|
Surgical exposure prostate 55860
|
$4,530.50 |
$4,530.50 |
$4,530.50 |
$5,626.86
|
|
Surgical opening esophagus
|
$4,630.60 |
$4,630.60 |
$4,630.60 |
$1,550.00
|
|
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 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$126.75 |
$126.75 |
$126.75 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$159.90 |
$159.90 |
$159.90 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,241.55 |
$3,241.55 |
$3,241.55 |
$243.10
|
|
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
|
|
Surgical repair stomach bleedin ulcer 43501
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$6,501.30 |
$6,501.30 |
$6,501.30 |
$2,864.40
|
|
Surgical revision intestine
|
$4,669.60 |
$4,669.60 |
$4,669.60 |
$2,366.76
|
|
Surgical trays
|
$95.55 |
$95.55 |
$95.55 |
$694.80
|
|
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 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$22.10 |
$22.10 |
$22.10 |
$35.70
|
|
Susceptibility mic per plate
|
$69.55 |
$69.55 |
$69.55 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$206.70 |
$206.70 |
$206.70 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$1,351.05
|
|
Suspension of testis
|
$1,354.60 |
$1,354.60 |
$1,354.60 |
$4,055.01
|
|
Suspension of uterus
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$1,059.58
|
|
Suspension of uterus 58400
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$4,721.60 |
$4,721.60 |
$4,721.60 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$5,834.40 |
$5,834.40 |
$5,834.40 |
$2,559.60
|
|
Svc venogram s&i
|
$9,005.75 |
$9,005.75 |
$9,005.75 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$463.45 |
$463.45 |
$463.45 |
$314.40
|
|
Swallowing Therapy Session
|
$539.50 |
$539.50 |
$539.50 |
$240.50
|
|
Sympathectomy digital artery
|
$2,792.40 |
$2,792.40 |
$2,792.40 |
$2,310.83
|
|
Sympathectomy lumbar
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$2,844.40 |
$2,844.40 |
$2,844.40 |
$3,839.54
|
|
Sympathectomy thoracolumbar
|
$3,824.60 |
$3,824.60 |
$3,824.60 |
$1,681.03
|
|
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
|
$48.75 |
$48.75 |
$48.75 |
$42.24
|
|
System cardiomems hosp electronics
|
$22,750.00 |
$22,750.00 |
$22,750.00 |
$38,234.70
|
|
System pacing micra av
|
$17,225.00 |
$17,225.00 |
$17,225.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,426.70 |
$12,426.70 |
$12,426.70 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$136.50 |
$136.50 |
$136.50 |
$100.00
|
|
T3 (triiodothyronine) total
|
$136.50 |
$136.50 |
$136.50 |
$93.52
|
|
T4 (thyroxine) free
|
$118.30 |
$118.30 |
$118.30 |
$87.30
|
|
T4 (thyroxine) total
|
$49.40 |
$49.40 |
$49.40 |
$68.40
|
|
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
|
$110.50 |
$110.50 |
$110.50 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,355.10 |
$4,355.10 |
$4,355.10 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$9,653.80 |
$9,653.80 |
$9,653.80 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$8,873.80 |
$8,873.80 |
$8,873.80 |
$4,964.80
|
|
Tah w/mmk 58152
|
$5,683.60 |
$5,683.60 |
$5,683.60 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$538.20 |
$538.20 |
$538.20 |
$288.60
|
|
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
|
$500.50 |
$500.50 |
$500.50 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$397.80 |
$397.80 |
$397.80 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$2.60 |
$2.60 |
$2.60 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$2,468.70 |
$2,468.70 |
$2,468.70 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,391.05 |
$3,391.05 |
$3,391.05 |
$3,762.00
|
|
Target gsa panel organ neop
|
$2,234.70 |
$2,234.70 |
$2,234.70 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,800.00 |
$46,800.00 |
$46,800.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$501.80 |
$501.80 |
$501.80 |
$931.50
|
|
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
|
|
Tbp gene detc abnor alleles
|
$523.90 |
$523.90 |
$523.90 |
$225.42
|
|
Tbs dxa cal w/i&r fx risk
|
$57.20 |
$57.20 |
$57.20 |
$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
|
$102.05 |
$102.05 |
$102.05 |
$181.80
|
|
Tc-99m bicisate
|
$2,692.95 |
$2,692.95 |
$2,692.95 |
$1,984.80
|
|
Tc-99m diag per dose
|
$536.25 |
$536.25 |
$536.25 |
$470.40
|
|
Tc-99m exame autol wbc diag per dose
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$2,486.31
|
|
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 |
$306.60
|
|
Tc-99m mebrofenin
|
$44.20 |
$44.20 |
$44.20 |
$157.50
|
|
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 |
$108.04
|
|
Tc-99m pentetate dtpa
|
$276.90 |
$276.90 |
$276.90 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$171.60 |
$171.60 |
$171.60 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$24.05 |
$24.05 |
$24.05 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$84.50 |
$84.50 |
$84.50 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$122.85 |
$122.85 |
$122.85 |
$287.20
|
|
Tc-99m sulfur colloid
|
$143.00 |
$143.00 |
$143.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$44.20 |
$44.20 |
$44.20 |
$192.08
|
|
Tc-99m tilmanocept diag
|
$850.85 |
$850.85 |
$850.85 |
$958.31
|
|
Tca peel dermal 15789
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$795.60 |
$795.60 |
$795.60 |
$475.80
|
|
Tcd emboli detect without inj
|
$795.60 |
$795.60 |
$795.60 |
$475.28
|
|
Tcd vasoreactivity study
|
$434.85 |
$434.85 |
$434.85 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$269.75 |
$269.75 |
$269.75 |
$185.28
|
|
T cells absolute cd 4 count
|
$29.25 |
$29.25 |
$29.25 |
$111.20
|
