|
Smear fluorescent and/or acid fast stain
|
$87.25 |
$87.25 |
$87.25 |
$64.20
|
|
Smear gram stain
|
$95.26 |
$95.26 |
$95.26 |
$57.85
|
|
Smear nasal eosinophil
|
$81.54 |
$81.54 |
$81.54 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$30.19 |
$30.19 |
$30.19 |
$64.35
|
|
Smear wet mount
|
$96.44 |
$96.44 |
$96.44 |
$68.63
|
|
Smpd1 gene common variants
|
$109.53 |
$109.53 |
$109.53 |
$140.00
|
|
Snrpn/ube3a gene
|
$131.32 |
$131.32 |
$131.32 |
$228.80
|
|
Sodium 24 hour urine
|
$85.46 |
$85.46 |
$85.46 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.17 |
$21.17 |
$21.17 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$21.17 |
$21.17 |
$21.17 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$21.17 |
$21.17 |
$21.17 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$21.17 |
$21.17 |
$21.17 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$149.75 |
$149.75 |
$149.75 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$41.16 |
$41.16 |
$41.16 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$70.56 |
$70.56 |
$70.56 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$419.44 |
$419.44 |
$419.44 |
$195.48
|
|
Special pump services
|
$876.91 |
$876.91 |
$876.91 |
$928.00
|
|
Special pump services
|
$595.84 |
$595.84 |
$595.84 |
$649.60
|
|
Special pump services
|
$394.36 |
$394.36 |
$394.36 |
$464.80
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$757.74 |
$757.74 |
$757.74 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$582.91 |
$582.91 |
$582.91 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$137.60 |
$137.60 |
$137.60 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$79.58 |
$79.58 |
$79.58 |
$52.65
|
|
Splint finger frog med
|
$9.02 |
$9.02 |
$9.02 |
$27.95
|
|
Splint func pos polyflex ii med
|
$47.83 |
$47.83 |
$47.83 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$61.94 |
$61.94 |
$61.94 |
$101.18
|
|
Split blood or products
|
$229.32 |
$229.32 |
$229.32 |
$148.98
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,601.54 |
$23,601.54 |
$23,601.54 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$33,082.06 |
$33,082.06 |
$33,082.06 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,481.76 |
$1,481.76 |
$1,481.76 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$12,101.04 |
$12,101.04 |
$12,101.04 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,426.84 |
$6,426.84 |
$6,426.84 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,426.84 |
$6,426.84 |
$6,426.84 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,674.92 |
$13,674.92 |
$13,674.92 |
$19,765.20
|
|
Strapping of ankle and/or ft 29540
|
$231.68 |
$231.68 |
$231.68 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$117.21 |
$117.21 |
$117.21 |
$171.00
|
|
Strapping of hand or finger
|
$117.21 |
$117.21 |
$117.21 |
$194.40
|
|
Strapping of knee
|
$117.21 |
$117.21 |
$117.21 |
$224.80
|
|
Strep a ag ia
|
$92.52 |
$92.52 |
$92.52 |
$75.40
|
|
Strep b dna amp probe
|
$132.50 |
$132.50 |
$132.50 |
$139.20
|
|
Streptomycin injection
|
$88.20 |
$88.20 |
$88.20 |
$138.30
|
|
Streptozocin injection
|
$1,642.88 |
$1,642.88 |
$1,642.88 |
$943.23
|
|
Stress test pulmonary
|
$264.21 |
$264.21 |
$264.21 |
$327.20
|
|
Stress tte complete
|
$1,149.35 |
$1,149.35 |
$1,149.35 |
$1,964.95
|
|
Str markers specimen anal
|
$72.52 |
$72.52 |
$72.52 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$76.44 |
$76.44 |
$76.44 |
$49.13
|
|
Sugars single quant
|
$40.32 |
$40.32 |
$40.32 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$8,563.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$118.00 |
$118.00 |
$118.00 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$333.20 |
$333.20 |
$333.20 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$21.17 |
$21.17 |
$21.17 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$4.02 |
$4.02 |
$4.02 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$9.67 |
$9.67 |
$9.67 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$13.09 |
$13.09 |
$13.09 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$155.86 |
$155.86 |
$155.86 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$129.36 |
$129.36 |
$129.36 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$121.68 |
$121.68 |
$121.68 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$24.93 |
$24.93 |
$24.93 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$17.64 |
$17.64 |
$17.64 |
$34.48
|
|
Susceptibility mic per plate
|
$182.28 |
$182.28 |
$182.28 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$88.60 |
$88.60 |
$88.60 |
$48.30
|
|
Svc venogram s&i
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$19.21 |
$19.21 |
$19.21 |
$44.85
|
|
System cardiomems hosp electronics
|
$44,031.40 |
$44,031.40 |
$44,031.40 |
$41,518.75
|
|
System pacing micra av
|
$24,854.76 |
$24,854.76 |
$24,854.76 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$15,733.32 |
$15,733.32 |
$15,733.32 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$66.25 |
$66.25 |
$66.25 |
$89.82
|
|
T3 (triiodothyronine) total
|
$77.62 |
$77.62 |
$77.62 |
$94.90
|
|
T4 (thyroxine) free
|
$140.34 |
$140.34 |
$140.34 |
$81.60
|
|
T4 (thyroxine) total
|
$141.52 |
$141.52 |
$141.52 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$18.82 |
$18.82 |
$18.82 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$706.39 |
$706.39 |
$706.39 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$4.71 |
$4.71 |
$4.71 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,487.83 |
$1,487.83 |
$1,487.83 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,913.00
|
|
Tavr perq femoral
|
$44,391.26 |
$44,391.26 |
$44,391.26 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,799.28 |
$1,799.28 |
$1,799.28 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$186.99 |
$186.99 |
$186.99 |
$200.00
|
|
Tc-99m bicisate
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$1,969.45
|
|
Tc-99m diag per dose
|
$1,399.44 |
$1,399.44 |
$1,399.44 |
$279.95
|
|
Tc-99m disofenin
|
$104.28 |
$104.28 |
$104.28 |
$151.32
|
|
Tc-99m exametazime diag
|
$1,772.63 |
$1,772.63 |
$1,772.63 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$437.48 |
$437.48 |
$437.48 |
$323.01
|
|
Tc-99m maa
|
$185.03 |
$185.03 |
$185.03 |
$312.06
|
|
Tc-99m mebrofenin
|
$437.48 |
$437.48 |
$437.48 |
$169.53
|
|
Tc-99m medronate
|
$328.11 |
$328.11 |
$328.11 |
$122.46
|
|
Tc-99m mertiatide
|
$299.88 |
$299.88 |
$299.88 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$725.99 |
$725.99 |
$725.99 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$201.10 |
$201.10 |
$201.10 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$281.85 |
$281.85 |
$281.85 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$475.89 |
$475.89 |
$475.89 |
$221.60
|
|
Tc-99m sulfur colloid
|
$153.67 |
$153.67 |
$153.67 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$1,231.67 |
$1,231.67 |
$1,231.67 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$8.82 |
$8.82 |
$8.82 |
$186.00
|
|
T cells absolute cd 4 count
|
$11.76 |
$11.76 |
$11.76 |
$120.25
|
|
T cells total count
|
$36.85 |
$36.85 |
$36.85 |
$124.11
|
|
Tee w or without fol w/cont,cong
|
$1,103.48 |
$1,103.48 |
$1,103.48 |
$1,995.40
|
|
Tee w or without fol w/cont, mon
|
$1,159.54 |
$1,159.54 |
$1,159.54 |
$1,077.92
|