|
St evaluation motion fluoroscopic swallow function cine/video
|
$270.20 |
$270.20 |
$270.20 |
$406.40
|
|
St evaluation swallow function
|
$270.20 |
$270.20 |
$270.20 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$130.55 |
$130.55 |
$130.55 |
$248.05
|
|
Strapping of chest
|
$242.20 |
$242.20 |
$242.20 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$165.90 |
$165.90 |
$165.90 |
$171.00
|
|
Strapping of hand or finger
|
$130.55 |
$130.55 |
$130.55 |
$194.40
|
|
Strapping of hip
|
$165.90 |
$165.90 |
$165.90 |
$170.08
|
|
Strapping of knee
|
$130.55 |
$130.55 |
$130.55 |
$224.80
|
|
Strapping of toes 29550
|
$130.55 |
$130.55 |
$130.55 |
$185.36
|
|
Strep b dna amp probe
|
$171.50 |
$171.50 |
$171.50 |
$139.20
|
|
Streptomycin injection
|
$160.69 |
$160.69 |
$160.69 |
$138.30
|
|
Stress test pulmonary
|
$784.00 |
$784.00 |
$784.00 |
$327.20
|
|
Stress tte complete
|
$657.65 |
$657.65 |
$657.65 |
$1,964.95
|
|
St treatment speech individual
|
$225.05 |
$225.05 |
$225.05 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$225.05 |
$225.05 |
$225.05 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$33.99 |
$33.99 |
$33.99 |
$49.13
|
|
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
|
$34.25 |
$34.25 |
$34.25 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$23.75 |
$23.75 |
$23.75 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$77.70 |
$77.70 |
$77.70 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$94.85 |
$94.85 |
$94.85 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$129.50 |
$129.50 |
$129.50 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$161.00 |
$161.00 |
$161.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$210.35 |
$210.35 |
$210.35 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$479.85 |
$479.85 |
$479.85 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$393.75 |
$393.75 |
$393.75 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$393.75 |
$393.75 |
$393.75 |
$34.48
|
|
Susceptibility mic per plate
|
$394.45 |
$394.45 |
$394.45 |
$94.38
|
|
Svc venogram s&i
|
$2,325.40 |
$2,325.40 |
$2,325.40 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$94.50 |
$94.50 |
$94.50 |
$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
|
$6,664.22 |
$6,664.22 |
$6,664.22 |
$10,980.00
|
|
System sealant biosentry tract
|
$630.26 |
$630.26 |
$630.26 |
$900.00
|
|
T3 (triiodothyronine) free
|
$103.60 |
$103.60 |
$103.60 |
$89.82
|
|
T3 (triiodothyronine) total
|
$203.70 |
$203.70 |
$203.70 |
$94.90
|
|
T4 (thyroxine) free
|
$83.65 |
$83.65 |
$83.65 |
$81.60
|
|
T4 (thyroxine) total
|
$129.50 |
$129.50 |
$129.50 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.81 |
$4.81 |
$4.81 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$916.63 |
$916.63 |
$916.63 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$16.86 |
$16.86 |
$16.86 |
$122.40
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$5,416.39 |
$5,416.39 |
$5,416.39 |
$27,030.00
|
|
Tavr perq femoral
|
$24,463.60 |
$24,463.60 |
$24,463.60 |
$16,357.00
|
|
Tcd emboli detect w/inj
|
$157.50 |
$157.50 |
$157.50 |
$404.68
|
|
Tcd emboli detect without inj
|
$157.50 |
$157.50 |
$157.50 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$38.52 |
$38.52 |
$38.52 |
$186.00
|
|
T cells total count
|
$30.99 |
$30.99 |
$30.99 |
$124.11
|
|
Telavancin injection
|
$1,374.66 |
$1,374.66 |
$1,374.66 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$403.90 |
$403.90 |
$403.90 |
$1,617.00
|
|
Telethx isodose plan simple
|
$263.55 |
$263.55 |
$263.55 |
$848.72
|
|
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
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,839.54
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$33.14 |
$33.14 |
$33.14 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$58.10 |
$58.10 |
$58.10 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$612.15 |
$612.15 |
$612.15 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$2,048.35 |
$2,048.35 |
$2,048.35 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$17,038.99 |
$17,038.99 |
$17,038.99 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$260.40 |
$260.40 |
$260.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$137.20 |
$137.20 |
$137.20 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$61.95 |
$61.95 |
$61.95 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$61.95 |
$61.95 |
$61.95 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$808.85 |
$808.85 |
$808.85 |
$534.32
|
|
Ther/proph/diag inj ia
|
$231.35 |
$231.35 |
$231.35 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$33.12 |
$33.12 |
$33.12 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$834.05 |
$834.05 |
$834.05 |
$1,804.00
|
|
Thoracotomy w/expl
|
$3,020.15 |
$3,020.15 |
$3,020.15 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,020.15 |
$3,020.15 |
$3,020.15 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$6,384.35 |
$6,384.35 |
$6,384.35 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,980.80 |
$5,980.80 |
$5,980.80 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,960.90 |
$11,960.90 |
$11,960.90 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,293.45 |
$18,293.45 |
$18,293.45 |
$24,605.30
|
|
Thromboendarterectomy common femoral
|
$7,770.00 |
$7,770.00 |
$7,770.00 |
$7,431.06
|
|
Thromboendarterectomy sfa
|
$9,828.70 |
$9,828.70 |
$9,828.70 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$95.90 |
$95.90 |
$95.90 |
$56.93
|
|
Thyroglobulin antibody
|
$67.20 |
$67.20 |
$67.20 |
$84.00
|
|
Thyroid imaging
|
$373.10 |
$373.10 |
$373.10 |
$670.80
|
|
Thyroid met imaging
|
$449.05 |
$449.05 |
$449.05 |
$549.70
|
|
Thyroid mets imag whole body
|
$1,345.40 |
$1,345.40 |
$1,345.40 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$203.70 |
$203.70 |
$203.70 |
$120.00
|
|
Thyroid Ultrasound
|
$682.15 |
$682.15 |
$682.15 |
$589.96
|
|
Thyroid uptake measurement
|
$325.50 |
$325.50 |
$325.50 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,958.12 |
$6,958.12 |
$6,958.12 |
$4,319.71
|
|
Tib/per revasc stent & ather 37231
|
$19,966.80 |
$19,966.80 |
$19,966.80 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$3,903.55 |
$3,903.55 |
$3,903.55 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$2,555.70 |
$2,555.70 |
$2,555.70 |
$10,406.14
|
|
Tigecycline injection
|
$283.14 |
$283.14 |
$283.14 |
$277.31
|
|
Tilt table study
|
$1,817.90 |
$1,817.90 |
$1,817.90 |
$1,495.00
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,886.65 |
$12,886.65 |
$12,886.65 |
$14,271.00
|
|
Tissue culture tumor
|
$32.81 |
$32.81 |
$32.81 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$274.40 |
$274.40 |
$274.40 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$3,655.64 |
$3,655.64 |
$3,655.64 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$913.66 |
$913.66 |
$913.66 |
$1,525.91
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$44.33 |
$44.33 |
$44.33 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$260.40 |
$260.40 |
$260.40 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,542.53 |
$9,542.53 |
$9,542.53 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$55.65 |
$55.65 |
$55.65 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$55.65 |
$55.65 |
$55.65 |
$73.45
|
|
Tracheobrnchsc thru est trachs incisn
|
$497.70 |
$497.70 |
$497.70 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$98.00 |
$98.00 |
$98.00 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$101.50 |
$101.50 |
$101.50 |
$77.65
|
