|
Sheath gldlight lasr 12fx50cm
|
$247.25 |
$247.25 |
$247.25 |
$7,076.25
|
|
Shoe post-op mens m
|
$419.25 |
$419.25 |
$419.25 |
$42.87
|
|
Shrinker prosth above knee
|
$419.25 |
$419.25 |
$419.25 |
$157.49
|
|
Shrinker prosth below knee
|
$247.25 |
$247.25 |
$247.25 |
$153.13
|
|
Shunt glaucoma baerveldt 350mm
|
$7,587.35 |
$7,587.35 |
$7,587.35 |
$4,709.25
|
|
Sickling rbc
|
$36.12 |
$36.12 |
$36.12 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$424.84 |
$424.84 |
$424.84 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,205.04 |
$2,205.04 |
$2,205.04 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,839.97 |
$1,839.97 |
$1,839.97 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,520.91 |
$1,520.91 |
$1,520.91 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$3,766.80 |
$3,766.80 |
$3,766.80 |
$2,489.25
|
|
Sirolimus, oral
|
$145.34 |
$145.34 |
$145.34 |
$42.11
|
|
Sling arm deluxe w/pad xs
|
$21.50 |
$21.50 |
$21.50 |
$25.55
|
|
Sling pelv split sam med
|
$247.25 |
$247.25 |
$247.25 |
$115.20
|
|
Sling suprapubic suburetheral
|
$16,673.25 |
$16,673.25 |
$16,673.25 |
$10,328.15
|
|
Slp pure tone screening
|
$30.96 |
$30.96 |
$30.96 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$70.09 |
$70.09 |
$70.09 |
$64.20
|
|
Smear gram stain
|
$55.47 |
$55.47 |
$55.47 |
$57.85
|
|
Smear nasal eosinophil
|
$5.59 |
$5.59 |
$5.59 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$46.87 |
$46.87 |
$46.87 |
$64.35
|
|
Smear wet mount
|
$55.47 |
$55.47 |
$55.47 |
$68.63
|
|
Snrpn/ube3a gene
|
$150.50 |
$150.50 |
$150.50 |
$228.80
|
|
Sock wool above knee
|
$322.50 |
$322.50 |
$322.50 |
$158.68
|
|
Sodium 24 hour urine
|
$45.58 |
$45.58 |
$45.58 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$23.65 |
$23.65 |
$23.65 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$23.65 |
$23.65 |
$23.65 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$23.65 |
$23.65 |
$23.65 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$67.94 |
$67.94 |
$67.94 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$162.11 |
$162.11 |
$162.11 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$73.53 |
$73.53 |
$73.53 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$454.08 |
$454.08 |
$454.08 |
$195.48
|
|
Somatosensory testing
|
$337.12 |
$337.12 |
$337.12 |
$583.80
|
|
Special physics consult
|
$591.68 |
$591.68 |
$591.68 |
$700.74
|
|
Special radiation dosimetry
|
$144.05 |
$144.05 |
$144.05 |
$445.50
|
|
Special radiation treatment
|
$1,061.67 |
$1,061.67 |
$1,061.67 |
$1,934.03
|
|
Special teletx port plan
|
$484.61 |
$484.61 |
$484.61 |
$1,046.65
|
|
Specific gravity body fluid
|
$46.87 |
$46.87 |
$46.87 |
$23.63
|
|
Speech evaluation complex
|
$351.31 |
$351.31 |
$351.31 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$532.34 |
$532.34 |
$532.34 |
$559.96
|
|
Splint finger fold over sm
|
$144.05 |
$144.05 |
$144.05 |
$84.00
|
|
Splint finger frog med
|
$21.50 |
$21.50 |
$21.50 |
$27.95
|
|
Splint func pos polyflex ii med
|
$64.50 |
$64.50 |
$64.50 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$144.05 |
$144.05 |
$144.05 |
$101.18
|
|
Stent axios caut enh 15x10mm electrocaut
|
$61,842.60 |
$61,842.60 |
$61,842.60 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,206.15 |
$1,206.15 |
$1,206.15 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$38,401.15 |
$38,401.15 |
$38,401.15 |
$18,714.49
|
|
Strep b dna amp probe
|
$51.60 |
$51.60 |
$51.60 |
$139.20
|
|
Stress test pulmonary
|
$411.08 |
$411.08 |
$411.08 |
$327.20
|
|
Stress tte complete
|
$1,855.02 |
$1,855.02 |
$1,855.02 |
$1,964.95
|
|
Str markers specimen anal
|
$264.88 |
$264.88 |
