|
Skull X-ray (1 to 3 views)
|
$193.05 |
$193.05 |
$193.05 |
$294.45
|
|
Skyla, 13.5 mg
|
$5,297.60 |
$5,297.60 |
$5,297.60 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$3,734.50
|
|
Sleep study unattended
|
$565.00 |
$565.00 |
$565.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$44.69 |
$44.69 |
$44.69 |
$203.58
|
|
Sleeve irr assura 1pc disp
|
$2.60 |
$2.60 |
$2.60 |
$0.65
|
|
Sling arm deluxe w/pad xs
|
$658.98 |
$658.98 |
$658.98 |
$30.35
|
|
Sling pelv split sam med
|
$171.94 |
$171.94 |
$171.94 |
$150.00
|
|
Sling suprapubic suburetheral
|
$9,197.11 |
$9,197.11 |
$9,197.11 |
$9,679.96
|
|
Slp pure tone screening
|
$29.90 |
$29.90 |
$29.90 |
$64.50
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$50.70 |
$50.70 |
$50.70 |
$64.35
|
|
Smear gram stain
|
$35.75 |
$35.75 |
$35.75 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$64.35 |
$64.35 |
$64.35 |
$73.50
|
|
Smear wet mount
|
$41.60 |
$41.60 |
$41.60 |
$67.55
|
|
Sock wool above knee
|
$164.80 |
$164.80 |
$164.80 |
$51.18
|
|
Sodium 24 hour urine
|
$74.10 |
$74.10 |
$74.10 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$25.00 |
$25.00 |
$25.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$22.50 |
$22.50 |
$22.50 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$34.50 |
$34.50 |
$34.50 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$30.00 |
$30.00 |
$30.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$40.85 |
$40.85 |
$40.85 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$196.95 |
$196.95 |
$196.95 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$495.00 |
$495.00 |
$495.00 |
$177.52
|
|
Specific gravity body fluid
|
$30.55 |
$30.55 |
$30.55 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$428.35 |
$428.35 |
$428.35 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$245.70 |
$245.70 |
$245.70 |
$246.87
|
|
Splint arm vnyl coated padded lft med
|
$13.00 |
$13.00 |
$13.00 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$34.48 |
$34.48 |
$34.48 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$59.80 |
$59.80 |
$59.80 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$2.21 |
$2.21 |
$2.21 |
$34.00
|
|
Splint finger fold over sm
|
$1.74 |
$1.74 |
$1.74 |
$146.88
|
|
Splint finger frog med
|
$2.16 |
$2.16 |
$2.16 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$4.16 |
$4.16 |
$4.16 |
$5.60
|
|
Splint func pos polyflex ii med
|
$26.88 |
$26.88 |
$26.88 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$120.09 |
$120.09 |
$120.09 |
$99.04
|
|
Sr-89 stront chlor ther / mci
|
$40,862.00 |
$40,862.00 |
$40,862.00 |
$2,515.15
|
|
St analysis behavior qualitative voice/resonance
|
$286.65 |
$286.65 |
$286.65 |
$297.60
|
|
Staph a dna amp probe
|
$100.10 |
$100.10 |
$100.10 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$408.85 |
$408.85 |
$408.85 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$37,700.00 |
$37,700.00 |
$37,700.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,760.86 |
$5,760.86 |
$5,760.86 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$21,773.70 |
$21,773.70 |
$21,773.70 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,673.50 |
$4,673.50 |
$4,673.50 |
$4,631.82
|
|
St evaluate speech sound production
|
$336.70 |
$336.70 |
$336.70 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$312.65 |
$312.65 |
$312.65 |
$400.00
|
|
Strap chin dlx f/cpap
|
$27.92 |
$27.92 |
$27.92 |
$34.90
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$1.01 |
$1.01 |
$1.01 |
$5.04
|
|
Strep a ag ia
|
$66.30 |
$66.30 |
$66.30 |
$75.40
|
|
Stress test pulmonary
|
$273.65 |
$273.65 |
$273.65 |
$324.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$77.20 |
$77.20 |
$77.20 |
$54.80
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$17.70 |
