|
Small bowel endoscopy/biopsy
|
$6,432.21 |
$6,432.21 |
$6,432.21 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$5,513.20 |
$5,513.20 |
$5,513.20 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$8,355.22 |
$8,355.22 |
$8,355.22 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$2,164.40 |
$2,164.40 |
$2,164.40 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$145.60 |
$145.60 |
$145.60 |
$64.20
|
|
Smear gram stain
|
$123.20 |
$123.20 |
$123.20 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$190.40 |
$190.40 |
$190.40 |
$73.15
|
|
Smear wet mount
|
$139.30 |
$139.30 |
$139.30 |
$67.49
|
|
Smpd1 gene common variants
|
$121.80 |
$121.80 |
$121.80 |
$133.84
|
|
Snrpn/ube3a gene
|
$610.40 |
$610.40 |
$610.40 |
$231.85
|
|
So cap design without jnts cf
|
$596.40 |
$596.40 |
$596.40 |
$606.35
|
|
Sodium 24 hour urine
|
$90.30 |
$90.30 |
$90.30 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$69.47 |
$69.47 |
$69.47 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$138.95 |
$138.95 |
$138.95 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$86.97 |
$86.97 |
$86.97 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$78.22 |
$78.22 |
$78.22 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$180.95 |
$180.95 |
$180.95 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$65.10 |
$65.10 |
$65.10 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$15.92 |
$15.92 |
$15.92 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,831.90 |
$1,831.90 |
$1,831.90 |
$2,296.00
|
|
Sotalol hydrochloride IV
|
$12,733.00 |
$12,733.00 |
$12,733.00 |
$5,761.57
|
|
Special physics consult
|
$25,994.50 |
$25,994.50 |
$25,994.50 |
$725.00
|
|
Special radiation dosimetry
|
$28,906.50 |
$28,906.50 |
$28,906.50 |
$392.50
|
|
Special radiation treatment
|
$50,960.70 |
$50,960.70 |
$50,960.70 |
$1,986.00
|
|
Special teletx port plan
|
$20,018.60 |
$20,018.60 |
$20,018.60 |
$1,086.99
|
|
Specific gravity body fluid
|
$26.60 |
$26.60 |
$26.60 |
$22.00
|
|
Speech audiometry complete
|
$89.60 |
$89.60 |
$89.60 |
$109.20
|
|
Sperm antibody test
|
$262.50 |
$262.50 |
$262.50 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$10,427.90 |
$10,427.90 |
$10,427.90 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$616.00 |
$616.00 |
$616.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$664.30 |
$664.30 |
$664.30 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$107.80 |
$107.80 |
$107.80 |
$68.25
|
|
Splint finger fold over sm
|
$158.20 |
$158.20 |
$158.20 |
$146.88
|
|
Splint finger frog med
|
$105.00 |
$105.00 |
$105.00 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$369.60 |
$369.60 |
$369.60 |
$99.04
|
|
Split blood or products
|
$165.20 |
$165.20 |
$165.20 |
$127.48
|
|
Srs cranial lesion complex
|
$9,470.30 |
$9,470.30 |
$9,470.30 |
$3,244.00
|
|
Srs cranial lesion simple
|
$6,274.10 |
$6,274.10 |
$6,274.10 |
$2,384.00
|
|
Srs cran les simple addl
|
$1,498.70 |
$1,498.70 |
$1,498.70 |
$719.20
|
|
Srs linear based
|
$25,706.80 |
$25,706.80 |
$25,706.80 |
$13,585.00
|
|
Srs multisource
|
$65,189.60 |
$65,189.60 |
$65,189.60 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$769.30 |
$769.30 |
$769.30 |
$297.60
|
|
Staph a dna amp probe
|
$178.50 |
$178.50 |
$178.50 |
$125.00
|
|
Static or dynami afo pre ots
|
$291.20 |
$291.20 |
$291.20 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$277.20 |
$277.20 |
$277.20 |
$286.00
|
|
Stem cells total count
|
$332.50 |
$332.50 |
$332.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$25,293.10 |
$25,293.10 |
$25,293.10 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$69,433.18 |
$69,433.18 |
$69,433.18 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,366.54 |
$6,366.54 |
$6,366.54 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$75,111.45 |
$75,111.45 |
$75,111.45 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$15,588.30 |
$15,588.30 |
