|
Special radiation treatment
|
$941.70 |
$941.70 |
$1,605.50 |
$1,934.03
|
|
Special teletx port plan
|
$613.36 |
$613.36 |
$1,045.97 |
$1,046.65
|
|
Specific gravity body fluid
|
$16.47 |
$16.47 |
$20.65 |
$23.63
|
|
Specimen fat stain
|
$24.11 |
$24.11 |
$30.22 |
$32.76
|
|
Speech evaluation complex
|
$207.75 |
$207.75 |
$207.75 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$925.46 |
$925.46 |
$1,160.34 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$145.41 |
$145.41 |
$170.54 |
$559.96
|
|
Spleen imaging
|
$271.14 |
$271.14 |
$317.99 |
$539.70
|
|
Splint extn xsm w sof-stretch rolyan
|
$130.55 |
$130.55 |
$130.55 |
$52.65
|
|
Split blood or products
|
$64.67 |
$64.67 |
$75.85 |
$148.98
|
|
Sputum specimen collection
|
$171.52 |
$171.52 |
$215.05 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$5,176.74 |
$5,176.74 |
$5,176.74 |
$4,588.65
|
|
Srs linear based
|
$4,495.08 |
$4,495.08 |
$7,665.57 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$229.76 |
$229.76 |
$269.46 |
$300.00
|
|
Staph a dna amp probe
|
$31.34 |
$31.34 |
$36.75 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$109.26 |
$109.26 |
$128.14 |
$313.96
|
|
Stem cells total count
|
$66.28 |
$66.28 |
$77.73 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$26,513.50 |
$26,513.50 |
$26,513.50 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$7,057.43 |
$7,057.43 |
$8,848.58 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$377.34 |
$377.34 |
$473.10 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,835.66 |
$1,835.66 |
$2,301.54 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,487.50 |
$11,487.50 |
$13,472.51 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$10,108.95 |
$10,108.95 |
$11,855.75 |
$9,276.80
|
|
St evaluate speech sound production
|
$159.47 |
$159.47 |
$187.02 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$123.32 |
$123.32 |
$244.97 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$259.09 |
$259.09 |
$331.39 |
$406.40
|
|
St evaluation swallow function
|
$219.72 |
$219.72 |
$396.86 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$73.51 |
$73.51 |
$92.17 |
$248.05
|
|
Strapping of chest
|
$74.31 |
$74.31 |
$74.31 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$57.85 |
$57.85 |
$72.53 |
$171.00
|
|
Strapping of hand or finger
|
$56.64 |
$56.64 |
$66.43 |
$194.40
|
|
Strapping of hip
|
$93.60 |
$93.60 |
$93.60 |
$170.08
|
|
Strapping of knee
|
$100.83 |
$100.83 |
$126.41 |
$224.80
|
|
Strapping of toes 29550
|
$94.80 |
$94.80 |
$118.86 |
$185.36
|
|
Strep a ag ia
|
$38.97 |
$38.97 |
$45.70 |
$75.40
|
|
Strep b assay w/optic
|
$253.46 |
$253.46 |
$317.79 |
$32.00
|
|
Strep b dna amp probe
|
$36.96 |
$36.96 |
$46.34 |
$139.20
|
|
Stress test pulmonary
|
$175.94 |
$175.94 |
$206.34 |
$327.20
|
|
Str markers specimen anal
|
$804.16 |
$804.16 |
$1,008.25 |
$835.28
|
|
St treatment speech individual
|
$160.27 |
$160.27 |
$213.04 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$90.78 |
$90.78 |
$195.41 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$45.85 |
$45.85 |
$57.49 |
$49.13
|
|
Sugars single quant
|
$80.74 |
$80.74 |
$94.69 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$187.19 |
$187.19 |
$234.69 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$73.12 |
$73.12 |
$91.67 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$41.38 |
$41.38 |
$48.53 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$120.51 |
$120.51 |
$141.33 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$144.61 |
$144.61 |
$181.31 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$187.99 |
$187.99 |
$235.70 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$360.71 |
$360.71 |
$452.25 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$402.08 |
$402.08 |
