|
Srs linear based
|
$42,857.10 |
$42,857.10 |
$42,857.10 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$499.20 |
$499.20 |
$499.20 |
$297.60
|
|
Staph a dna amp probe
|
$193.70 |
$193.70 |
$193.70 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$538.20 |
$538.20 |
$538.20 |
$286.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$202.80 |
$202.80 |
$202.80 |
$2,649.79
|
|
Stent placemt retro carotid
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$5,328.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$2,265.25 |
$2,265.25 |
$2,265.25 |
$845.60
|
|
Sterile needle
|
$190.45 |
$190.45 |
$190.45 |
$190.13
|
|
Sternal debridement
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$1,318.40
|
|
St evaluate speech sound production
|
$499.20 |
$499.20 |
$499.20 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$673.40 |
$673.40 |
$673.40 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,342.00
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$3,404.70 |
$3,404.70 |
$3,404.70 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$590.20 |
$590.20 |
$590.20 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$221.65 |
$221.65 |
$221.65 |
$157.46
|
|
Strapping of hand or finger
|
$221.65 |
$221.65 |
$221.65 |
$174.82
|
|
Strapping of knee
|
$481.65 |
$481.65 |
$481.65 |
$205.20
|
|
Strapping of toes 29550
|
$221.65 |
$221.65 |
$221.65 |
$164.70
|
|
Strep a ag ia
|
$40.30 |
$40.30 |
$40.30 |
$75.40
|
|
Strep b dna amp probe
|
$242.45 |
$242.45 |
$242.45 |
$122.43
|
|
Streptomycin injection
|
$175.50 |
$175.50 |
$175.50 |
$138.30
|
|
Stress test pulmonary
|
$481.65 |
$481.65 |
$481.65 |
$324.00
|
|
Stress tte complete
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,894.20
|
|
Str markers specimen anal
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$751.50
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$717.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$715.00 |
$715.00 |
$715.00 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$686.40 |
$686.40 |
$686.40 |
$216.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.54 |
$4.54 |
$4.54 |
$54.80
|
|
Sugars multiple quant
|
$48.10 |
$48.10 |
$48.10 |
$29.60
|
|
Sugars single quant
|
$28.60 |
$28.60 |
$28.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,164,968.00 |
$2,164,968.00 |
$2,164,968.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$2.96 |
$2.96 |
$2.96 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,129.07 |
$1,129.07 |
$1,129.07 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$15.60 |
$15.60 |
$15.60 |
$54.60
|
|
Supply of digital device
|
$418.60 |
$418.60 |
$418.60 |
$280.00
|
|
Supprelin la implant
|
$117,424.98 |
$117,424.98 |
$117,424.98 |
$80,935.72
|
|
Surg dx exam anorectal
|
$468.00 |
$468.00 |
$468.00 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$3,294.20 |
$3,294.20 |
$3,294.20 |
$1,632.60
|
|
Surgical opening esophagus
|
$5,733.00 |
$5,733.00 |
$5,733.00 |
$1,913.16
|
|
Surgical opening of stomach 43500
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$1,477.80
|
|
Surgical pathology level 1 gross examination only
|
$66.95 |
$66.95 |
$66.95 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$126.75 |
$126.75 |
$126.75 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$144.95 |
$144.95 |
$144.95 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$209.95 |
$209.95 |
$209.95 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$444.60 |
$444.60 |
$444.60 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$783.25 |
$783.25 |
$783.25 |
$720.75
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$22.75 |
$22.75 |
$22.75 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$22.10 |
$22.10 |
$22.10 |
$35.75
|
|
Susceptibility mic per plate
|
$69.55 |
$69.55 |
$69.55 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$134.55 |
$134.55 |
$134.55 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$4,721.60 |
$4,721.60 |
$4,721.60 |
$1,995.00
|
|
Svc venogram s&i
|
$8,709.35 |
$8,709.35 |
$8,709.35 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$463.45 |
$463.45 |
$463.45 |
$316.55
|
|
Swallowing Therapy Session
|
$539.50 |
$539.50 |
$539.50 |
$240.31
|
|
Synch audio-only est high 40
|
$676.00 |
$676.00 |
$676.00 |
$190.77
|
|
Synch audio-only est low 20
|
$312.00 |
$312.00 |
$312.00 |
$90.60
|
|
Synch audio-only est mod 30
|
$455.00 |
$455.00 |
$455.00 |
$136.64
|
|
Synch audio-only est sf 10
|
$169.00 |
$169.00 |
$169.00 |
$53.20
|
|
Synch audio-only new high 60
|
$832.00 |
$832.00 |
$832.00 |
$207.64
|
|
Synch audio-only new low 30
|
$403.00 |
$403.00 |
$403.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$629.20 |
$629.20 |
$629.20 |
$166.70
|
|
Synch audio-only new sf 15
|
$234.00 |
$234.00 |
$234.00 |
$67.80
|
|
Synvisc or synvisc-one
|
$534.14 |
$534.14 |
$534.14 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.25 |
$29.25 |
$29.25 |
$41.60
|
|
System pacing micra av
|
$28,778.75 |
$28,778.75 |
$28,778.75 |
$24,293.25
|
|
T3 (triiodothyronine) free
|
$48.75 |
$48.75 |
$48.75 |
$100.32
|
|
T3 (triiodothyronine) total
|
$93.60 |
$93.60 |
$93.60 |
$93.52
|
|
T4 (thyroxine) free
|
$118.30 |
$118.30 |
$118.30 |
$88.44
|
|
T4 (thyroxine) total
|
$48.10 |
$48.10 |
$48.10 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$9.01 |
$9.01 |
$9.01 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$44.58 |
$44.58 |
$44.58 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$28.99 |
$28.99 |
$28.99 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$596.76 |
$596.76 |
$596.76 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$80.60 |
$80.60 |
$80.60 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,355.10 |
$4,355.10 |
$4,355.10 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$494.00 |
$494.00 |
$494.00 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$21,795.67 |
$21,795.67 |
$21,795.67 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$36,045.46 |
$36,045.46 |
$36,045.46 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,468.70 |
$2,468.70 |
$2,468.70 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$3,746.70
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,800.00 |
$46,800.00 |
$46,800.00 |
$24,217.20
|
|
Tavr perq femoral
|
$12,282.40 |
$12,282.40 |
$12,282.40 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,169.67 |
$1,169.67 |
$1,169.67 |
$937.50
|
|
Tbs dxa cal w/i&r fx risk
|
$250.90 |
$250.90 |
$250.90 |
$127.12
|
|
Tbs i&r fx rsk qhp
|
$57.20 |
$57.20 |
$57.20 |
$61.04
|
|
Tbs techl calculation only
|
$494.00 |
$494.00 |
$494.00 |
$153.60
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$101.40 |
$101.40 |
$101.40 |
$180.80
|
|
Tc-99m bicisate
|
$2,692.95 |
$2,692.95 |
$2,692.95 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,236.65 |
$2,236.65 |
$2,236.65 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$250.25 |
$250.25 |
$250.25 |
$306.00
|
|
Tc-99m maa
|
$780.65 |
$780.65 |
$780.65 |
$312.06
|
|
Tc-99m mebrofenin
|
$44.20 |
$44.20 |
$44.20 |
$157.65
|
|
Tc-99m medronate
|
$40.30 |
$40.30 |
$40.30 |
$111.01
|
|
Tc-99m mertiatide
|
$406.25 |
$406.25 |
$406.25 |
$756.00
|
|
Tc-99m oxidronate
|
$58.50 |
$58.50 |
$58.50 |
$108.00
|
