|
Stent/tib/peroneal/unilat/initial 37230
|
$14,383.12 |
$14,383.12 |
$14,383.12 |
$16,875.93
|
|
St evaluate speech sound production
|
$164.35 |
$164.35 |
$164.35 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$209.74 |
$209.74 |
$209.74 |
$400.00
|
|
Stimulants synthetic
|
$36.80 |
$36.80 |
$36.80 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,241.42 |
$1,241.42 |
$1,241.42 |
$1,342.00
|
|
Strep a ag ia
|
$14.23 |
$14.23 |
$14.23 |
$75.40
|
|
Strep b dna amp probe
|
$29.57 |
$29.57 |
$29.57 |
$122.43
|
|
Stress test pulmonary
|
$381.51 |
$381.51 |
$381.51 |
$324.00
|
|
Stress tte complete
|
$522.55 |
$522.55 |
$522.55 |
$1,894.20
|
|
Str markers specimen anal
|
$616.46 |
$616.46 |
$616.46 |
$751.50
|
|
Sugars single quant
|
$38.41 |
$38.41 |
$38.41 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$40.94 |
$40.94 |
$40.94 |
$160.05
|
|
Surgical pathology level 1 gross examination only
|
$29.12 |
$29.12 |
$29.12 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$64.99 |
$64.99 |
$64.99 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$78.07 |
$78.07 |
$78.07 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$86.93 |
$86.93 |
$86.93 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$509.78 |
$509.78 |
$509.78 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$715.29 |
$715.29 |
$715.29 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$71.15 |
$71.15 |
$71.15 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$15.62 |
$15.62 |
$15.62 |
$35.75
|
|
Susceptibility mic per plate
|
$84.60 |
$84.60 |
$84.60 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$32.08 |
$32.08 |
$32.08 |
$59.28
|
|
Svc venogram s&i
|
$1,474.18 |
$1,474.18 |
$1,474.18 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$159.74 |
$159.74 |
$159.74 |
$316.55
|
|
Swallowing Therapy Session
|
$139.47 |
$139.47 |
$139.47 |
$240.31
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$13.88 |
$13.88 |
$13.88 |
$41.60
|
|
System cardiomems hosp electronics
|
$40,625.98 |
$40,625.98 |
$40,625.98 |
$38,234.70
|
|
System pacing micra av
|
$16,684.59 |
$16,684.59 |
$16,684.59 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$32,084.67 |
$32,084.67 |
$32,084.67 |
$12,003.00
|
|
System sealant biosentry tract
|
$5,155.04 |
$5,155.04 |
$5,155.04 |
$889.35
|
|
T3 (triiodothyronine) free
|
$16.33 |
$16.33 |
$16.33 |
$100.32
|
|
T3 (triiodothyronine) total
|
$9.89 |
$9.89 |
$9.89 |
$93.52
|
|
T4 (thyroxine) free
|
$15.18 |
$15.18 |
$15.18 |
$88.44
|
|
T4 (thyroxine) total
|
$12.88 |
$12.88 |
$12.88 |
$69.58
|
|
Tacrolimus therapeutic drug level
|
$14.72 |
$14.72 |
$14.72 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$48.93 |
$48.93 |
$48.93 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$57.69 |
$57.69 |
$57.69 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$1,034.64 |
$1,034.64 |
$1,034.64 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,783.89 |
$3,783.89 |
$3,783.89 |
$3,746.70
|
|
Target gsa panel organ neop
|
$775.01 |
$775.01 |
$775.01 |
$1,681.28
|
|
Tavr perq femoral
|
$3,724.40 |
$3,724.40 |
$3,724.40 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$80.10 |
$80.10 |
$80.10 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$49.66 |
$49.66 |
$49.66 |
$180.80
|
|
Tc-99m bicisate
|
$1,704.29 |
$1,704.29 |
$1,704.29 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$3,229.87 |
$3,229.87 |
$3,229.87 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$910.13 |
$910.13 |
$910.13 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$308.23 |
$308.23 |
$308.23 |
$306.00
|
|
Tc-99m maa
|
$114.96 |
$114.96 |
$114.96 |
$312.06
|
|
Tc-99m mebrofenin
|
$207.33 |
$207.33 |
$207.33 |
$157.65
|
|
Tc-99m medronate
|
$177.86 |
$177.86 |
