|
Small bowel endoscopy >2nd w/remove 44363
|
$3,824.80 |
$3,824.80 |
$3,824.80 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$3,395.00 |
$3,395.00 |
$3,395.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,164.40 |
$2,164.40 |
$2,164.40 |
$2,381.60
|
|
Smear fluorescent and/or acid fast stain
|
$74.20 |
$74.20 |
$74.20 |
$64.20
|
|
Smear gram stain
|
$61.60 |
$61.60 |
$61.60 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$71.40 |
$71.40 |
$71.40 |
$73.15
|
|
Smpd1 gene common variants
|
$114.10 |
$114.10 |
$114.10 |
$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
|
$56.00 |
$56.00 |
$56.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$29.05 |
$29.05 |
$29.05 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$31.15 |
$31.15 |
$31.15 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$54.25 |
$54.25 |
$54.25 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$52.50 |
$52.50 |
$52.50 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$20.47 |
$20.47 |
$20.47 |
$177.52
|
|
So neo gsap dna mcrstl ins
|
$1,831.90 |
$1,831.90 |
$1,831.90 |
$2,296.00
|
|
Speech audiometry complete
|
$89.60 |
$89.60 |
$89.60 |
$109.20
|
|
Sperm antibody test
|
$262.50 |
$262.50 |
$262.50 |
$57.85
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$664.30 |
$664.30 |
$664.30 |
$392.09
|
|
Splint finger fold over sm
|
$158.20 |
$158.20 |
$158.20 |
$146.88
|
|
Splint rstrc wrst/cmc right med
|
$369.60 |
$369.60 |
$369.60 |
$99.04
|
|
Split blood or products
|
$125.30 |
$125.30 |
$125.30 |
$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
|
$328.30 |
$328.30 |
$328.30 |
$297.60
|
|
Staph a dna amp probe
|
$159.60 |
$159.60 |
$159.60 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$343.00 |
$343.00 |
$343.00 |
$286.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$2,520.08
|
|
Sterile water/saline, 10 ml
|
$7.52 |
$7.52 |
$7.52 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$247.97 |
$247.97 |
$247.97 |
$28.11
|
|
St evaluate speech sound production
|
$381.50 |
$381.50 |
$381.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$578.90 |
$578.90 |
$578.90 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$597.80 |
$597.80 |
$597.80 |
$399.60
|
|
St evaluation swallow function
|
$597.80 |
$597.80 |
$597.80 |
$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 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
|
$312.20 |
$312.20 |
$312.20 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$191.80 |
$191.80 |
$191.80 |
$240.31
|
|
Sugars single quant
|
$202.30 |
$202.30 |
$202.30 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$167.82 |
$167.82 |
$167.82 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$246.40 |
$246.40 |
$246.40 |
$156.16
|
|
Surg dx exam anorectal
|
$7,100.10 |
$7,100.10 |
$7,100.10 |
$3,245.23
|
|
Surgical pathology level 3 gross & microscopic examination
|
$207.90 |
$207.90 |
$207.90 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$251.30 |
$251.30 |
$251.30 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$5,142.20 |
$5,142.20 |
$5,142.20 |
$480.00
|
|
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
|
|
Svc venogram s&i
|
$2,644.60 |
$2,644.60 |
$2,644.60 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$47.60 |
$47.60 |
$47.60 |
$41.60
|
|
T3 (triiodothyronine) free
|
$125.30 |
$125.30 |
$125.30 |
$99.20
|
|
T3 (triiodothyronine) total
|
$113.40 |
$113.40 |
$113.40 |
$93.52
|
|
T4 (thyroxine) free
|
$121.10 |
$121.10 |
$121.10 |
$85.20
|
|
T4 (thyroxine) total
|
$75.60 |
$75.60 |
$75.60 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$30.10 |
$30.10 |
$30.10 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$179.20 |
$179.20 |
$179.20 |
$122.40
|
|
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
|
$1,923.60 |
$1,923.60 |
$1,923.60 |
$1,655.52
|
|
Tas congenital car anomal
|
$11,511.50 |
$11,511.50 |
$11,511.50 |
$6,003.27
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,173.72 |
$1,173.72 |
$1,173.72 |
$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
|
$182.00 |
$182.00 |
$182.00 |
$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
|
$214.20 |
$214.20 |
$214.20 |
$176.40
|
|
T cells total count
|
$141.40 |
$141.40 |
$141.40 |
$126.90
|
|
Teaec w/wo patch graft iliofemoral
|
$8,627.50 |
$8,627.50 |
$8,627.50 |
$5,163.60
|
|
Temozolomide
|
$255.67 |
$255.67 |
$255.67 |
$588.46
|
|
Temperature gradient studies
|
$614.60 |
$614.60 |
$614.60 |
$242.25
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,664.50 |
$3,664.50 |
$3,664.50 |
$2,139.67
|
|
Tert gene targeted seq alys
|
$428.40 |
$428.40 |
$428.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$136.50 |
$136.50 |
$136.50 |
$65.00
|
