|
Strapping of hand or finger
|
$302.88 |
$302.88 |
$302.88 |
$194.40
|
|
Strapping of hip
|
$236.16 |
$236.16 |
$236.16 |
$170.08
|
|
Strapping of knee
|
$160.32 |
$160.32 |
$160.32 |
$224.80
|
|
Strapping of toes 29550
|
$104.64 |
$104.64 |
$104.64 |
$185.36
|
|
Strep b assay w/optic
|
$21.12 |
$21.12 |
$21.12 |
$32.00
|
|
Stress test pulmonary
|
$329.76 |
$329.76 |
$329.76 |
$327.20
|
|
St treatment speech individual
|
$260.16 |
$260.16 |
$260.16 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$230.40 |
$230.40 |
$230.40 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$100.61 |
$100.61 |
$100.61 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$5.24 |
$5.24 |
$5.24 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$211.57 |
$211.57 |
$211.57 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$47.74 |
$47.74 |
$47.74 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$169.92 |
$169.92 |
$169.92 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$224.16 |
$224.16 |
$224.16 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$313.44 |
$313.44 |
$313.44 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$535.68 |
$535.68 |
$535.68 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$501.12 |
$501.12 |
$501.12 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$550.56 |
$550.56 |
$550.56 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$104.16 |
$104.16 |
$104.16 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$104.16 |
$104.16 |
$104.16 |
$34.48
|
|
Susceptibility mic per plate
|
$135.84 |
$135.84 |
$135.84 |
$94.38
|
|
Svc venogram s&i
|
$4,954.08 |
$4,954.08 |
$4,954.08 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$177.12 |
$177.12 |
$177.12 |
$44.85
|
|
System cardiomems hosp electronics
|
$56,839.10 |
$56,839.10 |
$56,839.10 |
$41,639.82
|
|
System pacing micra av
|
$34,417.44 |
$34,417.44 |
$34,417.44 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$17,766.00 |
$17,766.00 |
$17,766.00 |
$10,980.00
|
|
System sealant biosentry tract
|
$1,227.74 |
$1,227.74 |
$1,227.74 |
$900.00
|
|
T3 (triiodothyronine) free
|
$76.32 |
$76.32 |
$76.32 |
$89.82
|
|
T3 (triiodothyronine) total
|
$59.76 |
$59.76 |
$59.76 |
$94.90
|
|
T4 (thyroxine) free
|
$61.44 |
$61.44 |
$61.44 |
$81.60
|
|
T4 (thyroxine) total
|
$66.24 |
$66.24 |
$66.24 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.74 |
$10.74 |
$10.74 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$785.68 |
$785.68 |
$785.68 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,431.84 |
$1,431.84 |
$1,431.84 |
$1,928.40
|
|
Tavr perq femoral
|
$16,151.52 |
$16,151.52 |
$16,151.52 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$677.38 |
$677.38 |
$677.38 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$659.52 |
$659.52 |
$659.52 |
$166.46
|
|
Tcd emboli detect w/inj
|
$1,277.28 |
$1,277.28 |
$1,277.28 |
$404.68
|
|
T cells absolute cd4/cd8 including ratio
|
$150.55 |
$150.55 |
$150.55 |
$186.00
|
|
T cells absolute cd 4 count
|
$61.27 |
$61.27 |
$61.27 |
$120.25
|
|
T cells total count
|
$45.08 |
$45.08 |
$45.08 |
$124.11
|
|
Telethx isodose plan cplx
|
$2,028.48 |
$2,028.48 |
$2,028.48 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$848.72
|
|
Temozolomide
|
$105.11 |
$105.11 |
$105.11 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$1,439.93 |
$1,439.93 |
$1,439.93 |
$3,129.70
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,606.90 |
$14,606.90 |
$14,606.90 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$44.76 |
$44.76 |
$44.76 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$780.48 |
$780.48 |
$780.48 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$75.84 |
$75.84 |
$75.84 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$432.48 |
$432.48 |
$432.48 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,504.92 |
$1,504.92 |
$1,504.92 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$62.40 |
$62.40 |
$62.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$80.64 |
$80.64 |
$80.64 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$55.68 |
$55.68 |
$55.68 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$45.60 |
$45.60 |
$45.60 |
$50.40
|
|
Ther/proph/diag inj ia
|
$270.24 |
$270.24 |
$270.24 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$632.16 |
$632.16 |
$632.16 |
$1,804.00
|
|
Thoracotomy w/expl
|
$6,363.84 |
$6,363.84 |
$6,363.84 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$8,523.36 |
$8,523.36 |
$8,523.36 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$531.36 |
$531.36 |
$531.36 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,385.44 |
$6,385.44 |
$6,385.44 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,941.92 |
$11,941.92 |
$11,941.92 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$15,653.28 |
$15,653.28 |
$15,653.28 |
$24,605.30
|
|
Thrombin time
|
$86.40 |
$86.40 |
$86.40 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$32.96 |
$32.96 |
$32.96 |
$56.93
|
|
Thyroglobulin antibody
|
$174.24 |
$174.24 |
$174.24 |
$84.00
|
|
Thyroid imaging
|
$681.12 |
$681.12 |
$681.12 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$86.40 |
$86.40 |
$86.40 |
$120.00
|
|
Thyroid Ultrasound
|
$1,881.12 |
$1,881.12 |
$1,881.12 |
$589.96
|
|
Thyroid uptake measurement
|
$977.76 |
$977.76 |
$977.76 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$59.98 |
$59.98 |
$59.98 |
$63.60
|
|
Tigecycline injection
|
$300.30 |
$300.30 |
$300.30 |
$277.31
|
|
Tilt table study
|
$2,309.28 |
$2,309.28 |
$2,309.28 |
$1,495.00
|
|
Tissue amnio epifix inj 100mg
|
$8,163.56 |
$8,163.56 |
$8,163.56 |
$3,846.61
|
|
Tissue exam koh skin/hair/nails
|
$94.08 |
$94.08 |
$94.08 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$6,696.13 |
$6,696.13 |
$6,696.13 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,764.56 |
$1,764.56 |
$1,764.56 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$58.08 |
$58.08 |
$58.08 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$44.76 |
$44.76 |
$44.76 |
$141.75
|
|
Tobramycin non-comp unit
|
$49.97 |
$49.97 |
$49.97 |
$143.38
|
|
Tobramycin peak therapeutic drug level
|
$64.80 |
$64.80 |
$64.80 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,842.37 |
$5,842.37 |
$5,842.37 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$192.96 |
$192.96 |
$192.96 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$196.32 |
$196.32 |
$196.32 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$197.84 |
$197.84 |
$197.84 |
$404.20
|
|
Toxoplasma antibody igg
|
$42.41 |
$42.41 |
$42.41 |
$84.35
|
|
Toxoplasma antibody igm
|
$34.07 |
$34.07 |
$34.07 |
$83.20
|
|
Tpmt gene com vrnts
|
$151.68 |
$151.68 |
$151.68 |
$381.55
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,459.48
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$118.94 |
$118.94 |
$118.94 |
$77.65
|
|
Transcath biopsy
|
$7,752.48 |
$7,752.48 |
$7,752.48 |
$4,298.05
|
|
Transcath closure of asd
|
$11,062.08 |
$11,062.08 |
$11,062.08 |
$18,772.00
|
|
Transcatheter bx s&i
|
$5,538.72 |
$5,538.72 |
$5,538.72 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$12,932.64 |
$12,932.64 |
$12,932.64 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$13,385.28 |
$13,385.28 |
$13,385.28 |
$17,106.18
|
