|
Stenger test speech
|
$297.00 |
$297.00 |
$297.00 |
$404.25
|
|
St evaluate speech sound production
|
$139.20 |
$139.20 |
$139.20 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$285.60 |
$285.60 |
$285.60 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$232.80 |
$232.80 |
$232.80 |
$336.00
|
|
St evaluation swallow function
|
$168.00 |
$168.00 |
$168.00 |
$323.72
|
|
Strep a ag ia
|
$107.40 |
$107.40 |
$107.40 |
$75.40
|
|
Strep b dna amp probe
|
$262.80 |
$262.80 |
$262.80 |
$124.20
|
|
Stress tte complete
|
$3,640.20 |
$3,640.20 |
$3,640.20 |
$1,989.60
|
|
St treatment speech individual
|
$202.80 |
$202.80 |
$202.80 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$72.00 |
$72.00 |
$72.00 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$49.13 |
$22.19
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.71 |
$50.71 |
$50.71 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$24.60 |
$24.60 |
$24.60 |
$105.75
|
|
Surgical pathology level 1 gross examination only
|
$157.80 |
$157.80 |
$157.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$199.80 |
$199.80 |
$199.80 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$356.40 |
$356.40 |
$356.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$427.80 |
$427.80 |
$427.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$784.80 |
$784.80 |
$784.80 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$854.40 |
$854.40 |
$854.40 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$105.00 |
$105.00 |
$105.00 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$67.80 |
$67.80 |
$67.80 |
$31.85
|
|
Susceptibility mic per plate
|
$71.40 |
$71.40 |
$71.40 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$80.40 |
$80.40 |
$80.40 |
$45.70
|
|
T3 (triiodothyronine) free
|
$222.60 |
$222.60 |
$222.60 |
$91.20
|
|
T3 (triiodothyronine) total
|
$172.80 |
$172.80 |
$172.80 |
$88.00
|
|
T4 (thyroxine) free
|
$188.40 |
$188.40 |
$188.40 |
$65.00
|
|
T4 (thyroxine) total
|
$119.40 |
$119.40 |
$119.40 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$342.60 |
$342.60 |
$342.60 |
$137.15
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$288.60 |
$288.60 |
$288.60 |
$178.40
|
|
Tc-99m depreotide
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,937.35
|
|
Tc-99m disofenin
|
$72.00 |
$72.00 |
$72.00 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$2,393.40 |
$2,393.40 |
$2,393.40 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$302.40 |
$302.40 |
$302.40 |
$312.70
|
|
Tc-99m maa
|
$258.60 |
$258.60 |
$258.60 |
$306.60
|
|
Tc-99m mebrofenin
|
$58.80 |
$58.80 |
$58.80 |
$169.53
|
|
Tc-99m medronate
|
$69.00 |
$69.00 |
$69.00 |
$120.35
|
|
Tc-99m mertiatide
|
$465.60 |
$465.60 |
$465.60 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$6.00 |
$6.00 |
$6.00 |
$10.00
|
|
Tc-99m pentetate dtpa
|
$222.60 |
$222.60 |
$222.60 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$190.80 |
$190.80 |
$190.80 |
$231.60
|
|
Tc-99m pertechnetate per mci
|
$17.40 |
$17.40 |
$17.40 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$55.80 |
$55.80 |
$55.80 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$1,749.60
|
|
Tc-99m sulfur colloid
|
$239.40 |
$239.40 |
$239.40 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$309.00 |
$309.00 |
$309.00 |
$189.60
|
|
T cells absolute cd 4 count
|
$313.80 |
$313.80 |
$313.80 |
$120.25
|
|
T cells total count
|
$228.00 |
$228.00 |
$228.00 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$240.21 |
$240.21 |
$240.21 |
$16,233.59
