|
Stem cells total count
|
$125.40 |
$125.40 |
$125.40 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$26,234.45 |
$26,234.45 |
$26,234.45 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,854.36 |
$6,854.36 |
$6,854.36 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$1,728.82 |
$1,728.82 |
$1,728.82 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$6,034.30 |
$6,034.30 |
$6,034.30 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$5,561.29 |
$5,561.29 |
$5,561.29 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,746.10 |
$8,746.10 |
$8,746.10 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$7,164.30 |
$7,164.30 |
$7,164.30 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$15,188.25 |
$15,188.25 |
$15,188.25 |
$19,765.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$609.95 |
$609.95 |
$609.95 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$193.60 |
$193.60 |
$193.60 |
$406.40
|
|
St evaluation swallow function
|
$336.60 |
$336.60 |
$336.60 |
$336.60
|
|
Stimulants synthetic
|
$217.80 |
$217.80 |
$217.80 |
$70.50
|
|
Strapping of ankle and/or ft 29540
|
$341.55 |
$341.55 |
$341.55 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$344.85 |
$344.85 |
$344.85 |
$171.00
|
|
Strapping of hand or finger
|
$361.90 |
$361.90 |
$361.90 |
$194.40
|
|
Strapping of hip
|
$242.55 |
$242.55 |
$242.55 |
$170.08
|
|
Strapping of knee
|
$293.15 |
$293.15 |
$293.15 |
$224.80
|
|
Strapping of toes 29550
|
$302.50 |
$302.50 |
$302.50 |
$185.36
|
|
Strep a ag ia
|
$24.20 |
$24.20 |
$24.20 |
$75.40
|
|
Strep b assay w/optic
|
$108.90 |
$108.90 |
$108.90 |
$32.00
|
|
Stress test pulmonary
|
$322.85 |
$322.85 |
$322.85 |
$327.20
|
|
Str markers specimen anal
|
$1,176.45 |
$1,176.45 |
$1,176.45 |
$835.28
|
|
St treatment speech individual
|
$198.55 |
$198.55 |
$198.55 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$289.30 |
$289.30 |
$289.30 |
$261.60
|
|
Sugars multiple quant
|
$26.95 |
$26.95 |
$26.95 |
$26.95
|
|
Sugars single quant
|
$168.85 |
$168.85 |
$168.85 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$138.05 |
$138.05 |
$138.05 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$74.25 |
$74.25 |
$74.25 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$146.30 |
$146.30 |
$146.30 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$154.00 |
$154.00 |
$154.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$201.85 |
$201.85 |
$201.85 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$372.90 |
$372.90 |
$372.90 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$558.25 |
$558.25 |
$558.25 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$63.80 |
$63.80 |
$63.80 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$25.30 |
$25.30 |
$25.30 |
$34.48
|
|
Susceptibility mic per plate
|
$147.95 |
$147.95 |
$147.95 |
$94.38
|
|
Svc venogram s&i
|
$1,317.25 |
$1,317.25 |
$1,317.25 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$55.00 |
$55.00 |
$55.00 |
$44.85
|
|
System cardiomems hosp electronics
|
$26,408.18 |
$26,408.18 |
$26,408.18 |
$41,518.75
|
|
System pacing micra av
|
$11,781.99 |
$11,781.99 |
$11,781.99 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$2,805.16 |
$2,805.16 |
$2,805.16 |
$10,980.00
|
|
System sealant biosentry tract
|
$3,569.67 |
$3,569.67 |
$3,569.67 |
$900.00
|
|
T3 (triiodothyronine) free
|
$57.75 |
$57.75 |
$57.75 |
$89.82
|
|
T3 (triiodothyronine) total
|
$52.25 |
$52.25 |
$52.25 |
$94.90
|
|
T4 (thyroxine) free
|
$59.40 |
$59.40 |
$59.40 |
$81.60
|
|
T4 (thyroxine) total
|
$33.00 |
$33.00 |
$33.00 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$118.80 |
$118.80 |
$118.80 |
$122.40
|
|
Tavr perq femoral
|
$11,046.20 |
$11,046.20 |
$11,046.20 |
$16,357.00
