|
Special radiation treatment
|
$2,097.63 |
$2,097.63 |
$2,097.63 |
$1,934.03
|
|
Special teletx port plan
|
$993.99 |
$993.99 |
$993.99 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,870.39 |
$3,870.39 |
$3,870.39 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,089.87 |
$1,089.87 |
$1,089.87 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$73.24 |
$73.24 |
$73.24 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$7,168.56 |
$7,168.56 |
$7,168.56 |
$4,560.66
|
|
Split blood or products
|
$278.97 |
$278.97 |
$278.97 |
$148.98
|
|
Srs linear based
|
$15,769.71 |
$15,769.71 |
$15,769.71 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$513.06 |
$513.06 |
$513.06 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$513.06 |
$513.06 |
$513.06 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$107,100.00 |
$107,100.00 |
$107,100.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$55,444.12 |
$55,444.12 |
$55,444.12 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$51,738.40 |
$51,738.40 |
$51,738.40 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$8,888.44 |
$8,888.44 |
$8,888.44 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$23,993.97 |
$23,993.97 |
$23,993.97 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$11,234.79 |
$11,234.79 |
$11,234.79 |
$9,276.80
|
|
St evaluate speech sound production
|
$513.06 |
$513.06 |
$513.06 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$513.06 |
$513.06 |
$513.06 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$576.30 |
$576.30 |
$576.30 |
$406.40
|
|
St evaluation swallow function
|
$479.40 |
$479.40 |
$479.40 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,080.18 |
$1,080.18 |
$1,080.18 |
$248.05
|
|
Strapping of chest
|
$328.44 |
$328.44 |
$328.44 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$129.54 |
$129.54 |
$129.54 |
$171.00
|
|
Strapping of hand or finger
|
$129.54 |
$129.54 |
$129.54 |
$194.40
|
|
Strapping of hip
|
$261.63 |
$261.63 |
$261.63 |
$170.08
|
|
Strapping of knee
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$224.80
|
|
Strapping of toes 29550
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$185.36
|
|
Stress test pulmonary
|
$404.94 |
$404.94 |
$404.94 |
$327.20
|
|
Stress tte complete
|
$806.82 |
$806.82 |
$806.82 |
$1,964.95
|
|
St treatment speech individual
|
$542.64 |
$542.64 |
$542.64 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$415.65 |
$415.65 |
$415.65 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$145.10 |
$145.10 |
$145.10 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$92.29 |
$92.29 |
$92.29 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$5.56 |
$5.56 |
$5.56 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$84.15 |
$84.15 |
$84.15 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$45.10 |
$45.10 |
$45.10 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$88.23 |
$88.23 |
$88.23 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$166.77 |
$166.77 |
$166.77 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$215.73 |
$215.73 |
$215.73 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$379.44 |
$379.44 |
$379.44 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$613.53 |
$613.53 |
$613.53 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$109.14 |
$109.14 |
$109.14 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$195.84 |
$195.84 |
$195.84 |
$34.48
|
|
Susceptibility mic per plate
|
$436.05 |
$436.05 |
$436.05 |
$94.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$1.49 |
$1.49 |
$1.49 |
$44.85
|
|
System cardiomems hosp electronics
|
$70,695.18 |
$70,695.18 |
$70,695.18 |
$41,639.82
|
|
System pacing micra av
|
$43,113.87 |
$43,113.87 |
$43,113.87 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,444.00 |
$12,444.00 |
$12,444.00 |
$10,980.00
|
|
System sealant biosentry tract
|
$1,195.77 |
$1,195.77 |
$1,195.77 |
$900.00
|
|
T3 (triiodothyronine) free
|
$288.15 |
$288.15 |
$288.15 |
$89.82
|
|
T3 (triiodothyronine) total
|
$383.52 |
$383.52 |
$383.52 |
$94.90
|
|
T4 (thyroxine) free
|
$631.89 |
$631.89 |
$631.89 |
$81.60
|
|
T4 (thyroxine) total
|
$243.78 |
$243.78 |
$243.78 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$24.17 |
$24.17 |
$24.17 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$727.26 |
$727.26 |
$727.26 |
$122.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$684.42 |
$684.42 |
$684.42 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$882.81 |
$882.81 |
$882.81 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$159.96 |
$159.96 |
$159.96 |
$186.00
|
|
T cells absolute cd 4 count
|
$65.10 |
$65.10 |
$65.10 |
$120.25
|
|
T cells total count
|
$47.89 |
$47.89 |
$47.89 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$8,951.52 |
$8,951.52 |
$8,951.52 |
$5,030.40
|
|
Telethx isodose plan cplx
|
$7,259.85 |
$7,259.85 |
$7,259.85 |
$1,617.00
|
|
Telethx isodose plan simple
|
$3,593.97 |
$3,593.97 |
$3,593.97 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,531.64 |
$16,531.64 |
$16,531.64 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$84.15 |
$84.15 |
$84.15 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$103.53 |
$103.53 |
$103.53 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$958.80 |
$958.80 |
$958.80 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,440.92 |
$1,440.92 |
$1,440.92 |
$1,204.50
|
|
Theophylline therapeutic drug level
|
$535.50 |
$535.50 |
$535.50 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$186.15 |
$186.15 |
$186.15 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$186.15 |
$186.15 |
$186.15 |
$50.40
|
|
Ther/proph/diag inj ia
|
$400.86 |
$400.86 |
$400.86 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$4,569.09 |
$4,569.09 |
$4,569.09 |
$1,804.00
|
|
Thoracotomy w/expl
|
$13,735.83 |
$13,735.83 |
$13,735.83 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$22,315.05 |
$22,315.05 |
$22,315.05 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$11,616.27 |
$11,616.27 |
$11,616.27 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,262.62 |
$9,262.62 |
$9,262.62 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$18,771.57 |
$18,771.57 |
$18,771.57 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$30,013.50 |
$30,013.50 |
$30,013.50 |
$24,605.30
|
|
Thrombin time
|
$21.14 |
$21.14 |
$21.14 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$35.02 |
$35.02 |
$35.02 |
$56.93
|
|
Thyroglobulin antibody
|
$30.57 |
$30.57 |
$30.57 |
$84.00
|
|
Thyroid imaging
|
$1,260.72 |
$1,260.72 |
$1,260.72 |
$670.80
|
|
Thyroid mets imag whole body
|
$4,472.19 |
$4,472.19 |
$4,472.19 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$379.95 |
$379.95 |
$379.95 |
$120.00
|
|
Thyroid Ultrasound
|
$2,163.93 |
$2,163.93 |
$2,163.93 |
$589.96
|
|
Thyroid uptake measurement
|
$861.39 |
$861.39 |
$861.39 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$63.72 |
$63.72 |
$63.72 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$25,453.59 |
$25,453.59 |
$25,453.59 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$11,234.79 |
$11,234.79 |
$11,234.79 |
$10,406.14
|
|
Tigecycline injection
|
$272.05 |
$272.05 |
$272.05 |
$277.31
|
|
Tirofiban 12.5 mg/50 ml
|
$442.17 |
$442.17 |
$442.17 |
$384.17
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$9,674.50 |
$9,674.50 |
$9,674.50 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$1,715.64 |
$1,715.64 |
$1,715.64 |
$2,085.14
|
|
Tissue transglutaminase iga
|
$61.71 |
$61.71 |
$61.71 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$141.75
|