|
Surgical pathology level 4 gross & microscopic examination
|
$58.39 |
$88.97 |
$176.39 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$143.83 |
$334.76 |
$423.63 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$136.61 |
$340.23 |
$962.03 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Susceptibility agar dilution per agent
|
$4.75 |
$5.23 |
$17.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$4.75 |
$5.23 |
$5.23 |
|
|
Susceptibility mic per plate
|
$8.65 |
$9.52 |
$68.40 |
|
|
Suscept studies macrobroth dilution ea
|
$6.64 |
$7.30 |
$7.30 |
|
|
Suspension of testis
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Svc venogram s&i
|
$475.49 |
$1,619.33 |
$1,829.42 |
|
|
Swallowing Evaluation (Bedside)
|
$91.47 |
$91.47 |
$338.00 |
|
|
Swallowing Therapy Session
|
$107.20 |
$107.20 |
$107.20 |
|
|
Sweat collection by iontophoresis
|
$32.61 |
$59.19 |
$115.00 |
|
|
Sympathectomy cervical
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Sympathectomy digital artery
|
$2,134.14 |
$3,986.00 |
$6,839.00 |
|
|
Sympathectomy supfc palmar
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Synthetic sentence id test
|
$18.59 |
$43.44 |
$46.22 |
|
|
Synvisc or synvisc-one
|
$9.09 |
$9.09 |
$9.16 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$4.40 |
$4.84 |
$40.00 |
|
|
T3 (triiodothyronine) free
|
$16.94 |
$18.63 |
$103.60 |
|
|
T3 (triiodothyronine) total
|
$14.18 |
$15.60 |
$91.20 |
|
|
T4 (thyroxine) free
|
$9.02 |
$9.92 |
$68.00 |
|
|
T4 (thyroxine) total
|
$6.87 |
$7.56 |
$51.20 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$254.78 |
$262.23 |
$262.23 |
|
|
Tacrolimus therapeutic drug level
|
$13.73 |
$15.10 |
$114.00 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$13.71 |
$14.08 |
$14.08 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$87.84 |
$103.69 |
$224.00 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$70.36 |
$73.55 |
$73.55 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$67.65 |
$72.40 |
$72.40 |
|
|
Target gsa panel hmtlmph neop
|
$759.53 |
$835.48 |
$835.48 |
|
|
Target gsa panel organ/hmtlmph neop
|
$2,919.60 |
$3,211.56 |
$3,211.56 |
|
|
Target gsa panel organ neop
|
$597.91 |
$657.70 |
$657.70 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$1,545.00 |
$1,567.49 |
$1,567.49 |
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.30 |
$0.30 |
$0.39 |
|
|
Tbp gene detc abnor alleles
|
$137.00 |
$150.70 |
$150.70 |
|
|
Tbs techl calculation only
|
$96.23 |
$97.46 |
$103.69 |
|
|
Tbs techl prep&transmis data
|
$96.23 |
$97.46 |
$103.69 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$100.00 |
$110.00 |
$110.00 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$61.98 |
$68.18 |
$154.00 |
|
|
Tc-99m arcitumomab
|
$809.51 |
$809.51 |
$809.51 |
|
|
Tc-99m bicisate
|
$683.80 |
$683.80 |
$683.80 |
|
|
Tc-99m exame autol wbc diag per dose
|
$1,040.32 |
$1,040.32 |
$1,040.32 |
|
|
Tc-99m exametazime diag
|
$802.34 |
$802.34 |
$802.34 |
|
|
Tc-99m graphite crucible
|
$328.60 |
$328.60 |
$328.60 |
|
|
Tc-99m non-heu per study dose
|
$10.00 |
$10.00 |
$10.00 |
|
|
Tc-99m tetrofosmin p study dose
|
$169.57 |
$169.57 |
$169.57 |
|
|
Tca peel dermal 15789
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Tcd emboli detect w/inj
|
$116.22 |
$117.81 |
