|
Sulfonylurea screen qn-sendout
|
$83.48 |
$83.48 |
$83.48 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$950.38 |
$950.38 |
$950.38 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$121.87 |
$121.87 |
$121.87 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$215.00 |
$215.00 |
$215.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$329.00 |
$329.00 |
$329.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$405.00 |
$405.00 |
$405.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,434.09 |
$1,434.09 |
$1,434.09 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,231.32 |
$3,231.32 |
$3,231.32 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$32.28 |
$32.28 |
$32.28 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$35.70 |
$35.70 |
$35.70 |
$34.48
|
|
Susceptibility mic per plate
|
$104.00 |
$104.00 |
$104.00 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$44.34 |
$44.34 |
$44.34 |
$48.30
|
|
Svc venogram s&i
|
$7,801.24 |
$7,801.24 |
$7,801.24 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$23,348.31 |
$23,348.31 |
$23,348.31 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$28.94 |
$28.94 |
$28.94 |
$44.85
|
|
T3 (triiodothyronine) free
|
$125.56 |
$125.56 |
$125.56 |
$89.82
|
|
T3 (triiodothyronine) total
|
$104.64 |
$104.64 |
$104.64 |
$94.90
|
|
T4 (thyroxine) free
|
$66.47 |
$66.47 |
$66.47 |
$81.60
|
|
T4 (thyroxine) total
|
$50.47 |
$50.47 |
$50.47 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$100.94 |
$100.94 |
$100.94 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$5,071.94 |
$5,071.94 |
$5,071.94 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$19,497.53 |
$19,497.53 |
$19,497.53 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,992.33 |
$3,992.33 |
$3,992.33 |
$1,913.00
|
|
Tavr perq femoral
|
$39,577.51 |
$39,577.51 |
$39,577.51 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$7,299.54 |
$7,299.54 |
$7,299.54 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$457.93 |
$457.93 |
$457.93 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$313.87 |
$313.87 |
$313.87 |
$186.00
|
|
T cells absolute cd 4 count
|
$179.19 |
$179.19 |
$179.19 |
$120.25
|
|
T cells total count
|
$251.54 |
$251.54 |
$251.54 |
$124.11
|
|
Telehealth original site facility fee
|
$90.15 |
$90.15 |
$90.15 |
$60.80
|
|
Telethx isodose plan cplx
|
$1,508.12 |
$1,508.12 |
$1,508.12 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,508.12 |
$1,508.12 |
$1,508.12 |
$848.72
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$337.60 |
$337.60 |
$337.60 |
$46.10
|
|
Test for chlorohydrocarbons
|
$21.04 |
$21.04 |
$21.04 |
$71.04
|
|
Testicular imaging w/vasc flow
|
$1,678.40 |
$1,678.40 |
$1,678.40 |
$780.48
|
|
Testosterone undecanoate 1mg
|
$15,920.24 |
$15,920.24 |
$15,920.24 |
$1.99
|
|
Test pathogen(s) for platelets reference
|
$411.14 |
$411.14 |
$411.14 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$3,882.51 |
$3,882.51 |
$3,882.51 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$88,412.84 |
$88,412.84 |
$88,412.84 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$104.64 |
$104.64 |
$104.64 |
$108.00
|
|
Therapeutic procd strg endur
|
$247.20 |
$247.20 |
$247.20 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$160.27 |
$160.27 |
$160.27 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$120.20 |
$120.20 |
$120.20 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$390.02 |
$390.02 |
$390.02 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,604.30 |
$3,604.30 |
$3,604.30 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$6,298.87 |
$6,298.87 |
$6,298.87 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$33,446.94 |
$33,446.94 |
$33,446.94 |
$15,185.00
|
|
Thrombin time
|
$43.09 |
$43.09 |
$43.09 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$48.01 |
