|
Sputum specimen collection
|
$64.90 |
$64.90 |
$64.90 |
$180.00
|
|
Srs linear based
|
$7,703.07 |
$7,703.07 |
$7,703.07 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$266.94 |
$266.94 |
$266.94 |
$300.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,415.71 |
$13,415.71 |
$13,415.71 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,489.56 |
$6,489.56 |
$6,489.56 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$151.90 |
$151.90 |
$151.90 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,477.93 |
$2,477.93 |
$2,477.93 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$18,421.78 |
$18,421.78 |
$18,421.78 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,395.27 |
$4,395.27 |
$4,395.27 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,491.28 |
$10,491.28 |
$10,491.28 |
$19,765.20
|
|
Sternal debridement
|
$717.75 |
$717.75 |
$717.75 |
$1,318.40
|
|
St evaluate speech sound production
|
$422.13 |
$422.13 |
$422.13 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$456.90 |
$456.90 |
$456.90 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$270.66 |
$270.66 |
$270.66 |
$406.40
|
|
St evaluation swallow function
|
$391.71 |
$391.71 |
$391.71 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$180.84 |
$180.84 |
$180.84 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$300.30 |
$300.30 |
$300.30 |
$171.00
|
|
Strapping of hand or finger
|
$99.00 |
$99.00 |
$99.00 |
$194.40
|
|
Strapping of hip
|
$296.34 |
$296.34 |
$296.34 |
$170.08
|
|
Strapping of knee
|
$300.30 |
$300.30 |
$300.30 |
$224.80
|
|
Strapping of toes 29550
|
$127.38 |
$127.38 |
$127.38 |
$185.36
|
|
Stress test pulmonary
|
$746.65 |
$746.65 |
$746.65 |
$327.20
|
|
St treatment speech individual
|
$270.60 |
$270.60 |
$270.60 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$348.15 |
$348.15 |
$348.15 |
$261.60
|
|
Sugars single quant
|
$363.55 |
$363.55 |
$363.55 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$458.15 |
$458.15 |
$458.15 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$62.15 |
$62.15 |
$62.15 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$81.95 |
$81.95 |
$81.95 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$86.35 |
$86.35 |
$86.35 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$250.80 |
$250.80 |
$250.80 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$315.70 |
$315.70 |
$315.70 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$517.55 |
$517.55 |
$517.55 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$111.10 |
$111.10 |
$111.10 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$11.55 |
$11.55 |
$11.55 |
$34.48
|
|
Susceptibility mic per plate
|
$42.90 |
$42.90 |
$42.90 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$47.30 |
$47.30 |
$47.30 |
$48.30
|
|
Svc venogram s&i
|
$1,171.50 |
$1,171.50 |
$1,171.50 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$69.85 |
$69.85 |
$69.85 |
$44.85
|
|
System cardiomems hosp electronics
|
$33,951.94 |
$33,951.94 |
$33,951.94 |
$41,639.82
|
|
System pacing micra av
|
$9,566.65 |
$9,566.65 |
$9,566.65 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,321.84 |
$5,321.84 |
$5,321.84 |
$10,980.00
|
|
T3 (triiodothyronine) free
|
$78.10 |
$78.10 |
$78.10 |
$89.82
|
|
T3 (triiodothyronine) total
|
$86.35 |
$86.35 |
$86.35 |
$94.90
|
|
T4 (thyroxine) free
|
$51.70 |
$51.70 |
$51.70 |
$81.60
|
|
T4 (thyroxine) total
|
$33.00 |
$33.00 |
$33.00 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$124.30 |
$124.30 |
$124.30 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,833.15 |
$1,833.15 |
$1,833.15 |
$3,385.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$261.25 |
$261.25 |
$261.25 |
$166.46
|
|
Tc-99m exametazime diag
|
$471.30 |
$471.30 |
$471.30 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$201.16 |
$201.16 |
$201.16 |
