|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,855.45 |
$2,855.45 |
$2,855.45 |
$4,689.60
|
|
Split blood or products
|
$94.90 |
$94.90 |
$94.90 |
$127.80
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$2,066.35 |
$2,066.35 |
$2,066.35 |
$1,612.78
|
|
Sr-89 stront chlor ther / mci
|
$7,152.60 |
$7,152.60 |
$7,152.60 |
$2,515.15
|
|
St analysis behavior qualitative voice/resonance
|
$295.10 |
$295.10 |
$295.10 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$416.65 |
$416.65 |
$416.65 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$73,427.90 |
$73,427.90 |
$73,427.90 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$96,361.20 |
$96,361.20 |
$96,361.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$11,771.50 |
$11,771.50 |
$11,771.50 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$53,311.05 |
$53,311.05 |
$53,311.05 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$16,727.10 |
$16,727.10 |
$16,727.10 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$57,595.20 |
$57,595.20 |
$57,595.20 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$42,199.95 |
$42,199.95 |
$42,199.95 |
$8,948.40
|
|
Stent placemt retro carotid
|
$38,714.00 |
$38,714.00 |
$38,714.00 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$61,822.80 |
$61,822.80 |
$61,822.80 |
$16,222.77
|
|
Sterile needle
|
$551.20 |
$551.20 |
$551.20 |
$190.13
|
|
St evaluate speech sound production
|
$375.05 |
$375.05 |
$375.05 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$750.10 |
$750.10 |
$750.10 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,968.20 |
$1,968.20 |
$1,968.20 |
$1,344.00
|
|
Strapping of ankle and/or ft 29540
|
$412.75 |
$412.75 |
$412.75 |
$223.45
|
|
Strapping of toes 29550
|
$299.00 |
$299.00 |
$299.00 |
$164.70
|
|
Strep a ag ia
|
$206.05 |
$206.05 |
$206.05 |
$75.40
|
|
Streptomycin injection
|
$638.95 |
$638.95 |
$638.95 |
$138.30
|
|
Streptozocin injection
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$785.95
|
|
Stress test pulmonary
|
$434.20 |
$434.20 |
$434.20 |
$324.00
|
|
Stress tte complete
|
$2,837.25 |
$2,837.25 |
$2,837.25 |
$1,899.05
|
|
Str markers specimen anal
|
$978.25 |
$978.25 |
$978.25 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$167.05 |
$167.05 |
$167.05 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$1,997,073.00 |
$1,997,073.00 |
$1,997,073.00 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$184.60 |
$184.60 |
$184.60 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$171.60 |
$171.60 |
$171.60 |
$126.63
|
|
Supp non-insulin inf cath/wk
|
$8.45 |
$8.45 |
$8.45 |
$8.45
|
|
Surgical pathology level 1 gross examination only
|
$171.60 |
$171.60 |
$171.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$317.20 |
$317.20 |
$317.20 |
$143.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$364.00 |
$364.00 |
$364.00 |
$182.28
|
|
Surgical pathology level 4 gross & microscopic examination
|
$560.30 |
$560.30 |
$560.30 |
$248.17
|
|
Surgical pathology level 5 gross & microscopic examination
|
$769.60 |
$769.60 |
$769.60 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,288.95 |
$1,288.95 |
$1,288.95 |
$720.75
|
|
Surgical trays
|
$843.05 |
$843.05 |
$843.05 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$163.15 |
$163.15 |
$163.15 |
$45.60
|
|
Susceptibility mic per plate
|
$213.20 |
$213.20 |
$213.20 |
$105.75
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$13,034.45 |
$13,034.45 |
$13,034.45 |
$1,995.00
|
|
Svc venogram s&i
|
$1,781.65 |
$1,781.65 |
$1,781.65 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$585.00 |
$585.00 |
$585.00 |
$316.55
|
|
Swallowing Therapy Session
|
$370.50 |
$370.50 |
$370.50 |
$232.56
|
|
Synvisc or synvisc-one
|
$254.80 |
$254.80 |
$254.80 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$259.35 |
