|
Stress test pulmonary
|
$672.00 |
$672.00 |
$672.00 |
$322.85
|
|
Stress tte complete
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$1,870.50
|
|
Str markers spec anal addl
|
$694.40 |
$694.40 |
$694.40 |
$479.17
|
|
Str markers specimen anal
|
$4,099.20 |
$4,099.20 |
$4,099.20 |
$751.50
|
|
St treatment speech individual
|
$571.20 |
$571.20 |
$571.20 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$403.20 |
$403.20 |
$403.20 |
$240.31
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$3,449.60 |
$3,449.60 |
$3,449.60 |
$970.61
|
|
Subq njx filling matrl 1cc/<
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$988.00
|
|
Subsequent repair of nerve
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$4,448.60
|
|
Subtalar arthro w/deb
|
$8,013.60 |
$8,013.60 |
$8,013.60 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$16,861.60 |
$16,861.60 |
$16,861.60 |
$14,241.77
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$72.69 |
$72.69 |
$72.69 |
$52.31
|
|
Suction lipectomy head&neck
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,350.00
|
|
Suction lipectomy lwr extrem
|
$11,614.40 |
$11,614.40 |
$11,614.40 |
$5,339.00
|
|
Suction lipectomy trunk
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Suction lipectomy upr extrem
|
$7,291.20 |
$7,291.20 |
$7,291.20 |
$4,544.00
|
|
Suction socket
|
$887.60 |
$887.60 |
$887.60 |
$887.60
|
|
Suction susp ak/knee disart
|
$492.80 |
$492.80 |
$492.80 |
$492.80
|
|
Sugars multiple quant
|
$118.16 |
$118.16 |
$118.16 |
$44.19
|
|
Sugars single quant
|
$28.00 |
$28.00 |
$28.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$15,997.18 |
$15,997.18 |
$15,997.18 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$88.77 |
$88.77 |
$88.77 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$80.08 |
$80.08 |
$80.08 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$424.32 |
$424.32 |
$424.32 |
$114.88
|
|
Sup of prep of antigen # of vials 95144
|
$165.20 |
$165.20 |
$165.20 |
$54.60
|
|
Supply of digital device
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Support clav 29.6-40.5in med
|
$84.00 |
$84.00 |
$84.00 |
$94.19
|
|
Supprelin la implant
|
$80,935.72 |
$80,935.72 |
$80,935.72 |
$80,935.72
|
|
Surg dx exam anorectal
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,245.23
|
|
Surgery for urethra pouch
|
$10,416.00 |
$10,416.00 |
$10,416.00 |
$4,846.99
|
|
Surgery to stop leg growth
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,913.97
|
|
Surgery to stop leg growth
|
$14,005.60 |
$14,005.60 |
$14,005.60 |
$8,412.89
|
|
Surgery to stop leg growth
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Surgery to stop leg growth
|
$14,005.60 |
$14,005.60 |
$14,005.60 |
$8,453.60
|
|
Surgical exposure prostate 55860
|
$8,685.60 |
$8,685.60 |
$8,685.60 |
$5,626.86
|
|
Surgical opening of stomach
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
$2,320.80
|
|
Surgical opening of throat
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$71.68 |
$71.68 |
$71.68 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$167.44 |
$167.44 |
$167.44 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$201.60 |
$201.60 |
$201.60 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$229.60 |
$229.60 |
$229.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$789.60 |
$789.60 |
$789.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$718.00
|
|
Surgical trays
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$694.80
|
|
Surgigraft, 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Surg tx anal fistula 2nd stage 46285
|
$8,982.40 |
$8,982.40 |
$8,982.40 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$50.40 |
$50.40 |
$50.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$40.32 |
$40.32 |
$40.32 |
$35.70
|
|
Susceptibility mic per plate
|
$149.52 |
$149.52 |
$149.52 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$68.32 |
$68.32 |
$68.32 |
$59.28
|
|
Suspension of testis
|
$8,920.80 |
$8,920.80 |
$8,920.80 |
$4,061.71
|
|
Suspension sleeve lower ext
|
$140.00 |
$140.00 |
$140.00 |
$251.38
|
|
Svc venogram s&i
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$218.40 |
$218.40 |
$218.40 |
$125.40
|
|
Symes ankle without (sach) foot
|
$2,707.60 |
$2,707.60 |
$2,707.60 |
$2,707.60
|
|
Symes met fr leath socket ar
|
$4,141.20 |
$4,141.20 |
$4,141.20 |
$4,141.20
|
|
Symes type medial opening so
|
$288.40 |
$288.40 |
$288.40 |
$288.40
|
|
Symes type poster opening so
|
$456.40 |
$456.40 |
$456.40 |
$456.40
|
|
Symes type ptb brim design s
|
$266.00 |
$266.00 |
$266.00 |
$266.00
|
|
Syme typ expandabl wall sckt
|
$621.60 |
$621.60 |
$621.60 |
$621.60
|
|
Sympathectomy cervical
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$3,934.40
|
|
Sympathectomy digital artery
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$6,137.60 |
$6,137.60 |
$6,137.60 |
$3,880.00
|
|
Synch audio-only est high 40
|
$166.32 |
$166.32 |
$166.32 |
$189.40
|
|
Synch audio-only est low 20
|
$86.24 |
$86.24 |
$86.24 |
$90.60
|
|
Synch audio-only est mod 30
|
$136.64 |
$136.64 |
$136.64 |
$136.64
|
|
Synch audio-only est sf 10
|
$53.20 |
$53.20 |
$53.20 |
$53.20
|
|
Synch audio-only new high 60
|
$178.08 |
$178.08 |
$178.08 |
$200.30
|
|
Synch audio-only new low 30
|
$95.20 |
$95.20 |
$95.20 |
$117.00
|
|
Synch audio-only new mod 45
|
$148.40 |
$148.40 |
$148.40 |
$163.38
|
|
Synch audio-only new sf 15
|
$59.36 |
$59.36 |
$59.36 |
$67.80
|
|
Synthetic sentence id test
|
$112.56 |
$112.56 |
$112.56 |
$99.32
|
|
Synvisc or synvisc-one
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$28.00 |
$28.00 |
$28.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$20,580.00 |
$20,580.00 |
$20,580.00 |
$39,037.95
|
|
System pacing micra av
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$11,183.00
|
|
System sealant biosentry tract
|
$16.80 |
$16.80 |
$16.80 |
$889.35
|
|
T3 (triiodothyronine) free
|
$114.80 |
$114.80 |
$114.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$93.52 |
$93.52 |
$93.52 |
$93.52
|
|
T4 (thyroxine) free
|
$102.48 |
$102.48 |
$102.48 |
$85.20
|
|
T4 (thyroxine) total
|
$39.20 |
$39.20 |
$39.20 |
$69.00
|
|
Tacrol astagraf ex rel oral
|
$67.12 |
$67.12 |
$67.12 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$65.77 |
$65.77 |
$65.77 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5,155.65 |
$5,155.65 |
$5,155.65 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$448.39 |
$448.39 |
$448.39 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$148.96 |
$148.96 |
$148.96 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,464.06 |
$2,464.06 |
$2,464.06 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$1,223.36 |
$1,223.36 |
$1,223.36 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$18,657.93 |
$18,657.93 |
$18,657.93 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$14.00 |
$14.00 |
$14.00 |
$14.62
|
|
Tap block bilat cont infusion 64489
|
$520.80 |
$520.80 |
$520.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$520.80 |
$520.80 |
$520.80 |
$869.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$0.56 |
$0.56 |
$0.56 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,746.70
|
