|
Rubeola antibody igg
|
$101.56 |
$101.56 |
$101.56 |
$79.68
|
|
Russell viper venom diluted
|
$34.58 |
$34.58 |
$34.58 |
$70.16
|
|
Salmonella antibody
|
$4.65 |
$4.65 |
$4.65 |
$37.58
|
|
Sargramostim injection
|
$865.23 |
$865.23 |
$865.23 |
$690.48
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,370.46 |
$1,370.46 |
$1,370.46 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$796.80 |
$796.80 |
$796.80 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$932.21 |
$932.21 |
$932.21 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$589.68 |
$589.68 |
$589.68 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,168.44 |
$1,168.44 |
$1,168.44 |
$1,006.85
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$159.80 |
$159.80 |
$159.80 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$6,022.02 |
$6,022.02 |
$6,022.02 |
$4,079.62
|
|
Screening Mammogram
|
$351.99 |
$351.99 |
$351.99 |
$303.55
|
|
Screening prostate cancer PSA
|
$158.34 |
$158.34 |
$158.34 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$13,234.32 |
$13,234.32 |
$13,234.32 |
$28,563.75
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$279.19 |
$279.19 |
$279.19 |
$279.19
|
|
Semen analysis presence/motility
|
$156.52 |
$156.52 |
$156.52 |
$70.85
|
|
Set radiation therapy field
|
$1,034.49 |
$1,034.49 |
$1,034.49 |
$731.50
|
|
Set radiation therapy field
|
$1,814.91 |
$1,814.91 |
$1,814.91 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$13.84 |
$13.84 |
$13.84 |
$7.14
|
|
Sheath gldlight lasr 12fx50cm
|
$6,022.02 |
$6,022.02 |
$6,022.02 |
$6,863.91
|
|
Shunt glaucoma baerveldt 350mm
|
$4,631.18 |
$4,631.18 |
$4,631.18 |
$4,709.25
|
|
Sickling rbc
|
$30.58 |
$30.58 |
$30.58 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$291.57 |
$291.57 |
$291.57 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$3,222.13 |
$3,222.13 |
$3,222.13 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,656.48 |
$2,656.48 |
$2,656.48 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,459.55 |
$2,459.55 |
$2,459.55 |
$1,279.50
|
|
Sirolimus, oral
|
$49.51 |
$49.51 |
$49.51 |
$42.11
|
|
Sling arm deluxe w/pad xs
|
$149.61 |
$149.61 |
$149.61 |
$25.55
|
|
Sling suprapubic suburetheral
|
$13,234.32 |
$13,234.32 |
$13,234.32 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$2.92 |
$2.92 |
$2.92 |
$64.20
|
|
Smear gram stain
|
$142.69 |
$142.69 |
$142.69 |
$57.85
|
|
Smear nasal eosinophil
|
$135.41 |
$135.41 |
$135.41 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$381.48 |
$381.48 |
$381.48 |
$64.35
|
|
Smear wet mount
|
$175.82 |
$175.82 |
$175.82 |
$68.63
|
|
Sodium 24 hour urine
|
$231.14 |
$231.14 |
$231.14 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$28.40 |
$28.40 |
$28.40 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$28.40 |
$28.40 |
$28.40 |
$46.38
|
|
Sodium chloride 0.9 % IV bolus
|
$28.40 |
$28.40 |
$28.40 |
$43.30
|
|
Sodium chloride 3 % ivpb
|
$19.66 |
$19.66 |
$19.66 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$111.39 |
$111.39 |
$111.39 |
$84.15
|
|
Sodium serum/plasma/whole blood
|
$296.30 |
$296.30 |
$296.30 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$311.59 |
$311.59 |
$311.59 |
$156.60
|
|
Special physics consult
|
$770.96 |
$770.96 |
$770.96 |
$700.74
|
|
Special radiation treatment
|
$1,212.85 |
$1,212.85 |
$1,212.85 |
$1,934.03
|
|
Special teletx port plan
|
$981.71 |
$981.71 |
$981.71 |
$1,046.65
|
|
Specimen fat stain
|
$276.28 |
$276.28 |
$276.28 |
$32.76
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$588.23 |
$588.23 |
$588.23 |
$559.96
|
|
Split blood or products
|
$58.24 |
$58.24 |
$58.24 |
$148.98
|
|
Stent axios caut enh 15x10mm electrocaut
|
$32,891.04 |
$32,891.04 |
