|
Sodium serum/plasma/whole blood
|
$108.50 |
$108.50 |
$108.50 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$33.55 |
$33.55 |
$33.55 |
$195.48
|
|
Soft interface below knee se
|
$136.96 |
$136.96 |
$136.96 |
$209.99
|
|
Somatosensory testing
|
$1,024.45 |
$1,024.45 |
$1,024.45 |
$583.80
|
|
Special physics consult
|
$785.40 |
$785.40 |
$785.40 |
$700.74
|
|
Special radiation dosimetry
|
$469.00 |
$469.00 |
$469.00 |
$445.50
|
|
Special radiation treatment
|
$1,788.15 |
$1,788.15 |
$1,788.15 |
$1,934.03
|
|
Special teletx port plan
|
$760.20 |
$760.20 |
$760.20 |
$1,046.65
|
|
Specific gravity body fluid
|
$49.00 |
$49.00 |
$49.00 |
$23.63
|
|
Speech evaluation complex
|
$750.05 |
$750.05 |
$750.05 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,881.95 |
$1,881.95 |
$1,881.95 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$283.50 |
$283.50 |
$283.50 |
$559.96
|
|
Spleen imaging
|
$596.40 |
$596.40 |
$596.40 |
$539.70
|
|
Splint rstrc wrst/cmc right med
|
$34.32 |
$34.32 |
$34.32 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,141.95 |
$3,141.95 |
$3,141.95 |
$4,560.66
|
|
Split blood or products
|
$95.55 |
$95.55 |
$95.55 |
$148.98
|
|
Srs linear based
|
$8,587.25 |
$8,587.25 |
$8,587.25 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$189.00 |
$189.00 |
$189.00 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$248.15 |
$248.15 |
$248.15 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$7,150.50 |
$7,150.50 |
$7,150.50 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,225.00 |
$50,225.00 |
$50,225.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$26,143.55 |
$26,143.55 |
$26,143.55 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$24,396.19 |
$24,396.19 |
$24,396.19 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$5,247.90 |
$5,247.90 |
$5,247.90 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$4,549.30 |
$4,549.30 |
$4,549.30 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,220.05 |
$2,220.05 |
$2,220.05 |
$9,276.80
|
|
Stent placemt retro carotid
|
$2,988.65 |
$2,988.65 |
$2,988.65 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,072.90 |
$5,072.90 |
$5,072.90 |
$19,765.20
|
|
St evaluate speech sound production
|
$194.25 |
$194.25 |
$194.25 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$395.50 |
$395.50 |
$395.50 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$295.05 |
$295.05 |
$295.05 |
$406.40
|
|
St evaluation swallow function
|
$270.90 |
$270.90 |
$270.90 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$135.10 |
$135.10 |
$135.10 |
$248.05
|
|
Strapping of chest
|
$163.10 |
$163.10 |
$163.10 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$184.10 |
$184.10 |
$184.10 |
$171.00
|
|
Strapping of hand or finger
|
$184.10 |
$184.10 |
$184.10 |
$194.40
|
|
Strapping of hip
|
$242.20 |
$242.20 |
$242.20 |
$170.08
|
|
Strapping of knee
|
$203.35 |
$203.35 |
$203.35 |
$224.80
|
|
Strapping of toes 29550
|
$135.10 |
$135.10 |
$135.10 |
$185.36
|
|
Strep a ag ia
|
$120.40 |
$120.40 |
$120.40 |
$75.40
|
|
Strep b dna amp probe
|
$72.80 |
$72.80 |
$72.80 |
$139.20
|
|
Streptozocin injection
|
$1,132.53 |
$1,132.53 |
$1,132.53 |
$943.23
|
|
Stress test pulmonary
|
$434.00 |
$434.00 |
$434.00 |
$327.20
|
|
Stress tte complete
|
$603.05 |
$603.05 |
$603.05 |
$1,964.95
|
|
St treatment speech individual
|
$166.95 |
$166.95 |
$166.95 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$181.30 |
$181.30 |
$181.30 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$34.74 |
$34.74 |
$34.74 |
$49.13
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,803.50 |
$2,803.50 |
$2,803.50 |
$5,446.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$34.99 |
$34.99 |
$34.99 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$40.71 |
$40.71 |
