|
Stress test pulmonary
|
$133.84 |
$133.84 |
$133.84 |
$330.63
|
|
Stress tte complete
|
$1,237.04 |
$1,237.04 |
$1,237.04 |
$1,989.60
|
|
St treatment speech individual
|
$83.44 |
$83.44 |
$83.44 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$113.68 |
$113.68 |
$113.68 |
$221.00
|
|
Sugars single quant
|
$14.56 |
$14.56 |
$14.56 |
$64.28
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$27.41 |
$27.41 |
$27.41 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$16.80 |
$16.80 |
$16.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$34.72 |
$34.72 |
$34.72 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$42.00 |
$42.00 |
$42.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$74.48 |
$74.48 |
$74.48 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$105.84 |
$105.84 |
$105.84 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$153.44 |
$153.44 |
$153.44 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$11.20 |
$11.20 |
$11.20 |
$38.58
|
|
Susceptibility mic per plate
|
$20.72 |
$20.72 |
$20.72 |
$89.70
|
|
Svc venogram s&i
|
$991.76 |
$991.76 |
$991.76 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$40.32 |
$40.32 |
$40.32 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$28.56 |
$28.56 |
$28.56 |
$45.70
|
|
System pacing micra av
|
$15,400.00 |
$15,400.00 |
$15,400.00 |
$22,146.00
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,996.08 |
$6,996.08 |
$6,996.08 |
$11,441.25
|
|
T3 (triiodothyronine) free
|
$32.48 |
$32.48 |
$32.48 |
$91.20
|
|
T3 (triiodothyronine) total
|
$39.20 |
$39.20 |
$39.20 |
$88.00
|
|
T4 (thyroxine) free
|
$40.32 |
$40.32 |
$40.32 |
$65.00
|
|
T4 (thyroxine) total
|
$16.80 |
$16.80 |
$16.80 |
$62.40
|
|
Tacrol envarsus ex rel oral
|
$1.62 |
$1.62 |
$1.62 |
$3.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.03 |
$4.03 |
$4.03 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$69.44 |
$69.44 |
$69.44 |
$137.15
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.50 |
$1.50 |
$1.50 |
$760.95
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$26.42 |
$26.42 |
$26.42 |
$178.40
|
|
Tc-99m bicisate
|
$665.28 |
$665.28 |
$665.28 |
$2,398.20
|
|
Tc-99m exame autol wbc diag per dose
|
$1,337.84 |
$1,337.84 |
$1,337.84 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$577.36 |
$577.36 |
$577.36 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$202.16 |
$202.16 |
$202.16 |
$312.70
|
|
Tc-99m maa
|
$46.48 |
$46.48 |
$46.48 |
$306.60
|
|
Tc-99m mebrofenin
|
$82.88 |
$82.88 |
$82.88 |
$169.53
|
|
Tc-99m medronate
|
$54.32 |
$54.32 |
$54.32 |
$120.35
|
|
Tc-99m mertiatide
|
$229.04 |
$229.04 |
$229.04 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$36.96 |
$36.96 |
$36.96 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$3.36 |
$3.36 |
$3.36 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$56.00 |
$56.00 |
$56.00 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$192.08 |
$192.08 |
$192.08 |
$221.60
|
|
Tc-99m sulfur colloid
|
$67.76 |
$67.76 |
$67.76 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$234.64 |
$234.64 |
$234.64 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$119.28 |
$119.28 |
$119.28 |
$189.60
|
|
T cells absolute cd 4 count
|
$42.56 |
$42.56 |
$42.56 |
$120.25
|
|
T cells total count
|
$94.08 |
$94.08 |
$94.08 |
$126.90
|
|
Tcran magn stim redetemine
|
$148.40 |
$148.40 |
$148.40 |
$417.06
|
|
Telethx isodose plan cplx
|
$631.12 |
$631.12 |
$631.12 |
$1,526.85
|
|
Telethx isodose plan simple
|
$426.72 |
$426.72 |
$426.72 |
$848.72
|
|
Temozolomide
|
$7.35 |
$7.35 |
$7.35 |
$632.98
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$98.02 |
$98.02 |
$98.02 |
$16,233.59
|
|
Test for porphobilinogen
|
$38.08 |
$38.08 |
$38.08 |
$33.57
|
|
Test stress cardiovascular tracing only
