|
Small bowel endoscopy
|
$483.65 |
$483.65 |
$483.65 |
$2,244.82
|
|
Small bowel endoscopy
|
$568.65 |
$568.65 |
$568.65 |
$2,638.57
|
|
Small bowel endoscopy
|
$582.25 |
$582.25 |
$582.25 |
$2,389.40
|
|
Small bowel endoscopy
|
$674.05 |
$674.05 |
$674.05 |
$2,638.57
|
|
Small bowel endoscopy
|
$912.90 |
$912.90 |
$912.90 |
$2,842.50
|
|
Small bowel endoscopy
|
$742.90 |
$742.90 |
$742.90 |
$1,620.78
|
|
Small bowel endoscopy
|
$364.65 |
$364.65 |
$364.65 |
$2,956.20
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$453.90 |
$453.90 |
$453.90 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$430.95 |
$430.95 |
$430.95 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$375.70 |
$375.70 |
$375.70 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$708.90 |
$708.90 |
$708.90 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$480.25 |
$480.25 |
$480.25 |
$1,924.00
|
|
Small bowel endoscopy/stent 44370
|
$631.55 |
$631.55 |
$631.55 |
$4,925.70
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$166.60 |
$166.60 |
$166.60 |
$64.20
|
|
Smear gram stain
|
$98.60 |
$98.60 |
$98.60 |
$55.25
|
|
Smear nasal eosinophil
|
$79.05 |
$79.05 |
$79.05 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$215.90 |
$215.90 |
$215.90 |
$73.15
|
|
Smear wet mount
|
$120.70 |
$120.70 |
$120.70 |
$67.49
|
|
Sock fracture or equal each
|
$36.46 |
$36.46 |
$36.46 |
$74.51
|
|
Sodium 24 hour urine
|
$83.30 |
$83.30 |
$83.30 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$175.74 |
$175.74 |
$175.74 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$175.74 |
$175.74 |
$175.74 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$84.58 |
$84.58 |
$84.58 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$175.74 |
$175.74 |
$175.74 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$123.62 |
$123.62 |
$123.62 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$768.53 |
$768.53 |
$768.53 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$102.85 |
$102.85 |
$102.85 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$420.75 |
$420.75 |
$420.75 |
$177.52
|
|
Somatropin injection
|
$1,189.37 |
$1,189.37 |
$1,189.37 |
$2,381.48
|
|
Specific gravity body fluid
|
$38.25 |
$38.25 |
$38.25 |
$22.00
|
|
Specimen fat stain
|
$47.60 |
$47.60 |
$47.60 |
$35.10
|
|
Speech audiometry complete
|
$57.80 |
$57.80 |
$57.80 |
$109.20
|
|
Speech evaluation complex
|
$476.85 |
$476.85 |
$476.85 |
$527.06
|
|
Speech recep thresh
|
$57.80 |
$57.80 |
$57.80 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$884.85 |
$884.85 |
$884.85 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$634.95 |
$634.95 |
$634.95 |
$543.26
|
|
Splenectomy total open 38100
|
$2,626.50 |
$2,626.50 |
$2,626.50 |
$2,166.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$87.00 |
$87.00 |
$87.00 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$111.61 |
$111.61 |
$111.61 |
$34.00
|
|
Split blood or products
|
$121.55 |
$121.55 |
$121.55 |
$127.48
|
|
St analysis behavior qualitative voice/resonance
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$286.00
|
|
Stem cells total count
|
$884.85 |
$884.85 |
$884.85 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$26,206.78 |
$26,206.78 |
$26,206.78 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,022.23 |
$5,022.23 |
$5,022.23 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$26,227.67 |
$26,227.67 |
$26,227.67 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$837.25 |
$837.25 |
$837.25 |
$4,939.20
|
|
Sternal debridement
|
$1,255.45 |
$1,255.45 |
$1,255.45 |
$1,318.40
|
|
St evaluate speech sound production
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$505.75 |
$505.75 |
