|
Snrpn/ube3a gene
|
$91.79 |
$91.79 |
$91.79 |
$228.80
|
|
So cap design without jnts cf
|
$55.08 |
$55.08 |
$55.08 |
$535.50
|
|
Socket insert w lock mech
|
$768.57 |
$768.57 |
$768.57 |
$1,335.59
|
|
Sock fracture or equal each
|
$53.43 |
$53.43 |
$53.43 |
$77.87
|
|
Sodium 24 hour urine
|
$46.31 |
$46.31 |
$46.31 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.38 |
$21.38 |
$21.38 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$21.38 |
$21.38 |
$21.38 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$43.30 |
$43.30 |
$43.30 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$65.49 |
$65.49 |
$65.49 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$41.93 |
$41.93 |
$41.93 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$38.91 |
$38.91 |
$38.91 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$117.28 |
$117.28 |
$117.28 |
$195.48
|
|
Soft interface below knee se
|
$205.50 |
$205.50 |
$205.50 |
$209.99
|
|
Special physics consult
|
$231.26 |
$231.26 |
$231.26 |
$700.74
|
|
Specific gravity body fluid
|
$2.47 |
$2.47 |
$2.47 |
$23.63
|
|
Speech evaluation complex
|
$667.47 |
$667.47 |
$667.47 |
$527.06
|
|
Sperm antibody test
|
$13.23 |
$13.23 |
$13.23 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$655.96 |
$655.96 |
$655.96 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$354.29 |
$354.29 |
$354.29 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$37.27 |
$37.27 |
$37.27 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$54.80 |
$54.80 |
$54.80 |
$52.65
|
|
Splint finger frog med
|
$49.87 |
$49.87 |
$49.87 |
$34.58
|
|
Splint func pos polyflex ii med
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$34.53 |
$34.53 |
$34.53 |
$101.18
|
|
Split blood or products
|
$31.79 |
$31.79 |
$31.79 |
$148.98
|
|
Staph a dna amp probe
|
$129.61 |
$129.61 |
$129.61 |
$116.39
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$10,439.40 |
$10,439.40 |
$10,439.40 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$52,449.08 |
$52,449.08 |
$52,449.08 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,335.36 |
$8,335.36 |
$8,335.36 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,231.31 |
$6,231.31 |
$6,231.31 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,098.62 |
$8,098.62 |
$8,098.62 |
$19,765.20
|
|
Strep b dna amp probe
|
$53.43 |
$53.43 |
$53.43 |
$139.20
|
|
Streptomycin injection
|
$24.66 |
$24.66 |
$24.66 |
$138.30
|
|
Stress test pulmonary
|
$178.38 |
$178.38 |
$178.38 |
$327.20
|
|
Str markers specimen anal
|
$64.15 |
$64.15 |
$64.15 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$65.76 |
$65.76 |
$65.76 |
$49.13
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$5,446.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$50.15 |
$50.15 |
$50.15 |
$74.79
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$123.58 |
$123.58 |
$123.58 |
$151.29
|
|
Support clav 29.6-40.5in med
|
$120.56 |
$120.56 |
$120.56 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$131.80 |
$131.80 |
$131.80 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$169.61 |
$169.61 |
$169.61 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$231.53 |
$231.53 |
$231.53 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$269.07 |
$269.07 |
$269.07 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$721.45 |
$721.45 |
$721.45 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,073.81 |
$1,073.81 |
$1,073.81 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$7.13 |
$7.13 |
$7.13 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$24.66 |
$24.66 |
$24.66 |
$34.48
|
|
Susceptibility mic per plate
|
$63.02 |
$63.02 |
$63.02 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$12.30 |
$12.30 |
$12.30 |
$48.30
|
|
Svc venogram s&i
|
$559.79 |
$559.79 |
$559.79 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$70.15 |
$70.15 |
$70.15 |
$105.21
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$10.36 |
$10.36 |
$10.36 |
$44.85
|
|
System cardiomems hosp electronics
|
$32,567.64 |
$32,567.64 |
$32,567.64 |
$41,518.75
|
|
System pacing micra av
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$20,222.57 |
$20,222.57 |
$20,222.57 |
$10,980.00
|
|
System recell skin grafting/harvesting
|
$10,624.35 |
$10,624.35 |
$10,624.35 |
$13,777.23
|
|
System sealant biosentry tract
|
$453.47 |
$453.47 |
$453.47 |
$900.00
|
|
T3 (triiodothyronine) free
|
$62.48 |
$62.48 |
$62.48 |
$89.82
|
|
T3 (triiodothyronine) total
|
$219.48 |
$219.48 |
$219.48 |
$94.90
|
|
T4 (thyroxine) free
|
$210.71 |
$210.71 |
$210.71 |
$81.60
|
|
T4 (thyroxine) total
|
$133.99 |
$133.99 |
$133.99 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.95 |
$7.95 |
$7.95 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$3.29 |
$3.29 |
$3.29 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$712.40 |
$712.40 |
$712.40 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$808.30 |
$808.30 |
$808.30 |
$3,385.00
|
|
Target gsa panel organ neop
|
$397.30 |
$397.30 |
$397.30 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$570.47 |
$570.47 |
$570.47 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$20.55 |
$20.55 |
$20.55 |
$166.46
|
|
Tc-99m bicisate
|
$1,035.72 |
$1,035.72 |
$1,035.72 |
$1,969.45
|
|
Tc-99m disofenin
|
$93.44 |
$93.44 |
$93.44 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,547.01 |
$1,547.01 |
$1,547.01 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$152.62 |
$152.62 |
$152.62 |
$323.01
|
|
Tc-99m maa
|
$163.58 |
$163.58 |
$163.58 |
$312.06
|
|
Tc-99m mebrofenin
|
$41.65 |
$41.65 |
$41.65 |
$169.53
|
|
Tc-99m medronate
|
$26.86 |
$26.86 |
$26.86 |
$122.46
|
|
Tc-99m mertiatide
|
$290.44 |
$290.44 |
$290.44 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$25.21 |
$25.21 |
$25.21 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$109.60 |
$109.60 |
$109.60 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$1.10 |
$1.10 |
$1.10 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$46.86 |
$46.86 |
$46.86 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$71.24 |
$71.24 |
$71.24 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$499.23 |
$499.23 |
$499.23 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$97.82 |
$97.82 |
$97.82 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$77.00 |
$77.00 |
$77.00 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,000.10 |
$1,000.10 |
$1,000.10 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$6.17 |
$6.17 |
$6.17 |
$186.00
|
|
T cells absolute cd 4 count
|
$7.68 |
$7.68 |
$7.68 |
$120.25
|
|
T cells total count
|
$6.17 |
$6.17 |
$6.17 |
$124.11
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,094.46 |
$2,094.46 |
$2,094.46 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,703.99 |
$9,703.99 |
$9,703.99 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.84 |
$23.84 |
$23.84 |
$46.10
|
|
Teriparatide injection
|
$2,889.33 |
$2,889.33 |
$2,889.33 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$57.54 |
$57.54 |
$57.54 |
$304.59
|
|
Test stress cardiovascular tracing only
|
$611.85 |
$611.85 |
$611.85 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$496.77 |
$496.77 |
$496.77 |
$1,204.50
|