|
Str markers specimen anal
|
$1,001.50 |
$1,001.50 |
$1,346.86 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$31.83 |
$66.77 |
$81.25 |
|
|
Suction susp ak/knee disart
|
$687.29 |
$912.86 |
$912.86 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$57.17 |
$371.30 |
$371.30 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$29.92 |
$49.13 |
$65.88 |
|
|
Sulfonylurea screen qn-sendout
|
$104.00 |
$104.00 |
$109.60 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$33.12 |
$67.49 |
$155.29 |
|
|
Supp non-insulin inf cath/wk
|
$4.37 |
$5.10 |
$5.10 |
|
|
Support clav 29.6-40.5in med
|
$24.80 |
$121.54 |
$166.08 |
|
|
Surgical pathology level 1 gross examination only
|
$34.40 |
$40.03 |
$120.80 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$46.54 |
$80.80 |
$185.60 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$99.20 |
$140.00 |
$248.00 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$115.20 |
$323.20 |
$584.53 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$214.03 |
$466.13 |
$680.00 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$398.55 |
$476.56 |
$1,336.00 |
|
|
Susceptibility agar dilution per agent
|
$22.40 |
$92.59 |
$117.60 |
|
|
Susceptibility enzyme detection per enzyme
|
$32.80 |
$51.07 |
$162.40 |
|
|
Susceptibility mic per plate
|
$45.60 |
$447.22 |
$562.30 |
|
|
Suscept studies macrobroth dilution ea
|
$81.65 |
$81.65 |
$81.65 |
|
|
Suspension sleeve lower ext
|
$193.14 |
$263.87 |
$263.87 |
|
|
Svc venogram s&i
|
$1,232.56 |
$1,232.56 |
$2,295.20 |
|
|
Swallowing Evaluation (Bedside)
|
$192.92 |
$304.80 |
$410.40 |
|
|
Swallowing Therapy Session
|
$192.92 |
$255.14 |
$312.80 |
|
|
Symes ankle without (sach) foot
|
$3,999.97 |
$5,009.59 |
$5,009.59 |
|
|
Symes met fr leath socket ar
|
$5,176.86 |
$6,707.12 |
$6,707.12 |
|
|
Symes type medial opening so
|
$408.02 |
$542.02 |
$542.02 |
|
|
Symes type poster opening so
|
$533.85 |
$709.13 |
$709.13 |
|
|
Symes type ptb brim design s
|
$426.89 |
$567.06 |
$567.06 |
|
|
Syme typ expandabl wall sckt
|
$870.46 |
$1,156.23 |
$1,156.23 |
|
|
Synvisc or synvisc-one
|
$395.25 |
$741.07 |
$864.58 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$11.20 |
$31.98 |
$48.80 |
|
|
System cardiomems hosp electronics
|
$32,765.57 |
$38,226.50 |
$38,226.50 |
|
|
System pacing micra av
|
$4,507.20 |
$23,421.44 |
$29,269.93 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,077.60 |
$14,266.56 |
$18,720.16 |
|
|
System sealant biosentry tract
|
$581.28 |
$678.16 |
$1,029.28 |
|
|
T3 (triiodothyronine) free
|
$28.46 |
$29.23 |
$358.40 |
|
|
T3 (triiodothyronine) total
|
$27.12 |
$27.55 |
$156.80 |
|
|
T4 (thyroxine) free
|
$27.41 |
$29.23 |
$160.80 |
|
|
T4 (thyroxine) total
|
$24.75 |
$27.12 |
$103.20 |
|
|
Tacrol astagraf ex rel oral
|
$48.67 |
$48.67 |
$48.67 |
|
|
Tacrol envarsus ex rel oral
|
$6.29 |
$7.34 |
$7.34 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.20 |
$7.21 |
$15.42 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$438.61 |
$438.61 |
$438.61 |
|
|
Tacrolimus therapeutic drug level
|
$88.82 |
$97.20 |
$240.00 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$138.43 |
$192.00 |
$442.40 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$9,362.46 |
$9,362.46 |
$9,362.46 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$10,990.49 |
$10,990.49 |
$10,990.49 |
|
|
Tap block bilat cont infusion 64489
|
$2,200.35 |
$2,200.35 |
$2,524.13 |
|
|
