|
Shoulder X-ray
|
$275.50 |
$275.50 |
$275.50 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$5,545.60 |
$5,545.60 |
$5,545.60 |
$4,636.80
|
|
Sickling rbc
|
$13.50 |
$13.50 |
$13.50 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$364.46 |
$364.46 |
$364.46 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$737.50 |
$737.50 |
$737.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$624.50 |
$624.50 |
$624.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$510.50 |
$510.50 |
$510.50 |
$1,292.04
|
|
Sipuleucel-t - su
|
$103,303.45 |
$103,303.45 |
$103,303.45 |
$100,990.51
|
|
Sirolimus, oral
|
$3,675.46 |
$3,675.46 |
$3,675.46 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$19,113.40 |
$19,113.40 |
$19,113.40 |
$14,361.10
|
|
Skyla, 13.5 mg
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$2,878.50 |
$2,878.50 |
$2,878.50 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$74.00 |
$74.00 |
$74.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$5,222.40 |
$5,222.40 |
$5,222.40 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$281.00 |
$281.00 |
$281.00 |
$285.09
|
|
Slp pure tone screening
|
$124.00 |
$124.00 |
$124.00 |
$60.48
|
|
Slp ther svc non-spch gen
|
$185.00 |
$185.00 |
$185.00 |
$188.50
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$32.00 |
$32.00 |
$32.00 |
$64.20
|
|
Smear gram stain
|
$31.50 |
$31.50 |
$31.50 |
$55.25
|
|
Smear nasal eosinophil
|
$36.50 |
$36.50 |
$36.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$73.50 |
$73.50 |
$73.50 |
$73.15
|
|
Smear wet mount
|
$57.50 |
$57.50 |
$57.50 |
$67.49
|
|
Sodium 24 hour urine
|
$38.50 |
$38.50 |
$38.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$71.00 |
$71.00 |
$71.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$66.00 |
$66.00 |
$66.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$66.12 |
$66.12 |
$66.12 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$62.00 |
$62.00 |
$62.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$61.22 |
$61.22 |
$61.22 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,063.10 |
$1,063.10 |
$1,063.10 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$42.00 |
$42.00 |
$42.00 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$537.10 |
$537.10 |
$537.10 |
$177.52
|
|
Special physics consult
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$725.00
|
|
Special radiation treatment
|
$2,684.00 |
$2,684.00 |
$2,684.00 |
$1,986.00
|
|
Speech audiometry complete
|
$194.50 |
$194.50 |
$194.50 |
$109.20
|
|
Speech recep thresh
|
$132.50 |
$132.50 |
$132.50 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$771.00 |
$771.00 |
$771.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$239.50 |
$239.50 |
$239.50 |
$392.09
|
|
Split blood or products
|
$129.50 |
$129.50 |
$129.50 |
$127.48
|
|
Sr-89 stront chlor ther / mci
|
$10,484.52 |
$10,484.52 |
$10,484.52 |
$2,667.94
|
|
St analysis behavior qualitative voice/resonance
|
$203.50 |
$203.50 |
$203.50 |
$297.60
|
|
Staph a dna amp probe
|
$148.00 |
$148.00 |
$148.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$359.00 |
$359.00 |
$359.00 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$58,000.00 |
$58,000.00 |
$58,000.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$13,260.25 |
$13,260.25 |
$13,260.25 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$20,962.50
|
|
St evaluate speech sound production
|
$279.00 |
$279.00 |
$279.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$256.00 |
$256.00 |
$256.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$352.50 |
$352.50 |
$352.50 |
$399.60
|
|
St evaluation swallow function
|
$204.50 |
$204.50 |
$204.50 |
$314.40
|
|
Strapping of elbow or wrist 29260
|
$147.00 |
$147.00 |
$147.00 |
$154.70
|
|
Strapping of knee
|
$200.50 |
$200.50 |
$200.50 |
$205.20
|
|
Strep b dna amp probe
|
$104.50 |
$104.50 |
$104.50 |
$120.90
|
|
Streptomycin injection
|
$393.36 |
$393.36 |
$393.36 |
$138.30
|
|
Streptozocin injection
|
$1,407.52 |
$1,407.52 |
$1,407.52 |
$785.95
|
|
Stress test pulmonary
|
$133.00 |
$133.00 |
$133.00 |
$322.85
|
|
Stress tte complete
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$1,870.50
|
|
St treatment speech individual
|
$214.00 |
$214.00 |
$214.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$216.00 |
$216.00 |
$216.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$54.80 |
$54.80 |
$54.80 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$24,736.00 |
$24,736.00 |
$24,736.00 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$25.36 |
$25.36 |
$25.36 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$89.00 |
$89.00 |
$89.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$139.00 |
$139.00 |
$139.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$255.50 |
$255.50 |
$255.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$323.50 |
$323.50 |
$323.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$574.50 |
$574.50 |
$574.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$707.00 |
$707.00 |
$707.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$43.00 |
$43.00 |
$43.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$35.50 |
$35.50 |
$35.50 |
$35.70
|
|
Susceptibility mic per plate
|
$54.00 |
$54.00 |
$54.00 |
$106.00
|
|
Sweat collection by iontophoresis
|
$189.50 |
$189.50 |
$189.50 |
$125.40
|
|
Synvisc or synvisc-one
|
$352.60 |
$352.60 |
$352.60 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$77.00 |
$77.00 |
$77.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$58,750.00 |
$58,750.00 |
$58,750.00 |
$39,037.95
|
|
System pacing micra av
|
$35,112.50 |
$35,112.50 |
$35,112.50 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$14,337.00 |
$14,337.00 |
$14,337.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$98.00 |
$98.00 |
$98.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$119.00 |
$119.00 |
$119.00 |
$93.52
|
|
T4 (thyroxine) free
|
$71.00 |
$71.00 |
$71.00 |
$85.20
|
|
T4 (thyroxine) total
|
$45.00 |
$45.00 |
$45.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$44.23 |
$44.23 |
$44.23 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$47.54 |
$47.54 |
$47.54 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$221.50 |
$221.50 |
$221.50 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,396.50 |
$3,396.50 |
$3,396.50 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$16,658.82 |
$16,658.82 |
$16,658.82 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$19,613.80 |
$19,613.80 |
$19,613.80 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$2,246.30
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$377.00 |
$377.00 |
$377.00 |
$194.35
|
|
Tc-99m bicisate
|
$1,718.19 |
$1,718.19 |
$1,718.19 |
$1,969.45
|
|
Tc-99m exametazime diag
|
$2,007.92 |
$2,007.92 |
$2,007.92 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$88.76 |
$88.76 |
$88.76 |
$302.40
|
|
Tc-99m maa
|
$68.80 |
$68.80 |
$68.80 |
$292.80
|
|
Tc-99m mebrofenin
|
$393.50 |
$393.50 |
$393.50 |
$157.65
|
|
Tc-99m medronate
|
$120.97 |
$120.97 |
$120.97 |
$111.01
|
|
Tc-99m mertiatide
|
$877.24 |
$877.24 |
$877.24 |
$756.00
|
|
Tc-99m oxidronate
|
$121.16 |
$121.16 |
$121.16 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$1,849.72 |
$1,849.72 |
$1,849.72 |
$222.60
|
