|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,560.66 |
$4,560.66 |
$4,560.66 |
$4,689.60
|
|
Split blood or products
|
$157.95 |
$157.95 |
$157.95 |
$129.50
|
|
Sprchoroidal spc njx rx agt
|
$453.57 |
$453.57 |
$453.57 |
$454.19
|
|
Sr-89 stront chlor ther / mci
|
$3,382.47 |
$3,382.47 |
$3,382.47 |
$2,515.15
|
|
Srs linear based
|
$18,301.53 |
$18,301.53 |
$18,301.53 |
$14,124.25
|
|
Srs multisource
|
$61,542.78 |
$61,542.78 |
$61,542.78 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$244.14 |
$244.14 |
$244.14 |
$297.60
|
|
Staph a dna amp probe
|
$173.55 |
$173.55 |
$173.55 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$140.01 |
$140.01 |
$140.01 |
$286.00
|
|
Stem cells total count
|
$109.20 |
$109.20 |
$109.20 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$17,598.75 |
$17,598.75 |
$17,598.75 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$46,500.48 |
$46,500.48 |
$46,500.48 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,322.36 |
$1,322.36 |
$1,322.36 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$26,466.66 |
$26,466.66 |
$26,466.66 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,394.20 |
$12,394.20 |
$12,394.20 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,454.93 |
$5,454.93 |
$5,454.93 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,995.27 |
$10,995.27 |
$10,995.27 |
$16,875.93
|
|
Sterile water/saline, 10 ml
|
$13.32 |
$13.32 |
$13.32 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$12.17 |
$12.17 |
$12.17 |
$28.11
|
|
St evaluate speech sound production
|
$244.14 |
$244.14 |
$244.14 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$334.23 |
$334.23 |
$334.23 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$982.80 |
$982.80 |
$982.80 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$392.34 |
$392.34 |
$392.34 |
$223.45
|
|
Strapping of chest
|
$365.43 |
$365.43 |
$365.43 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$145.86 |
$145.86 |
$145.86 |
$157.46
|
|
Strapping of hand or finger
|
$292.11 |
$292.11 |
$292.11 |
$174.82
|
|
Strapping of hip
|
$381.81 |
$381.81 |
$381.81 |
$164.70
|
|
Strapping of knee
|
$343.98 |
$343.98 |
$343.98 |
$205.20
|
|
Strapping of toes 29550
|
$183.30 |
$183.30 |
$183.30 |
$164.70
|
|
Strep a ag ia
|
$81.51 |
$81.51 |
$81.51 |
$75.40
|
|
Strep a dna dir probe
|
$96.72 |
$96.72 |
$96.72 |
$96.72
|
|
Strep b assay w/optic
|
$46.41 |
$46.41 |
$46.41 |
$58.95
|
|
Strep b dna amp probe
|
$51.32 |
$51.32 |
$51.32 |
$122.43
|
|
Stress test pulmonary
|
$424.32 |
$424.32 |
$424.32 |
$324.00
|
|
Stress tte complete
|
$1,196.13 |
$1,196.13 |
$1,196.13 |
$1,894.20
|
|
Str markers spec anal addl
|
$1,110.72 |
$1,110.72 |
$1,110.72 |
$479.17
|
|
Str markers specimen anal
|
$1,477.32 |
$1,477.32 |
$1,477.32 |
$751.50
|
|
Subq njx filling matrl 1cc/<
|
$136.50 |
$136.50 |
$136.50 |
$235.13
|
|
Surgical pathology level 1 gross examination only
|
$135.33 |
$135.33 |
$135.33 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$175.11 |
$175.11 |
$175.11 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$270.27 |
$270.27 |
$270.27 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$328.38 |
$328.38 |
$328.38 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$311.22 |
$311.22 |
$311.22 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$352.56 |
$352.56 |
$352.56 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$39.78 |
$39.78 |
$39.78 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$51.09 |
$51.09 |
$51.09 |
$35.75
|
|
Susceptibility mic per plate
|
$94.38 |
$94.38 |
$94.38 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$663.78 |
$663.78 |
$663.78 |
$59.28
|
|
Svc venogram s&i
|
$2,159.43 |
$2,159.43 |
$2,159.43 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$244.14 |
