|
Sarscov coronavirus ag ia
|
$37.00 |
$37.00 |
$37.00 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$4,112.00 |
$4,112.00 |
$4,112.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,738.00 |
$2,738.00 |
$2,738.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$4,112.00 |
$4,112.00 |
$4,112.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$2,687.00 |
$2,687.00 |
$2,687.00 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$10,427.00 |
$10,427.00 |
$10,427.00 |
$1,006.85
|
|
Screening Mammogram
|
$748.00 |
$748.00 |
$748.00 |
$303.55
|
|
Sertraline (zoloft) - sendout
|
$219.00 |
$219.00 |
$219.00 |
$173.16
|
|
Sialography s&i
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$462.40
|
|
Sinus CT scan (with and without contrast)
|
$8,199.00 |
$8,199.00 |
$8,199.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$7,027.00 |
$7,027.00 |
$7,027.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$7,027.00 |
$7,027.00 |
$7,027.00 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$6,878.00 |
$6,878.00 |
$6,878.00 |
$2,489.25
|
|
Sleep Study (Polysomnography)
|
$15,682.00 |
$15,682.00 |
$15,682.00 |
$3,936.80
|
|
Slp pure tone screening
|
$258.00 |
$258.00 |
$258.00 |
$67.60
|
|
Sm-153 lexidron ther
|
$22,674.00 |
$22,674.00 |
$22,674.00 |
$11,563.30
|
|
Smear nasal eosinophil
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$49.50
|
|
Snrpn/ube3a gene
|
$1,301.00 |
$1,301.00 |
$1,301.00 |
$228.80
|
|
Sodium 24 hour urine
|
$594.00 |
$594.00 |
$594.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$210.00 |
$210.00 |
$210.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$164.00 |
$164.00 |
$164.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$448.00 |
$448.00 |
$448.00 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$721.00 |
$721.00 |
$721.00 |
$42.70
|
|
Specific gravity body fluid
|
$51.00 |
$51.00 |
$51.00 |
$23.63
|
|
Specimen fat stain
|
$130.00 |
$130.00 |
$130.00 |
$32.76
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,283.00 |
$1,283.00 |
$1,283.00 |
$559.96
|
|
Sputum specimen collection
|
$536.00 |
$536.00 |
$536.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$37,166.00 |
$37,166.00 |
$37,166.00 |
$4,588.65
|
|
St analysis behavior qualitative voice/resonance
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$300.00
|
|
St evaluate speech sound production
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$4,002.00 |
$4,002.00 |
$4,002.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$4,191.00 |
$4,191.00 |
$4,191.00 |
$406.40
|
|
St evaluation swallow function
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$336.60
|
|
Strep a ag ia
|
$600.00 |
$600.00 |
$600.00 |
$75.40
|
|
Strep b assay w/optic
|
$264.00 |
$264.00 |
$264.00 |
$32.00
|
|
Streptomycin injection
|
$89.00 |
$89.00 |
$89.00 |
$100.00
|
|
Stress tte complete
|
$9,002.00 |
$9,002.00 |
$9,002.00 |
$1,964.95
|
|
St treatment speech individual
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$4.14 |
$4.14 |
$4.14 |
$71.09
|
|
Sulfonylurea screen qn-sendout
|
$219.00 |
$219.00 |
$219.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$878.00 |
$878.00 |
$878.00 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$2,215.00 |
$2,215.00 |
$2,215.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$2,231.00 |
$2,231.00 |
$2,231.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,968.00 |
$2,968.00 |
$2,968.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$305.00 |
$305.00 |
$305.00 |
$40.30
|
|
Susceptibility mic per plate
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$94.38
|
|
Svc venogram s&i
|
$12,293.00 |
$12,293.00 |
$12,293.00 |
$1,908.00
|
|
T3 (triiodothyronine) free
|
$433.00 |
$433.00 |
$433.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$156.00 |
$156.00 |
$156.00 |
$94.90
|
|
T4 (thyroxine) total
|
$207.00 |
$207.00 |
$207.00 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,118.00 |
$2,118.00 |
$2,118.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$166.46
|
|
Tc-99m apcitide diag
|
$6,654.00 |
$6,654.00 |
$6,654.00 |
$1,765.30
|
|
Tc-99m arcitumomab
|
$21,053.00 |
$21,053.00 |
$21,053.00 |
$2,159.40
|
|
Tc-99m bicisate
|
$46,486.00 |
$46,486.00 |
$46,486.00 |
$1,969.45
|
|
Tc-99m depreotide
|
$15,134.00 |
$15,134.00 |
$15,134.00 |
$1,937.35
|
|
Tc-99m disofenin
|
$403.00 |
$403.00 |
$403.00 |
$151.32
|
|
Tc-99m exametazime diag
|
$23,033.00 |
$23,033.00 |
$23,033.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$323.01
|
|
Tc-99m maa
|
$8,061.00 |
$8,061.00 |
$8,061.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$403.00 |
$403.00 |
$403.00 |
$169.53
|
|
Tc-99m medronate
|
$475.00 |
$475.00 |
$475.00 |
$122.46
|
|
Tc-99m mertiatide
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$817.00 |
$817.00 |
$817.00 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$717.00 |
$717.00 |
$717.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$431.00 |
$431.00 |
$431.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$507.00 |
$507.00 |
$507.00 |
$198.05
|
|
T cells total count
|
$769.00 |
$769.00 |
$769.00 |
$124.11
|
|
Temozolomide
|
$3,858.00 |
$3,858.00 |
$3,858.00 |
$438.51
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$355.00 |
$355.00 |
$355.00 |
$44.49
|
|
Testicular imaging w/vasc flow
|
$4,573.00 |
$4,573.00 |
$4,573.00 |
$780.48
|
|
Test urine for porphyrins
|
$188.00 |
$188.00 |
$188.00 |
$27.30
|
|
Tetanus immune globulin inj
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,395.20
|
|
Theophylline therapeutic drug level
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$108.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$82.00 |
$82.00 |
$82.00 |
$38.64
|
|
Thrombin time
|
$446.00 |
$446.00 |
$446.00 |
$48.75
|
|
Thyroid imaging
|
$4,753.00 |
$4,753.00 |
$4,753.00 |
$670.80
|
|
Thyroid met imaging
|
$2,951.00 |
$2,951.00 |
$2,951.00 |
$549.70
|
|
Thyroid met imaging/studies
|
$3,951.00 |
$3,951.00 |
$3,951.00 |
$607.23
|
|
Thyroid mets imag whole body
|
$6,172.00 |
$6,172.00 |
$6,172.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$749.00 |
$749.00 |
$749.00 |
$120.00
|
|
Thyroid Ultrasound
|
$5,210.00 |
$5,210.00 |
$5,210.00 |
$589.96
|
|
Thyroid uptake measurement
|
$3,075.00 |
$3,075.00 |
$3,075.00 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$19,140.00 |
$19,140.00 |
$19,140.00 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$178.00 |
$178.00 |
$178.00 |
$63.60
|
|
Tigecycline injection
|
$438.00 |
$438.00 |
$438.00 |
$308.75
|
|
Tilt table study
|
$3,651.00 |
$3,651.00 |
$3,651.00 |
$1,495.00
|
|
Tissue culture tumor
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$678.00 |
$678.00 |
$678.00 |
$47.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$355.00 |
$355.00 |
$355.00 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$121.55
|
