|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$96,878.72 |
$96,878.72 |
$96,878.72 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$9,508.87 |
$9,508.87 |
$9,508.87 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$8,335.20 |
$8,335.20 |
$8,335.20 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$37,235.68 |
$37,235.68 |
$37,235.68 |
$6,608.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$51,315.16 |
$51,315.16 |
$51,315.16 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$3,387.12 |
$3,387.12 |
$3,387.12 |
$180.55
|
|
Rpl tun cvc wo subq port
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$4,201.80
|
|
Rubella antibody igg
|
$67.14 |
$67.14 |
$67.14 |
$73.10
|
|
Rubeola antibody igg
|
$101.90 |
$101.90 |
$101.90 |
$79.68
|
|
Russell viper venom diluted
|
$153.28 |
$153.28 |
$153.28 |
$70.16
|
|
Salmonella antibody
|
$211.04 |
$211.04 |
$211.04 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,738.08 |
$3,738.08 |
$3,738.08 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,982.06 |
$2,982.06 |
$2,982.06 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$3,738.08 |
$3,738.08 |
$3,738.08 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,774.24 |
$1,774.24 |
$1,774.24 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,776.53 |
$1,776.53 |
$1,776.53 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,205.95 |
$2,205.95 |
$2,205.95 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,060.67 |
$2,060.67 |
$2,060.67 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,060.67 |
$2,060.67 |
$2,060.67 |
$601.70
|
|
Sedimentation rate erythrocyte automated
|
$224.31 |
$224.31 |
$224.31 |
$44.20
|
|
Shoulder MRI (with and without contrast)
|
$4,726.08 |
$4,726.08 |
$4,726.08 |
$2,705.30
|
|
Shoulder MRI (without contrast)
|
$4,867.45 |
$4,867.45 |
$4,867.45 |
$2,051.28
|
|
Shoulder X-ray
|
$1,515.36 |
$1,515.36 |
$1,515.36 |
$367.02
|
|
Sickling rbc
|
$88.16 |
$88.16 |
$88.16 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$8,075.77 |
$8,075.77 |
$8,075.77 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$7,125.03 |
$7,125.03 |
$7,125.03 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$6,727.02 |
$6,727.02 |
$6,727.02 |
$1,279.50
|
|
Smear fluorescent and/or acid fast stain
|
$86.24 |
$86.24 |
$86.24 |
$64.20
|
|
Smear gram stain
|
$109.12 |
$109.12 |
$109.12 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$95.84 |
$95.84 |
$95.84 |
$64.35
|
|
Smear wet mount
|
$93.12 |
$93.12 |
$93.12 |
$68.63
|
|
Sodium 24 hour urine
|
$203.18 |
$203.18 |
$203.18 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$59.83 |
$59.83 |
$59.83 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$176.10 |
$176.10 |
$176.10 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$738.41 |
$738.41 |
$738.41 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$3,619.18 |
$3,619.18 |
$3,619.18 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$235.97 |
$235.97 |
$235.97 |
$42.70
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$4,632.36 |
$4,632.36 |
$4,632.36 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,794.21 |
$1,794.21 |
$1,794.21 |
$559.96
|
|
Srs multisource
|
$32,360.11 |
$32,360.11 |
$32,360.11 |
$31,800.00
|
|
St evaluate speech sound production
|
$377.23 |
$377.23 |
$377.23 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$769.30 |
$769.30 |
$769.30 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$678.30 |
$678.30 |
$678.30 |
$406.40
|
|
St evaluation swallow function
|
$537.39 |
$537.39 |
$537.39 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$2,298.24 |
$2,298.24 |
$2,298.24 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$884.32 |
$884.32 |
$884.32 |
$171.00
|
|
Strapping of hand or finger
|
$884.32 |
$884.32 |
$884.32 |
$194.40
|
|
Strapping of knee
