|
Smear fluorescent and/or acid fast stain
|
$90.46 |
$90.46 |
$90.46 |
$64.20
|
|
Smear gram stain
|
$135.31 |
$135.31 |
$135.31 |
$57.85
|
|
Smear nasal eosinophil
|
$104.19 |
$104.19 |
$104.19 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$174.02 |
$174.02 |
$174.02 |
$64.35
|
|
Smear wet mount
|
$256.25 |
$256.25 |
$256.25 |
$68.63
|
|
Sodium 24 hour urine
|
$102.04 |
$102.04 |
$102.04 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$22.00 |
$22.00 |
$22.00 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$85.54 |
$85.54 |
$85.54 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$281.71 |
$281.71 |
$281.71 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$477.88 |
$477.88 |
$477.88 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$104.04 |
$104.04 |
$104.04 |
$42.70
|
|
Special physics consult
|
$1,300.75 |
$1,300.75 |
$1,300.75 |
$700.74
|
|
Special radiation dosimetry
|
$621.19 |
$621.19 |
$621.19 |
$445.50
|
|
Special radiation treatment
|
$2,623.53 |
$2,623.53 |
$2,623.53 |
$1,934.03
|
|
Special teletx port plan
|
$1,581.26 |
$1,581.26 |
$1,581.26 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$947.67 |
$947.67 |
$947.67 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$315.16 |
$315.16 |
$315.16 |
$559.96
|
|
Split blood or products
|
$454.59 |
$454.59 |
$454.59 |
$148.98
|
|
Srs linear based
|
$26,680.93 |
$26,680.93 |
$26,680.93 |
$14,124.25
|
|
Srs multisource
|
$128,049.54 |
$128,049.54 |
$128,049.54 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$348.64 |
$348.64 |
$348.64 |
$300.00
|
|
Staph a dna amp probe
|
$222.96 |
$222.96 |
$222.96 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$353.31 |
$353.31 |
$353.31 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$65,260.51 |
$65,260.51 |
$65,260.51 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$17,281.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$63,312.45 |
$63,312.45 |
$63,312.45 |
$19,765.20
|
|
St evaluate speech sound production
|
$348.64 |
$348.64 |
$348.64 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$348.64 |
$348.64 |
$348.64 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$658.97 |
$658.97 |
$658.97 |
$406.40
|
|
St evaluation swallow function
|
$426.39 |
$426.39 |
$426.39 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$280.75 |
$280.75 |
$280.75 |
$248.05
|
|
Strapping of hand or finger
|
$418.41 |
$418.41 |
$418.41 |
$194.40
|
|
Strapping of knee
|
$268.95 |
$268.95 |
$268.95 |
$224.80
|
|
Strapping of toes 29550
|
$549.16 |
$549.16 |
$549.16 |
$185.36
|
|
Strep b dna amp probe
|
$179.91 |
$179.91 |
$179.91 |
$139.20
|
|
Stress test pulmonary
|
$213.26 |
$213.26 |
$213.26 |
$327.20
|
|
St treatment speech individual
|
$262.73 |
$262.73 |
$262.73 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$334.66 |
$334.66 |
$334.66 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$72.60 |
$72.60 |
$72.60 |
$49.13
|
|
Sugars single quant
|
$40.05 |
$40.05 |
$40.05 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$284.78 |
$284.78 |
$284.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$46.15 |
$46.15 |
$46.15 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$187.01 |
$187.01 |
$187.01 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$265.92 |
$265.92 |
$265.92 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$433.87 |
$433.87 |
$433.87 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$557.21 |
$557.21 |
$557.21 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$713.38 |
$713.38 |
$713.38 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$867.45 |
$867.45 |
$867.45 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$72.29 |
$72.29 |
$72.29 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$20.62 |
$20.62 |
$20.62 |
$34.48
|
|
Susceptibility mic per plate