$48.01 |
$48.01 |
$56.93
|
|
Thyroglobulin antibody
|
$116.95 |
$116.95 |
$116.95 |
$84.00
|
|
Thyroid imaging
|
$745.71 |
$745.71 |
$745.71 |
$670.80
|
|
Thyroid mets imag whole body
|
$3,977.86 |
$3,977.86 |
$3,977.86 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$124.33 |
$124.33 |
$124.33 |
$120.00
|
|
Thyroid Ultrasound
|
$1,783.69 |
$1,783.69 |
$1,783.69 |
$589.96
|
|
Thyroid uptake measurement
|
$1,678.40 |
$1,678.40 |
$1,678.40 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$51.73 |
$51.73 |
$51.73 |
$63.60
|
|
Tilt table study
|
$5,152.14 |
$5,152.14 |
$5,152.14 |
$1,495.00
|
|
Tissue culture placenta
|
$1,003.93 |
$1,003.93 |
$1,003.93 |
$520.91
|
|
Tissue culture skin/biopsy
|
$939.37 |
$939.37 |
$939.37 |
$558.87
|
|
Tissue culture tumor
|
$985.01 |
$985.01 |
$985.01 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$234.84 |
$234.84 |
$234.84 |
$47.40
|
|
Tissue transglutaminase iga
|
$84.94 |
$84.94 |
$84.94 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$405.70 |
$405.70 |
$405.70 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$119.40 |
$119.40 |
$119.40 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$15,802.93 |
$15,802.93 |
$15,802.93 |
$4,711.84
|
|
Tomosynthesis breast diagnostic left
|
$244.86 |
$244.86 |
$244.86 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$281.60 |
$281.60 |
$281.60 |
$73.45
|
|
Total tau
|
$500.00 |
$500.00 |
$500.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$105.87 |
$105.87 |
$105.87 |
$84.35
|
|
Toxoplasma antibody igm
|
$58.00 |
$58.00 |
$58.00 |
$83.20
|
|
Tpmt gene com vrnts
|
$699.00 |
$699.00 |
$699.00 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$278.25 |
$278.25 |
$278.25 |
$104.50
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$405.60 |
$405.60 |
$405.60 |
$77.65
|
|
Transcath closure of asd
|
$42,663.65 |
$42,663.65 |
$42,663.65 |
$18,772.00
|
|
Transcath closure of vsd
|
$56,269.83 |
$56,269.83 |
$56,269.83 |
$18,837.00
|
|
Transcatheter bx s&i
|
$4,736.24 |
$4,736.24 |
$4,736.24 |
$1,875.96
|
|
Transferrin
|
$94.78 |
$94.78 |
$94.78 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$3,283.02 |
$3,283.02 |
$3,283.02 |
$988.24
|
|
Treat finger fracture each
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,815.75
|
|
Treat foot bone lesion
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$3,839.54
|
|
Treat knuckle dislocation
|
$5,639.73 |
$5,639.73 |
$5,639.73 |
$1,893.86
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$475.16 |
$475.16 |
$475.16 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$317.21 |
$317.21 |
$317.21 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$210.00
|
|
Treat wrist dislocation
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$88,393.67 |
$88,393.67 |
$88,393.67 |
$101,032.80
|
|
Treponema pallidum antibody
|
$97.25 |
$97.25 |
$97.25 |
$72.80
|
|
Trg gene rearrangement anal
|
$1,345.62 |
$1,345.62 |
$1,345.62 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$401.39 |
$401.39 |
$401.39 |
$55.80
|
|
Trichinella antibody
|
$43.96 |
$43.96 |
$43.96 |
$70.65
|
|
#tricyclicantidprssnt
|
$83.48 |
$83.48 |
$83.48 |
$57.08
|
|
Triglycerides
|
$41.85 |
$41.85 |
$41.85 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$1,080.29 |
$1,080.29 |
$1,080.29 |
$128.00
|
|
Trim nondyst nails
|
$246.20 |
$246.20 |
$246.20 |
$124.22
|
|
Trml dstrj ios bvn 1st 2 l/s
|
$49,259.00 |
$49,259.00 |
$49,259.00 |
$15,111.95
|
|
Trml dstrj ios bvn ea addl
|
$24,629.50 |
$24,629.50 |
$24,629.50 |
$9,781.50
|
|
Trnscath plc stent crv crtd w/prtct
|
$19,890.24 |
$19,890.24 |
$19,890.24 |
$11,099.98
|
|
Trnscath plc vas stent w/s&i ini vein
|
$43,432.10 |
$43,432.10 |
$43,432.10 |
$15,408.00
|
|
Trnscath retrv pq vasc fb w/guide
|
$33,575.43 |
$33,575.43 |
$33,575.43 |
$4,969.90
|