|
St evaluation swallow function
|
$187.32 |
$187.32 |
$187.32 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$302.61 |
$302.61 |
$302.61 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$219.14 |
$219.14 |
$219.14 |
$171.00
|
|
Strapping of knee
|
$417.38 |
$417.38 |
$417.38 |
$224.80
|
|
Strapping of toes 29550
|
$412.76 |
$412.76 |
$412.76 |
$185.36
|
|
Stress tte complete
|
$3,545.85 |
$3,545.85 |
$3,545.85 |
$1,964.95
|
|
St treatment speech individual
|
$345.66 |
$345.66 |
$345.66 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$370.65 |
$370.65 |
$370.65 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$118.85 |
$118.85 |
$118.85 |
$49.13
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$8,480.19 |
$8,480.19 |
$8,480.19 |
$5,446.00
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$46.41 |
$46.41 |
$46.41 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$68.67 |
$68.67 |
$68.67 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$125.90 |
$125.90 |
$125.90 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$134.72 |
$134.72 |
$134.72 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$186.27 |
$186.27 |
$186.27 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$545.00 |
$545.00 |
$545.00 |
$494.00
|
|
Susceptibility agar dilution per agent
|
$80.75 |
$80.75 |
$80.75 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$114.45 |
$114.45 |
$114.45 |
$34.48
|
|
Susceptibility mic per plate
|
$84.11 |
$84.11 |
$84.11 |
$94.38
|
|
Synvisc or synvisc-one
|
$1,092.15 |
$1,092.15 |
$1,092.15 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$86.73 |
$86.73 |
$86.73 |
$44.85
|
|
T3 (triiodothyronine) free
|
$147.74 |
$147.74 |
$147.74 |
$89.82
|
|
T3 (triiodothyronine) total
|
$116.03 |
$116.03 |
$116.03 |
$94.90
|
|
T4 (thyroxine) free
|
$72.45 |
$72.45 |
$72.45 |
$81.60
|
|
T4 (thyroxine) total
|
$111.72 |
$111.72 |
$111.72 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$45.57 |
$45.57 |
$45.57 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,882.17 |
$3,882.17 |
$3,882.17 |
$3,385.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,016.75 |
$2,016.75 |
$2,016.75 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$139.86 |
$139.86 |
$139.86 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$319.10 |
$319.10 |
$319.10 |
$186.00
|
|
T cells absolute cd 4 count
|
$411.00 |
$411.00 |
$411.00 |
$120.25
|
|
T cells total count
|
$228.90 |
$228.90 |
$228.90 |
$124.11
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.91 |
$19.91 |
$19.91 |
$46.10
|
|
Test pathogen(s) for platelets reference
|
$452.17 |
$452.17 |
$452.17 |
$73.45
|
|
Test stress cardiovascular tracing only
|
$1,634.33 |
$1,634.33 |
$1,634.33 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$22,694.26 |
$22,694.26 |
$22,694.26 |
$9,460.16
|
|
Theophylline therapeutic drug level
|
$186.27 |
$186.27 |
$186.27 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$90.93 |
$90.93 |
$90.93 |
$55.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$93.09 |
$93.09 |
$93.09 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,035.11 |
$2,035.11 |
$2,035.11 |
$1,804.00
|
|
Thrombin time
|
$151.36 |
$151.36 |
$151.36 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$101.43 |
$101.43 |
$101.43 |
$56.93
|
|
Thyroglobulin antibody
|
$98.28 |
$98.28 |
$98.28 |
$84.00
|
|
Thyroid imaging
|
$1,330.04 |
$1,330.04 |
$1,330.04 |
$670.80
|
|
Thyroid (TSH) Test
|
$178.61 |
$178.61 |
$178.61 |
$120.00
|
|
Thyroid Ultrasound
|
$960.44 |
$960.44 |
$960.44 |
$589.96
|
|
Tissue culture skin/biopsy
|
$176.00 |
$176.00 |
$176.00 |
$558.87
|
|
Tissue transglutaminase iga
|
$132.83 |
$132.83 |
$132.83 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$45.11 |
$45.11 |
$45.11 |
$141.75
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,087.91 |