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$1,985.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.33 |
$39.33 |
$39.33 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$831.00 |
$831.00 |
$831.00 |
$586.96
|
|
Test stress cardiovascular tracing only
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$110.40 |
$110.40 |
$110.40 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$35.40 |
$35.40 |
$35.40 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$35.40 |
$35.40 |
$35.40 |
$47.50
|
|
Ther/proph/diag inj ia
|
$316.80 |
$316.80 |
$316.80 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$41.86 |
$41.86 |
$41.86 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,139.60 |
$2,139.60 |
$2,139.60 |
$1,658.70
|
|
Thrombin time
|
$90.00 |
$90.00 |
$90.00 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$132.00 |
$132.00 |
$132.00 |
$56.93
|
|
Thyroglobulin antibody
|
$174.00 |
$174.00 |
$174.00 |
$86.40
|
|
Thyroid imaging
|
$900.00 |
$900.00 |
$900.00 |
$577.80
|
|
Thyroid (TSH) Test
|
$204.00 |
$204.00 |
$204.00 |
$101.40
|
|
Thyroid Ultrasound
|
$416.40 |
$416.40 |
$416.40 |
$553.80
|
|
Thyroid uptake measurement
|
$583.80 |
$583.80 |
$583.80 |
$580.20
|
|
Thyroxine binding globulin (tbg)
|
$108.00 |
$108.00 |
$108.00 |
$75.00
|
|
Tigecycline injection
|
$8.38 |
$8.38 |
$8.38 |
$7.44
|
|
Tissue exam koh skin/hair/nails
|
$114.00 |
$114.00 |
$114.00 |
$45.23
|
|
Tissue transglutaminase iga
|
$26.40 |
$26.40 |
$26.40 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$24.60 |
$24.60 |
$24.60 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$39.35 |
$39.35 |
$39.35 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$194.40 |
$194.40 |
$194.40 |
$117.00
|
|
Tomosynthesis breast screen bilateral
|
$53.40 |
$53.40 |
$53.40 |
$77.46
|
|
Tone decay hearing test
|
$91.20 |
$91.20 |
$91.20 |
$64.80
|
|
Toxoplasma antibody igg
|
$44.40 |
$44.40 |
$44.40 |
$83.20
|
|
Toxoplasma antibody igm
|
$136.20 |
$136.20 |
$136.20 |
$85.80
|
|
Transferrin
|
$152.40 |
$152.40 |
$152.40 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$988.24
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$226.20 |
$226.20 |
$226.20 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$31.80 |
$31.80 |
$31.80 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$222.60 |
$222.60 |
$222.60 |
$197.60
|
|
Treponema pallidum antibody
|
$64.80 |
$64.80 |
$64.80 |
$74.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.00 |
$44.00 |
$44.00 |
$28.90
|
|
Trichomonas assay w/optic
|
$67.80 |
$67.80 |
$67.80 |
$68.90
|
|
Triglycerides
|
$59.40 |
$59.40 |
$59.40 |
$48.75
|
|
Troponin quantitative
|
$144.00 |
$144.00 |
$144.00 |
$112.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$451.20 |
$451.20 |
$451.20 |
$394.20
|
|
Ultrasound breast complete
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$645.60 |
$645.60 |
$645.60 |
$427.00
|
|
Ultrasound chest
|
$314.40 |
$314.40 |
$314.40 |
$430.10
|
|
Ultrasound exam k transpl w/doppler
|
$417.00 |
$417.00 |
$417.00 |
$494.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$225.00 |
$225.00 |
$225.00 |
$428.68
|
|
Ultrasound guidance for vascular access
|
$244.20 |
$244.20 |
$244.20 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$428.40 |
$428.40 |
$428.40 |
$629.64
|
|
Ultrasound guide intraoperative
|
$687.00 |
$687.00 |
$687.00 |
$628.80
|
|
Ultrasound hips infant dynamic
|
$165.60 |
$165.60 |
$165.60 |
$395.20
|
|
Ultrasound infant hips ltd without stress
|
$148.80 |
$148.80 |
$148.80 |
$311.25
|
|
Ultrasound joint complete left
|
$435.60 |
$435.60 |
$435.60 |
$534.00
|