$259.35 |
$259.35 |
$42.24
|
|
System cardiomems hosp electronics
|
$78,916.50 |
$78,916.50 |
$78,916.50 |
$38,234.70
|
|
System pacing micra av
|
$42,033.55 |
$42,033.55 |
$42,033.55 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$28,095.60 |
$28,095.60 |
$28,095.60 |
$12,003.00
|
|
System sealant biosentry tract
|
$2,532.40 |
$2,532.40 |
$2,532.40 |
$889.35
|
|
T3 (triiodothyronine) free
|
$142.35 |
$142.35 |
$142.35 |
$100.32
|
|
T3 (triiodothyronine) total
|
$142.35 |
$142.35 |
$142.35 |
$93.52
|
|
T4 (thyroxine) free
|
$142.35 |
$142.35 |
$142.35 |
$88.51
|
|
T4 (thyroxine) total
|
$142.35 |
$142.35 |
$142.35 |
$70.05
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$11.05 |
$11.05 |
$11.05 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,972.10 |
$1,972.10 |
$1,972.10 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$137.15 |
$137.15 |
$137.15 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$62.40 |
$62.40 |
$62.40 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$652.60 |
$652.60 |
$652.60 |
$289.20
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$422.50 |
$422.50 |
$422.50 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$304.85 |
$304.85 |
$304.85 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$4,455.75 |
$4,455.75 |
$4,455.75 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$10,245.30 |
$10,245.30 |
$10,245.30 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,306.85 |
$2,306.85 |
$2,306.85 |
$1,701.91
|
|
Tas congenital car anomal
|
$13,635.05 |
$13,635.05 |
$13,635.05 |
$6,003.27
|
|
Tavr perq femoral
|
$59,813.00 |
$59,813.00 |
$59,813.00 |
$15,454.40
|
|
Tbs techl calculation only
|
$253.50 |
$253.50 |
$253.50 |
$153.60
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$128.70 |
$128.70 |
$128.70 |
$180.80
|
|
Tc-99m arcitumomab
|
$3,558.75 |
$3,558.75 |
$3,558.75 |
$2,085.68
|
|
Tc-99m bicisate
|
$2,930.85 |
$2,930.85 |
$2,930.85 |
$2,070.00
|
|
Tc-99m depreotide
|
$2,213.25 |
$2,213.25 |
$2,213.25 |
$1,486.80
|
|
Tc-99m diag per dose
|
$624.00 |
$624.00 |
$624.00 |
$470.40
|
|
Tc-99m disofenin
|
$277.55 |
$277.55 |
$277.55 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,306.20 |
$2,306.20 |
$2,306.20 |
$2,135.70
|
|
Tc-99m gluceptate
|
$380.25 |
$380.25 |
$380.25 |
$31.35
|
|
Tc-99m labeled rbc
|
$393.90 |
$393.90 |
$393.90 |
$306.00
|
|
Tc-99m maa
|
$483.60 |
$483.60 |
$483.60 |
$312.06
|
|
Tc-99m mebrofenin
|
$167.70 |
$167.70 |
$167.70 |
$157.65
|
|
Tc-99m medronate
|
$171.60 |
$171.60 |
$171.60 |
$111.01
|
|
Tc-99m mertiatide
|
$837.85 |
$837.85 |
$837.85 |
$756.00
|
|
Tc-99m oxidronate
|
$226.20 |
$226.20 |
$226.20 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$362.05 |
$362.05 |
$362.05 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$2.60 |
$2.60 |
$2.60 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$123.50 |
$123.50 |
$123.50 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$172.25 |
$172.25 |
$172.25 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$240.50 |
$240.50 |
$240.50 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$188.50 |
$188.50 |
$188.50 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$985.60
|
|
Tcd emboli detect w/inj
|
$475.80 |
$475.80 |
$475.80 |
$475.80
|
|
T cells absolute cd4/cd8 including ratio
|
$85.15 |
$85.15 |
$85.15 |
$185.04
|
|
T cells absolute cd 4 count
|
$44.85 |
$44.85 |
$44.85 |
$111.20
|
|
T cells total count
|
$85.15 |
$85.15 |
$85.15 |
$130.35
|
|
Tcranial magn stim tx deli
|
$835.90 |
$835.90 |
$835.90 |
$389.22
|
|
Tcranial magn stim tx plan
|
$835.90 |
$835.90 |
$835.90 |
$437.22
|
|
Tcran magn stim redetemine
|
$457.60 |
$457.60 |
$457.60 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$26,857.35 |
$26,857.35 |
$26,857.35 |
$6,120.00
|
