|
Splint finger frog med
|
$234.62 |
$234.62 |
$234.62 |
$27.95
|
|
Split blood or products
|
$84.99 |
$111.65 |
$1,666.44 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$9,627.20 |
$9,627.20 |
$9,627.20 |
$4,588.65
|
|
Srs linear based
|
$28,702.20 |
$28,702.20 |
$28,702.20 |
$14,124.25
|
|
Srs multisource
|
$35,192.81 |
$35,192.81 |
$35,192.81 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$689.48 |
$689.48 |
$1,109.74 |
$300.00
|
|
Staph a dna amp probe
|
$541.61 |
$541.61 |
$541.61 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$346.05 |
$346.05 |
$346.05 |
$313.96
|
|
Stem cells total count
|
$1,200.54 |
$1,200.54 |
$1,200.54 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,386.81 |
$37,386.81 |
$37,386.81 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,373.26 |
$21,373.26 |
$23,093.66 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,512.66 |
$14,512.66 |
$14,512.66 |
$9,276.80
|
|
Stent placemt retro carotid
|
$18,699.35 |
$18,699.35 |
$18,699.35 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$27,536.53 |
$27,536.53 |
$27,689.11 |
$19,765.20
|
|
St evaluate speech sound production
|
$460.08 |
$460.08 |
$1,141.36 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$769.30 |
$769.30 |
$1,141.36 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,196.99 |
$1,196.99 |
$1,829.92 |
$406.40
|
|
St evaluation swallow function
|
$612.12 |
$612.12 |
$1,141.36 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$248.05
|
|
Strapping of chest
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$670.29 |
$670.29 |
$670.29 |
$171.00
|
|
Strapping of hand or finger
|
$670.29 |
$670.29 |
$670.29 |
$194.40
|
|
Strapping of hip
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$170.08
|
|
Strapping of knee
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$224.80
|
|
Strapping of toes 29550
|
$670.29 |
$670.29 |
$670.29 |
$185.36
|
|
Strep a ag ia
|
$324.98 |
$1,298.03 |
$1,313.85 |
$75.40
|
|
Strep b assay w/optic
|
$196.49 |
$460.00 |
$1,274.74 |
$32.00
|
|
Strep b dna amp probe
|
$174.15 |
$174.15 |
$174.15 |
$139.20
|
|
Streptomycin injection
|
$159.00 |
$159.00 |
$159.00 |
$138.30
|
|
Streptozocin injection
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$943.23
|
|
Stress test pulmonary
|
$576.85 |
$1,042.44 |
$1,042.44 |
$327.20
|
|
Stress tte complete
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$1,964.95
|
|
Str markers spec anal addl
|
$4,704.75 |
$4,704.75 |
$4,704.75 |
$468.00
|
|
Str markers specimen anal
|
$3,597.44 |
$3,597.44 |
$3,597.44 |
$835.28
|
|
St treatment speech individual
|
$417.93 |
$417.93 |
$1,141.36 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$563.80 |
$563.80 |
$1,141.36 |
$261.60
|
|
Subq njx filling matrl 1cc/<
|
$618.20 |
$618.20 |
$618.20 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$748.14
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$183.54 |
$183.54 |
$200.82 |
$49.13
|
|
Sugars single quant
|
$26.00 |
$177.96 |
$177.96 |
$52.47
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$14,079.02 |
$14,079.02 |
$14,079.02 |
$15,277.82
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$99.75 |
$99.75 |
$99.75 |
$74.79
|
|
Sulfonylurea screen qn-sendout
|
$247.93 |
$247.93 |
$247.93 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$61.02 |
$112.74 |
$1,318.00 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$287.01 |
$287.01 |
$1,274.74 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$526.12 |
$688.96 |
$1,976.84 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$887.67 |
$887.67 |
$3,070.08 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,206.51 |
$1,206.51 |
$1,206.51 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,494.75 |
$1,494.75 |
$6,235.74 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,669.63 |
$2,669.63 |