$264.88 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$71.81 |
$71.81 |
$71.81 |
$49.13
|
|
Sugars single quant
|
$16.34 |
$16.34 |
$16.34 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$118.68 |
$118.68 |
$118.68 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$360.77 |
$360.77 |
$360.77 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$189.20 |
$189.20 |
$189.20 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$240.80 |
$240.80 |
$240.80 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$316.05 |
$316.05 |
$316.05 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$376.25 |
$376.25 |
$376.25 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$496.22 |
$496.22 |
$496.22 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,504.14 |
$1,504.14 |
$1,504.14 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,196.01 |
$2,196.01 |
$2,196.01 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$67.94 |
$67.94 |
$67.94 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$29.24 |
$29.24 |
$29.24 |
$34.48
|
|
Susceptibility mic per plate
|
$167.51 |
$167.51 |
$167.51 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$19.30 |
$19.30 |
$19.30 |
$48.30
|
|
Svc venogram s&i
|
$1,892.43 |
$1,892.43 |
$1,892.43 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$68.37 |
$68.37 |
$68.37 |
$44.85
|
|
System cardiomems hosp electronics
|
$51,109.80 |
$51,109.80 |
$51,109.80 |
$41,639.82
|
|
System pacing micra av
|
$31,736.15 |
$31,736.15 |
$31,736.15 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,676.30 |
$21,676.30 |
$21,676.30 |
$10,980.00
|
|
System sealant biosentry tract
|
$926.65 |
$926.65 |
$926.65 |
$900.00
|
|
T3 (triiodothyronine) free
|
$61.92 |
$61.92 |
$61.92 |
$89.82
|
|
T3 (triiodothyronine) total
|
$160.39 |
$160.39 |
$160.39 |
$94.90
|
|
T4 (thyroxine) free
|
$73.10 |
$73.10 |
$73.10 |
$81.60
|
|
T4 (thyroxine) total
|
$121.69 |
$121.69 |
$121.69 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$110.94 |
$110.94 |
$110.94 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$764.11 |
$764.11 |
$764.11 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$35.26 |
$35.26 |
$35.26 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,766.44 |
$1,766.44 |
$1,766.44 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,296.07 |
$1,296.07 |
$1,296.07 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$129.00 |
$129.00 |
$129.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$79.98 |
$79.98 |
$79.98 |
$166.46
|
|
Tc-99m bicisate
|
$503.96 |
$503.96 |
$503.96 |
$1,969.45
|
|
Tc-99m diag per dose
|
$33.11 |
$33.11 |
$33.11 |
$279.95
|
|
Tc-99m exametazime diag
|
$1,416.85 |
$1,416.85 |
$1,416.85 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$97.18 |
$97.18 |
$97.18 |
$323.01
|
|
Tc-99m maa
|
$38.70 |
$38.70 |
$38.70 |
$312.06
|
|
Tc-99m mebrofenin
|
$70.95 |
$70.95 |
$70.95 |
$169.53
|
|
Tc-99m medronate
|
$30.10 |
$30.10 |
$30.10 |
$122.46
|
|
Tc-99m mertiatide
|
$242.52 |
$242.52 |
$242.52 |
$757.25
|
|
Tc-99m oxidronate
|
$43.00 |
$43.00 |
$43.00 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$1,020.82 |
$1,020.82 |
$1,020.82 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$89.01 |
$89.01 |
$89.01 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$30.10 |
$30.10 |
$30.10 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$164.26 |
$164.26 |
$164.26 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$273.91 |
$273.91 |
$273.91 |
$221.60
|
|
Tc-99m sulfur colloid
|
$62.78 |
$62.78 |
$62.78 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$209.84 |
$209.84 |
$209.84 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$592.11 |
$592.11 |
$592.11 |
$930.54
|
