|
Sodium chloride 3 % ivpb
|
$86.84 |
$86.84 |
$86.84 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$61.09 |
$61.09 |
$61.09 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$379.75 |
$379.75 |
$379.75 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$53.76 |
$53.76 |
$53.76 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$207.90 |
$207.90 |
$207.90 |
$177.52
|
|
Somatosensory testing
|
$526.26 |
$526.26 |
$526.26 |
$816.00
|
|
Somatropin injection
|
$587.69 |
$587.69 |
$587.69 |
$2,381.48
|
|
Special physics consult
|
$702.24 |
$702.24 |
$702.24 |
$725.00
|
|
Special radiation dosimetry
|
$362.46 |
$362.46 |
$362.46 |
$392.50
|
|
Special radiation treatment
|
$1,855.14 |
$1,855.14 |
$1,855.14 |
$1,986.00
|
|
Special teletx port plan
|
$1,107.12 |
$1,107.12 |
$1,107.12 |
$1,086.99
|
|
Specific gravity body fluid
|
$19.74 |
$19.74 |
$19.74 |
$22.00
|
|
Specimen fat stain
|
$18.48 |
$18.48 |
$18.48 |
$35.10
|
|
Speech evaluation complex
|
$240.66 |
$240.66 |
$240.66 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$647.64 |
$647.64 |
$647.64 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$435.54 |
$435.54 |
$435.54 |
$543.26
|
|
Splint finger 4 prong foam sm
|
$61.28 |
$61.28 |
$61.28 |
$34.00
|
|
Split blood or products
|
$103.74 |
$103.74 |
$103.74 |
$127.48
|
|
Sr-89 stront chlor ther / mci
|
$13,815.06 |
$13,815.06 |
$13,815.06 |
$2,667.94
|
|
Srs linear based
|
$10,717.14 |
$10,717.14 |
$10,717.14 |
$13,585.00
|
|
Srs multisource
|
$8,909.88 |
$8,909.88 |
$8,909.88 |
$34,165.20
|
|
St analysis behavior qualitative voice/resonance
|
$191.94 |
$191.94 |
$191.94 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$121.80 |
$121.80 |
$121.80 |
$286.00
|
|
Stem cells total count
|
$2,215.50 |
$2,215.50 |
$2,215.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,498.36 |
$12,498.36 |
$12,498.36 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$12,949.23 |
$12,949.23 |
$12,949.23 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,481.57 |
$2,481.57 |
$2,481.57 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$14,303.52 |
$14,303.52 |
$14,303.52 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$413.70 |
$413.70 |
$413.70 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,175.28 |
$7,175.28 |
$7,175.28 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,811.96 |
$5,811.96 |
$5,811.96 |
$9,008.54
|
|
Stent placemt retro carotid
|
$3,451.14 |
$3,451.14 |
$3,451.14 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,139.64 |
$10,139.64 |
$10,139.64 |
$17,271.50
|
|
St evaluate speech sound production
|
$152.04 |
$152.04 |
$152.04 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$191.94 |
$191.94 |
$191.94 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$297.78 |
$297.78 |
$297.78 |
$399.60
|
|
St evaluation swallow function
|
$133.98 |
$133.98 |
$133.98 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$93.24 |
$93.24 |
$93.24 |
$223.45
|
|
Strapping of chest
|
$189.42 |
$189.42 |
$189.42 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$136.08 |
$136.08 |
$136.08 |
$154.70
|
|
Strapping of hand or finger
|
$127.26 |
$127.26 |
$127.26 |
$174.82
|
|
Strapping of hip
|
$89.04 |
$89.04 |
$89.04 |
$164.70
|
|
Strapping of knee
|
$98.28 |
$98.28 |
$98.28 |
$205.20
|
|
Strapping of toes 29550
|
$89.04 |
$89.04 |
$89.04 |
$164.70
|
|
Strep a ag ia
|
$70.14 |
$70.14 |
$70.14 |
$75.40
|
|
Strep b dna amp probe
|
$53.76 |
$53.76 |
$53.76 |
$120.90
|
|
Stress test pulmonary
|
$276.78 |
$276.78 |
$276.78 |
$322.85
|
|
Stress tte complete
|
$1,762.32 |
$1,762.32 |
$1,762.32 |
$1,870.50
|
|
St treatment speech individual
|
$162.12 |
$162.12 |
$162.12 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$154.98 |
$154.98 |
