|
Sup of prep of antigen # of vials 95144
|
$51.11 |
$51.11 |
$51.11 |
$50.43
|
|
Supply of digital device
|
$142.76 |
$142.76 |
$142.76 |
$152.50
|
|
Supprelin la implant
|
$45,560.39 |
$45,560.39 |
$45,560.39 |
$45,350.22
|
|
Surg dx exam anorectal
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
$3,035.44
|
|
Surgery for urethra pouch
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Surgery to stop leg growth
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Surgery to stop leg growth
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,311.00
|
|
Surgery to stop leg growth
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Surgery to stop leg growth
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,311.00
|
|
Surgical exposure prostate 55860
|
$5,631.74 |
$5,631.74 |
$5,631.74 |
$4,881.00
|
|
Surgical opening of stomach
|
$1,038.65 |
$1,038.65 |
$1,038.65 |
$1,358.04
|
|
Surgical opening of throat
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,870.40
|
|
Surgical pathology level 1 gross examination only
|
$27.13 |
$27.13 |
$27.13 |
$95.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$43.48 |
$43.48 |
$43.48 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$59.19 |
$59.19 |
$59.19 |
$191.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$59.19 |
$59.19 |
$59.19 |
$256.80
|
|
Surgical pathology level 5 gross & microscopic examination
|
$398.51 |
$398.51 |
$398.51 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$904.98 |
$904.98 |
$904.98 |
$783.25
|
|
Surg tx anal fistula 2nd stage 46285
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$4.75 |
$4.75 |
$4.75 |
$39.78
|
|
Susceptibility enzyme detection per enzyme
|
$4.75 |
$4.75 |
$4.75 |
$35.01
|
|
Susceptibility mic per plate
|
$8.65 |
$8.65 |
$8.65 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$6.64 |
$6.64 |
$6.64 |
$51.50
|
|
Suspension of testis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$3,817.53
|
|
Svc venogram s&i
|
$1,720.93 |
$1,720.93 |
$1,720.93 |
$1,890.50
|
|
Sweat collection by iontophoresis
|
$59.19 |
$59.19 |
$59.19 |
$104.23
|
|
Sympathectomy cervical
|
$2,163.32 |
$2,163.32 |
$2,163.32 |
$2,696.20
|
|
Sympathectomy digital artery
|
$2,163.32 |
$2,163.32 |
$2,163.32 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Synthetic sentence id test
|
$43.48 |
$43.48 |
$43.48 |
$65.00
|
|
Synvisc or synvisc-one
|
$9.09 |
$9.09 |
$9.09 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$4.40 |
$4.40 |
$4.40 |
$44.85
|
|
T3 (triiodothyronine) free
|
$16.94 |
$16.94 |
$16.94 |
$89.82
|
|
T3 (triiodothyronine) total
|
$14.18 |
$14.18 |
$14.18 |
$92.00
|
|
T4 (thyroxine) free
|
$9.02 |
$9.02 |
$9.02 |
$81.40
|
|
T4 (thyroxine) total
|
$6.87 |
$6.87 |
$6.87 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$262.23 |
$262.23 |
$262.23 |
$532.14
|
|
Tacrolimus therapeutic drug level
|
$13.73 |
$13.73 |
$13.73 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$14.08 |
$14.08 |
$14.08 |
$3,817.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$73.55 |
$73.55 |
$73.55 |
$73.55
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$72.40 |
$72.40 |
$72.40 |
$72.40
|
|
Target gsa panel hmtlmph neop
|
$759.53 |
$759.53 |
$759.53 |
$1,981.27
|
|
Target gsa panel organ/hmtlmph neop
|
$2,919.60 |
$2,919.60 |
$2,919.60 |
$3,567.96
|
|
Target gsa panel organ neop
|
$597.91 |
$597.91 |
$597.91 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$1,567.49 |
$1,567.49 |
$1,567.49 |
$1,567.49
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$678.13 |
$678.13 |
$678.13 |
$755.08
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.30 |
$0.30 |
$0.30 |
$995.97
|
|
Tbs techl calculation only
|
$97.54 |
$97.54 |
$97.54 |
$121.05
|
|
Tbs techl prep&transmis data
|
$97.54 |
$97.54 |
$97.54 |