$8,151.96 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$28.75 |
$73.32 |
$814.64 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$27.31 |
$73.32 |
$163.35 |
$34.48
|
|
Susceptibility mic per plate
|
$3,365.75 |
$3,365.75 |
$3,365.75 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$102.49 |
$102.49 |
$424.49 |
$48.30
|
|
Svc venogram s&i
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$612.08 |
$612.08 |
$612.08 |
$105.21
|
|
Synvisc or synvisc-one
|
$1,805.82 |
$1,805.82 |
$2,005.87 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$76.55 |
$76.55 |
$195.42 |
$44.85
|
|
T3 (triiodothyronine) free
|
$115.69 |
$115.69 |
$360.81 |
$89.82
|
|
T3 (triiodothyronine) total
|
$174.27 |
$174.27 |
$327.75 |
$94.90
|
|
T4 (thyroxine) free
|
$252.67 |
$252.67 |
$252.67 |
$81.60
|
|
T4 (thyroxine) total
|
$106.04 |
$106.04 |
$2,022.54 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$767.56 |
$767.56 |
$776.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$182.41 |
$182.41 |
$182.41 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$11,723.34 |
$11,723.34 |
$11,723.34 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$45,064.03 |
$45,064.03 |
$45,064.03 |
$3,385.00
|
|
Target gsa panel organ neop
|
$9,228.74 |
$9,228.74 |
$9,228.74 |
$1,913.00
|
|
Tas congenital car anomal
|
$19,966.72 |
$19,966.72 |
$19,966.72 |
$6,003.27
|
|
Tavr perq femoral
|
$41,660.54 |
$41,660.54 |
$41,660.54 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3,341.79 |
$3,341.79 |
$3,713.55 |
$959.55
|
|
Tbs techl calculation only
|
$299.00 |
$299.00 |
$299.00 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$48.00 |
$65.40 |
$307.63 |
$166.46
|
|
Tc-99m apcitide diag
|
$15,398.12 |
$15,398.12 |
$15,398.12 |
$1,765.30
|
|
Tc-99m exame autol wbc diag per dose
|
$14,802.84 |
$14,802.84 |
$14,802.84 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$14,337.16 |
$14,337.16 |
$14,337.16 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,764.99 |
$1,764.99 |
$1,929.35 |
$323.01
|
|
Tc-99m maa
|
$1,406.63 |
$1,406.63 |
$1,536.40 |
$312.06
|
|
Tc-99m mebrofenin
|
$1,740.99 |
$1,740.99 |
$1,740.99 |
$169.53
|
|
Tc-99m medronate
|
$357.56 |
$357.56 |
$533.31 |
$122.46
|
|
Tc-99m mertiatide
|
$2,349.08 |
$2,349.08 |
$2,566.72 |
$757.25
|
|
Tc-99m oxidronate
|
$3,263.33 |
$3,263.33 |
$3,263.33 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$1,193.06 |
$1,193.06 |
$1,202.05 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$1,406.63 |
$1,406.63 |
$1,536.40 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1,506.76 |
$1,506.76 |
$1,506.76 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$2,825.96 |
$2,825.96 |
$3,087.02 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$5,649.08 |
$5,649.08 |
$5,649.08 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$1,406.63 |
$1,406.63 |
$1,536.40 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$4,290.43 |
$4,290.43 |
$4,290.43 |
$198.05
|
|
Tcd emboli detect w/inj
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$404.68
|
|
T-cell depletion of harvest
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$233.18 |
$233.18 |
$233.18 |
$186.00
|
|
T cells absolute cd 4 count
|
$53.85 |
$96.32 |
$413.35 |
$120.25
|
|
T cells total count
|
$234.35 |
$582.36 |
$1,332.55 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$23,264.69 |
$23,264.69 |
$23,264.69 |
$5,030.40
|
|
Telehealth original site facility fee
|
$113.37 |
$113.37 |
$113.37 |
$60.80
|
|
Telethx isodose plan cplx
|
$1,770.01 |
$1,770.01 |
$1,770.01 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,223.91 |
$1,223.91 |
$1,226.75 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,680.81 |
$24,680.81 |
$25,498.00 |
$16,531.64
|
|
Tenodesis biceps tdn at elbw
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,594.44
|
