|
Sodium chloride 0.9 % IV bolus
|
$413.44 |
$413.44 |
$413.44 |
$49.63
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$465.00 |
$465.00 |
$465.00 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$618.57 |
$618.57 |
$618.57 |
$42.43
|
|
Somatropin injection
|
$1,070.64 |
$1,070.64 |
$1,070.64 |
$339.59
|
|
Specific gravity body fluid
|
$467.47 |
$467.47 |
$467.47 |
$22.40
|
|
Specimen fat stain
|
$525.75 |
$525.75 |
$525.75 |
$32.76
|
|
Speech evaluation complex
|
$3,937.65 |
$3,937.65 |
$3,937.65 |
$468.00
|
|
Sperm antibody test
|
$865.14 |
$865.14 |
$865.14 |
$56.44
|
|
Split blood or products
|
$135.54 |
$135.54 |
$135.54 |
$145.00
|
|
St analysis behavior qualitative voice/resonance
|
$800.12 |
$800.12 |
$800.12 |
$304.59
|
|
St evaluate speech sound production
|
$785.57 |
$785.57 |
$785.57 |
$310.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$785.57 |
$785.57 |
$785.57 |
$395.50
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,314.74 |
$1,314.74 |
$1,314.74 |
$408.60
|
|
St evaluation swallow function
|
$589.19 |
$589.19 |
$589.19 |
$337.65
|
|
Strep b assay w/optic
|
$642.96 |
$642.96 |
$642.96 |
$32.00
|
|
St treatment speech individual
|
$346.38 |
$346.38 |
$346.38 |
$256.75
|
|
St treatment swallow dysfunction/oral
|
$314.23 |
$314.23 |
$314.23 |
$262.74
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$46.02 |
$46.02 |
$46.02 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,617.75 |
$1,617.75 |
$1,617.75 |
$112.74
|
|
Surgical pathology level 1 gross examination only
|
$608.32 |
$608.32 |
$608.32 |
$93.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,096.32 |
$1,096.32 |
$1,096.32 |
$150.80
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,670.27 |
$1,670.27 |
$1,670.27 |
$198.90
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,004.78 |
$2,004.78 |
$2,004.78 |
$255.60
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,001.41 |
$3,001.41 |
$3,001.41 |
$494.40
|
|
Surgical pathology level 6 gross & microscopic examination
|
$4,427.64 |
$4,427.64 |
$4,427.64 |
$790.00
|
|
Suscept studies macrobroth dilution ea
|
$887.92 |
$887.92 |
$887.92 |
$51.50
|
|
T3 (triiodothyronine) free
|
$640.35 |
$640.35 |
$640.35 |
$89.82
|
|
T3 (triiodothyronine) total
|
$564.70 |
$564.70 |
$564.70 |
$91.20
|
|
T4 (thyroxine) total
|
$633.48 |
$633.48 |
$633.48 |
$73.64
|
|
Tacrol envarsus ex rel oral
|
$81.96 |
$81.96 |
$81.96 |
$3.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$148.03 |
$148.03 |
$148.03 |
$10.30
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$4,417.57 |
$4,417.57 |
$4,417.57 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$762.93 |
$762.93 |
$762.93 |
$122.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$2,545.45 |
$2,545.45 |
$2,545.45 |
$166.46
|
|
Tc-99m bicisate
|
$7,170.42 |
$7,170.42 |
$7,170.42 |
$1,969.45
|
|
Tc-99m disofenin
|
$2,120.20 |
$2,120.20 |
$2,120.20 |
$151.32
|
|
Tc-99m exametazime diag
|
$41,830.14 |
$41,830.14 |
$41,830.14 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$9,445.92 |
$9,445.92 |
$9,445.92 |
$322.20
|
|
Tc-99m maa
|
$2,579.54 |
$2,579.54 |
$2,579.54 |
$312.06
|
|
Tc-99m mebrofenin
|
$3,212.84 |
$3,212.84 |
$3,212.84 |
$169.53
|
|
Tc-99m medronate
|
$1,080.72 |
$1,080.72 |
$1,080.72 |
$122.46
|
|
Tc-99m mertiatide
|
$314.69 |
$314.69 |
$314.69 |
$778.13
|
|
Tc-99m pentetate dtpa
|
$77.03 |
$77.03 |
$77.03 |
$239.09
|
|
Tc-99m pentetate dtpa aerosol
|
$852.07 |
$852.07 |
$852.07 |
$245.35
|
|
Tc-99m pertechnetate per mci
|
$34.56 |
$34.56 |
$34.56 |
$27.95
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$116.64 |
$116.64 |
$116.64 |
$145.20
|
|
Tc-99m sestamibi p study dose
|
$1,902.47 |
$1,902.47 |
$1,902.47 |
$221.60
|
|
Tc-99m sulfur colloid
|
$2,161.35 |
$2,161.35 |
$2,161.35 |
$245.20
|
|
Tc-99m tetrofosmin p study dose
|
$912.43 |
$912.43 |
$912.43 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$374.60 |
$374.60 |
