|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$6,466.16
|
|
Salmonella antibody
|
$5.74 |
$5.74 |
$5.74 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$39.60 |
$39.60 |
$39.60 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$79.20 |
$79.20 |
$79.20 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,898.10 |
$1,898.10 |
$1,898.10 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,100.70 |
$1,100.70 |
$1,100.70 |
$670.00
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,705.50 |
$1,705.50 |
$1,705.50 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,525.95 |
$1,525.95 |
$1,525.95 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$4,079.62
|
|
Screening prostate cancer PSA
|
$58.05 |
$58.05 |
$58.05 |
$100.80
|
|
Screen/visual acuity/bilat/quant 99173
|
$39.60 |
$39.60 |
$39.60 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$26,096.85 |
$26,096.85 |
$26,096.85 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$150.75 |
$150.75 |
$150.75 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,342.25 |
$2,342.25 |
$2,342.25 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$180.45 |
$180.45 |
$180.45 |
$293.40
|
|
Sedimentation rate erythrocyte automated
|
$173.70 |
$173.70 |
$173.70 |
$44.20
|
|
Sevelamer carbonate 800 mg tablet
|
$17.10 |
$17.10 |
$17.10 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$77.40 |
$77.40 |
$77.40 |
$21.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$309.60 |
$309.60 |
$309.60 |
$302.55
|
|
Shoe post-op mens m
|
$33.75 |
$33.75 |
$33.75 |
$42.87
|
|
Shuntogram nonvascular supervision & interpretation
|
$207.90 |
$207.90 |
$207.90 |
$345.00
|
|
Sickling rbc
|
$39.69 |
$39.69 |
$39.69 |
$53.55
|
|
Sigmoidoscopy w/plcmt stent
|
$6,529.50 |
$6,529.50 |
$6,529.50 |
$4,379.25
|
|
Sincalide 5 mcg solution for injection
|
$360.40 |
$360.40 |
$360.40 |
$354.67
|
|
Sinus CT scan (with contrast)
|
$4,570.65 |
$4,570.65 |
$4,570.65 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$3,777.30 |
$3,777.30 |
$3,777.30 |
$1,279.50
|
|
Sirolimus, oral
|
$123.30 |
$123.30 |
$123.30 |
$42.11
|
|
Skin Biopsy
|
$264.60 |
$264.60 |
$264.60 |
$382.80
|
|
Sleep study unattended
|
$734.85 |
$734.85 |
$734.85 |
$595.50
|
|
Sleeve fing rolyan med
|
$298.35 |
$298.35 |
$298.35 |
$167.31
|
|
Sling suprapubic suburetheral
|
$15,373.35 |
$15,373.35 |
$15,373.35 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$8.34 |
$8.34 |
$8.34 |
$64.20
|
|
Smear gram stain
|
$180.00 |
$180.00 |
$180.00 |
$57.85
|
|
Smear nasal eosinophil
|
$220.95 |
$220.95 |
$220.95 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$29.52 |
$29.52 |
$29.52 |
$64.35
|
|
Smear wet mount
|
$226.35 |
$226.35 |
$226.35 |
$68.63
|
|
Sodium 24 hour urine
|
$252.90 |
$252.90 |
$252.90 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$24.30 |
$24.30 |
$24.30 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$24.30 |
$24.30 |
$24.30 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$24.30 |
$24.30 |
$24.30 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$57.38 |
$57.38 |
$57.38 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$137.38 |
$137.38 |
$137.38 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$278.10 |
$278.10 |
$278.10 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$385.20 |
$385.20 |
$385.20 |
$195.48
|
|
Somatropin injection
|
$2,887.75 |
$2,887.75 |
$2,887.75 |
$2,381.48
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,996.20 |
$1,996.20 |
$1,996.20 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$879.30 |
$879.30 |
$879.30 |
$559.96
|
|
Spleen imaging
|
$1,784.70 |
$1,784.70 |
$1,784.70 |
