|
Storage/year reprod tissue
|
$202.78 |
$202.78 |
$202.78 |
$220.00
|
|
Storage/year sperm/semen
|
$202.78 |
$202.78 |
$202.78 |
$207.35
|
|
Strapping of ankle and/or ft 29540
|
$186.72 |
$186.72 |
$186.72 |
$223.45
|
|
Strapping of chest
|
$186.72 |
$186.72 |
$186.72 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$70.29 |
$70.29 |
$70.29 |
$157.46
|
|
Strapping of hand or finger
|
$70.29 |
$70.29 |
$70.29 |
$177.45
|
|
Strapping of hip
|
$152.54 |
$152.54 |
$152.54 |
$164.70
|
|
Strapping of knee
|
$152.54 |
$152.54 |
$152.54 |
$205.20
|
|
Strapping of toes 29550
|
$70.29 |
$70.29 |
$70.29 |
$164.70
|
|
Strep a ag ia
|
$16.81 |
$16.81 |
$16.81 |
$75.40
|
|
Strep a dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$96.72
|
|
Strep a dna quant
|
$41.76 |
$41.76 |
$41.76 |
$75.60
|
|
Strep b assay w/optic
|
$12.73 |
$12.73 |
$12.73 |
$58.95
|
|
Strep b dna amp probe
|
$35.09 |
$35.09 |
$35.09 |
$124.15
|
|
Streptokinase antibody
|
$12.66 |
$12.66 |
$12.66 |
$25.60
|
|
Stress test pulmonary
|
$152.54 |
$152.54 |
$152.54 |
$324.00
|
|
Stress tte complete
|
$648.84 |
$648.84 |
$648.84 |
$1,820.70
|
|
Str markers spec anal addl
|
$304.81 |
$304.81 |
$304.81 |
$479.17
|
|
Str markers specimen anal
|
$233.07 |
$233.07 |
$233.07 |
$751.50
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$819.50 |
$819.50 |
$819.50 |
$878.24
|
|
Subq njx filling matrl 1cc/<
|
$235.13 |
$235.13 |
$235.13 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$755.08 |
$755.08 |
$755.08 |
$988.00
|
|
Subtalar arthro w/deb
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Subtalar arthro w/exc
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Subtalar arthro w/fb rmvl
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$13,158.00
|
|
Suction lipectomy head&neck
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,332.25
|
|
Suction lipectomy lwr extrem
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$5,661.00
|
|
Suction lipectomy trunk
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$4,544.00
|
|
Sugars multiple quant
|
$11.53 |
$11.53 |
$11.53 |
$44.19
|
|
Sugars single quant
|
$11.53 |
$11.53 |
$11.53 |
$64.28
|
|
Sup of prep of antigen # of vials 95144
|
$54.60 |
$54.60 |
$54.60 |
$54.60
|
|
Supply of digital device
|
$152.50 |
$152.50 |
$152.50 |
$280.00
|
|
Supprelin la implant
|
$45,350.22 |
$45,350.22 |
$45,350.22 |
$80,935.72
|
|
Surg dx exam anorectal
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,480.50
|
|
Surgery for urethra pouch
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,627.00
|
|
Surgery to stop leg growth
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,913.97
|
|
Surgery to stop leg growth
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,412.89
|
|
Surgical exposure prostate 55860
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,626.86
|
|
Surgical opening of stomach
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
$2,320.80
|
|
Surgical opening of throat
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$29.55 |
$29.55 |
$29.55 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$46.45 |
$46.45 |
$46.45 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$63.23 |
$63.23 |
$63.23 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$63.23 |
$63.23 |
$63.23 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$425.68 |
$425.68 |
$425.68 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$966.69 |
$966.69 |
$966.69 |
$720.75
|
|
Surgigraft, 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$4.75 |
