|
Speech audiometry complete
|
$284.00 |
$284.00 |
$284.00 |
$109.20
|
|
Speech recep thresh
|
$209.00 |
$209.00 |
$209.00 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$249.00 |
$249.00 |
$249.00 |
$248.84
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$359.00 |
$359.00 |
$359.00 |
$251.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$553.00 |
$553.00 |
$553.00 |
$392.09
|
|
Splint finger fold over sm
|
$356.00 |
$356.00 |
$356.00 |
$151.34
|
|
Splint finger frog med
|
$131.00 |
$131.00 |
$131.00 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$356.00 |
$356.00 |
$356.00 |
$100.00
|
|
Split blood or products
|
$279.00 |
$279.00 |
$279.00 |
$129.50
|
|
Srs linear based
|
$26,944.00 |
$26,944.00 |
$26,944.00 |
$14,124.25
|
|
Srs multisource
|
$42,040.00 |
$42,040.00 |
$42,040.00 |
$35,192.81
|
|
St analysis behavior qualitative voice/resonance
|
$476.00 |
$476.00 |
$476.00 |
$295.10
|
|
Staph a dna amp probe
|
$74.00 |
$74.00 |
$74.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$759.00 |
$759.00 |
$759.00 |
$281.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$67,680.00 |
$67,680.00 |
$67,680.00 |
$21,626.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$16,730.00 |
$16,730.00 |
$16,730.00 |
$8,985.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$35,884.00 |
$35,884.00 |
$35,884.00 |
$17,892.00
|
|
St evaluate speech sound production
|
$458.00 |
$458.00 |
$458.00 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$748.00 |
$748.00 |
$748.00 |
$396.90
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
$1,350.05
|
|
Strapping of hand or finger
|
$434.00 |
$434.00 |
$434.00 |
$177.45
|
|
Strep b dna amp probe
|
$206.00 |
$206.00 |
$206.00 |
$124.15
|
|
Stress test pulmonary
|
$681.00 |
$681.00 |
$681.00 |
$324.00
|
|
Stress tte complete
|
$3,019.00 |
$3,019.00 |
$3,019.00 |
$1,820.70
|
|
Surgical pathology level 1 gross examination only
|
$75.00 |
$75.00 |
$75.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$140.00 |
$140.00 |
$140.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$167.00 |
$167.00 |
$167.00 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$208.00 |
$208.00 |
$208.00 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$450.00 |
$450.00 |
$450.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$940.00 |
$940.00 |
$940.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$20.00 |
$20.00 |
$20.00 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$26.00 |
$26.00 |
$26.00 |
$35.70
|
|
Susceptibility mic per plate
|
$67.00 |
$67.00 |
$67.00 |
$104.65
|
|
Svc venogram s&i
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$365.00 |
$365.00 |
$365.00 |
$314.40
|
|
Swallowing Therapy Session
|
$552.00 |
$552.00 |
$552.00 |
$240.50
|
|
Sweat collection by iontophoresis
|
$106.00 |
$106.00 |
$106.00 |
$121.55
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$46.00 |
$46.00 |
$46.00 |
$42.24
|
|
T3 (triiodothyronine) free
|
$76.00 |
$76.00 |
$76.00 |
$100.00
|
|
T3 (triiodothyronine) total
|
$36.00 |
$36.00 |
$36.00 |
$93.52
|
|
T4 (thyroxine) free
|
$40.00 |
$40.00 |
$40.00 |
$87.30
|
|
T4 (thyroxine) total
|
$17.00 |
$17.00 |
$17.00 |
$68.40
|
|
Tacrolimus therapeutic drug level
|
$87.00 |
$87.00 |
$87.00 |
$122.40
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$391.00 |
$391.00 |
$391.00 |
$288.60
|
|
Target gsa panel hmtlmph neop
|
$4,297.00 |
$4,297.00 |
$4,297.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,609.00 |
$5,609.00 |
$5,609.00 |
$3,762.00
|
|
Target gsa panel organ neop
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$1,749.44
|
|
Tavr perq femoral
|
$15,614.00 |
$15,614.00 |
