|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$239.50 |
$246.50 |
$1,022.40 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$290.60 |
$290.60 |
$290.60 |
|
|
Splint finger 4 prong foam sm
|
$22.20 |
$22.20 |
$62.40 |
|
|
Splint finger fold over sm
|
$232.49 |
$232.49 |
$232.49 |
|
|
Splint finger frog med
|
$65.88 |
$65.88 |
$65.88 |
|
|
Splint func pos polyflex ii med
|
$612.53 |
$612.53 |
$612.53 |
|
|
Splint rstrc wrst/cmc right med
|
$226.47 |
$226.47 |
$226.47 |
|
|
Split blood or products
|
$70.80 |
$129.50 |
$164.33 |
|
|
Sr-89 stront chlor ther / mci
|
$10,484.52 |
$10,484.52 |
$10,484.52 |
|
|
Srs linear based
|
$9,724.75 |
$20,627.40 |
$88,309.99 |
|
|
Staggered spondaic word test
|
$70.20 |
$70.20 |
$70.20 |
|
|
St analysis behavior qualitative voice/resonance
|
$102.60 |
$152.40 |
$824.80 |
|
|
Staph a dna amp probe
|
$91.20 |
$104.40 |
$438.14 |
|
|
St cognitve performance testing healthcare professional each hour
|
$121.80 |
$267.00 |
$874.97 |
|
|
Stenger test pure tone
|
$56.40 |
$75.60 |
$91.20 |
|
|
Stenger test speech
|
$297.00 |
$297.00 |
$306.00 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,257.60 |
$38,692.80 |
$42,419.40 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$58,000.00 |
$58,000.00 |
$255,127.50 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,278.50 |
$13,260.25 |
$13,260.50 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$20,300.00 |
$20,300.00 |
$140,182.88 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,016.00 |
$26,824.20 |
$32,515.80 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$12,847.80 |
$26,824.20 |
$29,407.80 |
|
|
Stent placemt retro carotid
|
$11,623.20 |
$11,623.20 |
$11,623.20 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$26,511.00 |
$27,333.00 |
$27,868.20 |
|
|
St evaluate speech sound production
|
$99.60 |
$148.80 |
$824.80 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$194.40 |
$352.50 |
$949.61 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$922.62 |
$1,383.50 |
$6,289.43 |
|
|
Strapping of ankle and/or ft 29540
|
$75.60 |
$117.00 |
$379.36 |
|
|
Strapping of chest
|
$85.20 |
$141.60 |
$562.92 |
|
|
Strapping of elbow or wrist 29260
|
$60.00 |
$147.00 |
$379.36 |
|
|
Strapping of hand or finger
|
$53.40 |
$110.40 |
$168.00 |
|
|
Strapping of hip
|
$85.20 |
$114.00 |
$344.40 |
|
|
Strapping of knee
|
$79.80 |
$181.20 |
$379.36 |
|
|
Strep a ag ia
|
$58.80 |
$148.20 |
$165.60 |
|
|
Strep a dna dir probe
|
$195.83 |
$195.83 |
$195.83 |
|
|
Strep b assay w/optic
|
$466.14 |
$466.14 |
$466.14 |
|
|
Strep b dna amp probe
|
$38.50 |
$213.60 |
$386.84 |
|
|
Streptokinase 1.5 m-units inj
|
$635.54 |
$635.54 |
$635.54 |
|
|
Streptokinase antibody
|
$112.80 |
$112.80 |
$112.80 |
|
|
Streptomycin injection
|
$41.56 |
$393.36 |
$721.91 |
|
|
Streptozocin injection
|
$397.01 |
$1,407.52 |
$1,407.52 |
|
|
Stress test pulmonary
|
$89.00 |
$291.00 |
$555.60 |
|
|
Stress tte complete
|
$1,711.00 |
$2,572.80 |
$5,070.00 |
|
|
Str markers spec anal addl
|
$264.00 |
$264.00 |
$264.00 |
|
|
Str markers specimen anal
|
$1,479.00 |
$1,479.00 |
$1,784.48 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$172.52 |
|
|
Sugars single quant
|
$86.40 |
$128.40 |
$507.60 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$24,736.00 |
$24,736.00 |
$204,845.25 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$703.14 |
$703.14 |
$703.14 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$25.36 |
$50.71 |
$1,865.35 |
|
|
Support clav 29.6-40.5in med
|
$19.80 |
$24.60 |
$458.26 |
|
|