$40.71 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$23.75 |
$23.75 |
$23.75 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$100.80 |
$100.80 |
$100.80 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$151.20 |
$151.20 |
$151.20 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$217.70 |
$217.70 |
$217.70 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$283.15 |
$283.15 |
$283.15 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$395.50 |
$395.50 |
$395.50 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$494.55 |
$494.55 |
$494.55 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$71.05 |
$71.05 |
$71.05 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$5.60 |
$5.60 |
$5.60 |
$34.48
|
|
Susceptibility mic per plate
|
$80.85 |
$80.85 |
$80.85 |
$94.38
|
|
Svc venogram s&i
|
$1,424.15 |
$1,424.15 |
$1,424.15 |
$1,908.00
|
|
Synch audio-only est high 40
|
$7.71 |
$7.71 |
$7.71 |
$265.60
|
|
Synch audio-only est low 20
|
$7.71 |
$7.71 |
$7.71 |
$160.80
|
|
Synch audio-only est mod 30
|
$7.71 |
$7.71 |
$7.71 |
$192.00
|
|
Synch audio-only est sf 10
|
$7.71 |
$7.71 |
$7.71 |
$83.20
|
|
Synch audio-only new high 60
|
$7.71 |
$7.71 |
$7.71 |
$367.20
|
|
Synch audio-only new low 30
|
$7.71 |
$7.71 |
$7.71 |
$189.60
|
|
Synch audio-only new mod 45
|
$7.71 |
$7.71 |
$7.71 |
$289.60
|
|
Synch audio-only new sf 15
|
$7.71 |
$7.71 |
$7.71 |
$133.60
|
|
Synvisc or synvisc-one
|
$413.36 |
$413.36 |
$413.36 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$276.50 |
$276.50 |
$276.50 |
$44.85
|
|
System cardiomems hosp electronics
|
$33,334.88 |
$33,334.88 |
$33,334.88 |
$41,518.75
|
|
System pacing micra av
|
$20,408.85 |
$20,408.85 |
$20,408.85 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,593.33 |
$6,593.33 |
$6,593.33 |
$10,980.00
|
|
System sealant biosentry tract
|
$630.26 |
$630.26 |
$630.26 |
$900.00
|
|
T3 (triiodothyronine) free
|
$81.20 |
$81.20 |
$81.20 |
$89.82
|
|
T3 (triiodothyronine) total
|
$141.40 |
$141.40 |
$141.40 |
$94.90
|
|
T4 (thyroxine) free
|
$140.35 |
$140.35 |
$140.35 |
$81.60
|
|
T4 (thyroxine) total
|
$99.40 |
$99.40 |
$99.40 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$0.83 |
$0.83 |
$0.83 |
$12.25
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$2,003.52 |
$2,003.52 |
$2,003.52 |
$21,795.67
|
|
Tavr perq femoral
|
$9,750.30 |
$9,750.30 |
$9,750.30 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$790.27 |
$790.27 |
$790.27 |
$959.55
|
|
Tcd emboli detect w/inj
|
$190.40 |
$190.40 |
$190.40 |
$404.68
|
|
Tcd emboli detect without inj
|
$178.50 |
$178.50 |
$178.50 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$251.65 |
$251.65 |
$251.65 |
$186.00
|
|
T cells total count
|
$156.45 |
$156.45 |
$156.45 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$3,222.10 |
$3,222.10 |
$3,222.10 |
$5,030.40
|
|
Team conf w/pat by hc prof
|
$7.88 |
$7.88 |
$7.88 |
$102.48
|
|
Telavancin injection
|
$1,784.62 |
$1,784.62 |
$1,784.62 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$937.65 |
$937.65 |
$937.65 |
$1,617.00
|
|
Telethx isodose plan simple
|
$420.70 |
$420.70 |
$420.70 |
$848.72
|
|
Temozolomide
|
$39.02 |
$39.02 |
$39.02 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$3,351.62 |
$3,351.62 |
$3,351.62 |
$3,129.70
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$6,196.26 |
$6,196.26 |
$6,196.26 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$29,822.42 |
$29,822.42 |
$29,822.42 |
$16,531.64
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$3,839.54
|
|
Tension based scoliosis orth
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$2,851.20
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$33.14 |
$33.14 |
$33.14 |
$46.10
|
|
Testicular imaging w/vasc flow
|
$541.10 |
$541.10 |
$541.10 |
$780.48
|