$15,614.00 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$233.00 |
$233.00 |
$233.00 |
$181.80
|
|
T cells absolute cd4/cd8 including ratio
|
$296.00 |
$296.00 |
$296.00 |
$185.28
|
|
T cells total count
|
$275.00 |
$275.00 |
$275.00 |
$132.63
|
|
Telehealth original site facility fee
|
$82.00 |
$82.00 |
$82.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,631.00 |
$1,631.00 |
$1,631.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$889.80
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$5,457.00 |
$5,457.00 |
$5,457.00 |
$2,211.05
|
|
Test stress cardiovascular tracing only
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$5,447.00 |
$5,447.00 |
$5,447.00 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$98.00 |
$98.00 |
$98.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$177.00 |
$177.00 |
$177.00 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$184.00 |
$184.00 |
$184.00 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$181.00 |
$181.00 |
$181.00 |
$98.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$65.00 |
$65.00 |
$65.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$56.00 |
$56.00 |
$56.00 |
$50.00
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$279.00 |
$279.00 |
$279.00 |
$311.15
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$1,748.50
|
|
Thoracotomy w/expl
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,482.00 |
$3,482.00 |
$3,482.00 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,393.00 |
$2,393.00 |
$2,393.00 |
$1,708.85
|
|
Throat x-ray & fluoroscopy
|
$379.00 |
$379.00 |
$379.00 |
$259.60
|
|
Thrombectmy crnry perq mechanical
|
$5,497.00 |
$5,497.00 |
$5,497.00 |
$3,720.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$17,199.00 |
$17,199.00 |
$17,199.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$14,604.80
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$52,680.00 |
$52,680.00 |
$52,680.00 |
$21,413.60
|
|
Thrombin time
|
$15.00 |
$15.00 |
$15.00 |
$53.76
|
|
Thyroglobulin antibody
|
$84.00 |
$84.00 |
$84.00 |
$83.25
|
|
Thyroid imaging
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$1,524.99
|
|
Thyroid met uptake
|
$354.00 |
$354.00 |
$354.00 |
$407.40
|
|
Thyroid (TSH) Test
|
$84.00 |
$84.00 |
$84.00 |
$111.75
|
|
Thyroid Ultrasound
|
$873.00 |
$873.00 |
$873.00 |
$588.50
|
|
Thyroid uptake measurement
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$589.22
|
|
Tib/per revasc stent & ather 37231
|
$62,141.00 |
$62,141.00 |
$62,141.00 |
$21,249.26
|
|
Tilt table study
|
$2,255.00 |
$2,255.00 |
$2,255.00 |
$1,507.01
|
|
Tissue culture placenta
|
$731.00 |
$731.00 |
$731.00 |
$453.00
|
|
Tissue culture skin/biopsy
|
$803.00 |
$803.00 |
$803.00 |
$498.40
|
|
Tissue culture tumor
|
$803.00 |
$803.00 |
$803.00 |
$486.50
|
|
Tissue exam koh skin/hair/nails
|
$11.00 |
$11.00 |
$11.00 |
$47.20
|
|
Tissue transglutaminase iga
|
$79.00 |
$79.00 |
$79.00 |
$45.60
|
|
Tobramycin peak therapeutic drug level
|
$139.00 |
$139.00 |
$139.00 |
$120.60
|
|
Toe X-ray (both feet)
|
$279.00 |
$279.00 |
$279.00 |
$259.50
|
|
Tomosynthesis breast diagnostic left
|
$105.00 |
$105.00 |
$105.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$354.00 |
$354.00 |
$354.00 |
$74.10
|
|
Toxoplasma antibody igg
|
$133.00 |
$133.00 |
$133.00 |
$90.00
|
|
Toxoplasma antibody igm
|
$133.00 |
$133.00 |
$133.00 |
$89.05
|
|
Tprnl plmt biodegrdabl matrl
|
$12,584.00 |
$12,584.00 |
$12,584.00 |
$7,144.80
|
|
Trabeculoplasty laser surg
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$1,437.45
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$197.00 |
$197.00 |
$197.00 |
$101.25
|
