|
Sling pelv split sam med
|
$191.48 |
$191.48 |
$224.83 |
$115.20
|
|
Sling suprapubic suburetheral
|
$12,912.08 |
$12,912.08 |
$15,161.03 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$62.17 |
$62.17 |
$78.59 |
$64.20
|
|
Smear gram stain
|
$71.27 |
$71.27 |
$89.15 |
$57.85
|
|
Smear nasal eosinophil
|
$4.00 |
$4.00 |
$4.70 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$69.27 |
$69.27 |
$91.89 |
$64.35
|
|
Smear wet mount
|
$69.93 |
$69.93 |
$82.11 |
$68.63
|
|
Snrpn/ube3a gene
|
$116.55 |
$116.55 |
$136.85 |
$228.80
|
|
Sock wool above knee
|
$249.75 |
$249.75 |
$293.25 |
$158.68
|
|
Sodium 24 hour urine
|
$50.29 |
$50.29 |
$77.03 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.51 |
$21.51 |
$32.31 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$21.51 |
$21.51 |
$32.31 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$21.51 |
$21.51 |
$32.31 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$21.12 |
$21.12 |
$32.31 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$69.93 |
$69.93 |
$131.77 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$50.62 |
$50.62 |
$75.08 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$195.48 |
$195.48 |
$369.50 |
$195.48
|
|
Somatosensory testing
|
$185.49 |
$185.49 |
$241.64 |
$583.80
|
|
Specific gravity body fluid
|
$32.97 |
$32.97 |
$35.59 |
$23.63
|
|
Speech evaluation complex
|
$318.69 |
$318.69 |
$356.60 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$393.94 |
$393.94 |
$437.14 |
$559.96
|
|
Splint finger fold over sm
|
$111.56 |
$111.56 |
$130.99 |
$84.00
|
|
Splint finger frog med
|
$16.65 |
$16.65 |
$19.55 |
$27.95
|
|
Splint func pos polyflex ii med
|
$49.95 |
$49.95 |
$58.65 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$111.56 |
$111.56 |
$130.99 |
$101.18
|
|
Split blood or products
|
$139.86 |
$139.86 |
$139.86 |
$148.98
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,892.06 |
$47,892.06 |
$56,233.62 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$934.07 |
$934.07 |
$1,096.76 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$29,738.57 |
$29,738.57 |
$34,918.26 |
$18,714.49
|
|
Strep b dna amp probe
|
$115.74 |
$115.74 |
$126.54 |
$139.20
|
|
Streptomycin injection
|
$18.99 |
$18.99 |
$77.81 |
$138.30
|
|
Streptozocin injection
|
$764.91 |
$764.91 |
$1,447.10 |
$943.23
|
|
Stress test pulmonary
|
$111.05 |
$111.05 |
$114.22 |
$327.20
|
|
Stress tte complete
|
$1,278.72 |
$1,278.72 |
$1,279.75 |
$1,964.95
|
|
Str markers specimen anal
|
$205.13 |
$205.13 |
$240.86 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$30.97 |
$30.97 |
$33.63 |
$49.13
|
|
Sugars single quant
|
$12.66 |
$12.66 |
$14.86 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$54.95 |
$54.95 |
$96.58 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$155.18 |
$155.18 |
$293.65 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$146.52 |
$146.52 |
$172.04 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$51.29 |
$51.29 |
$93.84 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$105.97 |
$105.97 |
$128.21 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$121.61 |
$121.61 |
$157.18 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$137.64 |
$137.64 |
$221.45 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$163.05 |
$163.05 |
$321.02 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$331.18 |
$331.18 |
$365.97 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$24.86 |
$24.86 |
$24.98 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$27.37 |
$27.37 |
$28.64 |
$34.48
|
|
Susceptibility mic per plate
|
$129.73 |
$129.73 |
$152.32 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$14.95 |
$14.95 |
$17.55 |
$48.30
|
|
Svc venogram s&i
|
$1,711.80 |