$244.14 |
$244.14 |
$316.55
|
|
Swallowing Therapy Session
|
$129.87 |
$129.87 |
$129.87 |
$240.31
|
|
Sweat collection by iontophoresis
|
$290.94 |
$290.94 |
$290.94 |
$123.78
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$49.14 |
$49.14 |
$49.14 |
$41.60
|
|
System cardiomems hosp electronics
|
$36,449.60 |
$36,449.60 |
$36,449.60 |
$38,234.70
|
|
System pacing micra av
|
$49,463.68 |
$49,463.68 |
$49,463.68 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,193.46 |
$12,193.46 |
$12,193.46 |
$12,003.00
|
|
System sealant biosentry tract
|
$616.09 |
$616.09 |
$616.09 |
$889.35
|
|
T3 (triiodothyronine) free
|
$239.07 |
$239.07 |
$239.07 |
$100.32
|
|
T3 (triiodothyronine) total
|
$161.85 |
$161.85 |
$161.85 |
$93.52
|
|
T4 (thyroxine) free
|
$137.67 |
$137.67 |
$137.67 |
$88.44
|
|
T4 (thyroxine) total
|
$96.72 |
$96.72 |
$96.72 |
$69.58
|
|
Tacrolimus therapeutic drug level
|
$218.40 |
$218.40 |
$218.40 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$287.04 |
$287.04 |
$287.04 |
$289.90
|
|
Target gsa panel hmtlmph neop
|
$2,819.70 |
$2,819.70 |
$2,819.70 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,744.04 |
$2,744.04 |
$2,744.04 |
$3,746.70
|
|
Target gsa panel organ neop
|
$3,296.28 |
$3,296.28 |
$3,296.28 |
$1,681.28
|
|
Tas congenital car anomal
|
$6,003.27 |
$6,003.27 |
$6,003.27 |
$6,003.27
|
|
Tavr perq femoral
|
$13,308.36 |
$13,308.36 |
$13,308.36 |
$15,454.40
|
|
Tbp gene detc abnor alleles
|
$225.42 |
$225.42 |
$225.42 |
$225.42
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$115.05 |
$115.05 |
$115.05 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$123.24 |
$123.24 |
$123.24 |
$180.80
|
|
Tc-99m apcitide diag
|
$2,081.04 |
$2,081.04 |
$2,081.04 |
$1,181.70
|
|
Tc-99m bicisate
|
$1,357.59 |
$1,357.59 |
$1,357.59 |
$2,070.00
|
|
Tc-99m diag per dose
|
$226.98 |
$226.98 |
$226.98 |
$470.40
|
|
Tc-99m disofenin
|
$151.32 |
$151.32 |
$151.32 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,304.16 |
$1,304.16 |
$1,304.16 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$2,166.26 |
$2,166.26 |
$2,166.26 |
$2,135.70
|
|
Tc-99m fanolesomab diag
|
$2,860.65 |
$2,860.65 |
$2,860.65 |
$2,115.12
|
|
Tc-99m gluceptate
|
$1,338.87 |
$1,338.87 |
$1,338.87 |
$31.35
|
|
Tc-99m labeled rbc
|
$186.42 |
$186.42 |
$186.42 |
$306.00
|
|
Tc-99m maa
|
$396.63 |
$396.63 |
$396.63 |
$312.06
|
|
Tc-99m mebrofenin
|
$255.84 |
$255.84 |
$255.84 |
$157.65
|
|
Tc-99m medronate
|
$122.46 |
$122.46 |
$122.46 |
$111.01
|
|
Tc-99m mertiatide
|
$387.66 |
$387.66 |
$387.66 |
$756.00
|
|
Tc-99m oxidronate
|
$80.73 |
$80.73 |
$80.73 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$95.94 |
$95.94 |
$95.94 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$123.24 |
$123.24 |
$123.24 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$85.97 |
$85.97 |
$85.97 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$128.31 |
$128.31 |
$128.31 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$387.66 |
$387.66 |
$387.66 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$1,578.33 |
$1,578.33 |
$1,578.33 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$169.26 |
$169.26 |
$169.26 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$212.94 |
$212.94 |
$212.94 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$930.54 |
$930.54 |
$930.54 |
$985.60
|
|
Tca peel dermal 15789
|
$2,531.49 |
$2,531.49 |
$2,531.49 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$313.20 |
$313.20 |
$313.20 |
$185.28
|
|
T cells absolute cd 4 count
|
$182.91 |
$182.91 |
$182.91 |
$111.20
|
|
T cells total count
|
$145.86 |
$145.86 |
$145.86 |
$130.35
|
|
Tcranial magn stim tx deli
|
$389.22 |
$389.22 |
$389.22 |
$389.22
|
|
Tcranial magn stim tx plan
|
$386.88 |
$386.88 |
$386.88 |
$437.22
|
