|
St evaluation motion fluoroscopic swallow function cine/video
|
$296.40 |
$296.40 |
$296.40 |
$336.00
|
|
St evaluation swallow function
|
$260.40 |
$260.40 |
$260.40 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$117.00 |
$117.00 |
$117.00 |
$185.36
|
|
Strapping of elbow or wrist 29260
|
$96.00 |
$96.00 |
$96.00 |
$176.31
|
|
Strapping of hand or finger
|
$143.40 |
$143.40 |
$143.40 |
$197.63
|
|
Strapping of hip
|
$114.00 |
$114.00 |
$114.00 |
$164.70
|
|
Strapping of knee
|
$136.80 |
$136.80 |
$136.80 |
$216.34
|
|
Strep a ag ia
|
$151.20 |
$151.20 |
$151.20 |
$75.40
|
|
Strep b dna amp probe
|
$223.20 |
$223.20 |
$223.20 |
$124.20
|
|
Stress test pulmonary
|
$275.40 |
$275.40 |
$275.40 |
$330.63
|
|
Stress tte complete
|
$2,913.00 |
$2,913.00 |
$2,913.00 |
$1,989.60
|
|
St treatment speech individual
|
$232.80 |
$232.80 |
$232.80 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$208.80 |
$208.80 |
$208.80 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$49.13 |
$22.19
|
|
Sugars single quant
|
$507.60 |
$507.60 |
$507.60 |
$64.28
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.71 |
$50.71 |
$50.71 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$34.80 |
$34.80 |
$34.80 |
$105.75
|
|
Surgical pathology level 1 gross examination only
|
$159.60 |
$159.60 |
$159.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$196.80 |
$196.80 |
$196.80 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$307.20 |
$307.20 |
$307.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$369.60 |
$369.60 |
$369.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$603.60 |
$603.60 |
$603.60 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$763.80 |
$763.80 |
$763.80 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$169.20 |
$169.20 |
$169.20 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$45.00 |
$45.00 |
$45.00 |
$31.85
|
|
Susceptibility mic per plate
|
$164.40 |
$164.40 |
$164.40 |
$89.70
|
|
Sweat collection by iontophoresis
|
$288.00 |
$288.00 |
$288.00 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$90.60 |
$90.60 |
$90.60 |
$45.70
|
|
T3 (triiodothyronine) free
|
$416.40 |
$416.40 |
$416.40 |
$91.20
|
|
T3 (triiodothyronine) total
|
$323.40 |
$323.40 |
$323.40 |
$88.00
|
|
T4 (thyroxine) free
|
$277.20 |
$277.20 |
$277.20 |
$65.00
|
|
T4 (thyroxine) total
|
$174.00 |
$174.00 |
$174.00 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$487.80 |
$487.80 |
$487.80 |
$137.15
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$333.00 |
$333.00 |
$333.00 |
$178.40
|
|
Tc-99m non-heu per study dose
|
$6.00 |
$6.00 |
$6.00 |
$10.00
|
|
Tc-99m sestamibi p study dose
|
$55.80 |
$55.80 |
$55.80 |
$221.60
|
|
T cells absolute cd4/cd8 including ratio
|
$465.60 |
$465.60 |
$465.60 |
$189.60
|
|
T cells absolute cd 4 count
|
$249.00 |
$249.00 |
$249.00 |
$120.25
|
|
T cells total count
|
$264.60 |
$264.60 |
$264.60 |
$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
|
|
Test stress cardiovascular tracing only
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$1,073.02 |
$1,073.02 |
$1,073.02 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$228.60 |
$228.60 |
$228.60 |
$101.40
|
|
Therapeutic procd strg endur
|
$134.40 |
$134.40 |
$134.40 |
$72.39
|
|
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
|
|
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)
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$1,658.70
|
|
Thrombin time