$15,588.30 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,969.50 |
$7,969.50 |
$7,969.50 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$17,892.00 |
$17,892.00 |
$17,892.00 |
$17,271.50
|
|
Sterile water/saline, 10 ml
|
$69.47 |
$69.47 |
$69.47 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$781.55 |
$781.55 |
$781.55 |
$28.11
|
|
St evaluate speech sound production
|
$787.50 |
$787.50 |
$787.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$564.20 |
$564.20 |
$564.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$893.90 |
$893.90 |
$893.90 |
$399.60
|
|
St evaluation swallow function
|
$709.10 |
$709.10 |
$709.10 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$592.90 |
$592.90 |
$592.90 |
$223.45
|
|
Strep b dna amp probe
|
$177.10 |
$177.10 |
$177.10 |
$120.90
|
|
Stress test pulmonary
|
$520.10 |
$520.10 |
$520.10 |
$322.85
|
|
Stress tte complete
|
$4,490.50 |
$4,490.50 |
$4,490.50 |
$1,870.50
|
|
Str markers spec anal addl
|
$703.50 |
$703.50 |
$703.50 |
$479.17
|
|
Str markers specimen anal
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$751.50
|
|
St treatment speech individual
|
$355.60 |
$355.60 |
$355.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$517.30 |
$517.30 |
$517.30 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$246.57 |
$246.57 |
$246.57 |
$52.31
|
|
Sugars single quant
|
$202.30 |
$202.30 |
$202.30 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$17,646.47 |
$17,646.47 |
$17,646.47 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$106.57 |
$106.57 |
$106.57 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$271.60 |
$271.60 |
$271.60 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$95.72 |
$95.72 |
$95.72 |
$114.88
|
|
Surg dx exam anorectal
|
$13,237.63 |
$13,237.63 |
$13,237.63 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$123.90 |
$123.90 |
$123.90 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$26,254.46 |
$26,254.46 |
$26,254.46 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$24,200.50 |
$24,200.50 |
$24,200.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$9,468.20 |
$9,468.20 |
$9,468.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$36,840.01 |
$36,840.01 |
$36,840.01 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$65,934.00 |
$65,934.00 |
$65,934.00 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$11,860.62 |
$11,860.62 |
$11,860.62 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$114.10 |
$114.10 |
$114.10 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$134.40 |
$134.40 |
$134.40 |
$35.70
|
|
Susceptibility mic per plate
|
$744.10 |
$744.10 |
$744.10 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$91.00 |
$91.00 |
$91.00 |
$59.28
|
|
Svc venogram s&i
|
$2,644.60 |
$2,644.60 |
$2,644.60 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$78.40 |
$78.40 |
$78.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$134,213.62 |
$134,213.62 |
$134,213.62 |
$39,037.95
|
|
System pacing micra av
|
$84,313.69 |
$84,313.69 |
$84,313.69 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$84,313.69 |
$84,313.69 |
$84,313.69 |
$12,003.00
|
|
System sealant biosentry tract
|
$2,168.07 |
$2,168.07 |
$2,168.07 |
$889.35
|
|
T3 (triiodothyronine) free
|
$274.40 |
$274.40 |
$274.40 |
$99.20
|
|
T3 (triiodothyronine) total
|
$125.30 |
$125.30 |
$125.30 |
$93.52
|
|
T4 (thyroxine) free
|
$121.10 |
$121.10 |
$121.10 |
$85.20
|
|
T4 (thyroxine) total
|
$200.90 |
$200.90 |
$200.90 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$17.85 |
$17.85 |
$17.85 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$980.17 |
$980.17 |
$980.17 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$254.10 |
$254.10 |
$254.10 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,851.87 |
$4,851.87 |
$4,851.87 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$19,423.95 |
$19,423.95 |
$19,423.95 |
$2,369.70
|
