|
Sterile water/saline, 10 ml
|
$16.80 |
$16.80 |
$16.80 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$187.77 |
$187.77 |
$187.77 |
$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
|
|
Strapping of hand or finger
|
$337.40 |
$337.40 |
$337.40 |
$174.82
|
|
Strep b dna amp probe
|
$131.60 |
$131.60 |
$131.60 |
$120.90
|
|
Stress test pulmonary
|
$343.70 |
$343.70 |
$343.70 |
$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)
|
$136.50 |
$136.50 |
$136.50 |
$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
|
$20,946.45 |
$20,946.45 |
$20,946.45 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$25.72 |
$25.72 |
$25.72 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$266.00 |
$266.00 |
$266.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$42.17 |
$42.17 |
$42.17 |
$114.88
|
|
Surg dx exam anorectal
|
$11,172.32 |
$11,172.32 |
$11,172.32 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$27,233.16 |
$27,233.16 |
$27,233.16 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$33,857.68 |
$33,857.68 |
$33,857.68 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$20,514.21 |
$20,514.21 |
$20,514.21 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$6,357.35 |
$6,357.35 |
$6,357.35 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$34,751.23 |
$34,751.23 |
$34,751.23 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$64,207.77 |
$64,207.77 |
$64,207.77 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$28,607.42 |
$28,607.42 |
$28,607.42 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$114.10 |
$114.10 |
$114.10 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$86.80 |
$86.80 |
$86.80 |
$35.70
|
|
Susceptibility mic per plate
|
$744.10 |
$744.10 |
$744.10 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$80.50 |
$80.50 |
$80.50 |
$59.28
|
|
Svc venogram s&i
|
$2,644.60 |
$2,644.60 |
$2,644.60 |
$1,934.62
|
|
Sympathectomy digital artery
|
$13,643.17 |
$13,643.17 |
$13,643.17 |
$2,310.83
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$91.00 |
$91.00 |
$91.00 |
$41.60
|
|
System pacing micra av
|
$8,119.04 |
$8,119.04 |
$8,119.04 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,744.48 |
$21,744.48 |
$21,744.48 |
$12,003.00
|
|
System sealant biosentry tract
|
$538.35 |
$538.35 |
$538.35 |
$889.35
|
|
T3 (triiodothyronine) free
|
$159.60 |
$159.60 |
$159.60 |
$99.20
|
|
T3 (triiodothyronine) total
|
$135.10 |
$135.10 |
$135.10 |
$93.52
|
|
T4 (thyroxine) free
|
$121.10 |
$121.10 |
$121.10 |
$85.20
|
|
T4 (thyroxine) total
|
$108.50 |
$108.50 |
$108.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$116.90 |
$116.90 |
$116.90 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.55 |
$4.55 |
$4.55 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$729.05 |
$729.05 |
$729.05 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$238.00 |
$238.00 |
$238.00 |
$122.40
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$3,575.07 |
$3,575.07 |
$3,575.07 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$2,246.30 |
$2,246.30 |
$2,246.30 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,585.20 |
$7,585.20 |
$7,585.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$61,887.70 |
$61,887.70 |
$61,887.70 |
$24,217.20
|
|
Tas congenital car anomal
|
$11,511.50 |
$11,511.50 |
$11,511.50 |
$6,003.27
|
|
Tavr perq femoral
|
$45,506.30 |
$45,506.30 |
$45,506.30 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,605.10 |
$1,605.10 |
$1,605.10 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Tbs techl calculation only
|
$196.00 |
$196.00 |
$196.00 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$227.50 |
$227.50 |
$227.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$318.50 |
$318.50 |
$318.50 |
$177.65
|
|
Tc-99m bicisate
|
$5,133.10 |
$5,133.10 |
$5,133.10 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$4,007.50 |
$4,007.50 |
$4,007.50 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$4,383.40 |
$4,383.40 |
$4,383.40 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$581.00 |
$581.00 |
$581.00 |
$302.40
|
|
Tc-99m maa
|
$1,454.60 |
$1,454.60 |
$1,454.60 |
$292.80
|
|
Tc-99m mebrofenin
|
$275.10 |
$275.10 |
$275.10 |
$157.65
|
|
Tc-99m medronate
|
$220.50 |
$220.50 |
$220.50 |
$111.01
|
|
Tc-99m mertiatide
|
$2,244.20 |
$2,244.20 |
$2,244.20 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$9.10 |
$9.10 |
$9.10 |
$6.60
|
|
Tc-99m oxidronate
|
$256.20 |
$256.20 |
$256.20 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$1,134.70 |
$1,134.70 |
$1,134.70 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$4.20 |
$4.20 |
$4.20 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$333.90 |
$333.90 |
$333.90 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$581.00 |
$581.00 |
$581.00 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,318.10 |
$1,318.10 |
$1,318.10 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$1,098.30 |
$1,098.30 |
$1,098.30 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$339.50 |
$339.50 |
$339.50 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$985.60 |
$985.60 |
$985.60 |
$955.60
|
|
Tcd emboli detect w/inj
|
$1,429.40 |
$1,429.40 |
$1,429.40 |
$475.80
|
|
Tcd emboli detect without inj
|
$835.10 |
$835.10 |
$835.10 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$250.60 |
$250.60 |
$250.60 |
$176.40
|
|
T cells total count
|
$145.60 |
$145.60 |
$145.60 |
$126.90
|
|
Tcranial magn stim tx deli
|
$262.50 |
$262.50 |
$262.50 |
$389.22
|
|
Tcranial magn stim tx plan
|
$350.00 |
$350.00 |
$350.00 |
$437.22
|
|
Teaec w/wo patch graft iliofemoral
|
$8,627.50 |
$8,627.50 |
$8,627.50 |
$5,163.60
|
|
Telavancin injection
|
$2,259.42 |
$2,259.42 |
$2,259.42 |
$1,191.80
|
|
Telehealth original site facility fee
|
$49.00 |
$49.00 |
$49.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,180.50 |
$2,180.50 |
$2,180.50 |
$1,526.85
|
|
Temozolomide
|
$95.55 |
$95.55 |
$95.55 |
$588.46
|
|
Temperature gradient studies
|
$614.60 |
$614.60 |
$614.60 |
$242.25
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$31,730.65 |
$31,730.65 |
$31,730.65 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,664.50 |
$3,664.50 |
$3,664.50 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$53.55 |
$53.55 |
$53.55 |
$39.33
|
|
Tert gene targeted seq alys
|
$428.40 |
$428.40 |
$428.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$136.50 |
$136.50 |
$136.50 |
$65.00
|
|
Test for urine cystines
|
$25.20 |
$25.20 |
$25.20 |
$26.00
|
|
Test pathogen(s) for platelets reference
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,010.80 |
$1,010.80 |
$1,010.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,204.65 |
$2,204.65 |
$2,204.65 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$6,744.50 |
$6,744.50 |
$6,744.50 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$160.30 |
$160.30 |
$160.30 |
$108.00
|
