|
Suction socket
|
$1,165.12 |
$1,165.12 |
$1,165.12 |
$887.60
|
|
Suction susp ak/knee disart
|
$736.58 |
$736.58 |
$736.58 |
$492.80
|
|
Sugars multiple quant
|
$15.91 |
$15.91 |
$15.91 |
$44.19
|
|
Sugars single quant
|
$15.91 |
$15.91 |
$15.91 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.05 |
$0.05 |
$0.05 |
$82.46
|
|
Sup/ext non-ins inf pump syr
|
$4.79 |
$4.79 |
$4.79 |
$4.79
|
|
Sup of prep of antigen # of vials 95144
|
$64.39 |
$64.39 |
$64.39 |
$54.60
|
|
Supply of digital device
|
$183.07 |
$183.07 |
$183.07 |
$280.00
|
|
Supp non-insulin inf cath/wk
|
$35.70 |
$35.70 |
$35.70 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$111.23 |
$111.23 |
$111.23 |
$94.08
|
|
Supprelin la implant
|
$59,595.77 |
$59,595.77 |
$59,595.77 |
$80,935.72
|
|
Surg dx exam anorectal
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$1,129.75 |
$1,129.75 |
$1,129.75 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$1,131.31 |
$1,131.31 |
$1,131.31 |
$1,634.40
|
|
Surgery for urethra pouch
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,627.00
|
|
Surgery of pancreatic cyst
|
$1,640.14 |
$1,640.14 |
$1,640.14 |
$1,640.14
|
|
Surgery to stop leg growth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Surgery to stop leg growth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Surgery to stop leg growth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Surgery to stop leg growth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,626.86
|
|
Surgical opening esophagus
|
$1,913.16 |
$1,913.16 |
$1,913.16 |
$1,913.16
|
|
Surgical opening esophagus
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$1,550.00
|
|
Surgical opening of stomach
|
$1,358.04 |
$1,358.04 |
$1,358.04 |
$2,320.80
|
|
Surgical opening of stomach 43500
|
$1,129.36 |
$1,129.36 |
$1,129.36 |
$1,477.80
|
|
Surgical opening of throat
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$39.77 |
$39.77 |
$39.77 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$51.36 |
$51.36 |
$51.36 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$71.65 |
$71.65 |
$71.65 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$71.65 |
$71.65 |
$71.65 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$492.88 |
$492.88 |
$492.88 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,107.84 |
$1,107.84 |
$1,107.84 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$1,918.66 |
$1,918.66 |
$1,918.66 |
$2,415.60
|
|
Surgical repair stomach gastric lac 43502
|
$2,158.03 |
$2,158.03 |
$2,158.03 |
$2,864.40
|
|
Surgical revision intestine
|
$1,528.29 |
$1,528.29 |
$1,528.29 |
$2,366.76
|
|
Surgigraft, 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$6.56 |
$6.56 |
$6.56 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$6.56 |
$6.56 |
$6.56 |
$35.70
|
|
Susceptibility mic per plate
|
$11.94 |
$11.94 |
$11.94 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$9.16 |
$9.16 |
$9.16 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$1,351.05 |
$1,351.05 |
$1,351.05 |
$1,351.05
|
|
Suspension of testis
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,055.01
|
|
Suspension of uterus
|
$1,059.58 |
$1,059.58 |
$1,059.58 |
$1,059.58
|
|
Suspension of uterus 58400
|
$602.56 |
$602.56 |
$602.56 |
$856.80
|
|
Suspension sleeve lower ext
|
$207.00 |
$207.00 |
$207.00 |
$251.38
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,468.40 |
$1,468.40 |
$1,468.40 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$1,958.21 |
$1,958.21 |
$1,958.21 |
$2,559.60
|
|
Svc venogram s&i
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$79.38 |
$79.38 |
$79.38 |
$314.40
|
|
Swallowing Therapy Session
