|
St treatment speech individual
|
$192.00 |
$192.00 |
$192.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$288.00 |
$288.00 |
$288.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$97.36 |
$97.36 |
$97.36 |
$52.31
|
|
Sugars multiple quant
|
$70.50 |
$70.50 |
$70.50 |
$44.19
|
|
Sugars single quant
|
$70.50 |
$70.50 |
$70.50 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$21,424.80 |
$21,424.80 |
$21,424.80 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$118.89 |
$118.89 |
$118.89 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$330.75 |
$330.75 |
$330.75 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$568.29 |
$568.29 |
$568.29 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$9.32 |
$9.32 |
$9.32 |
$94.19
|
|
Supprelin la implant
|
$108,396.06 |
$108,396.06 |
$108,396.06 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$39.75 |
$39.75 |
$39.75 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$144.00 |
$144.00 |
$144.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$286.50 |
$286.50 |
$286.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$328.50 |
$328.50 |
$328.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$690.75 |
$690.75 |
$690.75 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$718.00
|
|
Surgical trays
|
$74.82 |
$74.82 |
$74.82 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$29.25 |
$29.25 |
$29.25 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$29.25 |
$29.25 |
$29.25 |
$35.70
|
|
Susceptibility mic per plate
|
$183.75 |
$183.75 |
$183.75 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$40.50 |
$40.50 |
$40.50 |
$59.28
|
|
Svc venogram s&i
|
$4,141.50 |
$4,141.50 |
$4,141.50 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$53.25 |
$53.25 |
$53.25 |
$125.40
|
|
Synvisc or synvisc-one
|
$3,208.66 |
$3,208.66 |
$3,208.66 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$27.00 |
$27.00 |
$27.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$38.25 |
$38.25 |
$38.25 |
$39,037.95
|
|
System pacing micra av
|
$656.93 |
$656.93 |
$656.93 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$656.93 |
$656.93 |
$656.93 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$8.25 |
$8.25 |
$8.25 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$146.25 |
$146.25 |
$146.25 |
$99.20
|
|
T3 (triiodothyronine) total
|
$94.50 |
$94.50 |
$94.50 |
$93.52
|
|
T4 (thyroxine) free
|
$60.75 |
$60.75 |
$60.75 |
$85.20
|
|
T4 (thyroxine) total
|
$42.75 |
$42.75 |
$42.75 |
$69.00
|
|
Tacrol astagraf ex rel oral
|
$89.89 |
$89.89 |
$89.89 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$88.08 |
$88.08 |
$88.08 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6,904.89 |
$6,904.89 |
$6,904.89 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$600.52 |
$600.52 |
$600.52 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$94.50 |
$94.50 |
$94.50 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,300.09 |
$3,300.09 |
$3,300.09 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$1,638.43 |
$1,638.43 |
$1,638.43 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$24,988.30 |
$24,988.30 |
$24,988.30 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$2,246.30
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$32,433.75 |
$32,433.75 |
$32,433.75 |
$24,217.20
|
|
Tavr perq femoral
|
$4,634.25 |
$4,634.25 |
$4,634.25 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$939.48 |
$939.48 |
$939.48 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$492.75 |
$492.75 |
$492.75 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$422.25 |
$422.25 |
$422.25 |
$177.65
|
|
Tc-99m bicisate
|
$129.38 |
$129.38 |
$129.38 |
$1,969.45
|
|
Tc-99m disofenin
|
$131.37 |
