|
Serpina1 gene
|
$6.98 |
$6.98 |
$6.98 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$32.00 |
$32.00 |
$32.00 |
$126.43
|
|
Sheath gldlight lasr 12fx50cm
|
$28.96 |
$28.96 |
$28.96 |
$6,739.20
|
|
Shoe post-op mens m
|
$97.60 |
$97.60 |
$97.60 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$1,468.64 |
$1,468.64 |
$1,468.64 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$951.84 |
$951.84 |
$951.84 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$726.56 |
$726.56 |
$726.56 |
$2,087.25
|
|
Shoulder X-ray
|
$277.44 |
$277.44 |
$277.44 |
$340.10
|
|
Shuntogram nonvascular supervision & interpretation
|
$185.28 |
$185.28 |
$185.28 |
$354.60
|
|
Sialography s&i
|
$195.84 |
$195.84 |
$195.84 |
$519.42
|
|
Sickling rbc
|
$15.52 |
$15.52 |
$15.52 |
$56.00
|
|
Sinus CT scan (with and without contrast)
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$939.52 |
$939.52 |
$939.52 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$817.76 |
$817.76 |
$817.76 |
$1,290.19
|
|
Sinus/juglr venogram s&i
|
$694.56 |
$694.56 |
$694.56 |
$2,565.95
|
|
Skeletal muscle relaxant 1/2
|
$28.48 |
$28.48 |
$28.48 |
$80.08
|
|
Skel musc relaxant 3 or more
|
$0.96 |
$0.96 |
$0.96 |
$16.12
|
|
Sling arm deluxe w/pad xs
|
$4.32 |
$4.32 |
$4.32 |
$30.35
|
|
Slp eval non-spch gen comm dev
|
$159.20 |
$159.20 |
$159.20 |
$285.09
|
|
Slp ther svc non-spch gen
|
$74.56 |
$74.56 |
$74.56 |
$188.00
|
|
Smear fluorescent and/or acid fast stain
|
$30.08 |
$30.08 |
$30.08 |
$64.00
|
|
Smear gram stain
|
$33.12 |
$33.12 |
$33.12 |
$53.64
|
|
Smear nasal eosinophil
|
$31.52 |
$31.52 |
$31.52 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$42.40 |
$42.40 |
$42.40 |
$71.20
|
|
Smear wet mount
|
$30.40 |
$30.40 |
$30.40 |
$66.30
|
|
Smpd1 gene common variants
|
$7.52 |
$7.52 |
$7.52 |
$140.00
|
|
Snrpn/ube3a gene
|
$53.60 |
$53.60 |
$53.60 |
$228.80
|
|
Sodium 24 hour urine
|
$40.00 |
$40.00 |
$40.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$19.05 |
$19.05 |
$19.05 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$7.90 |
$7.90 |
$7.90 |
$43.45
|
|
Sodium chloride 0.9 % IV bolus
|
$19.52 |
$19.52 |
$19.52 |
$36.21
|
|
Sodium chloride 3 % ivpb
|
$12.86 |
$12.86 |
$12.86 |
$37.80
|
|
Sodium serum/plasma/whole blood
|
$33.92 |
$33.92 |
$33.92 |
$45.50
|
|
Special supplies phys/qhp
|
$539.36 |
$539.36 |
$539.36 |
$60.00
|
|
Specific gravity body fluid
|
$12.48 |
$12.48 |
$12.48 |
$21.60
|
|
Specimen fat stain
|
$12.16 |
$12.16 |
$12.16 |
$35.10
|
|
Speech evaluation complex
|
$127.04 |
$127.04 |
$127.04 |
$527.06
|
|
Sperm antibody test
|
$7.72 |
$7.72 |
$7.72 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$195.52 |
$195.52 |
$195.52 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$309.12 |
$309.12 |
$309.12 |
$543.26
|
|
Splint finger 4 prong foam sm
|
$44.64 |
$44.64 |
$44.64 |
$34.00
|
|
Splint func pos polyflex ii med
|
$71.68 |
$71.68 |
$71.68 |
$71.50
|
|
St analysis behavior qualitative voice/resonance
|
$150.88 |
$150.88 |
$150.88 |
$295.10
|
|
Staph a dna amp probe
|
$58.40 |
$58.40 |
$58.40 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$72.00 |
$72.00 |
$72.00 |
$281.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$23,250.08 |
$23,250.08 |
$23,250.08 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$435.36 |
$435.36 |
$435.36 |
$2,301.33
|
|
Stent bili rx wallflx 10x80 uncvr
|
$23,250.08 |
$23,250.08 |
$23,250.08 |
$20,300.00
|
|
Stent bronch dumon sil 10x40mm
|
$3,244.16 |
$3,244.16 |
$3,244.16 |
$4,673.50
|
|
Sterile water/saline, 10 ml
|
$10.37 |
$10.37 |
$10.37 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$13.29 |
