|
Streptozocin injection
|
$272.69 |
$272.69 |
$272.69 |
$954.71
|
|
Stress test pulmonary
|
$358.90 |
$358.90 |
$790.00 |
$327.20
|
|
Stress tte complete
|
$3,220.20 |
$3,220.20 |
$9,086.00 |
$1,964.95
|
|
St treatment speech individual
|
$255.30 |
$255.30 |
$852.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$852.00 |
$852.00 |
$852.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$19.30 |
$38.00 |
$48.21 |
$49.13
|
|
Sugars single quant
|
$9.99 |
$9.99 |
$9.99 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.58 |
$0.58 |
$882.00 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$48.14 |
$63.27 |
$827.00 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$12.86 |
$12.86 |
$1,170.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$22.11 |
$22.11 |
$1,213.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$25.25 |
$25.25 |
$2,373.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$43.11 |
$43.11 |
$43.11 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$74.74 |
$74.74 |
$5,560.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$187.59 |
$187.59 |
$5,967.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$19.98 |
$19.98 |
$164.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$13.23 |
$13.23 |
$164.00 |
$34.48
|
|
Susceptibility mic per plate
|
$39.78 |
$39.78 |
$39.78 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$62.72 |
$62.72 |
$62.72 |
$48.30
|
|
Svc venogram s&i
|
$1,312.11 |
$1,312.11 |
$1,312.11 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$14.43 |
$14.43 |
$14.43 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$11.19 |
$11.19 |
$17.00 |
$44.85
|
|
T3 (triiodothyronine) free
|
$16.28 |
$16.28 |
$616.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$145.69 |
$145.69 |
$145.69 |
$94.90
|
|
T4 (thyroxine) free
|
$128.95 |
$128.95 |
$571.00 |
$81.60
|
|
T4 (thyroxine) total
|
$137.18 |
$137.18 |
$603.00 |
$73.64
|
|
Tacrol astagraf ex rel oral
|
$0.44 |
$0.44 |
$0.44 |
$18.35
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.79 |
$2.79 |
$2.80 |
$9.99
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$592.00 |
$592.00 |
$592.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$61.42 |
$61.42 |
$61.42 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$888.00 |
$888.00 |
$2,805.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,868.00 |
$3,868.00 |
$3,868.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$518.00 |
$518.00 |
$585.00 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.69 |
$0.69 |
$42.80 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$83.00 |
$83.00 |
$83.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$110.08 |
$110.08 |
$110.08 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$5,342.71 |
$5,342.71 |
$5,342.71 |
$2,393.40
|
|
Tc-99m labeled rbc
|
$174.64 |
$174.64 |
$383.51 |
$323.01
|
|
Tc-99m maa
|
$394.05 |
$394.05 |
$394.05 |
$312.06
|
|
Tc-99m mebrofenin
|
$146.52 |
$146.52 |
$146.52 |
$169.53
|
|
Tc-99m medronate
|
$117.75 |
$117.75 |
$117.75 |
$122.46
|
|
Tc-99m mertiatide
|
$862.19 |
$862.19 |
$1,936.00 |
$757.25
|
|
Tc-99m oxidronate
|
$108.04 |
$108.04 |
$124.23 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$512.08 |
$512.08 |
$512.08 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$213.00 |
$213.00 |
$213.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$1.48 |
$1.48 |
$1.48 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$133.00 |
$198.04 |
$198.04 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$107.49 |
$107.49 |
$107.49 |
$221.60
|
|
Tc-99m sulfur colloid
|
$356.68 |
$356.68 |
$356.68 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$101.38 |
$116.55 |
$506.00 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,656.03 |
