|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$21.30 |
$21.30 |
$21.30 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$48.96 |
$48.96 |
$48.96 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$61.81 |
$61.81 |
$61.81 |
$177.52
|
|
Somatosensory testing
|
$12.60 |
$12.60 |
$12.60 |
$816.00
|
|
Sp bone agrft morsel add-on
|
$105.30 |
$105.30 |
$105.30 |
$406.40
|
|
Sp bone algrft morsel add-on
|
$29.88 |
$29.88 |
$29.88 |
$498.55
|
|
Special physics consult
|
$534.60 |
$534.60 |
$534.60 |
$725.00
|
|
Special radiation dosimetry
|
$120.78 |
$120.78 |
$120.78 |
$392.50
|
|
Special radiation treatment
|
$638.82 |
$638.82 |
$638.82 |
$1,986.00
|
|
Special supplies phys/qhp
|
$910.22 |
$910.22 |
$910.22 |
$60.00
|
|
Special teletx port plan
|
$344.52 |
$344.52 |
$344.52 |
$1,086.99
|
|
Specific gravity body fluid
|
$39.42 |
$39.42 |
$39.42 |
$22.00
|
|
Specimen fat stain
|
$13.68 |
$13.68 |
$13.68 |
$35.10
|
|
Speech audiometry complete
|
$88.02 |
$88.02 |
$88.02 |
$109.20
|
|
Speech recep thresh
|
$90.90 |
$90.90 |
$90.90 |
$82.88
|
|
Sperm antibody test
|
$8.69 |
$8.69 |
$8.69 |
$57.85
|
|
Spinal bone allograftstructural 20931
|
$69.30 |
$69.30 |
$69.30 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$31.50 |
$31.50 |
$31.50 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,030.14 |
$1,030.14 |
$1,030.14 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$403.92 |
$403.92 |
$403.92 |
$543.26
|
|
Splint finger 4 prong foam sm
|
$36.36 |
$36.36 |
$36.36 |
$34.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$459.72 |
$459.72 |
$459.72 |
$4,619.65
|
|
Split blood or products
|
$76.68 |
$76.68 |
$76.68 |
$127.48
|
|
Srs linear based
|
$10,314.72 |
$10,314.72 |
$10,314.72 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$243.90 |
$243.90 |
$243.90 |
$297.60
|
|
Staph a dna amp probe
|
$65.70 |
$65.70 |
$65.70 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$112.32 |
$112.32 |
$112.32 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$18,673.20 |
$18,673.20 |
$18,673.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,588.46 |
$5,588.46 |
$5,588.46 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,945.50 |
$4,945.50 |
$4,945.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,588.46 |
$5,588.46 |
$5,588.46 |
$4,939.20
|
|
Stereotactic radiation trmt
|
$322.74 |
$322.74 |
$322.74 |
$845.60
|
|
Sterile water/saline, 10 ml
|
$36.72 |
$36.72 |
$36.72 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$23.04 |
$23.04 |
$23.04 |
$28.11
|
|
St evaluate speech sound production
|
$193.32 |
$193.32 |
$193.32 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$201.96 |
$201.96 |
$201.96 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$362.52 |
$362.52 |
$362.52 |
$399.60
|
|
St evaluation swallow function
|
$289.80 |
$289.80 |
$289.80 |
$314.40
|
|
Stimulants synthetic
|
$27.00 |
$27.00 |
$27.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$11.16 |
$11.16 |
$11.16 |
$223.45
|
|
Strapping of toes 29550
|
$7.02 |
$7.02 |
$7.02 |
$164.70
|
|
Strep b dna amp probe
|
$52.20 |
$52.20 |
$52.20 |
$120.90
|
|
Streptomycin injection
|
$21.30 |
$21.30 |
$21.30 |
$138.30
|
|
Stress test pulmonary
|
$281.34 |
$281.34 |
$281.34 |
$322.85
|
|
Stress tte complete
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$1,870.50
|
|
Str markers specimen anal
|
$54.00 |
$54.00 |
$54.00 |
$751.50
|
|
St treatment speech individual
|
$154.80 |
$154.80 |
$154.80 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$155.52 |
$155.52 |
$155.52 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$19.09 |
$19.09 |
$19.09 |
$52.31
|
|
Sugars single quant
|
$1.84 |
$1.84 |