$17.70 |
$17.70 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$111.80 |
$111.80 |
$111.80 |
$94.08
|
|
Surgical pathology level 3 gross & microscopic examination
|
$122.20 |
$122.20 |
$122.20 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$178.10 |
$178.10 |
$178.10 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$321.10 |
$321.10 |
$321.10 |
$480.60
|
|
Susceptibility mic per plate
|
$89.70 |
$89.70 |
$89.70 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$293.15 |
$293.15 |
$293.15 |
$316.80
|
|
Swallowing Therapy Session
|
$221.00 |
$221.00 |
$221.00 |
$232.56
|
|
Synvisc or synvisc-one
|
$6,298.90 |
$6,298.90 |
$6,298.90 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.45 |
$21.45 |
$21.45 |
$42.24
|
|
System cardiomems hosp electronics
|
$27,950.00 |
$27,950.00 |
$27,950.00 |
$38,234.70
|
|
System pacing micra av
|
$19,500.00 |
$19,500.00 |
$19,500.00 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$31,528.90 |
$31,528.90 |
$31,528.90 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$8,508.50 |
$8,508.50 |
$8,508.50 |
$11,183.00
|
|
System sealant biosentry tract
|
$812.54 |
$812.54 |
$812.54 |
$889.35
|
|
T3 (triiodothyronine) free
|
$122.20 |
$122.20 |
$122.20 |
$100.32
|
|
T3 (triiodothyronine) total
|
$96.85 |
$96.85 |
$96.85 |
$93.52
|
|
T4 (thyroxine) free
|
$78.65 |
$78.65 |
$78.65 |
$89.60
|
|
T4 (thyroxine) total
|
$52.65 |
$52.65 |
$52.65 |
$70.20
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,208.10 |
$1,208.10 |
$1,208.10 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$158.60 |
$158.60 |
$158.60 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,272.00 |
$4,272.00 |
$4,272.00 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$221.65 |
$221.65 |
$221.65 |
$289.20
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$88,021.00 |
$88,021.00 |
$88,021.00 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$35,941.50 |
$35,941.50 |
$35,941.50 |
$21,745.13
|
|
Tape plstc 1inx5yd hosp tb pk
|
$12.14 |
$12.14 |
$12.14 |
$2.06
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,350.00 |
$46,350.00 |
$46,350.00 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$463.10 |
$463.10 |
$463.10 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$221.65 |
$221.65 |
$221.65 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$164.45 |
$164.45 |
$164.45 |
$179.95
|
|
Tc-99m apcitide diag
|
$1,765.30 |
$1,765.30 |
$1,765.30 |
$1,181.70
|
|
Tc-99m arcitumomab
|
$4,224.15 |
$4,224.15 |
$4,224.15 |
$2,085.68
|
|
Tc-99m bicisate
|
$7,128.20 |
$7,128.20 |
$7,128.20 |
$2,070.00
|
|
Tc-99m depreotide
|
$1,937.35 |
$1,937.35 |
$1,937.35 |
$1,486.80
|
|
Tc-99m diag per dose
|
$575.50 |
$575.50 |
$575.50 |
$470.40
|
|
Tc-99m disofenin
|
$339.80 |
$339.80 |
$339.80 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$8,194.15 |
$8,194.15 |
$8,194.15 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$7,382.05 |
$7,382.05 |
$7,382.05 |
$2,135.70
|
|
Tc-99m fanolesomab diag
|
$17,688.75 |
$17,688.75 |
$17,688.75 |
$2,115.12
|
|
Tc-99m gluceptate
|
$1,105.40 |
$1,105.40 |
$1,105.40 |
$31.35
|
|
Tc-99m labeled rbc
|
$857.40 |
$857.40 |
$857.40 |
$306.00
|
|
Tc-99m maa
|
$760.95 |
$760.95 |
$760.95 |
$312.06
|
|
Tc-99m mebrofenin
|
$308.25 |
$308.25 |
$308.25 |
$157.65
|
|
Tc-99m medronate
|
$210.35 |
$210.35 |
$210.35 |
$111.01
|
|
Tc-99m mertiatide
|
$1,340.90 |
$1,340.90 |
$1,340.90 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$1.00 |
$1.00 |
$1.00 |
$8.00
|
|
Tc-99m oxidronate
|
$199.60 |
$199.60 |
$199.60 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$627.25 |
$627.25 |
$627.25 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$627.25 |
$627.25 |
$627.25 |
$191.50
|