$323.01
|
|
Tc-99m maa
|
$97.71 |
$97.71 |
$97.71 |
$312.06
|
|
Tc-99m mebrofenin
|
$80.46 |
$80.46 |
$80.46 |
$169.53
|
|
Tc-99m medronate
|
$68.97 |
$68.97 |
$68.97 |
$122.46
|
|
Tc-99m mertiatide
|
$574.75 |
$574.75 |
$574.75 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$18.39 |
$18.39 |
$18.39 |
$8.00
|
|
Tc-99m oxidronate
|
$68.97 |
$68.97 |
$68.97 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$143.11 |
$143.11 |
$143.11 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$3.45 |
$3.45 |
$3.45 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$44.25 |
$44.25 |
$44.25 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$258.64 |
$258.64 |
$258.64 |
$221.60
|
|
Tc-99m sulfur colloid
|
$155.18 |
$155.18 |
$155.18 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$804.65 |
$804.65 |
$804.65 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$304.70 |
$304.70 |
$304.70 |
$186.00
|
|
T cells absolute cd 4 count
|
$50.60 |
$50.60 |
$50.60 |
$120.25
|
|
T cells total count
|
$61.60 |
$61.60 |
$61.60 |
$124.11
|
|
Telehealth original site facility fee
|
$38.50 |
$38.50 |
$38.50 |
$60.80
|
|
Telethx isodose plan cplx
|
$514.51 |
$514.51 |
$514.51 |
$1,617.00
|
|
Telethx isodose plan simple
|
$289.90 |
$289.90 |
$289.90 |
$848.72
|
|
Tenolysis extensor tendon hand/finger each
|
$748.55 |
$748.55 |
$748.55 |
$3,594.44
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$5,765.76 |
$5,765.76 |
$5,765.76 |
$2,139.67
|
|
Test for chlorohydrocarbons
|
$207.35 |
$207.35 |
$207.35 |
$71.04
|
|
Test stress cardiovascular tracing only
|
$825.00 |
$825.00 |
$825.00 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$151.80 |
$151.80 |
$151.80 |
$108.00
|
|
Therapeutic procd strg endur
|
$133.32 |
$133.32 |
$133.32 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$59.40 |
$59.40 |
$59.40 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$114.18 |
$114.18 |
$114.18 |
$50.40
|
|
Ther/proph/diag inj ia
|
$240.35 |
$240.35 |
$240.35 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,360.82 |
$2,360.82 |
$2,360.82 |
$1,804.00
|
|
Thoracotomy with cardiac massage
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$2,926.56
|
|
Thrombectmy crnry perq mechanical
|
$8,255.50 |
$8,255.50 |
$8,255.50 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$6,092.35 |
$6,092.35 |
$6,092.35 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,465.94 |
$14,465.94 |
$14,465.94 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$11,607.20 |
$11,607.20 |
$11,607.20 |
$24,605.30
|
|
Thrombin time
|
$101.75 |
$101.75 |
$101.75 |
$48.75
|
|
Thromboendarterectomy common femoral
|
$12,554.63 |
$12,554.63 |
$12,554.63 |
$7,431.06
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$177.10 |
$177.10 |
$177.10 |
$56.93
|
|
Thyroglobulin antibody
|
$52.80 |
$52.80 |
$52.80 |
$84.00
|
|
Thyroid imaging
|
$344.52 |
$344.52 |
$344.52 |
$670.80
|
|
Thyroid mets imag whole body
|
$1,499.52 |
$1,499.52 |
$1,499.52 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$69.85 |
$69.85 |
$69.85 |
$120.00
|
|
Thyroid Ultrasound
|
$567.46 |
$567.46 |
$567.46 |
$589.96
|
|
Thyroid uptake measurement
|
$463.98 |
$463.98 |
$463.98 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$107.80 |
$107.80 |
$107.80 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$21,671.73 |
$21,671.73 |
$21,671.73 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$8,098.75 |
$8,098.75 |
$8,098.75 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$8,098.75 |
$8,098.75 |
$8,098.75 |
$10,406.14
|
|
Tissue culture placenta
|
$495.55 |
$495.55 |
$495.55 |
$520.91
|
|
Tissue culture skin/biopsy
|
$1,400.30 |
$1,400.30 |
$1,400.30 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$32.45 |
$32.45 |
$32.45 |
$47.40
|
|
Tissue transglutaminase iga
|
$85.25 |
$85.25 |
$85.25 |
$48.57
|
