|
Shrinker prosth below knee
|
$120.89 |
$120.89 |
$120.89 |
$153.13
|
|
Shunt glaucoma baerveldt 350mm
|
$6,380.20 |
$6,380.20 |
$6,380.20 |
$4,709.25
|
|
Sickling rbc
|
$49.06 |
$49.06 |
$49.06 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$550.72 |
$550.72 |
$550.72 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$3,665.19 |
$3,665.19 |
$3,665.19 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,016.95 |
$3,016.95 |
$3,016.95 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,493.10 |
$2,493.10 |
$2,493.10 |
$1,279.50
|
|
Skin Biopsy
|
$230.68 |
$230.68 |
$230.68 |
$382.80
|
|
Sleep study unattended
|
$453.77 |
$453.77 |
$453.77 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$10.52 |
$10.52 |
$10.52 |
$25.55
|
|
Sling pelv split sam med
|
$92.28 |
$92.28 |
$92.28 |
$115.20
|
|
Sling suprapubic suburetheral
|
$14,021.84 |
$14,021.84 |
$14,021.84 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$69.50 |
$69.50 |
$69.50 |
$64.20
|
|
Smear gram stain
|
$94.03 |
$94.03 |
$94.03 |
$57.85
|
|
Smear nasal eosinophil
|
$7.60 |
$7.60 |
$7.60 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$38.32 |
$38.32 |
$38.32 |
$64.35
|
|
Smear wet mount
|
$102.20 |
$102.20 |
$102.20 |
$68.63
|
|
Smpd1 gene common variants
|
$23.72 |
$23.72 |
$23.72 |
$140.00
|
|
Snrpn/ube3a gene
|
$231.85 |
$231.85 |
$231.85 |
$228.80
|
|
Sodium 24 hour urine
|
$88.77 |
$88.77 |
$88.77 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$45.56 |
$45.56 |
$45.56 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$45.56 |
$45.56 |
$45.56 |
$46.38
|
|
Sodium chloride 0.9 % IV bolus
|
$132.57 |
$132.57 |
$132.57 |
$43.30
|
|
Sodium chloride 3 % ivpb
|
$200.90 |
$200.90 |
$200.90 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$128.48 |
$128.48 |
$128.48 |
$84.15
|
|
Sodium serum/plasma/whole blood
|
$50.81 |
$50.81 |
$50.81 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$359.75 |
$359.75 |
$359.75 |
$156.60
|
|
Specific gravity body fluid
|
$26.87 |
$26.87 |
$26.87 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,097.34 |
$1,097.34 |
$1,097.34 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$732.34 |
$732.34 |
$732.34 |
$559.96
|
|
Splint finger frog med
|
$10.52 |
$10.52 |
$10.52 |
$27.95
|
|
Splint func pos polyflex ii med
|
$598.02 |
$598.02 |
$598.02 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$23.36 |
$23.36 |
$23.36 |
$101.18
|
|
Stent axios caut enh 15x10mm electrocaut
|
$38,333.18 |
$38,333.18 |
$38,333.18 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,013.83 |
$1,013.83 |
$1,013.83 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$18,229.56 |
$18,229.56 |
$18,229.56 |
$18,714.49
|
|
Strep a ag ia
|
$15.19 |
$15.19 |
$15.19 |
$75.40
|
|
Strep b dna amp probe
|
$176.37 |
$176.37 |
$176.37 |
$139.20
|
|
Stress test pulmonary
|
$408.22 |
$408.22 |
$408.22 |
$327.20
|
|
Stress tte complete
|
$642.99 |
$642.99 |
$642.99 |
$1,964.95
|
|
Str markers specimen anal
|
$324.12 |
$324.12 |
$324.12 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$349.82 |
$349.82 |
$349.82 |
$50.70
|
|
Sugars single quant
|
$22.20 |
$22.20 |
$22.20 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$51.40 |
$51.40 |
$51.40 |
$61.59
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$377.85 |
$377.85 |
$377.85 |
$144.79
|
|
Support clav 29.6-40.5in med
|
$158.27 |
$158.27 |
$158.27 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$55.48 |
$55.48 |
$55.48 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$154.18 |
$154.18 |
$154.18 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$195.06 |
$195.06 |
$195.06 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$397.83 |
$397.83 |
$397.83 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$248.20 |
