|
Sr-89 stront chlor ther / mci
|
$805.80 |
$805.80 |
$805.80 |
$2,515.15
|
|
Staging lapro hodgkins disease/lymphoma 49220
|
$1,826.40 |
$1,826.40 |
$1,826.40 |
$1,826.40
|
|
St analysis behavior qualitative voice/resonance
|
$225.60 |
$225.60 |
$225.60 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$78.60 |
$78.60 |
$78.60 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$1,219.80 |
$1,219.80 |
$1,219.80 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$14,157.00 |
$14,157.00 |
$14,157.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$691.20 |
$691.20 |
$691.20 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$11,238.60 |
$11,238.60 |
$11,238.60 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$831.60 |
$831.60 |
$831.60 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,378.40 |
$2,378.40 |
$2,378.40 |
$8,948.40
|
|
Stent placemt retro carotid
|
$1,645.20 |
$1,645.20 |
$1,645.20 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$16,875.93
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$3,308.00
|
|
Sternal debridement
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$1,318.40
|
|
St evaluate speech sound production
|
$225.60 |
$225.60 |
$225.60 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$244.80 |
$244.80 |
$244.80 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$895.80 |
$895.80 |
$895.80 |
$1,342.00
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,000.20 |
$1,000.20 |
$1,000.20 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$70.80 |
$70.80 |
$70.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$99.00 |
$99.00 |
$99.00 |
$157.46
|
|
Strapping of toes 29550
|
$60.00 |
$60.00 |
$60.00 |
$164.70
|
|
Streptokinase 1.5 m-units inj
|
$917.47 |
$917.47 |
$917.47 |
$917.47
|
|
Streptomycin injection
|
$150.80 |
$150.80 |
$150.80 |
$138.30
|
|
Streptozocin injection
|
$270.37 |
$270.37 |
$270.37 |
$785.95
|
|
Stress test pulmonary
|
$73.20 |
$73.20 |
$73.20 |
$324.00
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$214.20 |
$214.20 |
$214.20 |
$878.24
|
|
Subq i/p critical care pr day age 28 days/less than 99469
|
$842.40 |
$842.40 |
$842.40 |
$717.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$257.40 |
$257.40 |
$257.40 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$242.40 |
$242.40 |
$242.40 |
$216.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$46.73 |
$46.73 |
$46.73 |
$54.80
|
|
Suction lipectomy head&neck
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$5,661.00
|
|
Suction lipectomy trunk
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$477.60 |
$477.60 |
$477.60 |
$4,544.00
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4,374.50 |
$4,374.50 |
$4,374.50 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$96.23 |
$96.23 |
$96.23 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$213.60 |
$213.60 |
$213.60 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$359.84 |
$359.84 |
$359.84 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$24.00 |
$24.00 |
$24.00 |
$54.60
|
|
Support clav 29.6-40.5in med
|
$86.40 |
$86.40 |
$86.40 |
$94.08
|
|
Surg dx exam anorectal
|
$204.60 |
$204.60 |
$204.60 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,634.40
|
|
Surgical exposure prostate 55860
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$5,626.86
|
|
Surgical opening of stomach 43500
|
$1,477.80 |
$1,477.80 |
$1,477.80 |
$1,477.80
|
|
Surgical pathology level 1 gross examination only
|
$30.60 |
$30.60 |
$30.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$73.80 |
$73.80 |
$73.80 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$74.40 |
$74.40 |
$74.40 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$64.20 |
$64.20 |
$64.20 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$99.00 |
$99.00 |
$99.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$154.20 |
$154.20 |
$154.20 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$2,536.20 |
$2,536.20 |
$2,536.20 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$2,864.40 |
$2,864.40 |
$2,864.40 |
$2,864.40
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$3,245.23
|
|
Susceptibility enzyme detection per enzyme
|
$64.80 |
$64.80 |
$64.80 |
$35.75
|
|
Susceptibility mic per plate
|
$170.40 |
$170.40 |
$170.40 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$190.80 |
$190.80 |
$190.80 |
$59.28
|
|
Suspension of uterus 58400
|
$856.80 |
$856.80 |
$856.80 |
$856.80
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$2,559.60 |
$2,559.60 |
$2,559.60 |
$2,559.60
|
|
Svc venogram s&i
|
$117.60 |
$117.60 |
$117.60 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$234.60 |
$234.60 |
$234.60 |
$316.55
|
|
Swallowing Therapy Session
|
$192.60 |
$192.60 |
$192.60 |
$240.31
|
|
Sweat collection by iontophoresis
|
$51.60 |
$51.60 |
$51.60 |
$123.78
|
|
Synch audio-only est high 40
|
$196.80 |
$196.80 |
$196.80 |
$190.77
|
|
Synch audio-only est low 20
|
$90.60 |
$90.60 |
$90.60 |
$90.60
|
|
Synch audio-only est mod 30
|
$132.60 |
$132.60 |
$132.60 |
$136.64
|
|
Synch audio-only est sf 10
|
$49.20 |
$49.20 |
$49.20 |
$53.20
|
|
Synch audio-only new high 60
|
$241.80 |
$241.80 |
$241.80 |
$207.64
|
|
Synch audio-only new low 30
|
$117.00 |
$117.00 |
$117.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$183.60 |
$183.60 |
$183.60 |
$166.70
|
|
Synch audio-only new sf 15
|
$67.80 |
$67.80 |
$67.80 |
$67.80
|
|
Synvisc or synvisc-one
|
$2,438.29 |
$2,438.29 |
$2,438.29 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$41.40 |
$41.40 |
$41.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$52,875.00 |
$52,875.00 |
$52,875.00 |
$38,234.70
|
|
System pacing micra av
|
$25,312.80 |
$25,312.80 |
$25,312.80 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$27,495.00 |
$27,495.00 |
$27,495.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$240.60 |
$240.60 |
$240.60 |
$100.32
|
|
T3 (triiodothyronine) total
|
$68.40 |
$68.40 |
$68.40 |
$93.52
|
|
T4 (thyroxine) free
|
$151.20 |
$151.20 |
$151.20 |
$88.44
|
|
T4 (thyroxine) total
|
$46.80 |
$46.80 |
$46.80 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$14.21 |
$14.21 |
$14.21 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$50.21 |
$50.21 |
$50.21 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$464.12 |
$464.12 |
$464.12 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$58.20 |
$58.20 |
$58.20 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,513.77 |
$2,513.77 |
$2,513.77 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$4,096.20 |
$4,096.20 |
$4,096.20 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$3,778.80 |
$3,778.80 |
$3,778.80 |
$4,964.80
|
|
Tah w/mmk 58152
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$186.60 |
$186.60 |
$186.60 |
$289.90
|
|
Tap block bilat cont infusion 64489
|
$187.20 |
$187.20 |
$187.20 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$153.00 |
$153.00 |
$153.00 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$16.80 |
$16.80 |
$16.80 |
$2.06
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$26,609.40 |
$26,609.40 |
$26,609.40 |
$24,217.20
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$383.40 |
$383.40 |
$383.40 |
$931.50
|
|
Tavr perq femoral
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$780.64 |
$780.64 |
$780.64 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$213.60 |
$213.60 |
$213.60 |
$180.80
|
|
Tc-99m exametazime diag
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$2,135.70
|
|
Tc-99m gluceptate
|
$765.60 |
$765.60 |
$765.60 |
$31.35
|