$1,711.80 |
$3,037.30 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$31.28 |
$31.28 |
$64.61 |
$44.85
|
|
System cardiomems hosp electronics
|
$39,580.38 |
$39,580.38 |
$46,474.26 |
$41,639.82
|
|
System pacing micra av
|
$24,577.07 |
$24,577.07 |
$28,857.76 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$16,786.53 |
$16,786.53 |
$19,710.31 |
$10,980.00
|
|
System sealant biosentry tract
|
$717.62 |
$717.62 |
$842.61 |
$900.00
|
|
T3 (triiodothyronine) free
|
$50.95 |
$50.95 |
$61.78 |
$89.82
|
|
T3 (triiodothyronine) total
|
$130.21 |
$130.21 |
$157.19 |
$94.90
|
|
T4 (thyroxine) free
|
$223.45 |
$223.45 |
$256.89 |
$81.60
|
|
T4 (thyroxine) total
|
$102.45 |
$102.45 |
$144.86 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$47.96 |
$47.96 |
$90.33 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$329.01 |
$329.01 |
$622.09 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$13.66 |
$13.66 |
$16.04 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$865.80 |
$865.80 |
$1,016.60 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,367.97 |
$1,367.97 |
$1,606.23 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,003.70 |
$1,003.70 |
$1,178.52 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$109.89 |
$109.89 |
$141.94 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$61.94 |
$61.94 |
$72.73 |
$166.46
|
|
Tc-99m bicisate
|
$390.28 |
$390.28 |
$606.84 |
$1,969.45
|
|
Tc-99m diag per dose
|
$3,592.74 |
$3,592.74 |
$3,910.00 |
$279.95
|
|
Tc-99m exame autol wbc diag per dose
|
$1,649.69 |
$1,649.69 |
$1,649.69 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$771.06 |
$771.06 |
$1,097.24 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$158.51 |
$158.51 |
$562.65 |
$323.01
|
|
Tc-99m maa
|
$41.45 |
$41.45 |
$143.86 |
$312.06
|
|
Tc-99m mebrofenin
|
$29.97 |
$29.97 |
$103.62 |
$169.53
|
|
Tc-99m medronate
|
$39.63 |
$39.63 |
$277.22 |
$122.46
|
|
Tc-99m mertiatide
|
$275.73 |
$275.73 |
$285.43 |
$757.25
|
|
Tc-99m oxidronate
|
$33.30 |
$33.30 |
$77.42 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$94.63 |
$94.63 |
$3,592.74 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$68.94 |
$68.94 |
$80.94 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$18.65 |
$18.65 |
$25.03 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$28.94 |
$28.94 |
$69.93 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$30.97 |
$30.97 |
$455.13 |
$221.60
|
|
Tc-99m sulfur colloid
|
$163.84 |
$163.84 |
$429.71 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$162.51 |
$162.51 |
$205.67 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$624.71 |
$624.71 |
$733.52 |
$930.54
|
|
Tcd emboli detect without inj
|
$113.22 |
$113.22 |
$132.94 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$7.50 |
$7.50 |
$8.80 |
$186.00
|
|
T cells absolute cd 4 count
|
$9.99 |
$9.99 |
$11.73 |
$120.25
|
|
T cells total count
|
$9.74 |
$9.74 |
$11.44 |
$124.11
|
|
Telavancin injection
|
$1,216.45 |
$1,216.45 |
$2,301.43 |
$1,216.45
|
|
Telehealth original site facility fee
|
$40.30 |
$40.30 |
$43.01 |
$60.80
|
|
Temozolomide
|
$735.27 |
$735.27 |
$735.27 |
$374.66
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$1,824.84 |
$1,824.84 |
$1,824.84 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$4,422.58 |
$4,422.58 |
$5,192.88 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.63 |
$39.63 |
$74.69 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$452.22 |
$452.22 |
$1,569.87 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$37.63 |
$37.63 |
$40.28 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,307.03 |
$1,307.03 |
$1,974.95 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$827.18 |
$827.18 |
$1,564.79 |
$1,204.50
|