$248.20 |
$248.20 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$614.96 |
$614.96 |
$614.96 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$37.14 |
$37.14 |
$37.14 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$32.71 |
$32.71 |
$32.71 |
$34.48
|
|
Susceptibility mic per plate
|
$144.84 |
$144.84 |
$144.84 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$26.21 |
$26.21 |
$26.21 |
$48.30
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$15.55 |
$15.55 |
$15.55 |
$44.85
|
|
System pacing micra av
|
$8,295.72 |
$8,295.72 |
$8,295.72 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$10,785.32 |
$10,785.32 |
$10,785.32 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$26.28 |
$26.28 |
$26.28 |
$89.82
|
|
T3 (triiodothyronine) total
|
$18.11 |
$18.11 |
$18.11 |
$94.90
|
|
T4 (thyroxine) free
|
$199.73 |
$199.73 |
$199.73 |
$81.60
|
|
T4 (thyroxine) total
|
$12.27 |
$12.27 |
$12.27 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$24.53 |
$24.53 |
$24.53 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$7.01 |
$7.01 |
$7.01 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$348.65 |
$348.65 |
$348.65 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$348.65 |
$348.65 |
$348.65 |
$638.65
|
|
Target gsa panel hmtlmph neop
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,971.20 |
$3,971.20 |
$3,971.20 |
$3,385.00
|
|
Target gsa panel organ neop
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$17.52 |
$17.52 |
$17.52 |
$166.46
|
|
Tc-99m bicisate
|
$2,207.52 |
$2,207.52 |
$2,207.52 |
$1,969.45
|
|
Tc-99m disofenin
|
$308.94 |
$308.94 |
$308.94 |
$151.32
|
|
Tc-99m exametazime diag
|
$3,048.48 |
$3,048.48 |
$3,048.48 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$336.39 |
$336.39 |
$336.39 |
$323.01
|
|
Tc-99m maa
|
$288.50 |
$288.50 |
$288.50 |
$312.06
|
|
Tc-99m mebrofenin
|
$81.76 |
$81.76 |
$81.76 |
$169.53
|
|
Tc-99m medronate
|
$175.20 |
$175.20 |
$175.20 |
$122.46
|
|
Tc-99m mertiatide
|
$572.32 |
$572.32 |
$572.32 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$1,024.92 |
$1,024.92 |
$1,024.92 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$87.60 |
$87.60 |
$87.60 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$35.04 |
$35.04 |
$35.04 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$240.61 |
$240.61 |
$240.61 |
$221.60
|
|
Tc-99m sulfur colloid
|
$419.32 |
$419.32 |
$419.32 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$2,131.60 |
$2,131.60 |
$2,131.60 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$86.03 |
$86.03 |
$86.03 |
$186.00
|
|
T cells absolute cd 4 count
|
$22.66 |
$22.66 |
$22.66 |
$120.25
|
|
T cells total count
|
$85.85 |
$85.85 |
$85.85 |
$124.11
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$7,756.11 |
$7,756.11 |
$7,756.11 |
$15,600.75
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$73.00 |
$73.00 |
$73.00 |
$46.10
|
|
Test stress cardiovascular tracing only
|
$1,090.33 |
$1,090.33 |
$1,090.33 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,521.91 |
$1,521.91 |
$1,521.91 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$3,819.36 |
$3,819.36 |
$3,819.36 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$208.49 |
$208.49 |
$208.49 |
$108.00
|
|
Therapeutic procd strg endur
|
$81.18 |
$81.18 |
$81.18 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$85.27 |
$85.27 |
$85.27 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$114.47 |
$114.47 |
$114.47 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$42.05 |
$42.05 |
$42.05 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,071.06 |
$1,071.06 |
$1,071.06 |
$1,804.00
|
|
Thrombin time
|
$11.00 |
$11.00 |
$11.00 |
$48.75
|