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$224.80
|
|
Strapping of toes 29550
|
$884.32 |
$884.32 |
$884.32 |
$185.36
|
|
St treatment speech individual
|
$357.37 |
$357.37 |
$357.37 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$360.33 |
$360.33 |
$360.33 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$396.36 |
$396.36 |
$396.36 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$229.47 |
$229.47 |
$229.47 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$232.43 |
$232.43 |
$232.43 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$95.61 |
$95.61 |
$95.61 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$357.35 |
$357.35 |
$357.35 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$489.47 |
$489.47 |
$489.47 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$513.89 |
$513.89 |
$513.89 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$76.00 |
$76.00 |
$76.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$76.00 |
$76.00 |
$76.00 |
$34.48
|
|
Susceptibility mic per plate
|
$3,488.96 |
$3,488.96 |
$3,488.96 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$106.24 |
$106.24 |
$106.24 |
$48.30
|
|
Svc venogram s&i
|
$17,119.04 |
$17,119.04 |
$17,119.04 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$4,349.91 |
$4,349.91 |
$4,349.91 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$15.40 |
$15.40 |
$15.40 |
$44.85
|
|
T3 (triiodothyronine) free
|
$274.18 |
$274.18 |
$274.18 |
$89.82
|
|
T3 (triiodothyronine) total
|
$543.51 |
$543.51 |
$543.51 |
$94.90
|
|
T4 (thyroxine) free
|
$60.89 |
$60.89 |
$60.89 |
$81.60
|
|
T4 (thyroxine) total
|
$139.52 |
$139.52 |
$139.52 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$330.31 |
$330.31 |
$330.31 |
$122.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$8,069.07 |
$8,069.07 |
$8,069.07 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$220.00 |
$220.00 |
$220.00 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$164.43 |
$164.43 |
$164.43 |
$186.00
|
|
T cells absolute cd 4 count
|
$428.48 |
$428.48 |
$428.48 |
$120.25
|
|
T cells total count
|
$603.68 |
$603.68 |
$603.68 |
$124.11
|
|
Telethx isodose plan cplx
|
$1,627.54 |
$1,627.54 |
$1,627.54 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,226.75 |
$1,226.75 |
$1,226.75 |
$848.72
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$50.35 |
$50.35 |
$50.35 |
$44.49
|
|
Test pathogen(s) for platelets reference
|
$884.32 |
$884.32 |
$884.32 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$91,243.32 |
$91,243.32 |
$91,243.32 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$226.24 |
$226.24 |
$226.24 |
$108.00
|
|
Therapeutic procd strg endur
|
$401.92 |
$401.92 |
$401.92 |
$81.36
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$325.06 |
$325.06 |
$325.06 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,145.61 |
$2,145.61 |
$2,145.61 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$15,043.84 |
$15,043.84 |
$15,043.84 |
$3,580.00
|
|
Thrombin time
|
$92.32 |
$92.32 |
$92.32 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$103.52 |
$103.52 |
$103.52 |
$56.93
|
|
Thyroglobulin antibody
|
$254.56 |
$254.56 |
$254.56 |
$84.00
|
|
Thyroid imaging
|
$5,213.60 |
$5,213.60 |
$5,213.60 |
$670.80
|
|
Thyroid (TSH) Test
|
$555.91 |
$555.91 |
$555.91 |
$120.00
|
|
Thyroid Ultrasound
|
$3,249.23 |
$3,249.23 |
$3,249.23 |
$589.96
|
|
Thyroid uptake measurement
|
$5,213.60 |
$5,213.60 |
$5,213.60 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$236.48 |
$236.48 |
$236.48 |
$63.60
|
|
Tilt table study
|
$3,780.15 |
$3,780.15 |
$3,780.15 |
$1,495.00
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$647.58 |
$647.58 |
$647.58 |
$4,293.26
|
|
Tissue transglutaminase iga
|
$54.46 |
$54.46 |
$54.46 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$223.52 |
$223.52 |
$223.52 |
$125.87
|