|
Small bowel endoscopy
|
$335.65 |
$335.65 |
$335.65 |
$2,389.40
|
|
Small bowel endoscopy
|
$388.57 |
$388.57 |
$388.57 |
$2,638.57
|
|
Small bowel endoscopy
|
$526.26 |
$526.26 |
$526.26 |
$2,842.50
|
|
Small bowel endoscopy
|
$428.26 |
$428.26 |
$428.26 |
$1,620.78
|
|
Small bowel endoscopy
|
$210.21 |
$210.21 |
$210.21 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$261.66 |
$261.66 |
$261.66 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$248.43 |
$248.43 |
$248.43 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$216.58 |
$216.58 |
$216.58 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$408.66 |
$408.66 |
$408.66 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$276.85 |
$276.85 |
$276.85 |
$1,924.00
|
|
Small bowel endoscopy/stent 44370
|
$364.07 |
$364.07 |
$364.07 |
$4,925.70
|
|
Smear fluorescent and/or acid fast stain
|
$96.04 |
$96.04 |
$96.04 |
$64.20
|
|
Smear gram stain
|
$56.84 |
$56.84 |
$56.84 |
$55.25
|
|
Smear nasal eosinophil
|
$45.57 |
$45.57 |
$45.57 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$124.46 |
$124.46 |
$124.46 |
$73.15
|
|
Smear wet mount
|
$69.58 |
$69.58 |
$69.58 |
$67.49
|
|
Sock fracture or equal each
|
$21.02 |
$21.02 |
$21.02 |
$74.51
|
|
Sodium 24 hour urine
|
$48.02 |
$48.02 |
$48.02 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$101.31 |
$101.31 |
$101.31 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$101.31 |
$101.31 |
$101.31 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$48.76 |
$48.76 |
$48.76 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$101.31 |
$101.31 |
$101.31 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$71.27 |
$71.27 |
$71.27 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$443.04 |
$443.04 |
$443.04 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$59.29 |
$59.29 |
$59.29 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$242.55 |
$242.55 |
$242.55 |
$177.52
|
|
Somatropin injection
|
$685.64 |
$685.64 |
$685.64 |
$2,381.48
|
|
Specific gravity body fluid
|
$22.05 |
$22.05 |
$22.05 |
$22.00
|
|
Specimen fat stain
|
$27.44 |
$27.44 |
$27.44 |
$35.10
|
|
Speech audiometry complete
|
$33.32 |
$33.32 |
$33.32 |
$109.20
|
|
Speech evaluation complex
|
$274.89 |
$274.89 |
$274.89 |
$527.06
|
|
Speech recep thresh
|
$33.32 |
$33.32 |
$33.32 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$510.09 |
$510.09 |
$510.09 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$366.03 |
$366.03 |
$366.03 |
$543.26
|
|
Splenectomy total open 38100
|
$1,514.10 |
$1,514.10 |
$1,514.10 |
$2,166.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$50.16 |
$50.16 |
$50.16 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$64.34 |
$64.34 |
$64.34 |
$34.00
|
|
Split blood or products
|
$70.07 |
$70.07 |
$70.07 |
$127.48
|
|
St analysis behavior qualitative voice/resonance
|
$589.96 |
$589.96 |
$589.96 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$589.96 |
$589.96 |
$589.96 |
$286.00
|
|
Stem cells total count
|
$510.09 |
$510.09 |
$510.09 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$15,107.44 |
$15,107.44 |
$15,107.44 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,895.17 |
$2,895.17 |
$2,895.17 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$15,119.48 |
$15,119.48 |
$15,119.48 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$482.65 |
$482.65 |
$482.65 |
$4,939.20
|
|
Sternal debridement
|
$723.73 |
$723.73 |
$723.73 |
$1,318.40
|
|
St evaluate speech sound production
|
$589.96 |
$589.96 |
$589.96 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$291.55 |
$291.55 |
$291.55 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$589.96 |
$589.96 |
$589.96 |
$399.60
|
|
St evaluation swallow function
|
$293.02 |
$293.02 |
$293.02 |
$314.40
