|
Stent bili dbl pgtl 10fx5cm
|
$398.57 |
$398.57 |
$398.57 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,938.97 |
$1,938.97 |
$1,938.97 |
$18,472.24
|
|
St evaluate speech sound production
|
$179.05 |
$179.05 |
$179.05 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$124.74 |
$124.74 |
$124.74 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$273.24 |
$273.24 |
$273.24 |
$406.40
|
|
St evaluation swallow function
|
$197.30 |
$197.30 |
$197.30 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$75.10 |
$75.10 |
$75.10 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$90.80 |
$90.80 |
$90.80 |
$171.00
|
|
Strapping of hand or finger
|
$88.26 |
$88.26 |
$88.26 |
$194.40
|
|
Strapping of knee
|
$116.68 |
$116.68 |
$116.68 |
$224.80
|
|
Strapping of toes 29550
|
$73.41 |
$73.41 |
$73.41 |
$185.36
|
|
Stress test pulmonary
|
$137.47 |
$137.47 |
$137.47 |
$327.20
|
|
St treatment speech individual
|
$104.38 |
$104.38 |
$104.38 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$86.56 |
$86.56 |
$86.56 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$48.43 |
$48.43 |
$48.43 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$15.70 |
$15.70 |
$15.70 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$77.23 |
$77.23 |
$77.23 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$36.49 |
$36.49 |
$36.49 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$53.89 |
$53.89 |
$53.89 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$84.01 |
$84.01 |
$84.01 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$158.69 |
$158.69 |
$158.69 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$228.27 |
$228.27 |
$228.27 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$228.27 |
$228.27 |
$228.27 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$106.50 |
$106.50 |
$106.50 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$39.04 |
$39.04 |
$39.04 |
$34.48
|
|
Susceptibility mic per plate
|
$40.31 |
$40.31 |
$40.31 |
$94.38
|
|
Synvisc or synvisc-one
|
$63.86 |
$63.86 |
$63.86 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$7.22 |
$7.22 |
$7.22 |
$44.85
|
|
System pacing micra av
|
$5,184.72 |
$5,184.72 |
$5,184.72 |
$22,733.55
|
|
T3 (triiodothyronine) free
|
$83.59 |
$83.59 |
$83.59 |
$89.82
|
|
T3 (triiodothyronine) total
|
$126.87 |
$126.87 |
$126.87 |
$94.90
|
|
T4 (thyroxine) free
|
$95.89 |
$95.89 |
$95.89 |
$81.60
|
|
T4 (thyroxine) total
|
$85.71 |
$85.71 |
$85.71 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$50.98 |
$50.98 |
$50.98 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$103.53 |
$103.53 |
$103.53 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$1,530.81 |
$1,530.81 |
$1,530.81 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$265.18 |
$265.18 |
$265.18 |
$638.65
|
|
Target gsa panel organ neop
|
$253.73 |
$253.73 |
$253.73 |
$1,913.00
|
|
Tavr perq femoral
|
$1,905.03 |
$1,905.03 |
$1,905.03 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,246.51 |
$1,246.51 |
$1,246.51 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$157.41 |
$157.41 |
$157.41 |
$166.46
|
|
Tc-99m sulfur colloid
|
$171.44 |
$171.44 |
$171.44 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$108.20 |
$108.20 |
$108.20 |
$186.00
|
|
T cells absolute cd 4 count
|
$32.25 |
$32.25 |
$32.25 |
$120.25
|
|
T cells total count
|
$86.13 |
$86.13 |
$86.13 |
$124.11
|
|
Telavancin injection
|
$890.23 |
$890.23 |
$890.23 |
$1,216.45
|
|
Telehealth original site facility fee
|
$42.86 |
$42.86 |
$42.86 |
$44.85
|
|
Telethx isodose plan cplx
|
$303.79 |
$303.79 |
$303.79 |
$1,617.00
|
|
Telethx isodose plan simple
|
$275.36 |
$275.36 |
$275.36 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,059.60 |
$2,059.60 |
$2,059.60 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$17,491.49 |
