|
Strep b assay w/optic
|
$466.14 |
$466.14 |
$466.14 |
$80.16
|
|
Strep b dna amp probe
|
$101.40 |
$101.40 |
$386.84 |
$120.90
|
|
Streptomycin injection
|
$721.91 |
$721.91 |
$721.91 |
$138.30
|
|
Stress test pulmonary
|
$319.20 |
$319.20 |
$456.25 |
$322.85
|
|
Stress tte complete
|
$1,049.40 |
$1,049.40 |
$4,658.86 |
$1,870.50
|
|
Str markers specimen anal
|
$383.40 |
$383.40 |
$1,784.48 |
$751.50
|
|
St treatment speech individual
|
$302.40 |
$302.40 |
$643.69 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$327.00 |
$327.00 |
$540.89 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$172.52 |
$52.31
|
|
Sugars single quant
|
$164.33 |
$164.33 |
$1,041.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,870.28 |
$5,870.28 |
$204,845.25 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$61.74 |
$61.74 |
$703.14 |
$82.43
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,865.35 |
$1,865.35 |
$1,865.35 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$241.97 |
$241.97 |
$458.26 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$54.00 |
$54.00 |
$122.39 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$189.00 |
$189.00 |
$224.87 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$255.60 |
$255.60 |
$266.06 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$370.57 |
$370.57 |
$444.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$577.20 |
$577.20 |
$581.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,348.20 |
$1,348.20 |
$1,506.74 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$36.00 |
$36.00 |
$193.49 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$27.00 |
$27.00 |
$76.94 |
$35.70
|
|
Susceptibility mic per plate
|
$107.40 |
$107.40 |
$3,512.93 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$66.60 |
$66.60 |
$113.03 |
$59.28
|
|
Suspension sleeve lower ext
|
$235.22 |
$235.22 |
$235.22 |
$251.38
|
|
Svc venogram s&i
|
$2,808.60 |
$2,808.60 |
$3,449.61 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$343.75 |
$343.75 |
$343.75 |
$125.40
|
|
Synvisc or synvisc-one
|
$132.93 |
$132.93 |
$4,026.72 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$54.81 |
$54.81 |
$108.60 |
$41.60
|
|
System cardiomems hosp electronics
|
$60,237.60 |
$60,237.60 |
$141,277.50 |
$39,037.95
|
|
System pacing micra av
|
$52,945.68 |
$52,945.68 |
$109,489.85 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$25,581.96 |
$25,581.96 |
$28,152.00 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$12,243.00 |
$12,243.00 |
$12,243.00 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$212.10 |
$212.10 |
$241.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$102.60 |
$102.60 |
$177.10 |
$93.52
|
|
T4 (thyroxine) free
|
$113.03 |
$113.03 |
$130.20 |
$85.20
|
|
T4 (thyroxine) total
|
$87.38 |
$87.38 |
$150.60 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$44.16 |
$44.16 |
$44.16 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.00 |
$3.00 |
$3.00 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,603.90 |
$2,603.90 |
$2,603.90 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$100.80 |
$100.80 |
$893.85 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,430.52 |
$4,430.52 |
$14,205.03 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$725.06 |
$725.06 |
$725.06 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$525.71 |
$525.71 |
$525.71 |
$21,745.13
|
|
Talymed
|
$2,315.04 |
$2,315.04 |
$2,315.04 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,345.80 |
$1,345.80 |
$1,345.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$768.60 |
$768.60 |
$768.60 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$1,256.40 |
$1,256.40 |
$6,292.82 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,862.80 |
$3,862.80 |
$10,874.98 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,686.80 |
$2,686.80 |
$9,972.40 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$15,803.55 |
$15,803.55 |
$47,610.00 |
$24,217.20
|
|
Tavr perq femoral
|
$11,397.00 |
$11,397.00 |
$11,397.00 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,175.70 |
$1,175.70 |
$1,673.46 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$303.32 |
$303.32 |
$303.32 |
$225.42
|
|
Tbs techl calculation only
|
$419.19 |
$419.19 |
$419.19 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$170.40 |
$170.40 |
$313.20 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$301.20 |
$301.20 |
$778.49 |
$177.65
|
|
Tc-99m bicisate
|
$21.00 |
$21.00 |
$13,186.86 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$19,120.50 |
$19,120.50 |
$19,120.50 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$1,333.86 |
$1,333.86 |
$1,333.86 |
$302.40
|
|
Tc-99m maa
|
$1,286.58 |
$1,286.58 |
$1,286.58 |
$292.80
|
|
Tc-99m mebrofenin
|
$172.56 |
$172.56 |
$326.91 |
$157.65
|
|
Tc-99m medronate
|
$67.74 |
$67.74 |
$403.79 |
$111.01
|
|
Tc-99m mertiatide
|
$202.26 |
$202.26 |
$3,291.31 |
$756.00
|
|
Tc-99m oxidronate
|
$63.00 |
$63.00 |
$378.95 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$62.10 |
$62.10 |
$62.10 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$740.30 |
$740.30 |
$740.30 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$8.41 |
$8.41 |
$8.41 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$649.34 |
$649.34 |
$649.34 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$384.46 |
$384.46 |
$669.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$487.14 |
$487.14 |
$977.99 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$354.88 |
$354.88 |
$2,046.60 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,435.74 |
$1,435.74 |
$5,721.60 |
$955.60
|
|
Tcd emboli detect w/inj
|
$876.19 |
$876.19 |
$876.19 |
$475.80
|
|
Tcd emboli detect without inj
|
$743.06 |
$743.06 |
$743.06 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$438.00 |
$438.00 |
$771.46 |
$176.40
|
|
T cells absolute cd 4 count
|
$170.40 |
$170.40 |
$336.83 |
$111.20
|
|
T cells total count
|
$237.60 |
$237.60 |
$771.46 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$66,622.26 |
$66,622.26 |
$66,622.26 |
$40,114.80
|
|
Telavancin injection
|
$4,717.71 |
$4,717.71 |
$4,717.71 |
$1,191.80
|
|
Telehealth original site facility fee
|
$82.16 |
$82.16 |
$82.16 |
$51.00
|
|
Telethx isodose plan cplx
|
$4,853.46 |
$4,853.46 |
$4,853.46 |
$1,526.85
|
|
Telethx isodose plan simple
|
$3,236.09 |
$3,236.09 |
$3,236.09 |
$873.62
|
|
Temozolomide
|
$56.52 |
$56.52 |
$56.52 |
$588.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$6,349.02 |
$6,349.02 |
$20,244.22 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,393.96 |
$24,393.96 |
$57,946.25 |
$15,245.38
|
|
Tension based scoliosis orth
|
$5,139.07 |
$5,139.07 |
$5,139.07 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$24.24 |
$24.24 |
$382.01 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,922.87 |
$1,922.87 |
$1,922.87 |
$335.00
|
|
Test for chlorohydrocarbons
|
$93.23 |
$93.23 |
$138.00 |
$65.00
|
|
Test for urine cystines
|
$45.47 |
$45.47 |
$45.47 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$3,268.36 |
$3,268.36 |
$3,268.36 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$194.97 |
$70.00
|
|
Test socket below knee
|
$244.63 |
$244.63 |
$244.63 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,657.80 |
$1,657.80 |
$3,059.42 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,908.60 |
$1,908.60 |
$5,638.95 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$242.64 |
$242.64 |
$242.64 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$114.00 |
$114.00 |
$172.53 |
$108.00
|
|
Therapeutic procd strg endur
|
$47.40 |
$47.40 |
$112.82 |
$85.68
|