$131.37 |
$131.37 |
$124.32
|
|
Tc-99m exametazime diag
|
$4,214.97 |
$4,214.97 |
$4,214.97 |
$2,033.20
|
|
Tc-99m gluceptate
|
$41.99 |
$41.99 |
$41.99 |
$31.35
|
|
Tc-99m labeled rbc
|
$1,852.52 |
$1,852.52 |
$1,852.52 |
$302.40
|
|
Tc-99m maa
|
$1,788.75 |
$1,788.75 |
$1,788.75 |
$292.80
|
|
Tc-99m mebrofenin
|
$911.25 |
$911.25 |
$911.25 |
$157.65
|
|
Tc-99m medronate
|
$794.25 |
$794.25 |
$794.25 |
$111.01
|
|
Tc-99m mertiatide
|
$42.01 |
$42.01 |
$42.01 |
$756.00
|
|
Tc-99m oxidronate
|
$876.03 |
$876.03 |
$876.03 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$302.04 |
$302.04 |
$302.04 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$14,398.71 |
$14,398.71 |
$14,398.71 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$735.61 |
$735.61 |
$735.61 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$1,457.39 |
$1,457.39 |
$1,457.39 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$5,006.25 |
$5,006.25 |
$5,006.25 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$5,735.16 |
$5,735.16 |
$5,735.16 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$2,202.42 |
$2,202.42 |
$2,202.42 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$311.25 |
$311.25 |
$311.25 |
$176.40
|
|
T cells absolute cd 4 count
|
$176.25 |
$176.25 |
$176.25 |
$111.20
|
|
T cells total count
|
$249.75 |
$249.75 |
$249.75 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$45,372.15 |
$45,372.15 |
$45,372.15 |
$40,114.80
|
|
Telavancin injection
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$1,191.80
|
|
Telethx isodose plan cplx
|
$1,031.25 |
$1,031.25 |
$1,031.25 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,031.25 |
$1,031.25 |
$1,031.25 |
$873.62
|
|
Temozolomide
|
$5,097.35 |
$5,097.35 |
$5,097.35 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$2,381.03 |
$2,381.03 |
$2,381.03 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,578.18 |
$4,578.18 |
$4,578.18 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,419.34 |
$19,419.34 |
$19,419.34 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.49 |
$23.49 |
$23.49 |
$39.33
|
|
Teriparatide injection
|
$10,042.09 |
$10,042.09 |
$10,042.09 |
$7,403.20
|
|
Test for chlorohydrocarbons
|
$36.75 |
$36.75 |
$36.75 |
$65.00
|
|
Test for porphobilinogen
|
$29.25 |
$29.25 |
$29.25 |
$33.57
|
|
Test for urine cystines
|
$50.25 |
$50.25 |
$50.25 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$997.50 |
$997.50 |
$997.50 |
$842.56
|
|
Testosterone response panel
|
$315.00 |
$315.00 |
$315.00 |
$129.60
|
|
Testosterone undecanoate 1mg
|
$5,088.57 |
$5,088.57 |
$5,088.57 |
$3,528.08
|
|
Test pathogen(s) for platelets reference
|
$164.25 |
$164.25 |
$164.25 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$517.50 |
$517.50 |
$517.50 |
$949.70
|
|
Test urine for lactose
|
$55.50 |
$55.50 |
$55.50 |
$23.20
|
|
Test urine for porphyrins
|
$66.00 |
$66.00 |
$66.00 |
$49.98
|
|
Test urine urobilinogen
|
$21.75 |
$21.75 |
$21.75 |
$9.75
|
|
Tetanus immune globulin inj
|
$1,538.00 |
$1,538.00 |
$1,538.00 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,943.65 |
$10,943.65 |
$10,943.65 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$89.25 |
$89.25 |
$89.25 |
$108.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$96.75 |
$96.75 |
$96.75 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$735.75 |
$735.75 |
$735.75 |
$529.08
|
|
Ther radiology tx plng cplx
|
$468.00 |
$468.00 |
$468.00 |
$332.00
|
|
Ther radiology tx plng intrm
|
$300.75 |
$300.75 |
$300.75 |
$224.00
|
|
Ther radiology tx plng smpl
|
$198.00 |
$198.00 |
$198.00 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$34.20 |
$34.20 |
$34.20 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$1,687.50
|
