|
Sodium chloride 0.9 % IV bolus
|
$37.80 |
$37.80 |
$37.80 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$37.80 |
$37.80 |
$37.80 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$143.52 |
$143.52 |
$143.52 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$54.00 |
$54.00 |
$54.00 |
$45.60
|
|
Soft interface below knee se
|
$179.08 |
$179.08 |
$179.08 |
$179.08
|
|
So vest canvas/web pre ots
|
$377.96 |
$377.96 |
$377.96 |
$256.54
|
|
Specific gravity body fluid
|
$19.20 |
$19.20 |
$19.20 |
$22.00
|
|
Specimen fat stain
|
$10.80 |
$10.80 |
$10.80 |
$35.10
|
|
Sperm antibody test
|
$108.60 |
$108.60 |
$108.60 |
$57.85
|
|
Spirmtry w/brnchdil inf-2 yr
|
$520.80 |
$520.80 |
$520.80 |
$368.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$449.40 |
$449.40 |
$449.40 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,091.26 |
$1,091.26 |
$1,091.26 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$141.44 |
$141.44 |
$141.44 |
$68.25
|
|
Splint finger fold over sm
|
$208.00 |
$208.00 |
$208.00 |
$146.88
|
|
Splint finger frog med
|
$211.67 |
$211.67 |
$211.67 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$208.00 |
$208.00 |
$208.00 |
$99.04
|
|
Sputum specimen collection
|
$382.20 |
$382.20 |
$382.20 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$205.80 |
$205.80 |
$205.80 |
$297.60
|
|
Staph a dna amp probe
|
$82.20 |
$82.20 |
$82.20 |
$125.00
|
|
Static or dynami afo pre ots
|
$656.06 |
$656.06 |
$656.06 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$394.80 |
$394.80 |
$394.80 |
$286.00
|
|
Stem cells total count
|
$396.00 |
$396.00 |
$396.00 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,337.52 |
$47,337.52 |
$47,337.52 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$38,051.19 |
$38,051.19 |
$38,051.19 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,331.47 |
$41,331.47 |
$41,331.47 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$918.48 |
$918.48 |
$918.48 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$37.80 |
$37.80 |
$37.80 |
$13.32
|
|
Sternal pad
|
$237.41 |
$237.41 |
$237.41 |
$216.89
|
|
St evaluate speech sound production
|
$452.40 |
$452.40 |
$452.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$644.40 |
$644.40 |
$644.40 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$619.80 |
$619.80 |
$619.80 |
$399.60
|
|
St evaluation swallow function
|
$427.80 |
$427.80 |
$427.80 |
$314.40
|
|
Stimulants synthetic
|
$168.60 |
$168.60 |
$168.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$37.00 |
$37.00 |
$37.00 |
$31.58
|
|
Straight knee joint heavy du
|
$347.68 |
$347.68 |
$347.68 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$325.80 |
$325.80 |
$325.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$180.00 |
$180.00 |
$180.00 |
$154.70
|
|
Strapping of hand or finger
|
$74.40 |
$74.40 |
$74.40 |
$174.82
|
|
Strapping of knee
|
$141.60 |
$141.60 |
$141.60 |
$205.20
|
|
Strapping of toes 29550
|
$106.20 |
$106.20 |
$106.20 |
$164.70
|
|
Strep a ag ia
|
$36.00 |
$36.00 |
$36.00 |
$75.40
|
|
Strep b dna amp probe
|
$238.80 |
$238.80 |
$238.80 |
$120.90
|
|
Stress test pulmonary
|
$319.20 |
$319.20 |
$319.20 |
$322.85
|
|
Str markers specimen anal
|
$394.80 |
$394.80 |
$394.80 |
$751.50
|
|
St treatment speech individual
|
$319.80 |
$319.80 |
$319.80 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$312.00 |
$312.00 |
$312.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$52.31
|
|
Sugars single quant
|
$90.00 |
$90.00 |
$90.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,646.08 |
$3,646.08 |
$3,646.08 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$56.64 |
$56.64 |
$56.64 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$599.08 |
$599.08 |
$599.08 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$71.40 |
$71.40 |
$71.40 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$130.20 |
$130.20 |
$130.20 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$223.20 |
$223.20 |
$223.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$291.00 |
$291.00 |
$291.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$451.80 |
$451.80 |
$451.80 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$52.20 |
$52.20 |
$52.20 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$35.40 |
$35.40 |
$35.40 |
$35.70
|
|
Susceptibility mic per plate
|
$69.60 |
$69.60 |
$69.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$66.60 |
$66.60 |
$66.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$251.38 |
$251.38 |
$251.38 |
$251.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$47.40 |
$47.40 |
$47.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$49,860.18 |
$49,860.18 |
$49,860.18 |
$39,037.95
|
|
System pacing micra av
|
$43,824.47 |
$43,824.47 |
$43,824.47 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,174.83 |
$21,174.83 |
$21,174.83 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,041.51 |
$18,041.51 |
$18,041.51 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$301.80 |
$301.80 |
$301.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$124.80 |
$124.80 |
$124.80 |
$93.52
|
|
T4 (thyroxine) free
|
$96.60 |
$96.60 |
$96.60 |
$85.20
|
|
T4 (thyroxine) total
|
$75.00 |
$75.00 |
$75.00 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.00 |
$3.00 |
$3.00 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$67.20 |
$67.20 |
$67.20 |
$122.40
|
|
Talymed
|
$3,411.49 |
$3,411.49 |
$3,411.49 |
$3,411.49
|
|
Target gsa panel hmtlmph neop
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,345.20 |
$4,345.20 |
$4,345.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$992.40 |
$992.40 |
$992.40 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,727.58 |
$1,727.58 |
$1,727.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$170.40 |
$170.40 |
$170.40 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$156.60 |
$156.60 |
$156.60 |
$177.65
|
|
Tc-99m sulfur colloid
|
$101.40 |
$101.40 |
$101.40 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$332.40 |
$332.40 |
$332.40 |
$176.40
|
|
T cells absolute cd 4 count
|
$49.20 |
$49.20 |
$49.20 |
$111.20
|
|
T cells total count
|
$88.80 |
$88.80 |
$88.80 |
$126.90
|
|
Telehealth original site facility fee
|
$66.00 |
$66.00 |
$66.00 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$35,844.18 |
$35,844.18 |
$35,844.18 |
$15,245.38
|
|
Tension based scoliosis orth
|
$7,573.03 |
$7,573.03 |
$7,573.03 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$335.00
|
|
Test for chlorohydrocarbons
|
$138.00 |
$138.00 |
$138.00 |
$65.00
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$610.71 |
$610.71 |
$610.71 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,804.46 |
$2,804.46 |
$2,804.46 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$81.00 |
$81.00 |
$81.00 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$78.60 |
$78.60 |
$78.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$97.20 |
$97.20 |
$97.20 |
$50.00
|
|
Ther/proph/diag inj ia
|
$240.60 |
$240.60 |
$240.60 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.28 |
$11.28 |
$11.28 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$805.06 |
$805.06 |
$805.06 |
$715.23
|