|
|
Tbs techl calculation only
|
$110.55 |
$110.55 |
$110.55 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$99.55 |
$99.55 |
$99.55 |
$166.46
|
|
Tc-99m bicisate
|
$793.10 |
$793.10 |
$793.10 |
$1,969.45
|
|
Tc-99m diag per dose
|
$279.95 |
$279.95 |
$279.95 |
$279.95
|
|
Tc-99m exame autol wbc diag per dose
|
$1,419.55 |
$1,419.55 |
$1,419.55 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$525.80 |
$525.80 |
$525.80 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$148.50 |
$148.50 |
$148.50 |
$323.01
|
|
Tc-99m maa
|
$288.75 |
$288.75 |
$288.75 |
$312.06
|
|
Tc-99m mebrofenin
|
$51.15 |
$51.15 |
$51.15 |
$169.53
|
|
Tc-99m medronate
|
$34.10 |
$34.10 |
$34.10 |
$122.46
|
|
Tc-99m mertiatide
|
$550.00 |
$550.00 |
$550.00 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$20.35 |
$20.35 |
$20.35 |
$8.00
|
|
Tc-99m oxidronate
|
$37.40 |
$37.40 |
$37.40 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$160.60 |
$160.60 |
$160.60 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$160.60 |
$160.60 |
$160.60 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$5.50 |
$5.50 |
$5.50 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$99.00 |
$99.00 |
$99.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$141.90 |
$141.90 |
$141.90 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$470.80 |
$470.80 |
$470.80 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$178.20 |
$178.20 |
$178.20 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$124.85 |
$124.85 |
$124.85 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$684.75 |
$684.75 |
$684.75 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$79.75 |
$79.75 |
$79.75 |
$186.00
|
|
T cells absolute cd 4 count
|
$135.85 |
$135.85 |
$135.85 |
$120.25
|
|
T cells total count
|
$79.75 |
$79.75 |
$79.75 |
$124.11
|
|
Team conf without pat by hc pro
|
$101.20 |
$101.20 |
$101.20 |
$102.05
|
|
Team conf without pat by phys
|
$112.75 |
$112.75 |
$112.75 |
$112.75
|
|
Team conf w/pat by hc prof
|
$74.80 |
$74.80 |
$74.80 |
$102.48
|
|
Tee w or without fol w/cont,cong
|
$1,995.40 |
$1,995.40 |
$1,995.40 |
$1,995.40
|
|
Telehealth original site facility fee
|
$57.75 |
$57.75 |
$57.75 |
$60.80
|
|
Telethx isodose plan cplx
|
$2,083.40 |
$2,083.40 |
$2,083.40 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$848.72
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,760.35 |
$3,760.35 |
$3,760.35 |
$2,139.67
|
|
Test for chlorohydrocarbons
|
$101.75 |
$101.75 |
$101.75 |
$71.04
|
|
Test for urine cystines
|
$31.35 |
$31.35 |
$31.35 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$489.50 |
$489.50 |
$489.50 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$107.25 |
$107.25 |
$107.25 |
$108.00
|
|
Therapeutic procd strg endur
|
$85.80 |
$85.80 |
$85.80 |
$85.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$37.40 |
$37.40 |
$37.40 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$37.40 |
$37.40 |
$37.40 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$475.20 |
$475.20 |
$475.20 |
$534.32
|
|
Ther/proph/diag inj ia
|
$197.45 |
$197.45 |
$197.45 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$1,804.00
|
|
Thoracotomy with cardiac massage
|
$1,474.55 |
$1,474.55 |
$1,474.55 |
$2,926.56
|
|
Throat x-ray & fluoroscopy
|
$259.60 |
$259.60 |
$259.60 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$6,513.10 |
$6,513.10 |
$6,513.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,594.40 |
$7,594.40 |
$7,594.40 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$10,494.00 |
$10,494.00 |
$10,494.00 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$11,126.50 |
$11,126.50 |
$11,126.50 |
$24,605.30
|
|
Thrombin time
|
$31.35 |
$31.35 |
$31.35 |
$48.75
|