$13.29 |
$13.29 |
$28.11
|
|
St evaluate speech sound production
|
$145.28 |
$145.28 |
$145.28 |
$289.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$179.84 |
$179.84 |
$179.84 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$194.08 |
$194.08 |
$194.08 |
$370.20
|
|
St evaluation swallow function
|
$159.20 |
$159.20 |
$159.20 |
$309.60
|
|
Stimulants synthetic
|
$24.00 |
$24.00 |
$24.00 |
$80.08
|
|
Strapping of elbow or wrist 29260
|
$73.60 |
$73.60 |
$73.60 |
$152.00
|
|
Strapping of hand or finger
|
$73.60 |
$73.60 |
$73.60 |
$171.00
|
|
Strep b dna amp probe
|
$46.40 |
$46.40 |
$46.40 |
$126.10
|
|
Stress test pulmonary
|
$183.20 |
$183.20 |
$183.20 |
$322.85
|
|
Stress tte complete
|
$513.92 |
$513.92 |
$513.92 |
$1,797.59
|
|
Str markers specimen anal
|
$40.40 |
$40.40 |
$40.40 |
$800.30
|
|
St treatment speech individual
|
$93.44 |
$93.44 |
$93.44 |
$249.00
|
|
St treatment swallow dysfunction/oral
|
$101.60 |
$101.60 |
$101.60 |
$240.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$5.71 |
$5.71 |
$5.71 |
$53.40
|
|
Sugars single quant
|
$1.64 |
$1.64 |
$1.64 |
$58.80
|
|
Sulfonylurea screen qn-sendout
|
$20.09 |
$20.09 |
$20.09 |
$150.72
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$16.16 |
$16.16 |
$16.16 |
$121.84
|
|
Support clav 29.6-40.5in med
|
$91.36 |
$91.36 |
$91.36 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$34.88 |
$34.88 |
$34.88 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$43.68 |
$43.68 |
$43.68 |
$143.65
|
|
Surgical pathology level 3 gross & microscopic examination
|
$52.16 |
$52.16 |
$52.16 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$104.32 |
$104.32 |
$104.32 |
$252.60
|
|
Surgical pathology level 5 gross & microscopic examination
|
$142.88 |
$142.88 |
$142.88 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$207.52 |
$207.52 |
$207.52 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$15.68 |
$15.68 |
$15.68 |
$43.00
|
|
Susceptibility enzyme detection per enzyme
|
$16.32 |
$16.32 |
$16.32 |
$35.40
|
|
Susceptibility mic per plate
|
$80.64 |
$80.64 |
$80.64 |
$104.58
|
|
Suscept studies macrobroth dilution ea
|
$0.94 |
$0.94 |
$0.94 |
$59.28
|
|
Svc venogram s&i
|
$736.64 |
$736.64 |
$736.64 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$15.04 |
$15.04 |
$15.04 |
$40.00
|
|
T3 (triiodothyronine) free
|
$48.00 |
$48.00 |
$48.00 |
$98.80
|
|
T3 (triiodothyronine) total
|
$47.84 |
$47.84 |
$47.84 |
$93.52
|
|
T4 (thyroxine) free
|
$64.32 |
$64.32 |
$64.32 |
$84.15
|
|
T4 (thyroxine) total
|
$44.00 |
$44.00 |
$44.00 |
$67.10
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.75 |
$2.75 |
$2.75 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$1.95 |
$1.95 |
$1.95 |
$120.42
|
|
Target gsa panel hmtlmph neop
|
$416.00 |
$416.00 |
$416.00 |
$2,160.00
|
|
Target gsa panel organ/hmtlmph neop
|
$467.14 |
$467.14 |
$467.14 |
$3,746.70
|
|
Target gsa panel organ neop
|
$374.40 |
$374.40 |
$374.40 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$203.68 |
$203.68 |
$203.68 |
$191.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$33.44 |
$33.44 |
$33.44 |
$175.92
|
|
Tc-99m diag per dose
|
$197.92 |
$197.92 |
$197.92 |
$470.40
|
|
Tc-99m disofenin
|
$46.08 |
$46.08 |
$46.08 |
$131.20
|
|
Tc-99m exame autol wbc diag per dose
|
$1,068.32 |
$1,068.32 |
$1,068.32 |
$2,431.95
|
|
Tc-99m exametazime diag
|
$719.36 |
$719.36 |
$719.36 |
$2,033.20
|
|
Tc-99m gluceptate
|
$35.36 |
$35.36 |
$35.36 |
$31.35
|
|
Tc-99m labeled rbc
|
$129.76 |
$129.76 |
$129.76 |
$302.40
|
|
Tc-99m maa
|
$41.76 |
$41.76 |
$41.76 |
$288.75
|
|
Tc-99m mebrofenin
|
$50.88 |
$50.88 |
$50.88 |
$157.65
|