$505.75 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$399.60
|
|
St evaluation swallow function
|
$508.30 |
$508.30 |
$508.30 |
$314.40
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$86.07 |
$86.07 |
$86.07 |
$5.04
|
|
Strapping of ankle and/or ft 29540
|
$255.85 |
$255.85 |
$255.85 |
$223.45
|
|
Strapping of chest
|
$279.65 |
$279.65 |
$279.65 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$366.35 |
$366.35 |
$366.35 |
$154.70
|
|
Strapping of hand or finger
|
$204.85 |
$204.85 |
$204.85 |
$174.82
|
|
Strapping of hip
|
$349.35 |
$349.35 |
$349.35 |
$164.70
|
|
Strapping of knee
|
$255.85 |
$255.85 |
$255.85 |
$205.20
|
|
Strapping of toes 29550
|
$255.85 |
$255.85 |
$255.85 |
$164.70
|
|
Strep a ag ia
|
$141.10 |
$141.10 |
$141.10 |
$75.40
|
|
Strep b dna amp probe
|
$93.50 |
$93.50 |
$93.50 |
$120.90
|
|
Stress test pulmonary
|
$157.25 |
$157.25 |
$157.25 |
$322.85
|
|
Stress tte complete
|
$2,681.75 |
$2,681.75 |
$2,681.75 |
$1,870.50
|
|
St treatment speech individual
|
$1,320.05 |
$1,320.05 |
$1,320.05 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$175.74 |
$175.74 |
$175.74 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$29,781.28 |
$29,781.28 |
$29,781.28 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$409.70 |
$409.70 |
$409.70 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$646.90 |
$646.90 |
$646.90 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$28.39 |
$28.39 |
$28.39 |
$94.19
|
|
Surg dx exam anorectal
|
$244.80 |
$244.80 |
$244.80 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$136.85 |
$136.85 |
$136.85 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$157.25 |
$157.25 |
$157.25 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$235.45 |
$235.45 |
$235.45 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$341.70 |
$341.70 |
$341.70 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$443.70 |
$443.70 |
$443.70 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$590.75 |
$590.75 |
$590.75 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,347.25 |
$1,347.25 |
$1,347.25 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$71.40 |
$71.40 |
$71.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$71.40 |
$71.40 |
$71.40 |
$35.70
|
|
Susceptibility mic per plate
|
$176.80 |
$176.80 |
$176.80 |
$106.00
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$2,413.15 |
$2,413.15 |
$2,413.15 |
$1,995.00
|
|
Synvisc or synvisc-one
|
$1,749.18 |
$1,749.18 |
$1,749.18 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$57.80 |
$57.80 |
$57.80 |
$41.60
|
|
System cardiomems hosp electronics
|
$35,343.00 |
$35,343.00 |
$35,343.00 |
$39,037.95
|
|
System pacing micra av
|
$34,998.75 |
$34,998.75 |
$34,998.75 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$16,332.75 |
$16,332.75 |
$16,332.75 |
$12,003.00
|
|
System sealant biosentry tract
|
$890.03 |
$890.03 |
$890.03 |
$889.35
|
|
T3 (triiodothyronine) free
|
$226.10 |
$226.10 |
$226.10 |
$99.20
|
|
T3 (triiodothyronine) total
|
$97.75 |
$97.75 |
$97.75 |
$93.52
|
|
T4 (thyroxine) free
|
$141.95 |
$141.95 |
$141.95 |
$85.20
|
|
T4 (thyroxine) total
|
$120.70 |
$120.70 |
$120.70 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$357.68 |
$357.68 |
$357.68 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$991.32 |
$991.32 |
$991.32 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$368.90 |
$368.90 |
$368.90 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,412.93 |
$5,412.93 |
$5,412.93 |
$2,762.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$44,007.99 |
$44,007.99 |
$44,007.99 |
$21,745.13
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,721.93 |
$1,721.93 |
$1,721.93 |
$937.50
|