|
$773.36 |
$773.36 |
$773.36 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$167.02 |
$167.02 |
$167.02 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$45.36 |
$45.36 |
$45.36 |
$101.40
|
|
Therapeutic procd strg endur
|
$185.36 |
$185.36 |
$185.36 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$29.12 |
$29.12 |
$29.12 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$25.76 |
$25.76 |
$25.76 |
$47.50
|
|
Ther/proph/diag inj ia
|
$90.72 |
$90.72 |
$90.72 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,808.24 |
$1,808.24 |
$1,808.24 |
$1,658.70
|
|
Thrombectmy crnry perq mechanical
|
$2,176.16 |
$2,176.16 |
$2,176.16 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$17,423.28 |
$17,423.28 |
$17,423.28 |
$8,395.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$15,339.52 |
$15,339.52 |
$15,339.52 |
$15,640.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$37,681.84 |
$37,681.84 |
$37,681.84 |
$25,597.40
|
|
Thrombin time
|
$24.08 |
$24.08 |
$24.08 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$64.40 |
$64.40 |
$64.40 |
$56.93
|
|
Thyroglobulin antibody
|
$34.72 |
$34.72 |
$34.72 |
$86.40
|
|
Thyroid imaging
|
$300.72 |
$300.72 |
$300.72 |
$577.80
|
|
Thyroid (TSH) Test
|
$34.16 |
$34.16 |
$34.16 |
$101.40
|
|
Thyroid Ultrasound
|
$453.60 |
$453.60 |
$453.60 |
$553.80
|
|
Thyroid uptake measurement
|
$183.68 |
$183.68 |
$183.68 |
$580.20
|
|
Tib/per revasc stent & ather 37231
|
$38,676.96 |
$38,676.96 |
$38,676.96 |
$23,525.00
|
|
Tib/per revasc stnt & ather
|
$20,798.96 |
$20,798.96 |
$20,798.96 |
$13,321.00
|
|
Tib/per revasc w/ather add-on 37233
|
$22,334.48 |
$22,334.48 |
$22,334.48 |
$12,855.00
|
|
Tigecycline injection
|
$2.30 |
$2.30 |
$2.30 |
$7.44
|
|
Tilt table study
|
$1,399.44 |
$1,399.44 |
$1,399.44 |
$1,488.24
|
|
Tissue culture placenta
|
$347.76 |
$347.76 |
$347.76 |
$470.00
|
|
Tissue culture skin/biopsy
|
$347.76 |
$347.76 |
$347.76 |
$626.77
|
|
Tissue culture tumor
|
$493.92 |
$493.92 |
$493.92 |
$605.60
|
|
Tissue exam koh skin/hair/nails
|
$15.68 |
$15.68 |
$15.68 |
$45.23
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$96.88 |
$96.88 |
$96.88 |
$2,516.07
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$13,052.48 |
$13,052.48 |
$13,052.48 |
$6,727.80
|
|
Tobramycin peak therapeutic drug level
|
$38.64 |
$38.64 |
$38.64 |
$117.00
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4.03 |
$4.03 |
$4.03 |
$2,743.02
|
|
Tomosynthesis breast diagnostic left
|
$20.72 |
$20.72 |
$20.72 |
$53.92
|
|
Tomosynthesis breast screen bilateral
|
$20.72 |
$20.72 |
$20.72 |
$77.46
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$5.35 |
$5.35 |
$5.35 |
$200.93
|
|
Toxoplasma antibody igg
|
$95.76 |
$95.76 |
$95.76 |
$83.20
|
|
Toxoplasma antibody igm
|
$95.82 |
$95.82 |
$95.82 |
$85.80
|
|
Tpmt gene com vrnts
|
$146.16 |
$146.16 |
$146.16 |
$402.35
|
|
Tprnl plmt biodegrdabl matrl
|
$4,243.12 |
$4,243.12 |
$4,243.12 |
$7,438.40
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$57.12 |
$57.12 |
$57.12 |
$90.35
|
|
Transcath biopsy
|
$3,559.92 |
$3,559.92 |
$3,559.92 |
$4,285.93
|
|
Transcath closure of asd
|
$31,573.36 |
$31,573.36 |
$31,573.36 |
$19,715.47
|
|
Transcath closure of vsd
|
$31,573.36 |
$31,573.36 |
$31,573.36 |
$18,837.00
|
|
Transcatheter bx s&i
|
$544.88 |
$544.88 |
$544.88 |
$1,795.70
|
|
Transferrin
|
$46.48 |
$46.48 |
$46.48 |
$83.07
|
|
Trauma partial team response w/critical care services level 4
|
$5,040.00 |
$5,040.00 |
$5,040.00 |
$4,523.04
|
|
Tray bonemarrw oncontrol 102mm
|
$172.48 |
$172.48 |
$172.48 |
$1,094.25
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$161.28 |
$161.28 |
$161.28 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$161.28 |
$161.28 |
$161.28 |
$140.04
|