$104.19
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$100.00 |
$100.00 |
$100.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$61.98 |
$61.98 |
$61.98 |
$164.45
|
|
Tc-99m arcitumomab
|
$809.51 |
$809.51 |
$809.51 |
$2,159.40
|
|
Tc-99m bicisate
|
$683.80 |
$683.80 |
$683.80 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$1,040.32 |
$1,040.32 |
$1,040.32 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$802.34 |
$802.34 |
$802.34 |
$2,166.26
|
|
Tc-99m non-heu per study dose
|
$10.00 |
$10.00 |
$10.00 |
$10.00
|
|
Tca peel dermal 15789
|
$678.13 |
$678.13 |
$678.13 |
$1,276.60
|
|
Tcd emboli detect w/inj
|
$117.81 |
$117.81 |
$117.81 |
$404.68
|
|
Tcd emboli detect without inj
|
$117.81 |
$117.81 |
$117.81 |
$397.15
|
|
T-cell depletion of harvest
|
$484.32 |
$484.32 |
$484.32 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$46.98 |
$46.98 |
$46.98 |
$185.28
|
|
T cells absolute cd 4 count
|
$26.78 |
$26.78 |
$26.78 |
$124.00
|
|
T cells total count
|
$37.73 |
$37.73 |
$37.73 |
$123.00
|
|
Tcranial magn stim tx deli
|
$344.98 |
$344.98 |
$344.98 |
$368.50
|
|
Tcranial magn stim tx plan
|
$344.98 |
$344.98 |
$344.98 |
$386.88
|
|
Tcran magn stim redetemine
|
$344.98 |
$344.98 |
$344.98 |
$417.06
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$217.09 |
$217.09 |
$217.09 |
$217.09
|
|
Tee w or without fol w/cont,cong
|
$875.24 |
$875.24 |
$875.24 |
$1,079.73
|
|
Tee w or without fol w/cont, mon
|
$875.24 |
$875.24 |
$875.24 |
$934.93
|
|
Telavancin injection
|
$7.47 |
$7.47 |
$7.47 |
$1,173.00
|
|
Telethx isodose plan cplx
|
$405.54 |
$405.54 |
$405.54 |
$1,627.54
|
|
Telethx isodose plan simple
|
$405.54 |
$405.54 |
$405.54 |
$813.43
|
|
Temozolomide 100 mg intravenous solution
|
$10.39 |
$10.39 |
$10.39 |
$1,319.31
|
|
Temperature gradient studies
|
$173.33 |
$173.33 |
$173.33 |
$173.33
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$32.29 |
$32.29 |
$32.29 |
$1,826.04
|
|
Tendon lengthening
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Tendon lngth upr a/e ea tdn
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,671.74
|
|
Tendon shortening
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,594.44
|
|
Tendon transfer with graft
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,821.05
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$171.94 |
$171.94 |
$171.94 |
$16,718.98
|
|
Tenodesis biceps tdn at elbw
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,786.00
|
|
Tenolysis triceps
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Tenoplasty elbow to sho 1
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,855.00
|
|
Tenosynovectomy radic 26145
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$1,893.86
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,591.33
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$2,145.00
|
|
Tert gene targeted seq alys
|
$185.20 |
$185.20 |
$185.20 |
$304.59
|
|
Test for chlorohydrocarbons
|
$6.01 |
$6.01 |
$6.01 |
$71.04
|
|
Test for porphobilinogen
|
$5.82 |
$5.82 |
$5.82 |
$33.57
|
|
Test for urine cystines
|
$9.55 |
$9.55 |
$9.55 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$445.16 |
$445.16 |
$445.16 |
$814.41
|
|
Testosterone undecanoate 1mg
|
$1.99 |
$1.99 |
$1.99 |
$1.95
|
|
Test pathogen(s) for platelets reference
|
$65.80 |
$65.80 |
$65.80 |
$88.90
|
|
Test stress cardiovascular tracing only
|
$344.98 |
$344.98 |
$344.98 |
$1,025.64
|
|
Test urine for lactose
|
$11.25 |
$11.25 |
$11.25 |
$12.38
|
|
Test urine for porphyrins
|
$13.36 |
$13.36 |
$13.36 |
$27.30
|
|
Test urine urobilinogen
|
$4.47 |
$4.47 |
$4.47 |
$5.36
|
|
Tetanus immune globulin inj
|
$577.05 |
$577.05 |
$577.05 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$18.30 |
$18.30 |
$18.30 |
$11,450.91
|