$410.60 |
|
|
Tcd emboli detect without inj
|
$116.22 |
$117.81 |
$286.24 |
|
|
Tcd vasoreactivity study
|
$159.28 |
$231.86 |
$262.57 |
|
|
T-cell depletion of harvest
|
$477.79 |
$3,986.00 |
$6,839.00 |
|
|
T cells absolute cd4/cd8 including ratio
|
$46.98 |
$51.68 |
$279.00 |
|
|
T cells absolute cd 4 count
|
$26.78 |
$29.46 |
$29.46 |
|
|
T cells total count
|
$37.73 |
$41.50 |
$124.80 |
|
|
Tcranial magn stim tx deli
|
$340.32 |
$344.68 |
$366.72 |
|
|
Tcranial magn stim tx plan
|
$340.32 |
$344.68 |
$366.72 |
|
|
Tcran magn stim redetemine
|
$340.32 |
$344.68 |
$366.72 |
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$214.76 |
$217.09 |
$217.09 |
|
|
Tee w or without fol w/cont,cong
|
$863.44 |
$874.49 |
$930.42 |
|
|
Tee w or without fol w/cont, mon
|
$863.44 |
$874.49 |
$930.42 |
|
|
Telavancin injection
|
$6.38 |
$7.47 |
$7.47 |
|
|
Telethx isodose plan cplx
|
$400.07 |
$976.68 |
$1,522.19 |
|
|
Telethx isodose plan simple
|
$305.38 |
$405.19 |
$517.25 |
|
|
Temozolomide 100 mg intravenous solution
|
$10.39 |
$10.39 |
$10.40 |
|
|
Temperature gradient studies
|
$170.99 |
$173.18 |
$184.26 |
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$32.21 |
$32.29 |
$32.29 |
|
|
Tendon lengthening
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tendon lngth upr a/e ea tdn
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tendon shortening
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tendon transfer with graft
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$157.72 |
$171.94 |
$171.94 |
|
|
Tenodesis biceps tdn at elbw
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Tenolysis extensor tendon hand/finger each
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tenolysis triceps
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tenoplasty elbow to sho 1
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Tenosynovectomy radic 26145
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Tert gene targeted seq alys
|
$185.20 |
$203.72 |
$203.72 |
|
|
Test for chlorohydrocarbons
|
$6.01 |
$6.61 |
$6.61 |
|
|
Test for porphobilinogen
|
$5.82 |
$6.40 |
$6.40 |
|
|
Test for urine cystines
|
$9.55 |
$10.51 |
$10.51 |
|
|
Testicular imaging w/vasc flow
|
$238.08 |
$444.77 |
$473.22 |
|
|
Testosterone response panel
|
$51.64 |
$56.80 |
$56.80 |
|
|
Testosterone undecanoate 1mg
|
$1.95 |
$1.99 |
$1.99 |
|
|
Test pathogen(s) for platelets reference
|
$14.64 |
$64.92 |
$69.95 |
|
|
Test stress cardiovascular tracing only
|
$264.32 |
$366.72 |
$479.67 |
|
|
Test urine for lactose
|
$11.25 |
$12.38 |
$12.38 |
|
|
Test urine for porphyrins
|
$13.36 |
$14.70 |
$14.70 |
|
|
Test urine urobilinogen
|
$4.47 |
$4.92 |
$4.92 |
|
|
Tetanus immune globulin inj
|
$577.05 |
$577.05 |
$581.78 |
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$18.11 |
$18.30 |
$18.30 |
|
|
Tgfbi gene common variants
|
$137.00 |
$150.70 |
$150.70 |
|
|
Tgsap hl neo 5-50 rna alys
|
$759.53 |
$835.48 |
$835.48 |
|
|
Tgsap so/hl 51/< rna alys
|
$2,919.60 |
$3,211.56 |
$3,211.56 |
|
|
Tgsap so neo 5-50 rna alys
|
$597.91 |
$657.70 |
$657.70 |
|
|
Thaw cryoprsvrd reprod tiss
|
$187.28 |
$189.67 |
$201.80 |
|
|
Thawing cryopresrved embryo
|
$187.28 |
$189.67 |
$201.80 |
|
|
Thawing cryopresrved oocyte
|
$187.28 |
$189.67 |
$201.80 |
|
