|
Strapping of ankle and/or ft 29540
|
$2,052.93 |
$2,052.93 |
$2,052.93 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$789.92 |
$789.92 |
$789.92 |
$171.00
|
|
Strapping of knee
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$224.80
|
|
Stress tte complete
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$1,964.95
|
|
St treatment speech individual
|
$917.15 |
$917.15 |
$917.15 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$585.70 |
$585.70 |
$585.70 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$361.79 |
$361.79 |
$361.79 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$273.30 |
$273.30 |
$273.30 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$213.09 |
$213.09 |
$213.09 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$338.37 |
$338.37 |
$338.37 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$920.22 |
$920.22 |
$920.22 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,216.56 |
$1,216.56 |
$1,216.56 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,476.52 |
$1,476.52 |
$1,476.52 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,902.85 |
$1,902.85 |
$1,902.85 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,902.85 |
$1,902.85 |
$1,902.85 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$254.58 |
$254.58 |
$254.58 |
$34.48
|
|
Susceptibility mic per plate
|
$183.31 |
$183.31 |
$183.31 |
$94.38
|
|
Synvisc or synvisc-one
|
$3,690.03 |
$3,690.03 |
$3,690.03 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$235.82 |
$235.82 |
$235.82 |
$44.85
|
|
T3 (triiodothyronine) free
|
$310.64 |
$310.64 |
$310.64 |
$89.82
|
|
T3 (triiodothyronine) total
|
$824.90 |
$824.90 |
$824.90 |
$94.90
|
|
T4 (thyroxine) free
|
$537.22 |
$537.22 |
$537.22 |
$81.60
|
|
T4 (thyroxine) total
|
$474.83 |
$474.83 |
$474.83 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$797.18 |
$797.18 |
$797.18 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$6,524.38 |
$6,524.38 |
$6,524.38 |
$3,385.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$6,843.11 |
$6,843.11 |
$6,843.11 |
$959.55
|
|
Tbs techl calculation only
|
$345.07 |
$345.07 |
$345.07 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$177.65 |
$177.65 |
$177.65 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$207.07 |
$207.07 |
$207.07 |
$186.00
|
|
T cells absolute cd 4 count
|
$1,435.29 |
$1,435.29 |
$1,435.29 |
$120.25
|
|
T cells total count
|
$207.07 |
$207.07 |
$207.07 |
$124.11
|
|
Telethx isodose plan cplx
|
$4,916.24 |
$4,916.24 |
$4,916.24 |
$1,617.00
|
|
Telethx isodose plan simple
|
$4,916.24 |
$4,916.24 |
$4,916.24 |
$848.72
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$48.59 |
$48.59 |
$48.59 |
$44.49
|
|
Test pathogen(s) for platelets reference
|
$789.92 |
$789.92 |
$789.92 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$77,357.65 |
$77,357.65 |
$77,357.65 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$421.12 |
$421.12 |
$421.12 |
$108.00
|
|
Ther nma rdctj intus/obstrcj
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$300.49 |
$300.49 |
$300.49 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$12,128.26 |
$12,128.26 |
$12,128.26 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$11,423.87 |
$11,423.87 |
$11,423.87 |
$3,580.00
|
|
Thrombin time
|
$660.26 |
$660.26 |
$660.26 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$346.77 |
$346.77 |
$346.77 |
$56.93
|
|
Thyroglobulin antibody
|
$760.79 |
$760.79 |
$760.79 |
$84.00
|
|
Thyroid mets imag whole body
|
$8,023.70 |
$8,023.70 |
$8,023.70 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$852.63 |
$852.63 |
$852.63 |
$120.00
|
|
Thyroid Ultrasound
|
$3,542.44 |
$3,542.44 |
$3,542.44 |
$589.96
|
|
Tilt table study
|
$5,145.08 |
$5,145.08 |
$5,145.08 |
$1,495.00
|
|
Tissue culture tumor
|
$7,906.43 |
$7,906.43 |
$7,906.43 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$367.83 |
$367.83 |
$367.83 |
$47.40
|
|
Tissue transglutaminase iga
|
$617.96 |
