|
Sr-89 stront chlor ther / mci
|
$2,128.58 |
$2,128.58 |
$2,681.83 |
|
|
St analysis behavior qualitative voice/resonance
|
$138.99 |
$151.70 |
$193.91 |
|
|
Staph a dna amp probe
|
$27.68 |
$30.65 |
$38.61 |
|
|
Static or dynami afo pre ots
|
$278.39 |
$308.27 |
$388.39 |
|
|
St cognitve performance testing healthcare professional each hour
|
$35.06 |
$38.82 |
$155.67 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,112.62 |
$13,112.62 |
$14,519.83 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$11,886.16 |
$25,187.30 |
$38,656.97 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$505.37 |
$2,981.93 |
$5,327.38 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$8,519.80 |
$9,434.12 |
$20,150.30 |
|
|
Stent bronch dumon sil 10x40mm
|
$3,877.17 |
$4,293.26 |
$5,327.38 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,665.94 |
$11,665.94 |
$12,917.89 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,899.71 |
$4,899.71 |
$5,425.53 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,359.29 |
$8,359.29 |
$9,256.38 |
|
|
St evaluate speech sound production
|
$156.24 |
$161.75 |
$225.66 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$167.60 |
$406.52 |
$567.14 |
|
|
Stimulants synthetic
|
$77.12 |
$77.12 |
$77.12 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$806.47 |
$893.02 |
$1,038.42 |
|
|
Straight knee joint heavy du
|
$362.24 |
$401.11 |
$505.37 |
|
|
Strep b dna amp probe
|
$27.68 |
$30.65 |
$56.29 |
|
|
Streptomycin injection
|
$20.91 |
$20.91 |
$23.16 |
|
|
Streptozocin injection
|
$385.81 |
$385.81 |
$427.22 |
|
|
Stress test pulmonary
|
$152.32 |
$168.67 |
$212.50 |
|
|
Str markers specimen anal
|
$89.18 |
$98.75 |
$693.52 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.59 |
$15.79 |
$17.48 |
|
|
Sugars single quant
|
$8.00 |
$8.86 |
$11.16 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$198.03 |
$256.55 |
$1,019.23 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$10.46 |
$10.46 |
$11.58 |
|
|
Sulfonylurea screen qn-sendout
|
$85.80 |
$85.80 |
$85.80 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$78.31 |
$86.72 |
$109.26 |
|
|
Support clav 29.6-40.5in med
|
$108.65 |
$120.31 |
$151.58 |
|
|
Surgical pathology level 1 gross examination only
|
$7.79 |
$8.63 |
$23.32 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$12.71 |
$14.08 |
$36.96 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$18.45 |
$20.43 |
$50.16 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$50.16 |
$378.23 |
$527.67 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$32.80 |
$36.32 |
$335.28 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$85.08 |
$94.21 |
$753.28 |
|
|
Susceptibility agar dilution per agent
|
$26.86 |
$29.74 |
$135.40 |
|
|
Susceptibility enzyme detection per enzyme
|
$29.74 |
$51.87 |
$72.36 |
|
|
Susceptibility mic per plate
|
$151.40 |
$203.98 |
$284.57 |
|
|
Suscept studies macrobroth dilution ea
|
$61.07 |
$79.95 |
$111.54 |
|
|
Svc venogram s&i
|
$575.03 |
$575.03 |
$636.74 |
|
|
Swallowing Evaluation (Bedside)
|
$135.79 |
$148.83 |
$207.64 |
|
|
Swallowing Therapy Session
|
$74.01 |
$81.95 |
$115.90 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$15.38 |
$17.03 |
$29.95 |
|
|
System cardiomems hosp electronics
|
$21,677.11 |
$21,677.11 |
$24,003.44 |
|
|
System pacing micra av
|
$11,123.92 |
$12,317.71 |
$19,910.25 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,519.80 |
$9,434.12 |
