|
Smpd1 gene common variants
|
$965.00 |
$965.00 |
$965.00 |
$140.00
|
|
Sodium 24 hour urine
|
$75.00 |
$75.00 |
$75.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$4.71 |
$4.71 |
$4.71 |
$43.78
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$20.81 |
$20.81 |
$20.81 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$332.50 |
$332.50 |
$332.50 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$86.00 |
$86.00 |
$86.00 |
$42.70
|
|
Sotalol hydrochloride IV
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$1,153.60
|
|
Special physics consult
|
$942.00 |
$942.00 |
$942.00 |
$700.74
|
|
Special radiation dosimetry
|
$857.00 |
$857.00 |
$857.00 |
$445.50
|
|
Special radiation treatment
|
$3,711.00 |
$3,711.00 |
$3,711.00 |
$1,934.03
|
|
Specific gravity body fluid
|
$79.00 |
$79.00 |
$79.00 |
$23.63
|
|
Sperm antibody test
|
$481.00 |
$481.00 |
$481.00 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$6,727.52 |
$6,727.52 |
$6,727.52 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,673.00 |
$3,673.00 |
$3,673.00 |
$559.96
|
|
Spleen imaging
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$539.70
|
|
Split blood or products
|
$56.00 |
$56.00 |
$56.00 |
$148.98
|
|
Srs linear based
|
$34,377.00 |
$34,377.00 |
$34,377.00 |
$14,124.25
|
|
Staph a dna amp probe
|
$442.00 |
$442.00 |
$442.00 |
$116.39
|
|
St evaluate speech sound production comprehensive/expressive
|
$563.00 |
$563.00 |
$563.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$406.40
|
|
St evaluation swallow function
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$392.00 |
$392.00 |
$392.00 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$596.00 |
$596.00 |
$596.00 |
$171.00
|
|
Strapping of knee
|
$441.00 |
$441.00 |
$441.00 |
$224.80
|
|
Strapping of toes 29550
|
$426.00 |
$426.00 |
$426.00 |
$185.36
|
|
Strep a ag ia
|
$197.00 |
$197.00 |
$197.00 |
$75.40
|
|
Strep b assay w/optic
|
$312.00 |
$312.00 |
$312.00 |
$32.00
|
|
Strep b dna amp probe
|
$150.00 |
$150.00 |
$150.00 |
$139.20
|
|
Streptomycin injection
|
$143.47 |
$143.47 |
$143.47 |
$138.30
|
|
Streptozocin injection
|
$1,132.15 |
$1,132.15 |
$1,132.15 |
$943.23
|
|
Str markers spec anal addl
|
$1,961.00 |
$1,961.00 |
$1,961.00 |
$468.00
|
|
Str markers specimen anal
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$835.28
|
|
St treatment speech individual
|
$563.00 |
$563.00 |
$563.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$563.00 |
$563.00 |
$563.00 |
$261.60
|
|
Sugars single quant
|
$52.00 |
$52.00 |
$52.00 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$408.00 |
$408.00 |
$408.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.34 |
$39.34 |
$39.34 |
$151.29
|
|
Supprelin la implant
|
$170,685.80 |
$170,685.80 |
$170,685.80 |
$72,648.14
|
|
Surgical pathology level 1 gross examination only
|
$292.00 |
$292.00 |
$292.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$425.00 |
$425.00 |
$425.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$425.00 |
$425.00 |
$425.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$468.00 |
$468.00 |
$468.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$747.00 |
$747.00 |
$747.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$133.00 |
$133.00 |
$133.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$125.00 |
$125.00 |
$125.00 |
$34.48
|
|
Susceptibility mic per plate
|
$264.00 |
$264.00 |
$264.00 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$335.00 |
$335.00 |
$335.00 |
$48.30
|
|
Svc venogram s&i
|
$4,975.00 |
$4,975.00 |
$4,975.00 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$72.00 |
$72.00 |
$72.00 |
$105.21
|
|
Synvisc or synvisc-one
|
$239.98 |
$239.98 |
$239.98 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$170.00 |
