|
Srs linear based
|
$3,500.20 |
$3,500.20 |
$3,500.20 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$60.00 |
$60.00 |
$60.00 |
$297.60
|
|
Staph a dna amp probe
|
$31.60 |
$31.60 |
$31.60 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$71.20 |
$71.20 |
$71.20 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$15,378.20 |
$15,378.20 |
$15,378.20 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$55.40 |
$55.40 |
$55.40 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$927.00 |
$927.00 |
$927.00 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$12,666.80 |
$12,666.80 |
$12,666.80 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,302.20 |
$8,302.20 |
$8,302.20 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,182.20 |
$10,182.20 |
$10,182.20 |
$17,271.50
|
|
St evaluate speech sound production
|
$58.40 |
$58.40 |
$58.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$120.20 |
$120.20 |
$120.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$164.60 |
$164.60 |
$164.60 |
$399.60
|
|
St evaluation swallow function
|
$114.40 |
$114.40 |
$114.40 |
$314.40
|
|
Stimulants synthetic
|
$15.80 |
$15.80 |
$15.80 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$37.40 |
$37.40 |
$37.40 |
$223.45
|
|
Strapping of chest
|
$54.80 |
$54.80 |
$54.80 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$30.20 |
$30.20 |
$30.20 |
$154.70
|
|
Strapping of hand or finger
|
$30.20 |
$30.20 |
$30.20 |
$174.82
|
|
Strapping of hip
|
$30.20 |
$30.20 |
$30.20 |
$164.70
|
|
Strapping of knee
|
$33.20 |
$33.20 |
$33.20 |
$205.20
|
|
Strapping of toes 29550
|
$30.20 |
$30.20 |
$30.20 |
$164.70
|
|
Strep b dna amp probe
|
$31.60 |
$31.60 |
$31.60 |
$120.90
|
|
Streptomycin injection
|
$58.19 |
$58.19 |
$58.19 |
$138.30
|
|
Stress test pulmonary
|
$44.80 |
$44.80 |
$44.80 |
$322.85
|
|
Stress tte complete
|
$391.60 |
$391.60 |
$391.60 |
$1,870.50
|
|
St treatment speech individual
|
$157.40 |
$157.40 |
$157.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$157.40 |
$157.40 |
$157.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$41.85 |
$41.85 |
$41.85 |
$52.31
|
|
Sulfonylurea screen qn-sendout
|
$64.20 |
$64.20 |
$64.20 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$34.70 |
$34.70 |
$34.70 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$7.60 |
$7.60 |
$7.60 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$12.60 |
$12.60 |
$12.60 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$27.80 |
$27.80 |
$27.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$31.20 |
$31.20 |
$31.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$109.80 |
$109.80 |
$109.80 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$231.20 |
$231.20 |
$231.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$6.80 |
$6.80 |
$6.80 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.80 |
$11.80 |
$11.80 |
$35.70
|
|
Susceptibility mic per plate
|
$124.20 |
$124.20 |
$124.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$4.20 |
$4.20 |
$4.20 |
$59.28
|
|
Svc venogram s&i
|
$552.80 |
$552.80 |
$552.80 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$32.40 |
$32.40 |
$32.40 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$2.40 |
$2.40 |
$2.40 |
$41.60
|
|
T3 (triiodothyronine) free
|
$124.20 |
$124.20 |
$124.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$46.80 |
$46.80 |
$46.80 |
$93.52
|
|
T4 (thyroxine) free
|
$41.40 |
$41.40 |
$41.40 |
$85.20
|
|
T4 (thyroxine) total
|
$44.40 |
$44.40 |
$44.40 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.61 |
$2.61 |
$2.61 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$190.80 |
$190.80 |
$190.80 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$821.10 |
$821.10 |
$821.10 |
$2,762.00
|
|
Tap block bilat cont infusion 64489
|
$203.20 |
$203.20 |
$203.20 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$195.60 |
$195.60 |
$195.60 |
$869.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,149.40 |
$1,149.40 |
$1,149.40 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$37.80 |
$37.80 |
$37.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$152.40 |
$152.40 |
$152.40 |
$177.65
|
|
Tc-99m depreotide
|
$43.60 |
$43.60 |
$43.60 |
$1,486.80
|
|
Tc-99m disofenin
|
$89.68 |
$89.68 |
$89.68 |
$124.32
|
|
Tc-99m exametazime diag
|
$516.80 |
$516.80 |
$516.80 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$61.40 |
$61.40 |
$61.40 |
$302.40
|
|
Tc-99m maa
|
$48.60 |
$48.60 |
$48.60 |
$292.80
|
|
Tc-99m mebrofenin
|
$31.50 |
$31.50 |
$31.50 |
$157.65
|
|
Tc-99m medronate
|
$25.32 |
$25.32 |
$25.32 |
$111.01
|
|
Tc-99m mertiatide
|
$211.20 |
$211.20 |
$211.20 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$6.40 |
$6.40 |
$6.40 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$35.60 |
$35.60 |
$35.60 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$0.22 |
$0.22 |
$0.22 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$95.93 |
$95.93 |
$95.93 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$43.22 |
$43.22 |
$43.22 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$97.40 |
$97.40 |
$97.40 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$37.40 |
$37.40 |
$37.40 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$31.40 |
$31.40 |
$31.40 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$313.20 |
$313.20 |
$313.20 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$258.40 |
$258.40 |
$258.40 |
$176.40
|
|
T cells absolute cd 4 count
|
$37.40 |
$37.40 |
$37.40 |
$111.20
|
|
T cells total count
|
$207.40 |
$207.40 |
$207.40 |
$126.90
|
|
Telehealth original site facility fee
|
$13.80 |
$13.80 |
$13.80 |
$51.00
|
|
Telethx isodose plan cplx
|
$505.20 |
$505.20 |
$505.20 |
$1,526.85
|
|
Telethx isodose plan simple
|
$406.20 |
$406.20 |
$406.20 |
$873.62
|
|
Temozolomide
|
$116.83 |
$116.83 |
$116.83 |
$588.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$795.52 |
$795.52 |
$795.52 |
$3,723.60
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$910.40 |
$910.40 |
$910.40 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$7.50 |
$7.50 |
$7.50 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$293.40 |
$293.40 |
$293.40 |
$949.70
|
|
Tgsap hl neo 5-50 rna alys
|
$493.00 |
$493.00 |
$493.00 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$1,894.60 |
$1,894.60 |
$1,894.60 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$388.20 |
$388.20 |
$388.20 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$77.40 |
$77.40 |
$77.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$16.20 |
$16.20 |
$16.20 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$20.00 |
$20.00 |
$20.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$18.00 |
$18.00 |
$18.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$73.60 |
$73.60 |
$73.60 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.81 |
$13.81 |
$13.81 |
$25.54
|
|
Thiotepa injection
|
$1,304.39 |
$1,304.39 |
$1,304.39 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$611.20 |
$611.20 |
$611.20 |
$1,687.50
|
|
Thoracotomy w/expl
|
$581.20 |
$581.20 |
$581.20 |
$2,045.17
|
|
Thrombectmy crnry perq mechanical
|
$1,972.60 |
$1,972.60 |
$1,972.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$2,127.80 |
$2,127.80 |
$2,127.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$4,301.40 |
$4,301.40 |
$4,301.40 |
$14,277.20
|