$4,087.91 |
$4,087.91 |
$4,711.84
|
|
Tomosynthesis breast screen bilateral
|
$105.00 |
$105.00 |
$105.00 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$76.53 |
$76.53 |
$76.53 |
$404.20
|
|
Transferrin
|
$85.16 |
$85.16 |
$85.16 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$2,047.40 |
$2,047.40 |
$2,047.40 |
$988.24
|
|
Treat fracture of radius
|
$593.36 |
$593.36 |
$593.36 |
$2,030.33
|
|
Treat fracture of ulna
|
$753.90 |
$753.90 |
$753.90 |
$766.72
|
|
Treat humerus fracture
|
$2,724.44 |
$2,724.44 |
$2,724.44 |
$1,950.60
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$261.35 |
$261.35 |
$261.35 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$261.35 |
$261.35 |
$261.35 |
$149.00
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$300.09 |
$300.09 |
$300.09 |
$210.00
|
|
Treatment of ankle fracture 27786
|
$801.89 |
$801.89 |
$801.89 |
$580.00
|
|
Treatment of thigh fracture
|
$478.70 |
$478.70 |
$478.70 |
$2,055.00
|
|
Treatment of toe fracture 28510
|
$607.74 |
$607.74 |
$607.74 |
$371.40
|
|
Treat wrist dislocation
|
$813.86 |
$813.86 |
$813.86 |
$760.00
|
|
Tremelimumab-actl 20 mg/ml intravenous solution
|
$120,541.18 |
$120,541.18 |
$120,541.18 |
$101,032.80
|
|
Treponema pallidum antibody
|
$241.19 |
$241.19 |
$241.19 |
$72.80
|
|
Trg gene rearrangement anal
|
$923.27 |
$923.27 |
$923.27 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$147.84 |
$147.84 |
$147.84 |
$55.80
|
|
Triglycerides
|
$111.72 |
$111.72 |
$111.72 |
$54.60
|
|
Trimethobenzamide hcl inj
|
$384.35 |
$384.35 |
$384.35 |
$128.00
|
|
Trim nondyst nails
|
$223.02 |
$223.02 |
$223.02 |
$124.22
|
|
Troponin quantitative
|
$267.86 |
$267.86 |
$267.86 |
$123.75
|
|
Tx closed hip disl traumatic without anes
|
$1,249.82 |
$1,249.82 |
$1,249.82 |
$657.28
|
|
Ultrasound abdomen aorta screening study aaa
|
$517.23 |
$517.23 |
$517.23 |
$403.26
|
|
Ultrasound breast complete
|
$767.03 |
$767.03 |
$767.03 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$511.04 |
$511.04 |
$511.04 |
$449.35
|
|
Ultrasound chest
|
$1,053.05 |
$1,053.05 |
$1,053.05 |
$459.55
|
|
Ultrasound guidance for vascular access
|
$845.57 |
$845.57 |
$845.57 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,162.98 |
$1,162.98 |
$1,162.98 |
$701.35
|
|
Ultrasound joint complete left
|
$899.75 |
$899.75 |
$899.75 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$675.47 |
$675.47 |
$675.47 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$957.81 |
$957.81 |
$957.81 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$957.81 |
$957.81 |
$957.81 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$738.89 |
$738.89 |
$738.89 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$918.44 |
$918.44 |
$918.44 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$899.75 |
$899.75 |
$899.75 |
$498.00
|
|
Ultrasound scrotum and contents
|
$899.75 |
$899.75 |
$899.75 |
$617.28
|
|
Ultrasound transvaginal non obstetric
|
$1,277.01 |
$1,277.01 |
$1,277.01 |
$567.44
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,443.20 |
$5,443.20 |
$5,443.20 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,810.16 |
$4,810.16 |
$4,810.16 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,727.50 |
$3,727.50 |
$3,727.50 |
$2,013.08
|
|
Urea nitrogen
|
$78.33 |
$78.33 |
$78.33 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$92.61 |
$92.61 |
$92.61 |
$50.00
|
|
Uric acid blood
|
$76.02 |
$76.02 |
$76.02 |
$46.64
|
|
Urinalysis microscopic only
|
$50.40 |
$50.40 |
$50.40 |
$26.35
|
|
Urinalysis (with microscopy)
|
$71.19 |
$71.19 |
$71.19 |
$48.14
|
|
Urinalysis (without microscopy)
|
$39.48 |
$39.48 |
$39.48 |
$38.99
|
|
Urine Culture Test
|
$82.32 |
$82.32 |
$82.32 |
$84.81
|
|
Urine pregnancy test
|
$151.52 |
$151.52 |
$151.52 |
$66.40
|