$17,491.49 |
$17,491.49 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.32 |
$23.32 |
$23.32 |
$44.49
|
|
Test for urine cystines
|
$210.45 |
$210.45 |
$210.45 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$465.87 |
$465.87 |
$465.87 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$50.49 |
$50.49 |
$50.49 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$876.99 |
$876.99 |
$876.99 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$862.65 |
$862.65 |
$862.65 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$10,078.54 |
$10,078.54 |
$10,078.54 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$67.89 |
$67.89 |
$67.89 |
$108.00
|
|
Therapeutic procd strg endur
|
$49.65 |
$49.65 |
$49.65 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$31.40 |
$31.40 |
$31.40 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$25.89 |
$25.89 |
$25.89 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$529.08 |
$529.08 |
$529.08 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$34.01 |
$34.01 |
$34.01 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$870.21 |
$870.21 |
$870.21 |
$1,804.00
|
|
Thrombin time
|
$21.64 |
$21.64 |
$21.64 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$16.55 |
$16.55 |
$16.55 |
$56.93
|
|
Thromboxane urine
|
$321.19 |
$321.19 |
$321.19 |
$52.22
|
|
Thyroglobulin antibody
|
$56.86 |
$56.86 |
$56.86 |
$84.00
|
|
Thyroid imaging
|
$525.69 |
$525.69 |
$525.69 |
$670.80
|
|
Thyroid mets imag whole body
|
$907.54 |
$907.54 |
$907.54 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$65.34 |
$65.34 |
$65.34 |
$120.00
|
|
Thyroid Ultrasound
|
$631.34 |
$631.34 |
$631.34 |
$589.96
|
|
Thyroid uptake measurement
|
$852.81 |
$852.81 |
$852.81 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$5,161.56 |
$5,161.56 |
$5,161.56 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$64.92 |
$64.92 |
$64.92 |
$63.60
|
|
Tigecycline injection
|
$119.89 |
$119.89 |
$119.89 |
$308.75
|
|
Tirofiban 12.5 mg/50 ml
|
$384.17 |
$384.17 |
$384.17 |
$360.60
|
|
Tissue culture placenta
|
$1,872.36 |
$1,872.36 |
$1,872.36 |
$520.91
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$104.61 |
$104.61 |
$104.61 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$84.01 |
$84.01 |
$84.01 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$60.25 |
$60.25 |
$60.25 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$58.98 |
$58.98 |
$58.98 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$259.97 |
$259.97 |
$259.97 |
$303.88
|
|
Total tau
|
$63.22 |
$63.22 |
$63.22 |
$293.00
|
|
Toxoplasma antibody igg
|
$194.75 |
$194.75 |
$194.75 |
$84.35
|
|
Toxoplasma antibody igm
|
$194.75 |
$194.75 |
$194.75 |
$83.20
|
|
Tpmt gene com vrnts
|
$194.75 |
$194.75 |
$194.75 |
$381.55
|
|
Trabectedin 1 mg intravenous solution
|
$8,958.00 |
$8,958.00 |
$8,958.00 |
$6,133.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$514.66 |
$514.66 |
$514.66 |
$1,459.48
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$76.38 |
$76.38 |
$76.38 |
$93.75
|
|
Transcath biopsy
|
$5,633.18 |
$5,633.18 |
$5,633.18 |
$4,298.05
|
|
Transcath mv repair addl prosthesis
|
$9,645.61 |
$9,645.61 |
$9,645.61 |
$5,118.10
|
|
Transcath mv repair init prosthesis
|
$1,691.19 |
$1,691.19 |
$1,691.19 |
$17,106.18
|
|
Transferrin
|
$72.13 |
$72.13 |
$72.13 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$520.60 |
$520.60 |
$520.60 |
$988.24
|
|
Trastuzumab 150 mg intravenous solution
|
$4,490.85 |
$4,490.85 |
$4,490.85 |
$3,401.26
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$9,111.40 |
$9,111.40 |
$9,111.40 |
$7,620.16
|
|
Treat ankle dislocation
|
$1,270.73 |
$1,270.73 |
$1,270.73 |
$2,207.20
|
|
Treat elbow dislocation
|
$1,108.23 |
$1,108.23 |
$1,108.23 |
$2,326.40
|