|
$114.58 |
$114.58 |
$114.58 |
$240.50
|
|
Sweat collection by iontophoresis
|
$71.65 |
$71.65 |
$71.65 |
$121.55
|
|
Symes ankle without (sach) foot
|
$4,287.00 |
$4,287.00 |
$4,287.00 |
$2,707.60
|
|
Symes met fr leath socket ar
|
$5,739.64 |
$5,739.64 |
$5,739.64 |
$4,141.20
|
|
Symes type medial opening so
|
$437.34 |
$437.34 |
$437.34 |
$288.40
|
|
Symes type poster opening so
|
$572.18 |
$572.18 |
$572.18 |
$456.40
|
|
Symes type ptb brim design s
|
$457.53 |
$457.53 |
$457.53 |
$266.00
|
|
Syme typ expandabl wall sckt
|
$932.89 |
$932.89 |
$932.89 |
$621.60
|
|
Sympathectomy cervical
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,934.40
|
|
Sympathectomy digital artery
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,310.83
|
|
Sympathectomy lumbar
|
$1,053.93 |
$1,053.93 |
$1,053.93 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Sympathectomy thoracolumbar
|
$1,681.03 |
$1,681.03 |
$1,681.03 |
$1,681.03
|
|
Synojoynt, inj., 1 mg
|
$4.30 |
$4.30 |
$4.30 |
$4.30
|
|
Synthetic sentence id test
|
$51.36 |
$51.36 |
$51.36 |
$99.32
|
|
Synvisc or synvisc-one
|
$10.43 |
$10.43 |
$10.43 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$6.07 |
$6.07 |
$6.07 |
$42.24
|
|
T3 (triiodothyronine) free
|
$23.38 |
$23.38 |
$23.38 |
$100.00
|
|
T3 (triiodothyronine) total
|
$19.57 |
$19.57 |
$19.57 |
$93.52
|
|
T4 (thyroxine) free
|
$12.45 |
$12.45 |
$12.45 |
$87.30
|
|
T4 (thyroxine) total
|
$9.48 |
$9.48 |
$9.48 |
$68.40
|
|
Tacrol astagraf ex rel oral
|
$0.81 |
$0.81 |
$0.81 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$2.58 |
$2.58 |
$2.58 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$0.27 |
$0.27 |
$0.27 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$362.18 |
$362.18 |
$362.18 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$18.95 |
$18.95 |
$18.95 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$19.65 |
$19.65 |
$19.65 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$2,975.29 |
$2,975.29 |
$2,975.29 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$2,751.82 |
$2,751.82 |
$2,751.82 |
$4,964.80
|
|
Tah w/mmk 58152
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$119.66 |
$119.66 |
$119.66 |
$288.60
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$102.04 |
$102.04 |
$102.04 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$103.38 |
$103.38 |
$103.38 |
$21,745.13
|
|
Talymed
|
$171.12 |
$171.12 |
$171.12 |
$199.00
|
|
Tap block bilat cont infusion 64489
|
$102.04 |
$102.04 |
$102.04 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$80.58 |
$80.58 |
$80.58 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$1,048.15 |
$1,048.15 |
$1,048.15 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,029.05 |
$4,029.05 |
$4,029.05 |
$3,762.00
|
|
Target gsa panel organ neop
|
$825.12 |
$825.12 |
$825.12 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,161.89 |
$2,161.89 |
$2,161.89 |
$24,217.20
|
|
Tas congenital car anomal
|
$995.49 |
$995.49 |
$995.49 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$931.50
|
|
Tavr perq femoral
|
$1,647.31 |
$1,647.31 |
$1,647.31 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.34 |
$0.34 |
$0.34 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$189.06 |
$189.06 |
$189.06 |
$225.42
|
|
Tbs dxa cal w/i&r fx risk
|
$54.25 |
$54.25 |
$54.25 |
$127.12
|
|
Tbs i&r fx rsk qhp
|
$13.99 |
$13.99 |
$13.99 |
$61.04
|
|
Tbs techl calculation only
|
$119.66 |
$119.66 |
$119.66 |
$153.60
|
|
Tbs techl prep&transmis data
|
$119.66 |
$119.66 |
$119.66 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$138.00 |
$138.00 |
$138.00 |
$200.00
|
