|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$32.94 |
$32.94 |
$32.94 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$33.72 |
$33.72 |
$33.72 |
$42.70
|
|
Specific gravity body fluid
|
$11.73 |
$11.73 |
$11.73 |
$23.63
|
|
Specimen fat stain
|
$31.89 |
$31.89 |
$31.89 |
$32.76
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$610.19 |
$610.19 |
$610.19 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$331.67 |
$331.67 |
$331.67 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$426.22 |
$426.22 |
$426.22 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$119.11 |
$119.11 |
$119.11 |
$41.58
|
|
Splint rstrc wrst/cmc right med
|
$71.84 |
$71.84 |
$71.84 |
$73.11
|
|
Split blood or products
|
$50.58 |
$50.58 |
$50.58 |
$148.98
|
|
Sputum specimen collection
|
$141.83 |
$141.83 |
$141.83 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$178.85 |
$178.85 |
$178.85 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$90.53 |
$90.53 |
$90.53 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,439.06 |
$6,439.06 |
$6,439.06 |
$39,270.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$344.28 |
$344.28 |
$344.28 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,674.82 |
$1,674.82 |
$1,674.82 |
$18,472.24
|
|
St evaluate speech sound production
|
$178.85 |
$178.85 |
$178.85 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$197.54 |
$197.54 |
$197.54 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$214.03 |
$214.03 |
$214.03 |
$406.40
|
|
St evaluation swallow function
|
$139.63 |
$139.63 |
$139.63 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$108.12 |
$108.12 |
$108.12 |
$248.05
|
|
Strapping of chest
|
$174.82 |
$174.82 |
$174.82 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$174.82 |
$174.82 |
$174.82 |
$171.00
|
|
Strapping of hand or finger
|
$174.82 |
$174.82 |
$174.82 |
$194.40
|
|
Strapping of hip
|
$108.12 |
$108.12 |
$108.12 |
$170.08
|
|
Strapping of knee
|
$123.88 |
$123.88 |
$123.88 |
$224.80
|
|
Strapping of toes 29550
|
$108.12 |
$108.12 |
$108.12 |
$185.36
|
|
Stress test pulmonary
|
$142.57 |
$142.57 |
$142.57 |
$327.20
|
|
Stress tte complete
|
$1,797.59 |
$1,797.59 |
$1,797.59 |
$1,964.95
|
|
St treatment speech individual
|
$171.88 |
$171.88 |
$171.88 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$163.46 |
$163.46 |
$163.46 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$41.84 |
$41.84 |
$41.84 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$4.04 |
$4.04 |
$4.04 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$66.71 |
$66.71 |
$66.71 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$15.76 |
$15.76 |
$15.76 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$31.89 |
$31.89 |
$31.89 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$40.68 |
$40.68 |
$40.68 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$74.03 |
$74.03 |
$74.03 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$172.98 |
$172.98 |
$172.98 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$256.54 |
$256.54 |
$256.54 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$91.99 |
$91.99 |
$91.99 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$19.43 |
$19.43 |
$19.43 |
$34.48
|
|
Susceptibility mic per plate
|
$33.35 |
$33.35 |
$33.35 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$115.45 |
$115.45 |
$115.45 |
$48.30
|
|
Synvisc or synvisc-one
|
$55.16 |
$55.16 |
$55.16 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$8.07 |
$8.07 |
$8.07 |
$44.85
|
|
System pacing micra av
|
$4,478.39 |
$4,478.39 |
$4,478.39 |
$22,733.55
|
|
T3 (triiodothyronine) free
|
$91.26 |
$91.26 |
$91.26 |
$89.82
|
|
T3 (triiodothyronine) total
|
$29.69 |
$29.69 |
$29.69 |
$94.90
|
|
T4 (thyroxine) free
|
$73.67 |
