|
Strep b assay w/optic
|
$26.35 |
$26.35 |
$26.35 |
$32.00
|
|
Strep b dna amp probe
|
$30.79 |
$30.79 |
$30.79 |
$139.20
|
|
Stress test pulmonary
|
$141.20 |
$141.20 |
$141.20 |
$327.20
|
|
St treatment speech individual
|
$184.12 |
$184.12 |
$184.12 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$149.19 |
$149.19 |
$149.19 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$20.83 |
$20.83 |
$20.83 |
$49.13
|
|
Sugars single quant
|
$50.92 |
$50.92 |
$50.92 |
$52.47
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$21.88 |
$21.88 |
$21.88 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$44.70 |
$44.70 |
$44.70 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$95.61 |
$95.61 |
$95.61 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$173.76 |
$173.76 |
$173.76 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$78.15 |
$78.15 |
$78.15 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$294.82 |
$294.82 |
$294.82 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$412.04 |
$412.04 |
$412.04 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$5.92 |
$5.92 |
$5.92 |
$34.48
|
|
Susceptibility mic per plate
|
$21.91 |
$21.91 |
$21.91 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$8.00 |
$8.00 |
$8.00 |
$48.30
|
|
Svc venogram s&i
|
$1,287.31 |
$1,287.31 |
$1,287.31 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$35.82 |
$35.82 |
$35.82 |
$44.85
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$0.30 |
$0.30 |
$0.30 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$33.75 |
$33.75 |
$33.75 |
$89.82
|
|
T3 (triiodothyronine) total
|
$23.39 |
$23.39 |
$23.39 |
$94.90
|
|
T4 (thyroxine) free
|
$52.10 |
$52.10 |
$52.10 |
$81.60
|
|
T4 (thyroxine) total
|
$15.40 |
$15.40 |
$15.40 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$138.72 |
$138.72 |
$138.72 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$315.46 |
$315.46 |
$315.46 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$206.32 |
$206.32 |
$206.32 |
$122.40
|
|
Tavr perq femoral
|
$3,217.52 |
$3,217.52 |
$3,217.52 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$24.87 |
$24.87 |
$24.87 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$2,210.83 |
$2,210.83 |
$2,210.83 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,096.68 |
$1,096.68 |
$1,096.68 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$122.55 |
$122.55 |
$122.55 |
$323.01
|
|
Tc-99m maa
|
$96.80 |
$96.80 |
$96.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$23.39 |
$23.39 |
$23.39 |
$169.53
|
|
Tc-99m mertiatide
|
$218.16 |
$218.16 |
$218.16 |
$757.25
|
|
Tc-99m oxidronate
|
$30.79 |
$30.79 |
$30.79 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$65.42 |
$65.42 |
$65.42 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$15.99 |
$15.99 |
$15.99 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$39.37 |
$39.37 |
$39.37 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$1,038.96 |
$1,038.96 |
$1,038.96 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$166.36 |
$166.36 |
$166.36 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$70.45 |
$70.45 |
$70.45 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$502.32 |
$502.32 |
$502.32 |
$930.54
|
|
Tcd emboli detect w/inj
|
$182.64 |
$182.64 |
$182.64 |
$404.68
|
|
Tcd emboli detect without inj
|
$182.64 |
$182.64 |
$182.64 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$69.86 |
$69.86 |
$69.86 |
$186.00
|
|
T cells absolute cd 4 count
|
$38.19 |
$38.19 |
$38.19 |
$120.25
|
|
T cells total count
|
$44.40 |
$44.40 |
$44.40 |
$124.11
|
|
Telethx isodose plan cplx
|
$894.52 |
$894.52 |
$894.52 |
$1,617.00
|
|
Telethx isodose plan simple
|
$456.44 |
$456.44 |
$456.44 |
$848.72
|
|
Temozolomide
|
$108.99 |
$108.99 |
$108.99 |
$374.66
