|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$3.25 |
$3.25 |
$84.00 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$184.60 |
$184.60 |
$184.60 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$171.60 |
$171.60 |
$893.00 |
$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 |
$1,058.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$317.20 |
$317.20 |
$762.00 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$364.00 |
$364.00 |
$1,638.00 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$548.00 |
$560.30 |
$560.30 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$769.60 |
$769.60 |
$4,664.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,288.95 |
$1,288.95 |
$5,110.00 |
$720.75
|
|
Surgical trays
|
$843.05 |
$843.05 |
$843.05 |
$694.80
|
|
Surgigraft, 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Susceptibility agar dilution per agent
|
$163.15 |
$163.15 |
$163.15 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$15.00 |
$15.00 |
$15.00 |
$35.75
|
|
Susceptibility mic per plate
|
$213.20 |
$213.20 |
$213.20 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$59.28
|
|
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 |
$3,480.00 |
$316.55
|
|
Swallowing Therapy Session
|
$370.50 |
$370.50 |
$1,406.00 |
$240.31
|
|
Synvisc or synvisc-one
|
$254.80 |
$254.80 |
$3,383.00 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$259.35 |
$259.35 |
$259.35 |
$41.60
|
|
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 |
$24,293.25
|
|
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 |
$690.00 |
$100.32
|
|
T3 (triiodothyronine) total
|
$142.35 |
$142.35 |
$486.00 |
$93.52
|
|
T4 (thyroxine) free
|
$142.35 |
$142.35 |
$775.00 |
$88.44
|
|
T4 (thyroxine) total
|
$142.35 |
$142.35 |
$1,412.00 |
$69.58
|
|
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 |
$2,165.00 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$137.15 |
$137.15 |
$2,367.00 |
$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 |
$289.90
|
|
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
|
|
Talymed
|
$1.00 |
$1.00 |
$1.00 |
$199.00
|
|
Target gsa panel hmtlmph neop
|
$2,279.00 |
$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 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$6,442.15 |
$6,442.15 |
$6,442.15 |
$24,217.20
|
|
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
|
$67.00 |
$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 |
$5,453.00 |
$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 |
$9,329.00 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,306.20 |
$2,306.20 |
$22,633.00 |
$2,135.70
|
|
Tc-99m gluceptate
|
$380.25 |
$380.25 |
$380.25 |
$31.35
|
|
Tc-99m labeled rbc
|
$393.90 |
$393.90 |
$2,172.00 |
$306.00
|
|
Tc-99m maa
|
$483.60 |
$483.60 |
$7,926.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$167.70 |
$167.70 |
$595.00 |
$157.65
|
|
Tc-99m medronate
|
$171.60 |
$171.60 |
$410.00 |
$111.01
|
|
Tc-99m mertiatide
|
$837.85 |
$837.85 |
$4,733.00 |
$756.00
|
|
Tc-99m oxidronate
|
$226.20 |
$226.20 |
$226.20 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$362.05 |
$362.05 |
$6,095.00 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$2.60 |
$2.60 |
$529.00 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$123.50 |
$123.50 |
$1,360.00 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$172.25 |
$172.25 |
$1,168.00 |
$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 |
$2,141.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$188.50 |
$188.50 |
$1,787.00 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$985.60
|
|
Tca peel dermal 15789
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$475.80 |
$475.80 |
$475.80 |
$475.80
|
|
T-cell depletion of harvest
|
$70,651.75 |
$70,651.75 |
$70,651.75 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$85.15 |
$85.15 |
$298.00 |
$185.28
|
|
T cells absolute cd 4 count
|
$44.85 |
$44.85 |
$48.10 |
$111.20
|
|
T cells total count
|
$85.15 |
$85.15 |
$101.00 |
$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
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$40,114.80
|
|
Tee w or without fol w/cont,cong
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$2,101.65
|
|
Tee w or without fol w/cont, mon
|
$2,492.75 |
$2,492.75 |
$2,492.75 |
$1,692.44
|
|
Telavancin injection
|
$61.10 |
$61.10 |
$1,173.00 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$3,963.05 |
$3,963.05 |
$4,469.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$2,823.00 |
$2,823.00 |
$3,731.00 |
$877.09
|
|
Temozolomide
|
$276.90 |
$276.90 |
$276.90 |
$540.06
|
|
Temozolomide 100 mg intravenous solution
|
$50.70 |
$50.70 |
$9,000.00 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$314.60 |
$314.60 |
$19,488.00 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$715.65 |
$715.65 |
$715.65 |
$14,951.87
|
|
Tenolysis extensor tendon hand/finger each
|
$9,239.10 |
$9,239.10 |
$9,239.10 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$1,893.86
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$52.00 |
$52.00 |
$435.00 |
$39.33
|
|
Teriparatide injection
|
$18,409.30 |
$18,409.30 |
$18,409.30 |
$7,403.20
|
|
Tert gene targeted seq alys
|
$285.35 |
$285.35 |
$285.35 |
$335.00
|
|
Test for porphobilinogen
|
$23.40 |
$23.40 |
$174.00 |
$29.25
|
|
Testicular imaging w/vasc flow
|
$2,331.55 |
$2,331.55 |
$5,699.00 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,850.55 |
$1,850.55 |
$1,850.55 |
$953.40
|
|
Test urine for porphyrins
|
$27.30 |
$27.30 |
$153.00 |
$49.98
|
|
Tetanus immune globulin inj
|
$1,917.00 |
$4,631.90 |
$4,631.90 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$91.65 |
$91.65 |
$91.65 |
$8,737.05
|
|
Thaw preserved stem cells
|
$5,970.90 |
$5,970.90 |
$5,970.90 |
$1,136.85
|