$1,656.03 |
$1,656.03 |
$930.54
|
|
Tcd emboli detect without inj
|
$427.00 |
$427.00 |
$427.00 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$229.00 |
$229.00 |
$229.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$47.55 |
$47.55 |
$266.00 |
$120.25
|
|
Telethx isodose plan cplx
|
$2,404.45 |
$2,404.45 |
$2,404.45 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,469.46 |
$1,469.46 |
$1,469.46 |
$848.72
|
|
Temozolomide
|
$10.93 |
$10.93 |
$10.93 |
$438.51
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$6,024.00 |
$6,024.00 |
$6,024.00 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$280.13 |
$280.13 |
$23,874.00 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$48.29 |
$48.29 |
$91.00 |
$44.49
|
|
Tert gene targeted seq alys
|
$179.00 |
$179.00 |
$179.00 |
$304.59
|
|
Test for chlorohydrocarbons
|
$92.00 |
$92.00 |
$92.00 |
$71.04
|
|
Test for porphobilinogen
|
$9.00 |
$9.00 |
$9.00 |
$33.57
|
|
Test pathogen(s) for platelets reference
|
$41.53 |
$41.53 |
$41.53 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$1,382.69 |
$1,382.69 |
$1,382.69 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$869.00 |
$869.00 |
$869.00 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$22.17 |
$22.17 |
$127.25 |
$12,080.29
|
|
Tgsap so neo 5-50 rna alys
|
$888.00 |
$888.00 |
$888.00 |
$816.27
|
|
Theophylline therapeutic drug level
|
$63.73 |
$63.73 |
$590.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$375.00 |
$375.00 |
$375.00 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$58.46 |
$58.46 |
$328.00 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$52.08 |
$52.08 |
$282.00 |
$50.40
|
|
Ther/proph/diag inj ia
|
$333.83 |
$333.83 |
$333.83 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$44.24 |
$44.24 |
$48.29 |
$38.64
|
|
Thrombin time
|
$5.00 |
$37.65 |
$37.65 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$40.79 |
$40.79 |
$222.00 |
$56.93
|
|
Thyroglobulin antibody
|
$41.16 |
$41.16 |
$328.00 |
$84.00
|
|
Thyroid met imaging
|
$4,229.00 |
$4,229.00 |
$4,229.00 |
$549.70
|
|
Thyroid met imaging/studies
|
$4,937.00 |
$4,937.00 |
$4,937.00 |
$607.23
|
|
Thyroid mets imag whole body
|
$1,665.83 |
$1,665.83 |
$1,665.83 |
$1,524.99
|
|
Thyroid met uptake
|
$4,937.00 |
$4,937.00 |
$4,937.00 |
$380.00
|
|
Thyroid (TSH) Test
|
$36.17 |
$36.17 |
$1,079.00 |
$120.00
|
|
Thyroid Ultrasound
|
$656.01 |
$656.01 |
$656.01 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,012.00 |
$6,012.00 |
$6,012.00 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$5.18 |
$5.18 |
$11.00 |
$63.60
|
|
Tigecycline injection
|
$7.44 |
$7.44 |
$466.00 |
$308.75
|
|
Tilt table study
|
$8,709.00 |
$8,709.00 |
$8,709.00 |
$1,495.00
|
|
Tissue culture placenta
|
$66.23 |
$66.23 |
$1,585.00 |
$520.91
|
|
Tissue culture skin/biopsy
|
$61.05 |
$61.05 |
$61.05 |
$558.87
|
|
Tissue culture tumor
|
$93.98 |
$93.98 |
$93.98 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$22.11 |
$22.11 |
$22.11 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$5,630.85 |
$5,630.85 |
$5,630.85 |
$4,293.26
|
|
Tissue transglutaminase iga
|
$17.06 |
$17.06 |
$17.06 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$137.09 |
$137.09 |
$221.00 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$54.10 |
$54.10 |
$79.92 |
$125.87
|
|
Tobramycin non-comp unit
|
$421.00 |
$421.00 |
$421.00 |
$107.07
|
|
Tobramycin peak therapeutic drug level
|
$86.67 |
$86.67 |
$86.67 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$17.57 |
$17.57 |
$26.07 |
$5,790.85
|
|
Tomosynthesis breast diagnostic left
|
$457.00 |
$457.00 |
$457.00 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$114.15 |
$114.15 |
$114.15 |
$73.45
|