Tap block uni by cont infusion 64487
|
$1,824.87 |
$1,824.87 |
$2,093.33 |
|
|
Target gsa panel hmtlmph neop
|
$2,392.00 |
$4,321.80 |
$4,649.74 |
|
|
Target gsa panel organ/hmtlmph neop
|
$673.06 |
$673.06 |
$7,123.20 |
|
|
Target gsa panel organ neop
|
$640.22 |
$673.06 |
$872.09 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$20,964.00 |
$20,964.00 |
$20,964.00 |
|
|
Tas congenital car anomal
|
$3,546.86 |
$3,546.86 |
$3,546.86 |
|
|
Tavr perq femoral
|
$31,124.45 |
$31,124.45 |
$31,124.45 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$625.91 |
$625.91 |
$903.46 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$279.20 |
$289.60 |
$306.40 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$186.40 |
$226.80 |
$542.40 |
|
|
Tc-99m bicisate
|
$1,680.72 |
$1,960.84 |
$1,960.84 |
|
|
Tc-99m depreotide
|
$1,860.72 |
$2,170.84 |
$2,170.84 |
|
|
Tc-99m diag per dose
|
$3,073.68 |
$3,585.96 |
$3,585.96 |
|
|
Tc-99m disofenin
|
$68.30 |
$79.69 |
$79.69 |
|
|
Tc-99m exame autol wbc diag per dose
|
$3,176.50 |
$3,705.91 |
$3,705.91 |
|
|
Tc-99m exametazime diag
|
$1,550.11 |
$1,808.46 |
$1,808.46 |
|
|
Tc-99m gluceptate
|
$43.73 |
$51.02 |
$51.02 |
|
|
Tc-99m labeled rbc
|
$150.24 |
$175.28 |
$428.00 |
|
|
Tc-99m maa
|
$218.59 |
$255.02 |
$936.80 |
|
|
Tc-99m mebrofenin
|
$55.92 |
$178.40 |
$178.40 |
|
|
Tc-99m medronate
|
$24.77 |
$133.60 |
$133.60 |
|
|
Tc-99m mertiatide
|
$503.33 |
$587.22 |
$756.00 |
|
|
Tc-99m oxidronate
|
$44.02 |
$51.35 |
$168.00 |
|
|
Tc-99m pentetate dtpa
|
$160.08 |
$186.76 |
$388.80 |
|
|
Tc-99m pentetate dtpa aerosol
|
$25.25 |
$29.46 |
$388.80 |
|
|
Tc-99m pertechnetate per mci
|
$11.47 |
$13.38 |
$108.00 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$56.45 |
$65.86 |
$186.40 |
|
|
Tc-99m sestamibi p study dose
|
$119.04 |
$352.00 |
$352.00 |
|
|
Tc-99m succimer (dmsa)
|
$424.80 |
$495.60 |
$495.60 |
|
|
Tc-99m sulfur colloid
|
$112.94 |
$131.77 |
$308.00 |
|
|
Tc-99m tetrofosmin p study dose
|
$111.60 |
$120.01 |
$130.20 |
|
|
Tc-99m tilmanocept diag
|
$548.06 |
$639.41 |
$1,171.20 |
|
|
Tcd emboli detect without inj
|
$588.86 |
$588.86 |
$588.86 |
|
|
T cells absolute cd4/cd8 including ratio
|
$131.52 |
$161.06 |
$228.80 |
|
|
T cells absolute cd 4 count
|
$103.20 |
$114.40 |
$124.00 |
|
|
T cells total count
|
$105.60 |
$160.80 |
$222.15 |
|
|
Tcranial magn stim tx deli
|
$144.19 |
$144.19 |
$144.19 |
|
|
Tcranial magn stim tx plan
|
$198.24 |
$198.24 |
$198.24 |
|
|
Tcran magn stim redetemine
|
$180.24 |
$180.24 |
$180.24 |
|
|
Team conf without pat by hc pro
|
$139.44 |
$146.61 |
$146.61 |
|
|
Team conf without pat by phys
|
$220.90 |
$220.90 |
$220.90 |
|
|
Team conf w/pat by hc prof
|
$117.77 |
$146.61 |
$146.61 |
|
|
Tee w or without fol w/cont,cong
|
$4,853.86 |
$4,853.86 |
$4,853.86 |
|
|
Teflon or equal cable lining
|
$72.63 |
$99.18 |
$99.18 |
|
|
Telavancin injection
|
$693.60 |
$1,068.99 |
$1,068.99 |
|
|
Telehealth original site facility fee
|
$35.34 |
$70.40 |
$145.32 |
|
|
Telethx isodose plan cplx
|
$1,399.82 |
$2,445.52 |
$6,175.20 |
|
|
Telethx isodose plan simple
|
$839.90 |
$839.90 |
$3,511.20 |
|
|
Temozolomide
|
$221.26 |
$221.26 |
$221.26 |
|
|
Temozolomide 100 mg intravenous solution
|
$1,609.49 |
$1,609.49 |
$1,609.49 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$1,490.76 |
$3,425.28 |
$4,840.60 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$5,856.08 |
$11,258.42 |
$13,134.82 |
|
