|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,560.48 |
$1,560.48 |
$1,560.48 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,566.61 |
$2,566.61 |
$2,566.61 |
$559.96
|
|
Split blood or products
|
$127.48 |
$127.48 |
$127.48 |
$148.98
|
|
Srs linear based
|
$24,243.54 |
$24,243.54 |
$24,243.54 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$911.40 |
$911.40 |
$911.40 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$810.99 |
$810.99 |
$810.99 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$41,046.48 |
$41,046.48 |
$41,046.48 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,067.55 |
$24,067.55 |
$24,067.55 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$12,783.55 |
$12,783.55 |
$12,783.55 |
$9,276.80
|
|
St evaluate speech sound production
|
$911.40 |
$911.40 |
$911.40 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$911.40 |
$911.40 |
$911.40 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$891.40 |
$891.40 |
$891.40 |
$406.40
|
|
St evaluation swallow function
|
$911.40 |
$911.40 |
$911.40 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$660.00 |
$660.00 |
$660.00 |
$248.05
|
|
Strapping of hand or finger
|
$546.91 |
$546.91 |
$546.91 |
$194.40
|
|
Strapping of hip
|
$415.51 |
$415.51 |
$415.51 |
$170.08
|
|
Strapping of knee
|
$415.51 |
$415.51 |
$415.51 |
$224.80
|
|
Strapping of toes 29550
|
$415.51 |
$415.51 |
$415.51 |
$185.36
|
|
Strep b dna amp probe
|
$413.96 |
$413.96 |
$413.96 |
$139.20
|
|
Stress test pulmonary
|
$1,108.08 |
$1,108.08 |
$1,108.08 |
$327.20
|
|
Stress tte complete
|
$3,600.21 |
$3,600.21 |
$3,600.21 |
$1,964.95
|
|
St treatment speech individual
|
$331.41 |
$331.41 |
$331.41 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$476.91 |
$476.91 |
$476.91 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$293.76 |
$293.76 |
$293.76 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$309.75 |
$309.75 |
$309.75 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$158.03 |
$158.03 |
$158.03 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$627.62 |
$627.62 |
$627.62 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,076.73 |
$1,076.73 |
$1,076.73 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,259.02 |
$1,259.02 |
$1,259.02 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,431.87 |
$1,431.87 |
$1,431.87 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,591.37 |
$1,591.37 |
$1,591.37 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,892.94 |
$1,892.94 |
$1,892.94 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$72.85 |
$72.85 |
$72.85 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$113.19 |
$113.19 |
$113.19 |
$34.48
|
|
Susceptibility mic per plate
|
$280.49 |
$280.49 |
$280.49 |
$94.38
|
|
Svc venogram s&i
|
$8,368.27 |
$8,368.27 |
$8,368.27 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$3,117.85 |
$3,117.85 |
$3,117.85 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$293.07 |
$293.07 |
$293.07 |
$44.85
|
|
T3 (triiodothyronine) free
|
$399.58 |
$399.58 |
$399.58 |
$89.82
|
|
T3 (triiodothyronine) total
|
$199.14 |
$199.14 |
$199.14 |
$94.90
|
|
T4 (thyroxine) free
|
$163.17 |
$163.17 |
$163.17 |
$81.60
|
|
T4 (thyroxine) total
|
$160.61 |
$160.61 |
$160.61 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$382.46 |
$382.46 |
$382.46 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$53,175.56 |
$53,175.56 |
$53,175.56 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,111.40 |
$3,111.40 |
$3,111.40 |
$1,913.00
|
|
Tavr perq femoral
|
$35,655.03 |
$35,655.03 |
$35,655.03 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$5,780.33 |
$5,780.33 |
$5,780.33 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$885.08 |
$885.08 |
$885.08 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$850.28 |
$850.28 |
$850.28 |
$186.00
|
|
T cells absolute cd 4 count
|
$385.80 |
$385.80 |
$385.80 |
$120.25
|
|
T cells total count
|
$667.10 |
$667.10 |
$667.10 |
$124.11
