|
Strapping of ankle and/or ft 29540
|
$59.60 |
$92.17 |
$955.13 |
|
|
Strapping of chest
|
$74.31 |
$174.82 |
$1,017.69 |
|
|
Strapping of elbow or wrist 29260
|
$53.53 |
$90.80 |
$408.08 |
|
|
Strapping of hand or finger
|
$51.75 |
$66.43 |
$174.82 |
|
|
Strapping of hip
|
$70.87 |
$93.60 |
$108.12 |
|
|
Strapping of knee
|
$71.35 |
$116.68 |
$723.66 |
|
|
Strapping of toes 29550
|
$51.75 |
$108.12 |
$530.51 |
|
|
Strep a ag ia
|
$38.97 |
$38.97 |
$45.70 |
|
|
Strep b assay w/optic
|
$42.47 |
$64.60 |
$317.79 |
|
|
Strep b dna amp probe
|
$36.96 |
$36.96 |
$46.34 |
|
|
Stress test pulmonary
|
$49.96 |
$142.57 |
$206.34 |
|
|
Stress tte complete
|
$841.67 |
$841.67 |
$1,797.59 |
|
|
Str markers specimen anal
|
$804.16 |
$804.16 |
$1,008.25 |
|
|
St treatment speech individual
|
$82.79 |
$160.27 |
$213.04 |
|
|
St treatment swallow dysfunction/oral
|
$86.56 |
$156.67 |
$213.29 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$40.73 |
$48.43 |
$125.67 |
|
|
Sugars single quant
|
$41.40 |
$80.74 |
$94.69 |
|
|
Sulfonylurea screen qn-sendout
|
$4.04 |
$71.02 |
$234.69 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$64.96 |
$77.23 |
$91.67 |
|
|
Surgical pathology level 1 gross examination only
|
$15.76 |
$41.38 |
$103.49 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$31.89 |
$112.41 |
$160.53 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$40.68 |
$144.61 |
$220.95 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$74.03 |
$187.99 |
$235.70 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$172.98 |
$346.16 |
$477.24 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$228.27 |
$323.65 |
$471.56 |
|
|
Susceptibility agar dilution per agent
|
$89.57 |
$96.01 |
$121.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$19.43 |
$32.24 |
$76.99 |
|
|
Susceptibility mic per plate
|
$33.35 |
$55.92 |
$233.73 |
|
|
Suscept studies macrobroth dilution ea
|
$63.87 |
$80.08 |
$115.45 |
|
|
Svc venogram s&i
|
$1,153.30 |
$1,682.22 |
$1,972.90 |
|
|
Synvisc or synvisc-one
|
$53.71 |
$63.86 |
$1,448.79 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$1.79 |
$12.06 |
$67.10 |
|
|
System pacing micra av
|
$4,360.53 |
$4,908.47 |
$6,154.22 |
|
|
T3 (triiodothyronine) free
|
$63.15 |
$88.14 |
$602.24 |
|
|
T3 (triiodothyronine) total
|
$29.69 |
$89.98 |
$432.74 |
|
|
T4 (thyroxine) free
|
$40.98 |
$95.89 |
$289.72 |
|
|
T4 (thyroxine) total
|
$43.87 |
$52.82 |
$149.08 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$42.88 |
$48.27 |
$60.51 |
|
|
Tacrolimus therapeutic drug level
|
$57.04 |
$132.03 |
$140.37 |
|
|
Tap block bilat cont infusion 64489
|
$1,287.47 |
$1,449.25 |
$1,817.06 |
|
|
Tap block uni by cont infusion 64487
|
$223.03 |
$251.05 |
$314.77 |
|
|
Target gsa panel hmtlmph neop
|
$762.79 |
$762.79 |
$1,543.67 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,531.19 |
$2,513.28 |
$3,151.14 |
|
|
Target gsa panel organ neop
|
$213.39 |
$240.21 |
$301.17 |
|
|
Tavr perq femoral
|
$1,645.50 |
$1,905.03 |
$2,164.43 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,048.36 |
$1,246.51 |
$2,679.07 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$145.01 |
$149.16 |
$170.07 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$56.24 |
$125.61 |
$176.92 |
|
|
Tc-99m sulfur colloid
|
$144.19 |
$162.31 |
$203.50 |
|
|
T cells absolute cd4/cd8 including ratio
|
$69.42 |
$112.51 |
$500.10 |
|