$4.75 |
$4.75 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$4.75 |
$4.75 |
$4.75 |
$35.70
|
|
Susceptibility mic per plate
|
$8.65 |
$8.65 |
$8.65 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$6.64 |
$6.64 |
$6.64 |
$59.28
|
|
Suspension of testis
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,055.01
|
|
Svc venogram s&i
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$76.72 |
$76.72 |
$76.72 |
$314.40
|
|
Swallowing Therapy Session
|
$93.56 |
$93.56 |
$93.56 |
$240.50
|
|
Sweat collection by iontophoresis
|
$63.23 |
$63.23 |
$63.23 |
$121.55
|
|
Sympathectomy cervical
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,934.40
|
|
Sympathectomy digital artery
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$2,310.83
|
|
Sympathectomy supfc palmar
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Synthetic sentence id test
|
$46.45 |
$46.45 |
$46.45 |
$99.32
|
|
Synvisc or synvisc-one
|
$9.16 |
$9.16 |
$9.16 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$4.40 |
$4.40 |
$4.40 |
$42.24
|
|
T3 (triiodothyronine) free
|
$16.94 |
$16.94 |
$16.94 |
$100.00
|
|
T3 (triiodothyronine) total
|
$14.18 |
$14.18 |
$14.18 |
$93.52
|
|
T4 (thyroxine) free
|
$9.02 |
$9.02 |
$9.02 |
$87.30
|
|
T4 (thyroxine) total
|
$6.87 |
$6.87 |
$6.87 |
$68.40
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$254.78 |
$254.78 |
$254.78 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$13.73 |
$13.73 |
$13.73 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$13.71 |
$13.71 |
$13.71 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$104.19 |
$104.19 |
$104.19 |
$288.60
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$70.36 |
$70.36 |
$70.36 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$67.65 |
$67.65 |
$67.65 |
$21,745.13
|
|
Talymed
|
$127.14 |
$127.14 |
$127.14 |
$199.00
|
|
Target gsa panel hmtlmph neop
|
$759.53 |
$759.53 |
$759.53 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,919.60 |
$2,919.60 |
$2,919.60 |
$3,762.00
|
|
Target gsa panel organ neop
|
$597.91 |
$597.91 |
$597.91 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$24,217.20
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$755.08 |
$755.08 |
$755.08 |
$931.50
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.39 |
$0.39 |
$0.39 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$137.00 |
$137.00 |
$137.00 |
$225.42
|
|
Tbs techl calculation only
|
$104.19 |
$104.19 |
$104.19 |
$153.60
|
|
Tbs techl prep&transmis data
|
$104.19 |
$104.19 |
$104.19 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$100.00 |
$100.00 |
$100.00 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$61.98 |
$61.98 |
$61.98 |
$181.80
|
|
Tc-99m arcitumomab
|
$809.51 |
$809.51 |
$809.51 |
$2,085.68
|
|
Tc-99m bicisate
|
$683.80 |
$683.80 |
$683.80 |
$1,984.80
|
|
Tc-99m exame autol wbc diag per dose
|
$1,040.32 |
$1,040.32 |
$1,040.32 |
$2,486.31
|
|
Tc-99m exametazime diag
|
$802.34 |
$802.34 |
$802.34 |
$2,135.70
|
|
Tc-99m graphite crucible
|
$328.60 |
$328.60 |
$328.60 |
$742.50
|
|
Tc-99m non-heu per study dose
|
$10.00 |
$10.00 |
$10.00 |
$6.50
|
|
Tca peel dermal 15789
|
$755.08 |
$755.08 |
$755.08 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$125.84 |
$125.84 |
$125.84 |
$475.80
|
|
Tcd emboli detect without inj
|
$125.84 |
$125.84 |
$125.84 |
$475.28
|
|
T-cell depletion of harvest
|
$517.34 |
$517.34 |
$517.34 |
$2,475.20
|
|
T cells absolute cd4/cd8 including ratio
|
$46.98 |
$46.98 |
$46.98 |
$185.28
|