$539.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$298.35 |
$298.35 |
$298.35 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$78.75 |
$78.75 |
$78.75 |
$52.65
|
|
Splint finger frog med
|
$298.35 |
$298.35 |
$298.35 |
$27.95
|
|
Splint func pos polyflex ii med
|
$78.75 |
$78.75 |
$78.75 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$78.75 |
$78.75 |
$78.75 |
$101.18
|
|
Split blood or products
|
$269.10 |
$269.10 |
$269.10 |
$148.98
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$15,316.20 |
$15,316.20 |
$15,316.20 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$74,450.70 |
$74,450.70 |
$74,450.70 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,297.10 |
$8,297.10 |
$8,297.10 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,616.60 |
$8,616.60 |
$8,616.60 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,656.80 |
$11,656.80 |
$11,656.80 |
$19,765.20
|
|
Strep a ag ia
|
$173.70 |
$173.70 |
$173.70 |
$75.40
|
|
Streptomycin injection
|
$81.00 |
$81.00 |
$81.00 |
$138.30
|
|
Stress test pulmonary
|
$83.70 |
$83.70 |
$83.70 |
$327.20
|
|
Stress tte complete
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$70.20 |
$70.20 |
$70.20 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$20.16 |
$20.16 |
$20.16 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$306.00 |
$306.00 |
$306.00 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$27.00 |
$27.00 |
$27.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$117.90 |
$117.90 |
$117.90 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$135.45 |
$135.45 |
$135.45 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$153.00 |
$153.00 |
$153.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$175.95 |
$175.95 |
$175.95 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$235.35 |
$235.35 |
$235.35 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$496.35 |
$496.35 |
$496.35 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$58.50 |
$58.50 |
$58.50 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$60.30 |
$60.30 |
$60.30 |
$34.48
|
|
Susceptibility mic per plate
|
$326.25 |
$326.25 |
$326.25 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$20.20 |
$20.20 |
$20.20 |
$48.30
|
|
Svc venogram s&i
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$11.98 |
$11.98 |
$11.98 |
$44.85
|
|
System pacing micra av
|
$28,705.05 |
$28,705.05 |
$28,705.05 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$19,987.65 |
$19,987.65 |
$19,987.65 |
$10,980.00
|
|
System sealant biosentry tract
|
$854.10 |
$854.10 |
$854.10 |
$900.00
|
|
T3 (triiodothyronine) free
|
$2.25 |
$2.25 |
$2.25 |
$89.82
|
|
T3 (triiodothyronine) total
|
$2.25 |
$2.25 |
$2.25 |
$94.90
|
|
T4 (thyroxine) free
|
$284.40 |
$284.40 |
$284.40 |
$81.60
|
|
T4 (thyroxine) total
|
$3.19 |
$3.19 |
$3.19 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$94.50 |
$94.50 |
$94.50 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$5.40 |
$5.40 |
$5.40 |
$122.40
|
|
Target gsa panel organ neop
|
$346.50 |
$346.50 |
$346.50 |
$1,913.00
|
|
Tavr perq femoral
|
$22,150.35 |
$22,150.35 |
$22,150.35 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$13.50 |
$13.50 |
$13.50 |
$166.46
|
|
Tc-99m exametazime diag
|
$1,182.15 |
$1,182.15 |
$1,182.15 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$5,331.60 |
$5,331.60 |
$5,331.60 |
$323.01
|
|
Tc-99m maa
|
$87.75 |
$87.75 |
$87.75 |
$312.06
|
|
Tc-99m mebrofenin
|
$87.75 |
$87.75 |
$87.75 |
$169.53
|
|
Tc-99m medronate
|
$87.75 |
$87.75 |
$87.75 |
$122.46
|
|
Tc-99m mertiatide
|
$1,127.25 |
$1,127.25 |
$1,127.25 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$175.05 |
$175.05 |
$175.05 |
$245.85
|