$62,214.70 |
|
|
T3 (triiodothyronine) free
|
$12.30 |
$13.62 |
$34.22 |
|
|
T3 (triiodothyronine) total
|
$11.48 |
$12.72 |
$20.73 |
|
|
T4 (thyroxine) free
|
$45.79 |
$177.33 |
$247.39 |
|
|
T4 (thyroxine) total
|
$26.99 |
$181.43 |
$253.11 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.15 |
$17.02 |
$18.85 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$166.05 |
$166.05 |
$183.87 |
|
|
Tacrolimus therapeutic drug level
|
$30.85 |
$56.79 |
$79.23 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$151.15 |
$362.03 |
$505.08 |
|
|
Target gsa panel hmtlmph neop
|
$1,163.97 |
$1,569.48 |
$2,189.62 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,575.02 |
$1,744.05 |
$4,256.87 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$172.80 |
$172.80 |
$172.80 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$107.14 |
$173.43 |
$241.96 |
|
|
Tc-99m apcitide diag
|
$214.23 |
$237.22 |
$298.87 |
|
|
Tc-99m arcitumomab
|
$1,883.54 |
$2,085.68 |
$2,627.77 |
|
|
Tc-99m bicisate
|
$209.31 |
$231.77 |
$888.62 |
|
|
Tc-99m depreotide
|
$385.40 |
$426.76 |
$537.68 |
|
|
Tc-99m disofenin
|
$45.72 |
$50.63 |
$63.78 |
|
|
Tc-99m exame autol wbc diag per dose
|
$977.86 |
$977.86 |
$977.86 |
|
|
Tc-99m exametazime diag
|
$354.24 |
$382.80 |
$494.21 |
|
|
Tc-99m fanolesomab diag
|
$720.99 |
$798.36 |
$1,005.87 |
|
|
Tc-99m labeled rbc
|
$70.73 |
$78.32 |
$424.51 |
|
|
Tc-99m maa
|
$43.67 |
$48.36 |
$90.82 |
|
|
Tc-99m mebrofenin
|
$58.43 |
$64.70 |
$497.38 |
|
|
Tc-99m medronate
|
$65.81 |
$72.87 |
$187.07 |
|
|
Tc-99m mertiatide
|
$98.20 |
$108.74 |
$218.06 |
|
|
Tc-99m pentetate dtpa
|
$54.12 |
$59.93 |
$135.70 |
|
|
Tc-99m pentetate dtpa aerosol
|
$225.09 |
$225.09 |
$225.09 |
|
|
Tc-99m pertechnetate per mci
|
$33.21 |
$36.78 |
$61.25 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$95.04 |
$113.37 |
$158.16 |
|
|
Tc-99m sestamibi p study dose
|
$112.34 |
$124.40 |
$156.73 |
|
|
Tc-99m sulfur colloid
|
$90.82 |
$174.66 |
$243.68 |
|
|
Tc-99m tetrofosmin p study dose
|
$104.55 |
$105.60 |
$145.86 |
|
|
Tc-99m tilmanocept diag
|
$354.24 |
$392.26 |
$494.21 |
|
|
Tcd emboli detect w/inj
|
$276.55 |
$306.23 |
$385.82 |
|
|
Tcd emboli detect without inj
|
$268.14 |
$296.92 |
$374.09 |
|
|
T cells absolute cd4/cd8 including ratio
|
$35.26 |
$39.05 |
$81.22 |
|
|
T cells absolute cd 4 count
|
$27.68 |
$30.65 |
$63.94 |
|
|
T cells total count
|
$35.26 |
$39.05 |
$65.66 |
|
|
Telehealth original site facility fee
|
$16.61 |
$18.39 |
$23.86 |
|
|
Telethx isodose plan cplx
|
$78.11 |
$78.11 |
$108.97 |
|
|
Temozolomide
|
$259.74 |
$259.74 |
$287.61 |
|
|
Temozolomide 100 mg intravenous solution
|
$749.28 |
$749.28 |
$829.69 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$2,804.40 |
$3,105.36 |
$3,912.48 |
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$27.75 |
$28.91 |
$32.01 |
|
|
Testicular imaging w/vasc flow
|
$404.46 |
$404.46 |
$602.29 |
|
|
Test stress cardiovascular tracing only
|
$592.45 |
$656.03 |
$833.38 |
|
|
Tetanus immune globulin inj
|
$417.18 |
$417.18 |
$461.95 |
|
|
Theophylline therapeutic drug level
|
$20.73 |
$75.24 |
$104.97 |
|
|
Therapy Activity Training (each 15 minutes)
|
$42.64 |
$47.22 |
$69.31 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$49.20 |
$54.48 |
$70.53 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$22.93 |
$22.93 |
$36.52 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$19.53 |
$19.53 |
$34.86 |
|