|
T cells absolute cd 4 count
|
$32.25 |
$87.26 |
$270.90 |
|
|
T cells total count
|
$34.23 |
$86.13 |
$299.18 |
|
|
Tee w or without fol w/cont,cong
|
$907.31 |
$907.31 |
$907.31 |
|
|
Telavancin injection
|
$748.71 |
$842.79 |
$1,056.69 |
|
|
Telehealth original site facility fee
|
$42.86 |
$42.86 |
$48.69 |
|
|
Telethx isodose plan cplx
|
$303.79 |
$578.49 |
$5,299.39 |
|
|
Telethx isodose plan simple
|
$169.50 |
$275.36 |
$502.07 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$1,732.20 |
$1,949.86 |
$2,444.73 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,710.96 |
$16,559.52 |
$20,762.26 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.61 |
$23.32 |
$27.68 |
|
|
Test for porphobilinogen
|
$22.73 |
$45.32 |
$56.41 |
|
|
Test for urine cystines
|
$109.91 |
$210.45 |
$261.92 |
|
|
Testicular imaging w/vasc flow
|
$362.32 |
$439.98 |
$465.87 |
|
|
Test pathogen(s) for platelets reference
|
$43.90 |
$52.62 |
$474.78 |
|
|
Test stress cardiovascular tracing only
|
$301.29 |
$876.99 |
$1,533.86 |
|
|
Test urine for porphyrins
|
$31.74 |
$37.22 |
$102.06 |
|
|
Tetanus immune globulin inj
|
$725.52 |
$816.69 |
$1,023.96 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,476.41 |
$10,078.54 |
$30,192.82 |
|
|
Theophylline therapeutic drug level
|
$40.98 |
$67.84 |
$144.21 |
|
|
Therapeutic procd strg endur
|
$46.18 |
$81.36 |
$111.84 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$23.30 |
$27.48 |
$346.14 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$22.50 |
$25.89 |
$346.14 |
|
|
Ther nma rdctj intus/obstrcj
|
$302.06 |
$354.26 |
$529.08 |
|
|
Ther/proph/diag inj ia
|
$70.37 |
$70.37 |
$117.05 |
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$28.60 |
$34.01 |
$115.06 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$531.03 |
$670.80 |
$3,153.94 |
|
|
Thrombectmy crnry perq mechanical
|
$246.63 |
$289.25 |
$2,093.56 |
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,873.69 |
$5,873.69 |
$6,888.65 |
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$17,799.01 |
$17,799.01 |
$20,874.63 |
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$18,155.30 |
$18,155.30 |
$21,292.48 |
|
|
Thrombin time
|
$9.28 |
$38.63 |
$81.95 |
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$13.21 |
$22.50 |
$149.17 |
|
|
Thromboxane urine
|
$52.22 |
$61.25 |
$321.19 |
|
|
Thyroglobulin antibody
|
$56.41 |
$85.39 |
$195.14 |
|
|
Thyroid imaging
|
$281.10 |
$474.60 |
$600.91 |
|
|
Thyroid met imaging
|
$533.23 |
$533.23 |
$533.23 |
|
|
Thyroid mets imag whole body
|
$508.85 |
$907.54 |
$1,471.20 |
|
|
Thyroid met uptake
|
$101.70 |
$101.70 |
$101.70 |
|
|
Thyroid (TSH) Test
|
$54.96 |
$67.89 |
$289.46 |
|
|
Thyroid Ultrasound
|
$308.95 |
$524.48 |
$1,337.54 |
|
|
Thyroid uptake measurement
|
$461.04 |
$606.43 |
$1,283.51 |
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,341.06 |
$4,886.55 |
$6,126.73 |
|
|
Thyroxine binding globulin (tbg)
|
$62.67 |
$82.35 |
$309.92 |
|
|
Tigecycline injection
|
$100.83 |
$113.50 |
$142.30 |
|
|
Tilt table study
|
$773.62 |
$1,232.84 |
$2,023.78 |
|
|
Tirofiban 12.5 mg/50 ml
|
$323.10 |
$363.70 |
$456.00 |
|
|
Tissue culture placenta
|
$415.23 |
$1,333.14 |
$1,872.36 |
|
|
Tissue culture skin/biopsy
|
$185.20 |
$315.72 |
$415.23 |
|
|
Tissue exam koh skin/hair/nails
|
$11.07 |
$11.07 |
$288.35 |
|
|
Tissue transglutaminase iga
|
$4.83 |
$6.05 |
$435.65 |
|