$159.00 |
$159.00 |
$25.55
|
|
Sm-153 lexidron ther
|
$10,621.00 |
$10,621.00 |
$10,621.00 |
$11,563.30
|
|
Small bowel endoscopy
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$2,466.10
|
|
Small bowel endoscopy
|
$3,069.00 |
$3,069.00 |
$3,069.00 |
$2,638.57
|
|
Small bowel endoscopy br/wa
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$1,261.31
|
|
Smear fluorescent and/or acid fast stain
|
$93.00 |
$93.00 |
$93.00 |
$64.20
|
|
Smear gram stain
|
$93.00 |
$93.00 |
$93.00 |
$57.85
|
|
Smear nasal eosinophil
|
$62.00 |
$62.00 |
$62.00 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$107.00 |
$107.00 |
$107.00 |
$64.35
|
|
Smear wet mount
|
$54.00 |
$54.00 |
$54.00 |
$68.63
|
|
Snrpn/ube3a gene
|
$616.00 |
$616.00 |
$616.00 |
$228.80
|
|
Sock fracture or equal each
|
$89.00 |
$89.00 |
$89.00 |
$77.87
|
|
Sodium 24 hour urine
|
$80.00 |
$80.00 |
$80.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$113.00 |
$113.00 |
$113.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$148.75 |
$148.75 |
$148.75 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$113.00 |
$113.00 |
$113.00 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$113.00 |
$113.00 |
$113.00 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$210.00 |
$210.00 |
$210.00 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$90.00 |
$90.00 |
$90.00 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$383.25 |
$383.25 |
$383.25 |
$195.48
|
|
Soft interface below knee se
|
$176.00 |
$176.00 |
$176.00 |
$209.99
|
|
Special physics consult
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$700.74
|
|
Special radiation dosimetry
|
$446.00 |
$446.00 |
$446.00 |
$445.50
|
|
Special radiation treatment
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$1,934.03
|
|
Special teletx port plan
|
$711.00 |
$711.00 |
$711.00 |
$1,046.65
|
|
Specific gravity body fluid
|
$17.00 |
$17.00 |
$17.00 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$819.00 |
$819.00 |
$819.00 |
$559.96
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.00 |
$29.00 |
$29.00 |
$52.65
|
|
Splint finger 4 prong foam sm
|
$90.00 |
$90.00 |
$90.00 |
$22.62
|
|
Splint finger frog med
|
$16.00 |
$16.00 |
$16.00 |
$34.58
|
|
Splint rstrc wrst/cmc right med
|
$51.00 |
$51.00 |
$51.00 |
$101.18
|
|
Split blood or products
|
$888.00 |
$888.00 |
$888.00 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$4,588.65
|
|
Srs linear based
|
$18,111.00 |
$18,111.00 |
$18,111.00 |
$14,124.25
|
|
Staph a dna amp probe
|
$450.00 |
$450.00 |
$450.00 |
$116.39
|
|
Static or dynami afo pre ots
|
$366.00 |
$366.00 |
$366.00 |
$121.79
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$33,150.00 |
$33,150.00 |
$33,150.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$67,600.00 |
$67,600.00 |
$67,600.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,680.00 |
$11,680.00 |
$11,680.00 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,023.00 |
$5,023.00 |
$5,023.00 |
$9,276.80
|
|
Stent placemt retro carotid
|
$6,391.00 |
$6,391.00 |
$6,391.00 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$24,894.00 |
$24,894.00 |
$24,894.00 |
$19,765.20
|
|
Stimulants synthetic
|
$178.00 |
$178.00 |
$178.00 |
$70.50
|
|
Strep a ag ia
|
$110.00 |
$110.00 |
$110.00 |
$75.40
|
|
Strep b dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
$139.20
|
|
Stress test pulmonary
|
$406.00 |
$406.00 |
$406.00 |
$327.20
|
|
Stress tte complete
|
$2,677.00 |
$2,677.00 |
$2,677.00 |
$1,964.95
|
|
Str markers specimen anal
|
$2,765.00 |
$2,765.00 |
$2,765.00 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$127.25 |
$127.25 |
$127.25 |
$49.13
|
|
Sugars single quant
|
$149.00 |
$149.00 |
$149.00 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$241.00 |
$241.00 |
$241.00 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$343.00 |
$343.00 |
$343.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$79.25 |
$79.25 |
$79.25 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$15.00 |
$15.00 |
$15.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$254.00 |
$254.00 |
$254.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$254.00 |
$254.00 |
$254.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$389.00 |
$389.00 |
$389.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$389.00 |
$389.00 |
$389.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,548.00 |
$3,548.00 |
$3,548.00 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$62.00 |
$62.00 |
$62.00 |
$34.48
|
|
Susceptibility mic per plate
|
$106.00 |
$106.00 |
$106.00 |
$94.38
|
|
Svc venogram s&i
|
$2,473.00 |
$2,473.00 |
$2,473.00 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$406.00 |
$406.00 |
$406.00 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$110.00 |
$110.00 |
$110.00 |
$44.85
|
|
System pacing micra av
|
$48,880.00 |
$48,880.00 |
$48,880.00 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$10,980.00 |
$10,980.00 |
$10,980.00 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$230.00 |
$230.00 |
$230.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$211.00 |
$211.00 |
$211.00 |
$94.90
|
|
T4 (thyroxine) free
|
$130.00 |
$130.00 |
$130.00 |
$81.60
|
|
T4 (thyroxine) total
|
$105.00 |
$105.00 |
$105.00 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$16.00 |
$16.00 |
$16.00 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$155.00 |
$155.00 |
$155.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$2,258.00 |
$2,258.00 |
$2,258.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$6,256.00 |
$6,256.00 |
$6,256.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,893.00 |
$3,893.00 |
$3,893.00 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$964.00 |
$964.00 |
$964.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$833.00 |
$833.00 |
$833.00 |
$166.46
|
|
Tc-99m apcitide diag
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,765.30
|
|
Tc-99m bicisate
|
$599.00 |
$599.00 |
$599.00 |
$1,969.45
|
|
Tc-99m disofenin
|
$242.00 |
$242.00 |
$242.00 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,436.00 |
$3,436.00 |
$3,436.00 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$139.00 |
$139.00 |
$139.00 |
$323.01
|
|
Tc-99m maa
|
$174.00 |
$174.00 |
$174.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$204.00 |
$204.00 |
$204.00 |
$169.53
|
|
Tc-99m medronate
|
$256.00 |
$256.00 |
$256.00 |
$122.46
|
|
Tc-99m mertiatide
|
$538.00 |
$538.00 |
$538.00 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$108.00 |
$108.00 |
$108.00 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$5.00 |
$5.00 |
$5.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$181.00 |
$181.00 |
$181.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$527.00 |
$527.00 |
$527.00 |
$221.60
|
|
Tc-99m sulfur colloid
|
$256.00 |
$256.00 |
$256.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$336.00 |
$336.00 |
$336.00 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$524.00 |
$524.00 |
$524.00 |
$186.00
|