Supprelin la implant
|
$75,272.43 |
$75,272.43 |
$75,272.43 |
|
|
Surgical pathology level 1 gross examination only
|
$50.25 |
$122.39 |
$204.60 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$79.25 |
$199.80 |
$275.40 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$114.38 |
$268.50 |
$399.00 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$135.62 |
$369.60 |
$487.20 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$338.38 |
$611.40 |
$850.20 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$529.20 |
$910.80 |
$1,506.74 |
|
|
Susceptibility agar dilution per agent
|
$8.00 |
$84.60 |
$258.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$35.50 |
$67.80 |
$128.40 |
|
|
Susceptibility mic per plate
|
$5.50 |
$125.40 |
$3,512.93 |
|
|
Suscept studies macrobroth dilution ea
|
$113.03 |
$113.03 |
$113.03 |
|
|
Svc venogram s&i
|
$1,908.00 |
$1,908.00 |
$3,449.61 |
|
|
Swallowing Evaluation (Bedside)
|
$124.80 |
$215.00 |
$745.25 |
|
|
Swallowing Therapy Session
|
$72.00 |
$216.00 |
$540.89 |
|
|
Sweat collection by iontophoresis
|
$85.20 |
$189.50 |
$378.60 |
|
|
Synvisc or synvisc-one
|
$132.93 |
$352.60 |
$352.60 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.40 |
$81.00 |
$109.20 |
|
|
System cardiomems hosp electronics
|
$58,750.00 |
$58,750.00 |
$141,277.50 |
|
|
System pacing micra av
|
$35,112.50 |
$35,112.50 |
$109,489.85 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$14,337.00 |
$14,337.00 |
$28,152.00 |
|
|
T3 (triiodothyronine) free
|
$98.00 |
$267.60 |
$517.20 |
|
|
T3 (triiodothyronine) total
|
$101.88 |
$172.80 |
$363.60 |
|
|
T4 (thyroxine) free
|
$60.60 |
$132.00 |
$307.20 |
|
|
T4 (thyroxine) total
|
$42.50 |
$119.40 |
$194.40 |
|
|
Tacrol astagraf ex rel oral
|
$10.20 |
$39.65 |
$39.65 |
|
|
Tacrol envarsus ex rel oral
|
$44.23 |
$44.23 |
$44.23 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.47 |
$47.54 |
$98.02 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$612.11 |
$1,108.20 |
$2,603.90 |
|
|
Tacrolimus therapeutic drug level
|
$156.62 |
$304.20 |
$893.85 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$12.12 |
$3,396.50 |
$14,205.03 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$198.00 |
$219.00 |
$1,020.60 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$725.06 |
$16,658.82 |
$16,658.82 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$525.71 |
$19,613.80 |
$19,613.80 |
|
|
Target gsa panel hmtlmph neop
|
$1,284.00 |
$1,349.00 |
$6,292.82 |
|
|
Target gsa panel organ/hmtlmph neop
|
$2,762.40 |
$2,762.40 |
$10,874.98 |
|
|
Target gsa panel organ neop
|
$9,972.40 |
$9,972.40 |
$9,972.40 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$15,803.55 |
$15,803.55 |
$15,803.55 |
|
|
Tas congenital car anomal
|
$11,593.20 |
$11,593.20 |
$11,593.20 |
|
|
Tavr perq femoral
|
$19,833.60 |
$19,833.60 |
$25,821.50 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$422.65 |
$649.43 |
$1,673.46 |
|
|
Tbp gene detc abnor alleles
|
$303.32 |
$303.32 |
$303.32 |
|
|
Tbs techl calculation only
|
$153.60 |
$153.60 |
$419.19 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$222.00 |
$379.50 |
$396.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$123.00 |
$332.40 |
$778.49 |
|
|
Tc-99m bicisate
|
$1,718.19 |
$1,718.19 |
$13,186.86 |
|
|
Tc-99m depreotide
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
|
|
Tc-99m disofenin
|
$72.00 |
$72.00 |
$72.00 |
|
|
Tc-99m exame autol wbc diag per dose
|
$2,393.40 |
$2,393.40 |
$19,120.50 |
|
|
Tc-99m exametazime diag
|
$2,007.92 |
$2,007.92 |
$2,270.40 |
|