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$49.62 |
$49.62 |
$49.62 |
$5.04
|
|
Strapping of ankle and/or ft 29540
|
$147.49 |
$147.49 |
$147.49 |
$223.45
|
|
Strapping of chest
|
$161.21 |
$161.21 |
$161.21 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$211.19 |
$211.19 |
$211.19 |
$154.70
|
|
Strapping of hand or finger
|
$118.09 |
$118.09 |
$118.09 |
$174.82
|
|
Strapping of hip
|
$201.39 |
$201.39 |
$201.39 |
$164.70
|
|
Strapping of knee
|
$147.49 |
$147.49 |
$147.49 |
$205.20
|
|
Strapping of toes 29550
|
$147.49 |
$147.49 |
$147.49 |
$164.70
|
|
Strep a ag ia
|
$81.34 |
$81.34 |
$81.34 |
$75.40
|
|
Strep b dna amp probe
|
$53.90 |
$53.90 |
$53.90 |
$120.90
|
|
Stress test pulmonary
|
$90.65 |
$90.65 |
$90.65 |
$322.85
|
|
Stress tte complete
|
$1,545.95 |
$1,545.95 |
$1,545.95 |
$1,870.50
|
|
St treatment speech individual
|
$760.97 |
$760.97 |
$760.97 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$749.70 |
$749.70 |
$749.70 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$101.31 |
$101.31 |
$101.31 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$17,168.04 |
$17,168.04 |
$17,168.04 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$236.18 |
$236.18 |
$236.18 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$372.92 |
$372.92 |
$372.92 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$16.37 |
$16.37 |
$16.37 |
$94.19
|
|
Surg dx exam anorectal
|
$141.12 |
$141.12 |
$141.12 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$78.89 |
$78.89 |
$78.89 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$90.65 |
$90.65 |
$90.65 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$135.73 |
$135.73 |
$135.73 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$196.98 |
$196.98 |
$196.98 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$255.78 |
$255.78 |
$255.78 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$340.55 |
$340.55 |
$340.55 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$776.65 |
$776.65 |
$776.65 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$41.16 |
$41.16 |
$41.16 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$41.16 |
$41.16 |
$41.16 |
$35.70
|
|
Susceptibility mic per plate
|
$101.92 |
$101.92 |
$101.92 |
$106.00
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,391.11 |
$1,391.11 |
$1,391.11 |
$1,995.00
|
|
Synvisc or synvisc-one
|
$1,008.35 |
$1,008.35 |
$1,008.35 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$33.32 |
$33.32 |
$33.32 |
$41.60
|
|
System cardiomems hosp electronics
|
$20,374.20 |
$20,374.20 |
$20,374.20 |
$39,037.95
|
|
System pacing micra av
|
$20,175.75 |
$20,175.75 |
$20,175.75 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$9,415.35 |
$9,415.35 |
$9,415.35 |
$12,003.00
|
|
System sealant biosentry tract
|
$513.08 |
$513.08 |
$513.08 |
$889.35
|
|
T3 (triiodothyronine) free
|
$130.34 |
$130.34 |
$130.34 |
$99.20
|
|
T3 (triiodothyronine) total
|
$56.35 |
$56.35 |
$56.35 |
$93.52
|
|
T4 (thyroxine) free
|
$81.83 |
$81.83 |
$81.83 |
$85.20
|
|
T4 (thyroxine) total
|
$69.58 |
$69.58 |
$69.58 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$206.20 |
$206.20 |
$206.20 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$571.47 |
$571.47 |
$571.47 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$212.66 |
$212.66 |
$212.66 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,120.40 |
$3,120.40 |
$3,120.40 |
$2,762.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$25,369.31 |
$25,369.31 |
$25,369.31 |
$21,745.13
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$992.65 |
$992.65 |
$992.65 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$235.20 |
$235.20 |
$235.20 |
$177.65
|
|
Tc-99m bicisate
|
$2,879.24 |
$2,879.24 |
$2,879.24 |
$1,969.45
|
|
Tc-99m depreotide
|
$803.60 |
$803.60 |
$803.60 |
$1,486.80
|