$177.86 |
$111.01
|
|
Tc-99m mertiatide
|
$310.74 |
$310.74 |
$310.74 |
$756.00
|
|
Tc-99m oxidronate
|
$231.02 |
$231.02 |
$231.02 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$275.10 |
$275.10 |
$275.10 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$291.66 |
$291.66 |
$291.66 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$6.53 |
$6.53 |
$6.53 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$232.53 |
$232.53 |
$232.53 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$139.51 |
$139.51 |
$139.51 |
$287.20
|
|
Tc-99m sulfur colloid
|
$205.32 |
$205.32 |
$205.32 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$138.05 |
$138.05 |
$138.05 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,204.55 |
$1,204.55 |
$1,204.55 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$37.65 |
$37.65 |
$37.65 |
$185.28
|
|
T cells absolute cd 4 count
|
$29.64 |
$29.64 |
$29.64 |
$111.20
|
|
T cells total count
|
$30.44 |
$30.44 |
$30.44 |
$130.35
|
|
Team conf without pat by hc pro
|
$54.26 |
$54.26 |
$54.26 |
$110.62
|
|
Team conf w/pat by hc prof
|
$61.88 |
$61.88 |
$61.88 |
$104.59
|
|
Tee w or without fol w/cont,cong
|
$362.25 |
$362.25 |
$362.25 |
$2,101.65
|
|
Telethx isodose plan cplx
|
$777.51 |
$777.51 |
$777.51 |
$1,526.85
|
|
Telethx isodose plan simple
|
$323.23 |
$323.23 |
$323.23 |
$877.09
|
|
Tert gene targeted seq alys
|
$240.19 |
$240.19 |
$240.19 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$401.13 |
$401.13 |
$401.13 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$101.52 |
$101.52 |
$101.52 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$403.10 |
$403.10 |
$403.10 |
$953.40
|
|
Tgsap so/hl 51/< rna alys
|
$3,783.89 |
$3,783.89 |
$3,783.89 |
$4,563.00
|
|
Thaw preserved stem cells
|
$508.11 |
$508.11 |
$508.11 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$9.89 |
$9.89 |
$9.89 |
$108.00
|
|
Therapeutic procd strg endur
|
$43.09 |
$43.09 |
$43.09 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$61.40 |
$61.40 |
$61.40 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$63.31 |
$63.31 |
$63.31 |
$98.58
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$49.98 |
$49.98 |
$49.98 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,779.06 |
$1,779.06 |
$1,779.06 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,508.18 |
$1,508.18 |
$1,508.18 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,722.37 |
$7,722.37 |
$7,722.37 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$13,971.88 |
$13,971.88 |
$13,971.88 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$19,067.23 |
$19,067.23 |
$19,067.23 |
$21,413.60
|
|
Thrombin time
|
$15.79 |
$15.79 |
$15.79 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.05 |
$29.05 |
$29.05 |
$61.52
|
|
Thyroglobulin antibody
|
$25.63 |
$25.63 |
$25.63 |
$82.73
|
|
Thyroid imaging
|
$565.14 |
$565.14 |
$565.14 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,113.97 |
$1,113.97 |
$1,113.97 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$12.42 |
$12.42 |
$12.42 |
$112.67
|
|
Thyroid Ultrasound
|
$244.43 |
$244.43 |
$244.43 |
$588.50
|
|
Thyroid uptake measurement
|
$327.52 |
$327.52 |
$327.52 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$10.35 |
$10.35 |
$10.35 |
$64.51
|
|
Tib/per revasc stent & ather 37231
|
$15,610.13 |
$15,610.13 |
$15,610.13 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$8,251.17 |
$8,251.17 |
$8,251.17 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$6,690.25 |
$6,690.25 |
$6,690.25 |
$10,165.00
|
|
Tilt table study
|
$361.50 |
$361.50 |
$361.50 |
$1,561.82
|
|
Tissue culture placenta
|
$207.01 |
$207.01 |
$207.01 |
$440.50
|
|
Tissue culture skin/biopsy
|
$194.16 |
$194.16 |
$194.16 |
$484.00
|