|
$148.80 |
$148.80 |
$148.80 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$58.80 |
$58.80 |
$58.80 |
$56.93
|
|
Thyroglobulin antibody
|
$277.20 |
$277.20 |
$277.20 |
$86.40
|
|
Thyroid (TSH) Test
|
$254.40 |
$254.40 |
$254.40 |
$101.40
|
|
Thyroid Ultrasound
|
$505.20 |
$505.20 |
$505.20 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$202.80 |
$202.80 |
$202.80 |
$75.00
|
|
Tissue culture skin/biopsy
|
$676.80 |
$676.80 |
$676.80 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$137.40 |
$137.40 |
$137.40 |
$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
|
$289.20 |
$289.20 |
$289.20 |
$117.00
|
|
Tomosynthesis breast screen bilateral
|
$53.40 |
$53.40 |
$53.40 |
$77.46
|
|
Toxoplasma antibody igg
|
$211.80 |
$211.80 |
$211.80 |
$83.20
|
|
Toxoplasma antibody igm
|
$231.60 |
$231.60 |
$231.60 |
$85.80
|
|
Transferrin
|
$251.40 |
$251.40 |
$251.40 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$988.24
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$96.00 |
$96.00 |
$96.00 |
$197.60
|
|
Treponema pallidum antibody
|
$78.60 |
$78.60 |
$78.60 |
$74.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$44.00 |
$44.00 |
$44.00 |
$28.90
|
|
Trichomonas assay w/optic
|
$97.20 |
$97.20 |
$97.20 |
$68.90
|
|
Triglycerides
|
$114.00 |
$114.00 |
$114.00 |
$48.75
|
|
Trimethobenzamide hcl inj
|
$120.73 |
$120.73 |
$120.73 |
$105.89
|
|
Troponin quantitative
|
$260.40 |
$260.40 |
$260.40 |
$112.80
|
|
Ua w/micro/comp poc
|
$76.80 |
$76.80 |
$76.80 |
$25.72
|
|
Ultrasound abdomen aorta screening study aaa
|
$553.20 |
$553.20 |
$553.20 |
$394.20
|
|
Ultrasound breast complete
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$592.80 |
$592.80 |
$592.80 |
$427.00
|
|
Ultrasound chest
|
$392.40 |
$392.40 |
$392.40 |
$430.10
|
|
Ultrasound elastography parenchyma
|
$419.40 |
$419.40 |
$419.40 |
$275.98
|
|
Ultrasound guidance for vascular access
|
$277.20 |
$277.20 |
$277.20 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$434.40 |
$434.40 |
$434.40 |
$629.64
|
|
Ultrasound guide intraoperative
|
$687.00 |
$687.00 |
$687.00 |
$628.80
|
|
Ultrasound hips infant dynamic
|
$183.60 |
$183.60 |
$183.60 |
$395.20
|
|
Ultrasound infant hips ltd without stress
|
$91.80 |
$91.80 |
$91.80 |
$311.25
|
|
Ultrasound joint complete left
|
$529.80 |
$529.80 |
$529.80 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$330.00 |
$330.00 |
$330.00 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$462.60 |
$462.60 |
$462.60 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$298.20 |
$298.20 |
$298.20 |
$304.80
|
|
Ultrasound pregnant uterus follow up per fetus
|
$476.40 |
$476.40 |
$476.40 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$506.40 |
$506.40 |
$506.40 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$373.20 |
$373.20 |
$373.20 |
$477.10
|
|
Ultrasound prostate/transrectal
|
$670.20 |
$670.20 |
$670.20 |
$515.63
|
|
Ultrasound retroperitoneal limited
|
$561.60 |
$561.60 |
$561.60 |
$469.58
|
|
Ultrasound scrotum and contents
|
$554.40 |
$554.40 |
$554.40 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$421.20 |
$421.20 |
$421.20 |
$523.20
|
|
Unlisted px casting/strpg
|
$123.60 |
$123.60 |
$123.60 |
$223.45
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,895.60 |
$2,895.60 |
$2,895.60 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,412.60 |
$2,412.60 |
$2,412.60 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$1,794.00
|
