|
Str markers specimen anal
|
$198.35 |
$502.35 |
$901.86 |
|
|
Subq njx filling matrl 1cc/<
|
$526.32 |
$526.32 |
$526.32 |
|
|
Subq njx fil matrl 5.1-10cc
|
$1,693.24 |
$1,693.24 |
$1,693.24 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$25.91 |
$396.45 |
$505.68 |
|
|
Sugars multiple quant
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
|
|
Sugars single quant
|
$38.41 |
$38.41 |
$38.41 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$7,345.98 |
$7,345.98 |
$7,345.98 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$73.70 |
$85.68 |
$236.50 |
|
|
Sulfonylurea screen qn-sendout
|
$40.41 |
$109.65 |
$293.78 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$22.96 |
$230.37 |
$1,733.76 |
|
|
Support clav 29.6-40.5in med
|
$155.99 |
$155.99 |
$155.99 |
|
|
Supprelin la implant
|
$198,828.50 |
$198,828.50 |
$198,828.50 |
|
|
Surgical pathology level 1 gross examination only
|
$24.65 |
$332.69 |
$1,474.25 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$38.95 |
$461.37 |
$2,683.18 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$53.24 |
$599.53 |
$3,419.46 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$53.24 |
$612.19 |
$4,312.50 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$353.97 |
$2,283.57 |
$4,471.91 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$715.29 |
$4,219.57 |
$6,189.75 |
|
|
Surgigraft, 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
Susceptibility agar dilution per agent
|
$36.97 |
$71.92 |
$858.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$8.12 |
$125.84 |
$432.08 |
|
|
Susceptibility mic per plate
|
$77.20 |
$222.63 |
$2,188.85 |
|
|
Suscept studies macrobroth dilution ea
|
$16.67 |
$102.93 |
$3,874.50 |
|
|
Svc venogram s&i
|
$1,474.18 |
$6,378.63 |
$23,346.95 |
|
|
Swallowing Evaluation (Bedside)
|
$109.74 |
$936.08 |
$2,554.20 |
|
|
Swallowing Therapy Session
|
$92.88 |
$498.85 |
$780.19 |
|
|
Sweat collection by iontophoresis
|
$1,988.87 |
$2,806.35 |
$3,609.75 |
|
|
Synvisc or synvisc-one
|
$2,202.04 |
$2,202.04 |
$2,202.04 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.62 |
$21.71 |
$562.00 |
|
|
System cardiomems hosp electronics
|
$40,625.98 |
$40,625.98 |
$40,625.98 |
|
|
System pacing micra av
|
$14,018.23 |
$14,018.23 |
$24,502.41 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$29,128.06 |
$32,084.67 |
$76,564.10 |
|
|
System sealant biosentry tract
|
$5,155.04 |
$5,155.04 |
$5,599.69 |
|
|
T3 (triiodothyronine) free
|
$16.12 |
$1,028.05 |
$1,791.00 |
|
|
T3 (triiodothyronine) total
|
$7.50 |
$227.06 |
$1,345.00 |
|
|
T4 (thyroxine) free
|
$14.98 |
$158.93 |
$1,308.50 |
|
|
T4 (thyroxine) total
|
$12.71 |
$110.01 |
$1,381.46 |
|
|
Tacrol envarsus ex rel oral
|
$81.96 |
$81.96 |
$81.96 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$36.00 |
$57.50 |
$148.03 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,154.41 |
$2,886.75 |
$6,674.08 |
|
|
Tacrolimus therapeutic drug level
|
$14.53 |
$843.28 |
$2,342.55 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$7,262.79 |
$7,262.79 |
$7,270.00 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$48.93 |
$696.75 |
$1,230.95 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$57.69 |
$57.69 |
$57.69 |
|
|
Talymed
|
$1.00 |
$1.00 |
$1.00 |
|
|
Target gsa panel hmtlmph neop
|
$332.91 |
$1,981.27 |
$17,536.21 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,217.50 |
$4,379.40 |
$21,357.25 |
|
|
Target gsa panel organ neop
|
$249.37 |
$2,574.15 |
$10,984.54 |
|
|
Tas congenital car anomal
|