$471.56 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$96.01 |
$96.01 |
$112.59 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$25.71 |
$25.71 |
$32.24 |
$34.48
|
|
Susceptibility mic per plate
|
$125.33 |
$125.33 |
$157.13 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$63.87 |
$63.87 |
$80.08 |
$48.30
|
|
Svc venogram s&i
|
$1,682.22 |
$1,682.22 |
$1,972.90 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$60.46 |
$60.46 |
$75.80 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$12.06 |
$12.06 |
$15.11 |
$44.85
|
|
System pacing micra av
|
$4,908.47 |
$4,908.47 |
$6,154.22 |
$24,469.57
|
|
T3 (triiodothyronine) free
|
$70.30 |
$70.30 |
$88.14 |
$89.82
|
|
T3 (triiodothyronine) total
|
$89.98 |
$89.98 |
$105.53 |
$94.90
|
|
T4 (thyroxine) free
|
$96.41 |
$96.41 |
$113.06 |
$81.60
|
|
T4 (thyroxine) total
|
$48.53 |
$48.53 |
$98.01 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$48.27 |
$48.27 |
$60.51 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$57.04 |
$57.04 |
$66.90 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$1,449.25 |
$1,449.25 |
$1,817.06 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$251.05 |
$251.05 |
$314.77 |
$638.65
|
|
Target gsa panel hmtlmph neop
|
$762.79 |
$762.79 |
$762.79 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$2,513.28 |
$2,513.28 |
$3,151.14 |
$3,385.00
|
|
Target gsa panel organ neop
|
$240.21 |
$240.21 |
$301.17 |
$1,913.00
|
|
Tavr perq femoral
|
$1,713.55 |
$1,713.55 |
$1,914.02 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,180.10 |
$1,180.10 |
$1,479.60 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$145.01 |
$145.01 |
$170.07 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$56.24 |
$56.24 |
$70.51 |
$166.46
|
|
Tc-99m sulfur colloid
|
$162.31 |
$162.31 |
$203.50 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$116.09 |
$116.09 |
$145.55 |
$186.00
|
|
T cells absolute cd 4 count
|
$83.55 |
$83.55 |
$104.76 |
$120.25
|
|
T cells total count
|
$124.52 |
$124.52 |
$156.13 |
$124.11
|
|
Tee w or without fol w/cont,cong
|
$907.31 |
$907.31 |
$907.31 |
$1,995.40
|
|
Telavancin injection
|
$842.79 |
$842.79 |
$1,056.69 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$578.49 |
$578.49 |
$986.52 |
$1,617.00
|
|
Telethx isodose plan simple
|
$225.65 |
$225.65 |
$385.21 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$1,949.86 |
$1,949.86 |
$2,444.73 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$16,559.52 |
$16,559.52 |
$20,762.26 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.08 |
$22.08 |
$27.68 |
$46.10
|
|
Test for porphobilinogen
|
$42.58 |
$42.58 |
$49.94 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$362.32 |
$362.32 |
$424.92 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$52.62 |
$52.62 |
$61.72 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,013.43 |
$1,013.43 |
$1,080.67 |
$1,001.55
|
|
Test urine for porphyrins
|
$31.74 |
$31.74 |
$37.22 |
$27.30
|
|
Tetanus immune globulin inj
|
$816.69 |
$816.69 |
$1,023.96 |
$1,204.50
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$9,541.55 |
$9,541.55 |
$11,963.15 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$57.85 |
$57.85 |
$67.84 |
$108.00
|
|
Therapeutic procd strg endur
|
$93.19 |
$93.19 |
$109.30 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$23.30 |
$23.30 |
$27.33 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$22.50 |
$22.50 |
$26.39 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$302.06 |
$302.06 |
$354.26 |
$534.32
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$32.20 |
$32.20 |
$40.36 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$670.80 |
$670.80 |
$841.05 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$246.63 |
$246.63 |
$289.25 |
$3,580.00
|