$73.67 |
$73.67 |
$81.60
|
|
T4 (thyroxine) total
|
$46.55 |
$46.55 |
$46.55 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$44.04 |
$44.04 |
$44.04 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$140.37 |
$140.37 |
$140.37 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$1,322.27 |
$1,322.27 |
$1,322.27 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$229.06 |
$229.06 |
$229.06 |
$638.65
|
|
Target gsa panel organ neop
|
$219.16 |
$219.16 |
$219.16 |
$1,913.00
|
|
Tavr perq femoral
|
$1,645.50 |
$1,645.50 |
$1,645.50 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,076.70 |
$1,076.70 |
$1,076.70 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$149.16 |
$149.16 |
$149.16 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$175.92 |
$175.92 |
$175.92 |
$166.46
|
|
Tc-99m sulfur colloid
|
$148.09 |
$148.09 |
$148.09 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$112.51 |
$112.51 |
$112.51 |
$186.00
|
|
T cells absolute cd 4 count
|
$153.19 |
$153.19 |
$153.19 |
$120.25
|
|
T cells total count
|
$46.18 |
$46.18 |
$46.18 |
$124.11
|
|
Telavancin injection
|
$768.95 |
$768.95 |
$768.95 |
$1,216.45
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$1,779.02 |
$1,779.02 |
$1,779.02 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$15,108.59 |
$15,108.59 |
$15,108.59 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$20.14 |
$20.14 |
$20.14 |
$44.49
|
|
Test for porphobilinogen
|
$22.73 |
$22.73 |
$22.73 |
$33.57
|
|
Test pathogen(s) for platelets reference
|
$45.82 |
$45.82 |
$45.82 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$415.23 |
$415.23 |
$415.23 |
$1,001.55
|
|
Test urine for porphyrins
|
$101.15 |
$101.15 |
$101.15 |
$27.30
|
|
Tetanus immune globulin inj
|
$745.13 |
$745.13 |
$745.13 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,705.53 |
$8,705.53 |
$8,705.53 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$93.82 |
$93.82 |
$93.82 |
$108.00
|
|
Therapeutic procd strg endur
|
$46.18 |
$46.18 |
$46.18 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$30.06 |
$30.06 |
$30.06 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$25.29 |
$25.29 |
$25.29 |
$50.40
|
|
Ther/proph/diag inj ia
|
$70.37 |
$70.37 |
$70.37 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$29.37 |
$29.37 |
$29.37 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$531.03 |
$531.03 |
$531.03 |
$1,804.00
|
|
Thrombin time
|
$43.25 |
$43.25 |
$43.25 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$21.26 |
$21.26 |
$21.26 |
$56.93
|
|
Thyroglobulin antibody
|
$85.39 |
$85.39 |
$85.39 |
$84.00
|
|
Thyroid imaging
|
$281.10 |
$281.10 |
$281.10 |
$670.80
|
|
Thyroid met imaging
|
$533.23 |
$533.23 |
$533.23 |
$549.70
|
|
Thyroid (TSH) Test
|
$61.94 |
$61.94 |
$61.94 |
$120.00
|
|
Thyroid Ultrasound
|
$308.95 |
$308.95 |
$308.95 |
$589.96
|
|
Thyroid uptake measurement
|
$461.04 |
$461.04 |
$461.04 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,458.39 |
$4,458.39 |
$4,458.39 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$123.51 |
$123.51 |
$123.51 |
$63.60
|
|
Tigecycline injection
|
$103.55 |
$103.55 |
$103.55 |
$308.75
|
|
Tilt table study
|
$1,232.84 |
$1,232.84 |
$1,232.84 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$331.83 |
$331.83 |
$331.83 |
$360.60
|
|
Tissue culture placenta
|
$415.23 |
$415.23 |
$415.23 |
$520.91
|
|
Tissue culture skin/biopsy
|
$415.23 |
$415.23 |
$415.23 |
$558.87
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$90.36 |
$90.36 |
$90.36 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$73.30 |
$73.30 |
$73.30 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$46.91 |
$46.91 |
$46.91 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$25.29 |
$25.29 |
$25.29 |
$73.45
|