|
Special physics consult
|
$57,831.80 |
$57,831.80 |
$73,102.90 |
|
|
Special radiation dosimetry
|
$419.90 |
$419.90 |
$419.90 |
|
|
Special radiation treatment
|
$41,389.40 |
$41,389.40 |
$50,831.28 |
|
|
Special teletx port plan
|
$9,573.85 |
$9,573.85 |
$9,573.85 |
|
|
Specific gravity body fluid
|
$22.10 |
$24.05 |
$26.65 |
|
|
Specimen fat stain
|
$45.50 |
$53.95 |
$77.35 |
|
|
Sperm antibody test
|
$89.70 |
$89.70 |
$107.90 |
|
|
Sperm isolation simple
|
$45.00 |
$45.00 |
$45.00 |
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$12,300.17 |
$12,300.17 |
$12,300.17 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,886.65 |
$2,886.65 |
$3,993.27 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$111.75 |
$445.25 |
$535.60 |
|
|
Spleen imaging
|
$1,515.15 |
$1,515.15 |
$1,515.15 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$19.50 |
$33.15 |
$108.55 |
|
|
Splint finger 4 prong foam sm
|
$15.75 |
$15.75 |
$15.75 |
|
|
Splint finger frog med
|
$37.05 |
$37.05 |
$37.05 |
|
|
Splint rstrc wrst/cmc right med
|
$124.15 |
$141.05 |
$152.10 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,628.90 |
$1,628.90 |
$1,628.90 |
|
|
Split blood or products
|
$98.80 |
$99.45 |
$137.80 |
|
|
Sputum specimen collection
|
$97.50 |
$97.50 |
$97.50 |
|
|
Sr-89 stront chlor ther / mci
|
$7,689.50 |
$7,689.50 |
$7,689.50 |
|
|
Srs linear based
|
$36,631.40 |
$36,631.40 |
$36,708.10 |
|
|
St analysis behavior qualitative voice/resonance
|
$157.30 |
$358.80 |
$448.50 |
|
|
Staph a dna amp probe
|
$103.35 |
$116.35 |
$150.15 |
|
|
St cognitve performance testing healthcare professional each hour
|
$221.65 |
$241.80 |
$366.60 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,498.08 |
$26,498.08 |
$26,498.08 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$26,586.61 |
$26,586.61 |
$26,586.61 |
|
|
Stent placemt retro carotid
|
$21,013.85 |
$21,013.85 |
$21,013.85 |
|
|
St evaluate speech sound production
|
$152.10 |
$358.80 |
$540.80 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$313.95 |
$399.75 |
$448.50 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$422.50 |
$524.55 |
$755.30 |
|
|
St evaluation swallow function
|
$152.10 |
$369.20 |
$482.95 |
|
|
Strapping of ankle and/or ft 29540
|
$63.00 |
$157.95 |
$194.35 |
|
|
Strapping of chest
|
$87.75 |
$87.75 |
$140.40 |
|
|
Strapping of elbow or wrist 29260
|
$87.75 |
$104.00 |
$133.90 |
|
|
Strapping of hand or finger
|
$122.85 |
$130.00 |
$194.35 |
|
|
Strapping of hip
|
$88.40 |
$88.40 |
$133.90 |
|
|
Strapping of knee
|
$98.80 |
$121.55 |
$154.70 |
|
|
Strapping of toes 29550
|
$63.05 |
$87.75 |
$123.50 |
|
|
Strep a ag ia
|
$39.75 |
$92.95 |
$120.90 |
|
|
Strep b dna amp probe
|
$65.65 |
$124.15 |
$130.00 |
|
|
Streptomycin injection
|
$23.25 |
$23.25 |
$226.69 |
|
|
Stress test pulmonary
|
$49.50 |
$301.60 |
$454.35 |
|
|
Stress tte complete
|
$411.45 |
$1,784.25 |
$2,111.85 |
|
|
Str markers specimen anal
|
$536.90 |
$750.10 |
$776.75 |
|
|
St treatment speech individual
|
$235.95 |
$320.45 |
$1,155.05 |
|
|
St treatment swallow dysfunction/oral
|
$230.75 |
$363.35 |
$503.75 |
|
|
Subtalar arthro w/deb
|
$12,484.71 |
$12,484.71 |
$12,484.71 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
|
|
Sugars single quant
|
$66.95 |
$66.95 |
$66.95 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$37.91 |
$40.75 |
$52.98 |
|
|
Sulfonylurea screen qn-sendout
|
$60.45 |
$60.45 |