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,929.17 |
$14,929.17 |
$14,929.17 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$17.72 |
$17.72 |
$17.72 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$15.40 |
$15.40 |
$15.40 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$839.76 |
$839.76 |
$839.76 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$686.43 |
$686.43 |
$686.43 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,715.97 |
$8,715.97 |
$8,715.97 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$115.44 |
$115.44 |
$115.44 |
$108.00
|
|
Therapeutic procd strg endur
|
$35.23 |
$35.23 |
$35.23 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$13.62 |
$13.62 |
$13.62 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$13.62 |
$13.62 |
$13.62 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$20.86 |
$20.86 |
$20.86 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,386.17 |
$1,386.17 |
$1,386.17 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$192.70 |
$192.70 |
$192.70 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,648.35 |
$7,648.35 |
$7,648.35 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,828.20 |
$8,828.20 |
$8,828.20 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$24,605.30 |
$24,605.30 |
$24,605.30 |
$24,605.30
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$3,203.91 |
$3,203.91 |
$3,203.91 |
$5,520.00
|
|
Thrombin time
|
$17.17 |
$17.17 |
$17.17 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$2,029.68 |
$2,029.68 |
$2,029.68 |
$7,431.06
|
|
Thromboendarterectomy sfa
|
$2,199.58 |
$2,199.58 |
$2,199.58 |
$5,472.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$29.31 |
$29.31 |
$29.31 |
$56.93
|
|
Thyroglobulin antibody
|
$40.26 |
$40.26 |
$40.26 |
$84.00
|
|
Thyroid imaging
|
$333.30 |
$333.30 |
$333.30 |
$670.80
|
|
Thyroid mets imag whole body
|
$522.15 |
$522.15 |
$522.15 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$57.72 |
$57.72 |
$57.72 |
$120.00
|
|
Thyroid Ultrasound
|
$374.74 |
$374.74 |
$374.74 |
$589.96
|
|
Thyroid uptake measurement
|
$134.09 |
$134.09 |
$134.09 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,319.71 |
$4,319.71 |
$4,319.71 |
$4,319.71
|
|
Thyroxine binding globulin (tbg)
|
$23.09 |
$23.09 |
$23.09 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$19,821.05 |
$19,821.05 |
$19,821.05 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$7,889.88 |
$7,889.88 |
$7,889.88 |
$10,406.14
|
|
Tigecycline injection
|
$194.05 |
$194.05 |
$194.05 |
$277.31
|
|
Tirofiban 12.5 mg/50 ml
|
$267.15 |
$267.15 |
$267.15 |
$384.17
|
|
Tissue exam koh skin/hair/nails
|
$4.44 |
$4.44 |
$4.44 |
$47.40
|
|
Tissue transglutaminase iga
|
$13.32 |
$13.32 |
$13.32 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$28.42 |
$28.42 |
$28.42 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$111.39 |
$111.39 |
$111.39 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$103.60 |
$103.60 |
$103.60 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$27.24 |
$27.24 |
$27.24 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$16.58 |
$16.58 |
$16.58 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$271.78 |
$271.78 |
$271.78 |
$404.20
|
|
Total tau
|
$158.66 |
$158.66 |
$158.66 |
$293.00
|
|
Toxoplasma antibody igg
|
$12.14 |
$12.14 |
$12.14 |
$84.35
|
|
Toxoplasma antibody igm
|
$13.32 |
$13.32 |
$13.32 |
$83.20
|
|
Tprnl plmt biodegrdabl matrl
|
$4,577.94 |
$4,577.94 |
$4,577.94 |
$6,105.61
|
|
Trabectedin 1 mg intravenous solution
|
$7,607.47 |
$7,607.47 |
$7,607.47 |
$7,403.70
|
|
Tracheobrnchsc thru est trachs incisn
|
$302.22 |
$302.22 |
$302.22 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$20.72 |
$20.72 |
$20.72 |
$104.50
|
|
Transcath biopsy
|
$858.40 |
$858.40 |
$858.40 |
$4,298.05
|