$32,891.04 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$956.96 |
$956.96 |
$956.96 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$6,022.02 |
$6,022.02 |
$6,022.02 |
$18,714.49
|
|
Strep a ag ia
|
$98.65 |
$98.65 |
$98.65 |
$75.40
|
|
Stress test pulmonary
|
$277.74 |
$277.74 |
$277.74 |
$327.20
|
|
Stress tte complete
|
$1,731.92 |
$1,731.92 |
$1,731.92 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$56.79 |
$56.79 |
$56.79 |
$50.70
|
|
Sugars single quant
|
$13.84 |
$13.84 |
$13.84 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$87.73 |
$87.73 |
$87.73 |
$61.59
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$247.52 |
$247.52 |
$247.52 |
$144.79
|
|
Surgical pathology level 1 gross examination only
|
$17.00 |
$17.00 |
$17.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$27.24 |
$27.24 |
$27.24 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$37.09 |
$37.09 |
$37.09 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$62.25 |
$62.25 |
$62.25 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$249.63 |
$249.63 |
$249.63 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$566.89 |
$566.89 |
$566.89 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$2.92 |
$2.92 |
$2.92 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$150.70 |
$150.70 |
$150.70 |
$34.48
|
|
Susceptibility mic per plate
|
$223.50 |
$223.50 |
$223.50 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$16.34 |
$16.34 |
$16.34 |
$48.30
|
|
Svc venogram s&i
|
$1,726.09 |
$1,726.09 |
$1,726.09 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$3.64 |
$3.64 |
$3.64 |
$44.85
|
|
System cardiomems hosp electronics
|
$43,776.46 |
$43,776.46 |
$43,776.46 |
$41,639.82
|
|
System pacing micra av
|
$24,711.24 |
$24,711.24 |
$24,711.24 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$17,205.92 |
$17,205.92 |
$17,205.92 |
$10,980.00
|
|
System sealant biosentry tract
|
$564.57 |
$564.57 |
$564.57 |
$900.00
|
|
T3 (triiodothyronine) free
|
$1.82 |
$1.82 |
$1.82 |
$89.82
|
|
T3 (triiodothyronine) total
|
$117.21 |
$117.21 |
$117.21 |
$94.90
|
|
T4 (thyroxine) free
|
$278.83 |
$278.83 |
$278.83 |
$81.60
|
|
T4 (thyroxine) total
|
$2.58 |
$2.58 |
$2.58 |
$73.64
|
|
Tacrol envarsus ex rel oral
|
$13.84 |
$13.84 |
$13.84 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.56 |
$6.56 |
$6.56 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$4.37 |
$4.37 |
$4.37 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$3,385.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$10.92 |
$10.92 |
$10.92 |
$166.46
|
|
Tc-99m maa
|
$23.66 |
$23.66 |
$23.66 |
$312.06
|
|
Tc-99m mebrofenin
|
$70.98 |
$70.98 |
$70.98 |
$169.53
|
|
Tc-99m mertiatide
|
$32.04 |
$32.04 |
$32.04 |
$757.25
|
|
Tc-99m oxidronate
|
$23.66 |
$23.66 |
$23.66 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$162.71 |
$162.71 |
$162.71 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$12.74 |
$12.74 |
$12.74 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$135.41 |
$135.41 |
$135.41 |
$221.60
|
|
Tc-99m sulfur colloid
|
$52.42 |
$52.42 |
$52.42 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$74.99 |
$74.99 |
$74.99 |
$186.00
|
|
T cells absolute cd 4 count
|
$10.20 |
$10.20 |
$10.20 |
$120.25
|
|
T cells total count
|
$57.88 |
$57.88 |
$57.88 |
$124.11
|
|
Telethx isodose plan cplx
|
$2,402.40 |
$2,402.40 |
$2,402.40 |
$1,617.00
|
|
Temozolomide
|
$1,173.18 |
$1,173.18 |
$1,173.18 |
$427.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$4,834.29 |
$4,834.29 |
$4,834.29 |
$15,600.75
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$62.98 |
$62.98 |
$62.98 |
$46.10
|
|
Teriparatide injection
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$5,429.40
|