$20,161.85 |
$20,161.85 |
$20,161.85 |
|
|
Tavr perq femoral
|
$3,724.40 |
$51,668.30 |
$51,668.30 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,753.12 |
$1,753.12 |
$1,753.12 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$55.50 |
$212.75 |
$2,469.56 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$34.41 |
$993.02 |
$2,545.45 |
|
|
Tc-99m bicisate
|
$1,704.29 |
$7,695.00 |
$9,602.00 |
|
|
Tc-99m disofenin
|
$988.00 |
$988.00 |
$2,120.20 |
|
|
Tc-99m exame autol wbc diag per dose
|
$3,229.87 |
$3,487.23 |
$20,031.26 |
|
|
Tc-99m exametazime diag
|
$910.13 |
$11,968.20 |
$41,830.14 |
|
|
Tc-99m labeled rbc
|
$82.15 |
$376.87 |
$9,445.92 |
|
|
Tc-99m maa
|
$49.64 |
$233.45 |
$6,473.00 |
|
|
Tc-99m mebrofenin
|
$55.15 |
$233.45 |
$3,212.84 |
|
|
Tc-99m medronate
|
$135.70 |
$259.25 |
$1,160.00 |
|
|
Tc-99m mertiatide
|
$147.07 |
$334.96 |
$3,859.00 |
|
|
Tc-99m oxidronate
|
$231.02 |
$231.02 |
$231.02 |
|
|
Tc-99m pentetate dtpa
|
$55.15 |
$296.47 |
$1,776.00 |
|
|
Tc-99m pentetate dtpa aerosol
|
$92.69 |
$337.46 |
$1,341.00 |
|
|
Tc-99m pertechnetate per mci
|
$4.14 |
$34.56 |
$3,912.36 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$34.85 |
$762.00 |
$2,127.00 |
|
|
Tc-99m sestamibi p study dose
|
$106.44 |
$1,902.47 |
$5,119.00 |
|
|
Tc-99m succimer (dmsa)
|
$412.35 |
$2,592.50 |
$3,809.82 |
|
|
Tc-99m sulfur colloid
|
$82.15 |
$1,086.75 |
$2,161.35 |
|
|
Tc-99m tetrofosmin p study dose
|
$138.05 |
$912.43 |
$5,422.00 |
|
|
Tc-99m tilmanocept diag
|
$919.01 |
$1,204.55 |
$1,300.53 |
|
|
Tcd emboli detect w/inj
|
$2,331.41 |
$2,331.41 |
$3,592.60 |
|
|
Tcd emboli detect without inj
|
$3,592.60 |
$3,592.60 |
$3,592.60 |
|
|
T cells absolute cd4/cd8 including ratio
|
$26.09 |
$568.62 |
$3,143.25 |
|
|
T cells absolute cd 4 count
|
$20.54 |
$291.84 |
$1,735.70 |
|
|
T cells total count
|
$21.09 |
$329.29 |
$1,013.00 |
|
|
Tcranial magn stim tx deli
|
$1,058.43 |
$1,058.43 |
$1,058.43 |
|
|
Tcranial magn stim tx plan
|
$1,936.32 |
$1,936.32 |
$1,936.32 |
|
|
Tcran magn stim redetemine
|
$1,058.43 |
$1,058.43 |
$1,058.43 |
|
|
Teaec w/wo patch graft iliofemoral
|
$18,214.07 |
$18,214.07 |
$18,214.07 |
|
|
Team conf without pat by hc pro
|
$36.14 |
$36.14 |
$54.26 |
|
|
Team conf w/pat by hc prof
|
$41.21 |
$41.21 |
$61.88 |
|
|
Tee w or without fol w/cont,cong
|
$362.25 |
$409.86 |
$14,192.20 |
|
|
Tee w or without fol w/cont, mon
|
$9,167.50 |
$9,167.50 |
$9,167.50 |
|
|
Telavancin injection
|
$1,173.73 |
$3,610.94 |
$6,203.12 |
|
|
Telethx isodose plan cplx
|
$491.35 |
$11,127.57 |
$39,759.00 |
|
|
Telethx isodose plan simple
|
$323.23 |
$9,986.14 |
$22,935.75 |
|
|
Temozolomide 100 mg intravenous solution
|
$7,636.75 |
$7,636.75 |
$7,636.75 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,746.24 |
$9,746.24 |
$9,746.24 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$419.74 |
$419.74 |
$419.74 |
|
|
Tenodesis biceps tdn at elbw
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Tenolysis extensor tendon hand/finger each
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,840.91 |
$2,840.91 |
$2,840.91 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$58.44 |
$182.46 |
$1,425.20 |
|
|
Tert gene targeted seq alys
|
$77.28 |
$131.68 |
$531.52 |
|
|
Test for porphobilinogen
|
$395.69 |
$1,073.07 |
$1,326.33 |
|
|
Test for urine cystines
|
$1,174.25 |
$1,174.25 |
$1,174.25 |
|
|
Testicular imaging w/vasc flow
|
$401.13 |
$5,542.50 |
$10,547.00 |
|
|
Test pathogen(s) for platelets reference
|
$92.64 |
$163.08 |
$4,570.50 |
|