$154.98 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$86.84 |
$86.84 |
$86.84 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$14,715.46 |
$14,715.46 |
$14,715.46 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$224.70 |
$224.70 |
$224.70 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$319.65 |
$319.65 |
$319.65 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$30.66 |
$30.66 |
$30.66 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$65.52 |
$65.52 |
$65.52 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$94.92 |
$94.92 |
$94.92 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$115.08 |
$115.08 |
$115.08 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$186.06 |
$186.06 |
$186.06 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$239.40 |
$239.40 |
$239.40 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$318.78 |
$318.78 |
$318.78 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$35.70 |
$35.70 |
$35.70 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$91.56 |
$91.56 |
$91.56 |
$35.70
|
|
Susceptibility mic per plate
|
$81.90 |
$81.90 |
$81.90 |
$106.00
|
|
Svc venogram s&i
|
$981.12 |
$981.12 |
$981.12 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$864.30 |
$864.30 |
$864.30 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$34.02 |
$34.02 |
$34.02 |
$41.60
|
|
System cardiomems hosp electronics
|
$19,547.22 |
$19,547.22 |
$19,547.22 |
$39,037.95
|
|
System pacing micra av
|
$17,293.50 |
$17,293.50 |
$17,293.50 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,070.30 |
$8,070.30 |
$8,070.30 |
$12,003.00
|
|
System sealant biosentry tract
|
$439.78 |
$439.78 |
$439.78 |
$889.35
|
|
T3 (triiodothyronine) free
|
$237.72 |
$237.72 |
$237.72 |
$99.20
|
|
T3 (triiodothyronine) total
|
$86.52 |
$86.52 |
$86.52 |
$93.52
|
|
T4 (thyroxine) free
|
$63.84 |
$63.84 |
$63.84 |
$85.20
|
|
T4 (thyroxine) total
|
$28.98 |
$28.98 |
$28.98 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$176.74 |
$176.74 |
$176.74 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$80.64 |
$80.64 |
$80.64 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,674.63 |
$2,674.63 |
$2,674.63 |
$2,762.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$21,745.13 |
$21,745.13 |
$21,745.13 |
$21,745.13
|
|
Tavr perq femoral
|
$8,256.36 |
$8,256.36 |
$8,256.36 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$850.84 |
$850.84 |
$850.84 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$201.60 |
$201.60 |
$201.60 |
$177.65
|
|
Tc-99m bicisate
|
$2,905.14 |
$2,905.14 |
$2,905.14 |
$1,969.45
|
|
Tc-99m depreotide
|
$721.56 |
$721.56 |
$721.56 |
$1,486.80
|
|
Tc-99m diag per dose
|
$220.08 |
$220.08 |
$220.08 |
$470.40
|
|
Tc-99m disofenin
|
$133.98 |
$133.98 |
$133.98 |
$124.32
|
|
Tc-99m exametazime diag
|
$2,625.84 |
$2,625.84 |
$2,625.84 |
$2,033.20
|
|
Tc-99m fanolesomab diag
|
$1,590.96 |
$1,590.96 |
$1,590.96 |
$2,115.12
|
|
Tc-99m labeled rbc
|
$259.56 |
$259.56 |
$259.56 |
$302.40
|
|
Tc-99m maa
|
$312.06 |
$312.06 |
$312.06 |
$292.80
|
|
Tc-99m mebrofenin
|
$58.38 |
$58.38 |
$58.38 |
$157.65
|
|
Tc-99m medronate
|
$84.42 |
$84.42 |
$84.42 |
$111.01
|
|
Tc-99m mertiatide
|
$558.18 |
$558.18 |
$558.18 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$4.20 |
$4.20 |
$4.20 |
$6.60
|
|
Tc-99m oxidronate
|
$60.48 |
$60.48 |
$60.48 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$249.90 |
$249.90 |
$249.90 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$284.34 |
$284.34 |
$284.34 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$1.26 |
$1.26 |
$1.26 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$72.66 |
$72.66 |
$72.66 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$468.30 |
$468.30 |
$468.30 |
$274.45
|