$170.00 |
$170.00 |
$44.85
|
|
T3 (triiodothyronine) free
|
$554.00 |
$554.00 |
$554.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$294.00 |
$294.00 |
$294.00 |
$94.90
|
|
T4 (thyroxine) free
|
$353.00 |
$353.00 |
$353.00 |
$81.60
|
|
T4 (thyroxine) total
|
$155.00 |
$155.00 |
$155.00 |
$73.64
|
|
Tacrol astagraf ex rel oral
|
$18.35 |
$18.35 |
$18.35 |
$9.01
|
|
Tacrol envarsus ex rel oral
|
$76.52 |
$76.52 |
$76.52 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$27.81 |
$27.81 |
$27.81 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$810.27 |
$810.27 |
$810.27 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$381.00 |
$381.00 |
$381.00 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,718.70 |
$4,718.70 |
$4,718.70 |
$3,817.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$23,283.61 |
$23,283.61 |
$23,283.61 |
$21,795.67
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$27,488.34 |
$27,488.34 |
$27,488.34 |
$31,080.00
|
|
Target gsa panel hmtlmph neop
|
$6,067.00 |
$6,067.00 |
$6,067.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$11,128.00 |
$11,128.00 |
$11,128.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$2,941.00 |
$2,941.00 |
$2,941.00 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$5,250.00 |
$5,250.00 |
$5,250.00 |
$27,030.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,128.54 |
$1,128.54 |
$1,128.54 |
$959.55
|
|
Tbs techl calculation only
|
$302.00 |
$302.00 |
$302.00 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$41.00 |
$41.00 |
$41.00 |
$166.46
|
|
Tc-99m bicisate
|
$15,281.00 |
$15,281.00 |
$15,281.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$6,225.80 |
$6,225.80 |
$6,225.80 |
$2,393.40
|
|
Tc-99m graphite crucible
|
$1,150.10 |
$1,150.10 |
$1,150.10 |
$328.60
|
|
Tc-99m labeled rbc
|
$1,837.50 |
$1,837.50 |
$1,837.50 |
$323.01
|
|
Tc-99m maa
|
$449.96 |
$449.96 |
$449.96 |
$312.06
|
|
Tc-99m mebrofenin
|
$160.58 |
$160.58 |
$160.58 |
$169.53
|
|
Tc-99m medronate
|
$122.61 |
$122.61 |
$122.61 |
$122.46
|
|
Tc-99m pertechnetate per mci
|
$0.35 |
$0.35 |
$0.35 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$457.31 |
$457.31 |
$457.31 |
$147.24
|
|
Tc-99m sulfur colloid
|
$109.90 |
$109.90 |
$109.90 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$0.04 |
$0.04 |
$0.04 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$2,438.70 |
$2,438.70 |
$2,438.70 |
$930.54
|
|
T-cell depletion of harvest
|
$32,589.00 |
$32,589.00 |
$32,589.00 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$331.00 |
$331.00 |
$331.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$146.00 |
$146.00 |
$146.00 |
$120.25
|
|
T cells total count
|
$270.00 |
$270.00 |
$270.00 |
$124.11
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$141,820.00 |
$141,820.00 |
$141,820.00 |
$40,985.00
|
|
Telavancin injection
|
$1,676.91 |
$1,676.91 |
$1,676.91 |
$1,216.45
|
|
Telethx isodose plan cplx
|
$2,578.00 |
$2,578.00 |
$2,578.00 |
$1,617.00
|
|
Temozolomide
|
$293.60 |
$293.60 |
$293.60 |
$374.66
|
|
Temozolomide 100 mg intravenous solution
|
$3,423.11 |
$3,423.11 |
$3,423.11 |
$3,129.70
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$93.96 |
$93.96 |
$93.96 |
$3,957.79
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$25,615.84 |
$25,615.84 |
$25,615.84 |
$16,531.64
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$11.78 |
$11.78 |
$11.78 |
$46.10
|
|
Tert gene targeted seq alys
|
$907.00 |
$907.00 |
$907.00 |
$304.59
|
|
Testicular imaging w/vasc flow
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$780.48
|
|
Testosterone undecanoate 1mg
|
$2,306.05 |
$2,306.05 |
$2,306.05 |
$1.99
|
|
Test stress cardiovascular tracing only
|
$1,511.00 |
$1,511.00 |
$1,511.00 |
$1,001.55
|