|
$631.08 |
$631.08 |
$631.08 |
$94.38
|
|
Svc venogram s&i
|
$6,921.01 |
$6,921.01 |
$6,921.01 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$571.68 |
$571.68 |
$571.68 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.65 |
$21.65 |
$21.65 |
$44.85
|
|
T3 (triiodothyronine) free
|
$238.96 |
$238.96 |
$238.96 |
$89.82
|
|
T3 (triiodothyronine) total
|
$215.05 |
$215.05 |
$215.05 |
$94.90
|
|
T4 (thyroxine) free
|
$243.47 |
$243.47 |
$243.47 |
$81.60
|
|
T4 (thyroxine) total
|
$202.99 |
$202.99 |
$202.99 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$48.87 |
$48.87 |
$48.87 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$7,958.67 |
$7,958.67 |
$7,958.67 |
$1,928.40
|
|
Target gsa panel organ neop
|
$10,333.19 |
$10,333.19 |
$10,333.19 |
$1,913.00
|
|
Tavr perq femoral
|
$20,277.56 |
$20,277.56 |
$20,277.56 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,049.08 |
$1,049.08 |
$1,049.08 |
$959.55
|
|
Tbs techl calculation only
|
$220.51 |
$220.51 |
$220.51 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$179.38 |
$179.38 |
$179.38 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$63.15 |
$63.15 |
$63.15 |
$186.00
|
|
T cells absolute cd 4 count
|
$192.78 |
$192.78 |
$192.78 |
$120.25
|
|
T cells total count
|
$386.10 |
$386.10 |
$386.10 |
$124.11
|
|
Telethx isodose plan cplx
|
$482.59 |
$482.59 |
$482.59 |
$1,617.00
|
|
Telethx isodose plan simple
|
$482.59 |
$482.59 |
$482.59 |
$848.72
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$20.56 |
$20.56 |
$20.56 |
$44.49
|
|
Test pathogen(s) for platelets reference
|
$149.79 |
$149.79 |
$149.79 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$2,232.16 |
$2,232.16 |
$2,232.16 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$11,725.42 |
$11,725.42 |
$11,725.42 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$230.25 |
$230.25 |
$230.25 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$85.84 |
$85.84 |
$85.84 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$85.84 |
$85.84 |
$85.84 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$1,057.65 |
$1,057.65 |
$1,057.65 |
$534.32
|
|
Ther/proph/diag inj ia
|
$725.59 |
$725.59 |
$725.59 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$61.06 |
$61.06 |
$61.06 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,040.55 |
$2,040.55 |
$2,040.55 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$6,425.58 |
$6,425.58 |
$6,425.58 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$19,357.44 |
$19,357.44 |
$19,357.44 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$36,021.97 |
$36,021.97 |
$36,021.97 |
$15,185.00
|
|
Thrombin time
|
$9.39 |
$9.39 |
$9.39 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$337.48 |
$337.48 |
$337.48 |
$56.93
|
|
Thyroglobulin antibody
|
$71.89 |
$71.89 |
$71.89 |
$84.00
|
|
Thyroid mets imag whole body
|
$3,444.84 |
$3,444.84 |
$3,444.84 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$271.56 |
$271.56 |
$271.56 |
$120.00
|
|
Thyroid Ultrasound
|
$804.12 |
$804.12 |
$804.12 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$23.89 |
$23.89 |
$23.89 |
$63.60
|
|
Tissue exam koh skin/hair/nails
|
$103.45 |
$103.45 |
$103.45 |
$47.40
|
|
Tissue transglutaminase iga
|
$39.38 |
$39.38 |
$39.38 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$44.88 |
$44.88 |
$44.88 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$265.03 |
$265.03 |
$265.03 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,118.47 |
$2,118.47 |
$2,118.47 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$103.18 |
$103.18 |
$103.18 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$126.11 |
$126.11 |
$126.11 |
$303.88
|
|
Toxoplasma antibody igg
|
$41.65 |
$41.65 |
$41.65 |
$84.35
|
|
Toxoplasma antibody igm
|
$41.71 |
$41.71 |
$41.71 |
$83.20
|