|
Split blood or products
|
$250.38 |
$250.38 |
$250.38 |
$148.98
|
|
Srs linear based
|
$13,913.86 |
$13,913.86 |
$13,913.86 |
$14,124.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$25,769.03 |
$25,769.03 |
$25,769.03 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$36,120.21 |
$36,120.21 |
$36,120.21 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,617.84 |
$1,617.84 |
$1,617.84 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$13,212.36 |
$13,212.36 |
$13,212.36 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,227.21 |
$7,227.21 |
$7,227.21 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,227.21 |
$7,227.21 |
$7,227.21 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$14,930.78 |
$14,930.78 |
$14,930.78 |
$19,765.20
|
|
Strapping of ankle and/or ft 29540
|
$278.20 |
$278.20 |
$278.20 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$145.10 |
$145.10 |
$145.10 |
$171.00
|
|
Strapping of hand or finger
|
$145.10 |
$145.10 |
$145.10 |
$194.40
|
|
Strapping of knee
|
$145.10 |
$145.10 |
$145.10 |
$224.80
|
|
Strep a ag ia
|
$101.01 |
$101.01 |
$101.01 |
$75.40
|
|
Strep b dna amp probe
|
$144.67 |
$144.67 |
$144.67 |
$139.20
|
|
Streptomycin injection
|
$96.30 |
$96.30 |
$96.30 |
$138.30
|
|
Stress test pulmonary
|
$288.48 |
$288.48 |
$288.48 |
$327.20
|
|
Stress tte complete
|
$1,201.83 |
$1,201.83 |
$1,201.83 |
$1,964.95
|
|
Str markers specimen anal
|
$79.18 |
$79.18 |
$79.18 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$83.46 |
$83.46 |
$83.46 |
$49.13
|
|
Sugars single quant
|
$44.02 |
$44.02 |
$44.02 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$8,988.00 |
$8,988.00 |
$8,988.00 |
$5,446.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$128.83 |
$128.83 |
$128.83 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$363.80 |
$363.80 |
$363.80 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$23.12 |
$23.12 |
$23.12 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$4.39 |
$4.39 |
$4.39 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$10.56 |
$10.56 |
$10.56 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$14.30 |
$14.30 |
$14.30 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$170.18 |
$170.18 |
$170.18 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$141.24 |
$141.24 |
$141.24 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$132.85 |
$132.85 |
$132.85 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$27.22 |
$27.22 |
$27.22 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$19.26 |
$19.26 |
$19.26 |
$34.48
|
|
Susceptibility mic per plate
|
$199.02 |
$199.02 |
$199.02 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$96.73 |
$96.73 |
$96.73 |
$48.30
|
|
Svc venogram s&i
|
$2,964.33 |
$2,964.33 |
$2,964.33 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,904.60 |
$1,904.60 |
$1,904.60 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$20.98 |
$20.98 |
$20.98 |
$44.85
|
|
System cardiomems hosp electronics
|
$48,075.10 |
$48,075.10 |
$48,075.10 |
$41,518.75
|
|
System pacing micra av
|
$27,137.34 |
$27,137.34 |
$27,137.34 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$17,178.21 |
$17,178.21 |
$17,178.21 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$72.34 |
$72.34 |
$72.34 |
$89.82
|
|
T3 (triiodothyronine) total
|
$84.75 |
$84.75 |
$84.75 |
$94.90
|
|
T4 (thyroxine) free
|
$153.23 |
$153.23 |
$153.23 |
$81.60
|
|
T4 (thyroxine) total
|
$154.51 |
$154.51 |
$154.51 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$20.55 |
$20.55 |
$20.55 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$5.34 |
$5.34 |
$5.34 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,624.47 |
$1,624.47 |
$1,624.47 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,913.00
|
|
Tavr perq femoral
|
$48,468.01 |
$48,468.01 |
$48,468.01 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,964.52 |
$1,964.52 |
$1,964.52 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$204.16 |
$204.16 |
$204.16 |
$200.00
|
|
Tc-99m bicisate
|
$1,203.54 |
$1,203.54 |
$1,203.54 |
$1,969.45
|
|
Tc-99m diag per dose
|
$137.82 |
$137.82 |
$137.82 |
$279.95
|
|
Tc-99m disofenin
|
$401.47 |
$401.47 |
$401.47 |
$151.32
|
|
Tc-99m exametazime diag
|
$1,725.70 |
$1,725.70 |
$1,725.70 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$537.14 |
$537.14 |
$537.14 |
$323.01
|
|
Tc-99m maa
|
$374.50 |
$374.50 |
$374.50 |
$312.06
|
|
Tc-99m mebrofenin
|
$485.36 |
$485.36 |
$485.36 |
$169.53
|
|
Tc-99m medronate
|
$380.07 |
$380.07 |
$380.07 |
$122.46
|
|
Tc-99m mertiatide
|
$743.01 |
$743.01 |
$743.01 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$512.32 |
$512.32 |
$512.32 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$215.72 |
$215.72 |
$215.72 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$384.35 |
$384.35 |
$384.35 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$751.14 |
$751.14 |
$751.14 |
$221.60
|
|
Tc-99m sulfur colloid
|
$212.29 |
$212.29 |
$212.29 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$1,344.78 |
$1,344.78 |
$1,344.78 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$32.49 |
$32.49 |
$32.49 |
$186.00
|
|
T cells absolute cd 4 count
|
$12.84 |
$12.84 |
$12.84 |
$120.25
|
|
T cells total count
|
$40.24 |
$40.24 |
$40.24 |
$124.11
|
|
Telehealth original site facility fee
|
$36.38 |
$36.38 |
$36.38 |
$60.80
|
|
Temozolomide
|
$1,940.13 |
$1,940.13 |
$1,940.13 |
$374.66
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$7,426.23 |
$7,426.23 |
$7,426.23 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$92.45 |
$92.45 |
$92.45 |
$46.10
|
|
Teriparatide injection
|
$7,935.12 |
$7,935.12 |
$7,935.12 |
$7,403.20
|
|
Test stress cardiovascular tracing only
|
$995.10 |
$995.10 |
$995.10 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,939.70 |
$1,939.70 |
$1,939.70 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$9,460.16
|
|
Tgsap so/hl 51/< rna alys
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$202.02 |
$202.02 |
$202.02 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$78.76 |
$78.76 |
$78.76 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$68.91 |
$68.91 |
$68.91 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$154.08 |
$154.08 |
$154.08 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,178.52 |
$2,178.52 |
$2,178.52 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$4,909.16 |
$4,909.16 |
$4,909.16 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$13,664.76 |
$13,664.76 |
$13,664.76 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$15,353.65 |
$15,353.65 |
$15,353.65 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$16,888.88 |
$16,888.88 |
$16,888.88 |
$24,605.30
|
|
Thrombin time
|
$51.13 |
$51.13 |
$51.13 |
$48.75
|
|
Thromboplastin inhibition
|
$40.61 |
$40.61 |
$40.61 |
$52.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$77.79 |
$77.79 |
$77.79 |
$56.93
|
|
Thyroglobulin antibody
|
$33.51 |
$33.51 |
$33.51 |
$84.00
|
|
Thyroid imaging
|
$1,377.74 |
$1,377.74 |
$1,377.74 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,379.02 |
$1,379.02 |
$1,379.02 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$116.42 |
$116.42 |
$116.42 |
$120.00
|
|
Thyroid Ultrasound
|
$740.02 |
$740.02 |
$740.02 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$9,116.83 |
$9,116.83 |
$9,116.83 |
$4,319.71
|