$109.20 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$33.25 |
$35.75 |
$144.00 |
|
|
Support clav 29.6-40.5in med
|
$17.55 |
$27.95 |
$330.85 |
|
|
Supprelin la implant
|
$109,278.28 |
$109,278.28 |
$109,278.28 |
|
|
Surg dx exam anorectal
|
$460.20 |
$471.25 |
$12,132.37 |
|
|
Surgical pathology level 1 gross examination only
|
$31.20 |
$92.95 |
$13,736.24 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$73.45 |
$115.05 |
$15,667.37 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$97.50 |
$9,602.34 |
$19,100.82 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,052.40 |
$3,404.10 |
$6,537.05 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$291.85 |
$6,346.46 |
$19,460.62 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$424.45 |
$554.45 |
$47,161.39 |
|
|
Susceptibility agar dilution per agent
|
$33.80 |
$43.55 |
$79.30 |
|
|
Susceptibility enzyme detection per enzyme
|
$6.50 |
$29.25 |
$48.10 |
|
|
Susceptibility mic per plate
|
$34.50 |
$117.65 |
$149.50 |
|
|
Svc venogram s&i
|
$1,672.45 |
$1,672.45 |
$1,866.15 |
|
|
Sweat collection by iontophoresis
|
$89.70 |
$121.55 |
$202.15 |
|
|
Sympathectomy cervical
|
$24,121.85 |
$24,121.85 |
$24,121.85 |
|
|
Synvisc or synvisc-one
|
$296.25 |
$1,842.83 |
$3,115.89 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$32.50 |
$38.35 |
$70.20 |
|
|
T3 (triiodothyronine) free
|
$23.25 |
$137.80 |
$395.85 |
|
|
T3 (triiodothyronine) total
|
$63.70 |
$112.45 |
$122.20 |
|
|
T4 (thyroxine) free
|
$23.25 |
$115.05 |
$228.15 |
|
|
T4 (thyroxine) total
|
$22.50 |
$72.15 |
$116.35 |
|
|
Tacrol envarsus ex rel oral
|
$14.96 |
$14.96 |
$14.96 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$9.43 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$793.95 |
$793.95 |
$793.95 |
|
|
Tacrolimus therapeutic drug level
|
$115.70 |
$162.50 |
$217.75 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,108.56 |
$3,108.56 |
$3,728.06 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$26,095.32 |
$26,095.32 |
$26,095.32 |
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$35.75 |
$35.75 |
$35.75 |
|
|
Target gsa panel hmtlmph neop
|
$1,484.60 |
$1,508.00 |
$1,604.20 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,630.20 |
$1,630.20 |
$1,630.20 |
|
|
Target gsa panel organ neop
|
$1,491.75 |
$1,911.00 |
$2,243.15 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$33,650.17 |
$33,650.17 |
$40,378.00 |
|
|
Tavr perq femoral
|
$8,280.35 |
$8,280.35 |
$8,280.35 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$779.79 |
$782.39 |
$974.73 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$89.05 |
$141.05 |
$258.05 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$113.75 |
$190.45 |
$263.25 |
|
|
Tc-99m apcitide diag
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
|
|
Tc-99m bicisate
|
$5,645.90 |
$5,645.90 |
$5,645.90 |
|
|
Tc-99m disofenin
|
$202.15 |
$202.15 |
$314.60 |
|
|
Tc-99m exame autol wbc diag per dose
|
$3,110.90 |
$3,110.90 |
$6,486.35 |
|
|
Tc-99m exametazime diag
|
$5,005.65 |
$5,005.65 |
$5,005.65 |
|
|
Tc-99m labeled rbc
|
$333.45 |
$341.90 |
$487.50 |
|
|
Tc-99m maa
|
$174.20 |
$231.40 |
$714.35 |
|
|
Tc-99m mebrofenin
|
$159.25 |
$214.50 |
$741.65 |
|
|
Tc-99m medronate
|
$20.15 |
$111.15 |
$215.15 |
|
|
Tc-99m mertiatide
|
$782.60 |
$782.60 |
$950.95 |
|
|
Tc-99m oxidronate
|
$151.45 |
$151.45 |
$226.85 |
|
|
Tc-99m pentetate dtpa
|
$156.00 |
$156.00 |
$433.55 |
|