$374.60 |
$184.00
|
|
T cells absolute cd 4 count
|
$438.73 |
$438.73 |
$438.73 |
$120.25
|
|
T cells total count
|
$381.54 |
$381.54 |
$381.54 |
$119.25
|
|
Telavancin injection
|
$3,610.94 |
$3,610.94 |
$3,610.94 |
$1,173.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$258.69 |
$258.69 |
$258.69 |
$44.49
|
|
Tetanus immune globulin inj
|
$4,859.04 |
$4,859.04 |
$4,859.04 |
$1,354.00
|
|
Theophylline therapeutic drug level
|
$925.66 |
$925.66 |
$925.66 |
$108.00
|
|
Therapeutic procd strg endur
|
$580.49 |
$580.49 |
$580.49 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$133.95 |
$133.95 |
$133.95 |
$55.00
|
|
Ther nma rdctj intus/obstrcj
|
$4,002.70 |
$4,002.70 |
$4,002.70 |
$529.46
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$110.58 |
$110.58 |
$110.58 |
$36.07
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$1,082.61 |
$1,082.61 |
$1,082.61 |
$57.17
|
|
Thromboxane urine
|
$641.27 |
$641.27 |
$641.27 |
$48.45
|
|
Thyroglobulin antibody
|
$455.99 |
$455.99 |
$455.99 |
$84.00
|
|
Thyroid imaging
|
$7,331.05 |
$7,331.05 |
$7,331.05 |
$630.24
|
|
Thyroid mets imag whole body
|
$10,274.36 |
$10,274.36 |
$10,274.36 |
$1,524.99
|
|
Thyroid uptake measurement
|
$4,466.07 |
$4,466.07 |
$4,466.07 |
$596.70
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$10,808.13 |
$10,808.13 |
$10,808.13 |
$4,695.46
|
|
Thyroxine binding globulin (tbg)
|
$302.14 |
$302.14 |
$302.14 |
$63.05
|
|
Tigecycline injection
|
$1,398.85 |
$1,398.85 |
$1,398.85 |
$313.77
|
|
Tirofiban 12.5 mg/50 ml
|
$2,048.96 |
$2,048.96 |
$2,048.96 |
$363.70
|
|
Tissue culture skin/biopsy
|
$3,793.00 |
$3,793.00 |
$3,793.00 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$459.35 |
$459.35 |
$459.35 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$401.00 |
$401.00 |
$401.00 |
$3,655.64
|
|
Tl-201 thallium diag per mci
|
$1,137.79 |
$1,137.79 |
$1,137.79 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$635.20 |
$635.20 |
$635.20 |
$131.70
|
|
Tobramycin non-comp unit
|
$1,134.45 |
$1,134.45 |
$1,134.45 |
$118.04
|
|
Tomosynthesis breast diagnostic left
|
$187.83 |
$187.83 |
$187.83 |
$62.56
|
|
Toxoplasma antibody igg
|
$329.93 |
$329.93 |
$329.93 |
$84.40
|
|
Toxoplasma antibody igm
|
$397.52 |
$397.52 |
$397.52 |
$83.40
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$23.35 |
$23.35 |
$23.35 |
$82.60
|
|
Transcatheter bx s&i
|
$14,429.77 |
$14,429.77 |
$14,429.77 |
$1,873.30
|
|
Transferrin
|
$542.98 |
$542.98 |
$542.98 |
$84.50
|
|
Trastuzumab 150 mg intravenous solution
|
$1,360.56 |
$1,360.56 |
$1,360.56 |
$2,615.18
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$1,181.29 |
$1,181.29 |
$1,181.29 |
$241.24
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$304.29 |
$304.29 |
$304.29 |
$45.00
|
|
Trichinella antibody
|
$679.06 |
$679.06 |
$679.06 |
$72.80
|
|
Triglycerides
|
$780.14 |
$780.14 |
$780.14 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$110.95 |
$110.95 |
$110.95 |
$154.09
|
|
Tx atrial fib pulm vein isol
|
$166,971.48 |
$166,971.48 |
$166,971.48 |
$31,985.46
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$483.89 |
$483.89 |
$483.89 |
$340.14
|
|
Ultrasound guide tissue ablation
|
$4,563.71 |
$4,563.71 |
$4,563.71 |
$485.22
|
|
Ultrasound prostate/transrectal
|
$4,836.47 |
$4,836.47 |
$4,836.47 |
$545.16
|
|
Unsched dialysis esrd pt hos
|
$6,989.03 |
$6,989.03 |
$6,989.03 |
$1,467.65
|
|
Urea nitrogen 24 hour urine
|
$302.46 |
$302.46 |
$302.46 |
$50.40
|
|
Ureteral reflux study
|
$7,106.71 |
$7,106.71 |
$7,106.71 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$8,210.49 |
$8,210.49 |
$8,210.49 |
$574.40
|
|
Uric acid urine
|
$470.83 |
$470.83 |
$470.83 |
$47.20
|
|
Urinalysis microscopic only
|
$339.76 |
$339.76 |
$339.76 |
$25.85
|
|
Urinalysis qual/semiquant excpt ia
|
$159.89 |
$159.89 |
$159.89 |
$25.72
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$11,241.75 |
$11,241.75 |
$11,241.75 |
$6,908.53
|