$1.84 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$16.52 |
$16.52 |
$16.52 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$22.61 |
$22.61 |
$22.61 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$27.00 |
$27.00 |
$27.00 |
$114.88
|
|
Surg dx exam anorectal
|
$59.04 |
$59.04 |
$59.04 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$47.52 |
$47.52 |
$47.52 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$62.82 |
$62.82 |
$62.82 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$85.86 |
$85.86 |
$85.86 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$110.52 |
$110.52 |
$110.52 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$196.20 |
$196.20 |
$196.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$281.34 |
$281.34 |
$281.34 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$289.08 |
$289.08 |
$289.08 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$26.82 |
$26.82 |
$26.82 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$26.82 |
$26.82 |
$26.82 |
$35.70
|
|
Susceptibility mic per plate
|
$90.72 |
$90.72 |
$90.72 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$1.06 |
$1.06 |
$1.06 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$575.64 |
$575.64 |
$575.64 |
$1,995.00
|
|
Svc venogram s&i
|
$1,409.58 |
$1,409.58 |
$1,409.58 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$103.14 |
$103.14 |
$103.14 |
$125.40
|
|
Synvisc or synvisc-one
|
$9.00 |
$9.00 |
$9.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$43.20 |
$43.20 |
$43.20 |
$41.60
|
|
System cardiomems hosp electronics
|
$16,267.50 |
$16,267.50 |
$16,267.50 |
$39,037.95
|
|
System pacing micra av
|
$13,050.00 |
$13,050.00 |
$13,050.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,574.08 |
$12,574.08 |
$12,574.08 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$94.14 |
$94.14 |
$94.14 |
$99.20
|
|
T3 (triiodothyronine) total
|
$82.98 |
$82.98 |
$82.98 |
$93.52
|
|
T4 (thyroxine) free
|
$74.52 |
$74.52 |
$74.52 |
$85.20
|
|
T4 (thyroxine) total
|
$57.78 |
$57.78 |
$57.78 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$15.18 |
$15.18 |
$15.18 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$98.70 |
$98.70 |
$98.70 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$2.20 |
$2.20 |
$2.20 |
$122.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$5.82 |
$5.82 |
$5.82 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$441.00 |
$441.00 |
$441.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$525.53 |
$525.53 |
$525.53 |
$3,746.70
|
|
Target gsa panel organ neop
|
$129.15 |
$129.15 |
$129.15 |
$1,655.52
|
|
Tavr perq femoral
|
$9,835.38 |
$9,835.38 |
$9,835.38 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$600.71 |
$600.71 |
$600.71 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$229.14 |
$229.14 |
$229.14 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$92.88 |
$92.88 |
$92.88 |
$177.65
|
|
Tc-99m bicisate
|
$369.18 |
$369.18 |
$369.18 |
$1,969.45
|
|
Tc-99m diag per dose
|
$176.04 |
$176.04 |
$176.04 |
$470.40
|
|
Tc-99m exametazime diag
|
$459.36 |
$459.36 |
$459.36 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$37.98 |
$37.98 |
$37.98 |
$302.40
|
|
Tc-99m maa
|
$9.90 |
$9.90 |
$9.90 |
$292.80
|
|
Tc-99m mebrofenin
|
$37.26 |
$37.26 |
$37.26 |
$157.65
|
|
Tc-99m medronate
|
$60.30 |
$60.30 |
$60.30 |
$111.01
|
|
Tc-99m mertiatide
|
$108.00 |
$108.00 |
$108.00 |
$756.00
|
|
Tc-99m oxidronate
|
$57.60 |
$57.60 |
$57.60 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$12.06 |
$12.06 |
$12.06 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$37.26 |
$37.26 |
$37.26 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$133.74 |
$133.74 |
$133.74 |
$274.45
|