|
Specific gravity body fluid
|
$70.84 |
$70.84 |
$70.84 |
$22.00
|
|
Specimen fat stain
|
$33.66 |
$33.66 |
$33.66 |
$35.10
|
|
Speech evaluation complex
|
$845.46 |
$845.46 |
$845.46 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,736.24 |
$1,736.24 |
$1,736.24 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$328.68 |
$328.68 |
$328.68 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$698.06 |
$698.06 |
$698.06 |
$392.09
|
|
Splint finger 4 prong foam sm
|
$44.44 |
$44.44 |
$44.44 |
$34.00
|
|
Sr-89 stront chlor ther / mci
|
$2,667.94 |
$2,667.94 |
$2,667.94 |
$2,667.94
|
|
Srsf2 gene common variants
|
$77.44 |
$77.44 |
$77.44 |
$227.66
|
|
Srs linear based
|
$7,704.40 |
$7,704.40 |
$7,704.40 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$130.68 |
$130.68 |
$130.68 |
$297.60
|
|
Staph a dna amp probe
|
$109.12 |
$109.12 |
$109.12 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$135.74 |
$135.74 |
$135.74 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$13,200.00 |
$13,200.00 |
$13,200.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,840.44 |
$4,840.44 |
$4,840.44 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$12,971.20 |
$12,971.20 |
$12,971.20 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$3,206.06 |
$3,206.06 |
$3,206.06 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$11.00 |
$11.00 |
$11.00 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$24.86 |
$24.86 |
$24.86 |
$28.11
|
|
St evaluate speech sound production
|
$139.92 |
$139.92 |
$139.92 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$344.96 |
$344.96 |
$344.96 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$314.60 |
$314.60 |
$314.60 |
$399.60
|
|
St evaluation swallow function
|
$167.42 |
$167.42 |
$167.42 |
$314.40
|
|
Stimulants synthetic
|
$1.54 |
$1.54 |
$1.54 |
$80.08
|
|
Strep b dna amp probe
|
$92.84 |
$92.84 |
$92.84 |
$120.90
|
|
Stress test pulmonary
|
$193.82 |
$193.82 |
$193.82 |
$322.85
|
|
Stress tte complete
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,870.50
|
|
St treatment speech individual
|
$156.64 |
$156.64 |
$156.64 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$125.18 |
$125.18 |
$125.18 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$2.66 |
$2.66 |
$2.66 |
$52.31
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$18.90 |
$18.90 |
$18.90 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$20.63 |
$20.63 |
$20.63 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$17.88 |
$17.88 |
$17.88 |
$114.88
|
|
Surg ect salp-oophorectomy 59120
|
$520.08 |
$520.08 |
$520.08 |
$1,632.60
|
|
Surgical pathology level 1 gross examination only
|
$46.42 |
$46.42 |
$46.42 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$62.26 |
$62.26 |
$62.26 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$84.92 |
$84.92 |
$84.92 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$137.06 |
$137.06 |
$137.06 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$196.90 |
$196.90 |
$196.90 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$365.42 |
$365.42 |
$365.42 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$47.96 |
$47.96 |
$47.96 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$18.48 |
$18.48 |
$18.48 |
$35.70
|
|
Susceptibility mic per plate
|
$134.42 |
$134.42 |
$134.42 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$4.93 |
$4.93 |
$4.93 |
$59.28
|
|
Svc venogram s&i
|
$1,953.38 |
$1,953.38 |
$1,953.38 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$54.56 |
$54.56 |
$54.56 |
$41.60
|
|
System cardiomems hosp electronics
|
$19,882.50 |
$19,882.50 |
$19,882.50 |
$39,037.95
|
|
System pacing micra av
|
$10,450.00 |
$10,450.00 |
$10,450.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,277.54 |
$12,277.54 |
$12,277.54 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$84.26 |
$84.26 |
$84.26 |
$99.20
|
|
T3 (triiodothyronine) total
|
$50.82 |
$50.82 |
$50.82 |
$93.52
|
|
T4 (thyroxine) free
|
$142.78 |
$142.78 |
$142.78 |
$85.20
|
|
T4 (thyroxine) total
|
$102.74 |
$102.74 |
$102.74 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.65 |
$3.65 |
$3.65 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$46.86 |
$46.86 |
$46.86 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$539.00 |
$539.00 |
$539.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$770.00 |
$770.00 |
$770.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$220.00 |
$220.00 |
$220.00 |
$1,655.52
|
|
Tavr perq femoral
|
$8,338.44 |
$8,338.44 |
$8,338.44 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$208.56 |
$208.56 |
$208.56 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$85.58 |
$85.58 |
$85.58 |
$177.65
|
|
Tc-99m bicisate
|
$578.38 |
$578.38 |
$578.38 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$912.12 |
$912.12 |
$912.12 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$1,035.98 |
$1,035.98 |
$1,035.98 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$141.68 |
$141.68 |
$141.68 |
$302.40
|
|
Tc-99m maa
|
$52.80 |
$52.80 |
$52.80 |
$292.80
|
|
Tc-99m mebrofenin
|
$63.80 |
$63.80 |
$63.80 |
$157.65
|
|
Tc-99m medronate
|
$52.80 |
$52.80 |
$52.80 |
$111.01
|
|
Tc-99m mertiatide
|
$371.36 |
$371.36 |
$371.36 |
$756.00
|
|
Tc-99m oxidronate
|
$53.24 |
$53.24 |
$53.24 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$52.80 |
$52.80 |
$52.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$52.80 |
$52.80 |
$52.80 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$48.84 |
$48.84 |
$48.84 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$50.82 |
$50.82 |
$50.82 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$47.08 |
$47.08 |
$47.08 |
$274.45
|
|
Tc-99m sulfur colloid
|
$63.80 |
$63.80 |
$63.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$75.02 |
$75.02 |
$75.02 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$427.02 |
$427.02 |
$427.02 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$18.48 |
$18.48 |
$18.48 |
$176.40
|
|
T cells absolute cd 4 count
|
$15.40 |
$15.40 |
$15.40 |
$111.20
|
|
T cells total count
|
$32.34 |
$32.34 |
$32.34 |
$126.90
|
|
Telethx isodose plan cplx
|
$869.44 |
$869.44 |
$869.44 |
$1,526.85
|
|
Telethx isodose plan simple
|
$377.30 |
$377.30 |
$377.30 |
$873.62
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,257.14 |
$5,257.14 |
$5,257.14 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.89 |
$22.89 |
$22.89 |
$39.33
|
|
Tert gene targeted seq alys
|
$46.20 |
$46.20 |
$46.20 |
$335.00
|
|
Test stress cardiovascular tracing only
|
$509.08 |
$509.08 |
$509.08 |
$949.70
|
|
Tetanus immune globulin inj
|
$558.18 |
$558.18 |
$558.18 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$2,623.75 |
$2,623.75 |
$2,623.75 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$134.86 |
$134.86 |
$134.86 |
$108.00
|
|
Therapeutic procd strg endur
|
$52.14 |
$52.14 |
$52.14 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$17.82 |
$17.82 |
$17.82 |
$57.31
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$16.14 |
$16.14 |
$16.14 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$972.62 |
$972.62 |
$972.62 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$1,149.06 |
$1,149.06 |
$1,149.06 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,621.22 |
$5,621.22 |
$5,621.22 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$9,563.84 |
$9,563.84 |
$9,563.84 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$13,924.46 |
$13,924.46 |
$13,924.46 |
$21,413.60
|
|
Thrombin time
|
$40.48 |
$40.48 |
$40.48 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$198.88 |
$198.88 |
$198.88 |
$61.52
|