$617.96 |
$617.96 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$204.97 |
$204.97 |
$204.97 |
$125.87
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$13,906.21 |
$13,906.21 |
$13,906.21 |
$5,790.85
|
|
Tomosynthesis breast screen bilateral
|
$121.40 |
$121.40 |
$121.40 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$148.18 |
$148.18 |
$148.18 |
$303.88
|
|
Toxoplasma antibody igg
|
$125.21 |
$125.21 |
$125.21 |
$84.35
|
|
Toxoplasma antibody igm
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$83.20
|
|
Transcath biopsy
|
$11,508.64 |
$11,508.64 |
$11,508.64 |
$4,298.05
|
|
Transcath closure of asd
|
$43,770.90 |
$43,770.90 |
$43,770.90 |
$18,772.00
|
|
Transcatheter bx s&i
|
$5,692.72 |
$5,692.72 |
$5,692.72 |
$1,875.96
|
|
Transcath mv repair addl prosthesis
|
$30,959.96 |
$30,959.96 |
$30,959.96 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$65,635.06 |
$65,635.06 |
$65,635.06 |
$17,106.18
|
|
Transcath occlusion cns
|
$19,928.94 |
$19,928.94 |
$19,928.94 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$24,585.84 |
$24,585.84 |
$24,585.84 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$31,648.06 |
$31,648.06 |
$31,648.06 |
$4,627.00
|
|
Transferrin
|
$363.48 |
$363.48 |
$363.48 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$1,766.50 |
$1,766.50 |
$1,766.50 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$17,263.30 |
$17,263.30 |
$17,263.30 |
$5,941.07
|
|
Treat elbow dislocation
|
$19,265.30 |
$19,265.30 |
$19,265.30 |
$2,326.40
|
|
Treat finger fracture each
|
$19,265.30 |
$19,265.30 |
$19,265.30 |
$1,815.75
|
|
Treat foot dislocation
|
$3,020.18 |
$3,020.18 |
$3,020.18 |
$478.40
|
|
Treat fracture of radius
|
$19,265.30 |
$19,265.30 |
$19,265.30 |
$2,030.33
|
|
Treat fracture of ulna
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$766.72
|
|
Treat kneecap dislocation
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$1,351.35
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$241.15
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$423.74 |
$423.74 |
$423.74 |
$210.00
|
|
Treatment of ankle fracture
|
$64,410.91 |
$64,410.91 |
$64,410.91 |
$7,348.32
|
|
Treatment of ankle fracture 27786
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$580.00
|
|
Treatment of fibula fracture 27780
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$558.75
|
|
Treatment of heel fracture 28400
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$494.00
|
|
Treatment of thigh fracture
|
$19,265.30 |
$19,265.30 |
$19,265.30 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$899.00 |
$899.00 |
$899.00 |
$371.40
|
|
Treatment radiation delivery level 2
|
$3,507.46 |
$3,507.46 |
$3,507.46 |
$735.00
|
|
Treat wrist dislocation
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$144,644.95 |
$144,644.95 |
$144,644.95 |
$120,541.18
|
|
Treponema pallidum antibody
|
$709.61 |
$709.61 |
$709.61 |
$72.80
|
|
Trg gene rearrangement anal
|
$10,799.53 |
$10,799.53 |
$10,799.53 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$458.10 |
$458.10 |
$458.10 |
$48.22
|
|
Triglycerides
|
$376.07 |
$376.07 |
$376.07 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$1,243.93 |
$1,243.93 |
$1,243.93 |
$154.09
|
|
Trnscath plc stent crv crtd without prtct
|
$21,939.04 |
$21,939.04 |
$21,939.04 |
$7,944.75
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$10,544.42 |
$10,544.42 |
$10,544.42 |
$6,156.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$17,761.10 |
$17,761.10 |
$17,761.10 |
$4,505.25
|
|
Troponin quantitative
|
$1,376.01 |
$1,376.01 |
$1,376.01 |
$123.75
|
|
Tx atrial fib pulm vein isol
|
$39,486.47 |
$39,486.47 |
$39,486.47 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$23,450.45 |
$23,450.45 |
$23,450.45 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$403.26
|
|
Ultrasound breast complete
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$1,821.11 |
$1,821.11 |
$1,821.11 |
$449.35
|