|
|
Teaec w/wo patch graft iliofemoral
|
$55,502.48 |
$55,502.48 |
$55,502.48 |
$5,030.40
|
|
Telethx isodose plan cplx
|
$1,000.40 |
$1,000.40 |
$1,000.40 |
$1,617.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.31 |
$39.31 |
$39.31 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$474.78 |
$474.78 |
$474.78 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$2,294.01 |
$2,294.01 |
$2,294.01 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$65,323.13 |
$65,323.13 |
$65,323.13 |
$9,460.16
|
|
Therapeutic procd strg endur
|
$266.72 |
$266.72 |
$266.72 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$103.88 |
$103.88 |
$103.88 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$103.88 |
$103.88 |
$103.88 |
$50.40
|
|
Ther/proph/diag inj ia
|
$452.22 |
$452.22 |
$452.22 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$245.37 |
$245.37 |
$245.37 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$6,134.21 |
$6,134.21 |
$6,134.21 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$5,211.81 |
$5,211.81 |
$5,211.81 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,201.60 |
$9,201.60 |
$9,201.60 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$26,836.28 |
$26,836.28 |
$26,836.28 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$43,147.59 |
$43,147.59 |
$43,147.59 |
$24,605.30
|
|
Thrombin time
|
$158.19 |
$158.19 |
$158.19 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$55,502.48 |
$55,502.48 |
$55,502.48 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$350.44 |
$350.44 |
$350.44 |
$56.93
|
|
Thyroglobulin antibody
|
$353.76 |
$353.76 |
$353.76 |
$84.00
|
|
Thyroid mets imag whole body
|
$4,708.78 |
$4,708.78 |
$4,708.78 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$271.09 |
$271.09 |
$271.09 |
$120.00
|
|
Thyroid Ultrasound
|
$2,361.79 |
$2,361.79 |
$2,361.79 |
$589.96
|
|
Tib/per revasc stent & ather 37231
|
$23,001.04 |
$23,001.04 |
$23,001.04 |
$21,900.00
|
|
Tib/per revasc w/ather add-on 37233
|
$19,169.06 |
$19,169.06 |
$19,169.06 |
$10,406.14
|
|
Tilt table study
|
$1,576.10 |
$1,576.10 |
$1,576.10 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$2,332.34 |
$2,332.34 |
$2,332.34 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$299.24 |
$299.24 |
$299.24 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$211.07 |
$211.07 |
$211.07 |
$2,516.07
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$206.15 |
$206.15 |
$206.15 |
$1,679.65
|
|
Tissue transglutaminase iga
|
$357.34 |
$357.34 |
$357.34 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$152.16 |
$152.16 |
$152.16 |
$141.75
|
|
Tobramycin peak therapeutic drug level
|
$278.76 |
$278.76 |
$278.76 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$11,744.44 |
$11,744.44 |
$11,744.44 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$170.48 |
$170.48 |
$170.48 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$298.27 |
$298.27 |
$298.27 |
$404.20
|
|
Toxoplasma antibody igg
|
$327.22 |
$327.22 |
$327.22 |
$84.35
|
|
Toxoplasma antibody igm
|
$341.36 |
$341.36 |
$341.36 |
$83.20
|
|
Tpmt gene com vrnts
|
$2,164.44 |
$2,164.44 |
$2,164.44 |
$381.55
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$197.24 |
$197.24 |
$197.24 |
$104.50
|
|
Transcath biopsy
|
$6,435.43 |
$6,435.43 |
$6,435.43 |
$4,298.05
|
|
Transcath closure of asd
|
$24,394.58 |
$24,394.58 |
$24,394.58 |
$18,772.00
|
|
Transcatheter bx s&i
|
$8,479.73 |
$8,479.73 |
$8,479.73 |
$1,875.96
|
|
Transcath mv repair init prosthesis
|
$34,381.21 |
$34,381.21 |
$34,381.21 |
$17,106.18
|
|
Transferrin
|
$317.34 |
$317.34 |
$317.34 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,396.10 |
$2,396.10 |
$2,396.10 |
$988.24
|
|
Trauma partial team response w/critical care services level 4
|
$7,752.20 |
$7,752.20 |
$7,752.20 |
$5,455.00
|
|
Treat ankle dislocation
|
$16,601.76 |
$16,601.76 |
$16,601.76 |
$2,207.20
|
|
Treat clavicle dislocation 23545
|
$2,628.95 |
$2,628.95 |
$2,628.95 |
$734.00
|