|
Speech audiometry complete
|
$87.98 |
$87.98 |
$389.00 |
|
|
Speech recep thresh
|
$61.08 |
$61.08 |
$270.00 |
|
|
Speech Therapy Session (one-on-one)
|
$171.00 |
$176.53 |
$345.66 |
|
|
Sperm antibody test
|
$53.50 |
$53.50 |
$53.50 |
|
|
Sperm identification
|
$101.55 |
$101.55 |
$101.55 |
|
|
Sperm isolation complex
|
$380.93 |
$380.93 |
$380.93 |
|
|
Sperm isolation simple
|
$126.05 |
$126.05 |
$126.05 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,296.90 |
$1,296.90 |
$2,414.69 |
|
|
Spine X-ray (single view, one level)
|
$218.83 |
$218.83 |
$325.00 |
|
|
Spleen imaging
|
$726.50 |
$726.50 |
$726.50 |
|
|
Splint arm vnyl coated padded lft med
|
$28.98 |
$28.98 |
$28.98 |
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$182.50 |
$182.50 |
$211.14 |
|
|
Splint extn xsm w sof-stretch rolyan
|
$25.88 |
$25.88 |
$25.88 |
|
|
Splint finger 4 prong foam sm
|
$34.16 |
$34.16 |
$34.16 |
|
|
Splint finger fold over sm
|
$75.00 |
$75.00 |
$75.00 |
|
|
Splint finger frog med
|
$18.63 |
$18.63 |
$18.63 |
|
|
Splint fing stax assort 1-7in
|
$8.28 |
$8.28 |
$8.28 |
|
|
Splint func pos polyflex ii med
|
$32.60 |
$32.60 |
$32.60 |
|
|
Splint rstrc wrst/cmc right med
|
$63.66 |
$150.00 |
$150.00 |
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
|
|
Split blood or products
|
$95.00 |
$106.60 |
$106.60 |
|
|
Sputum specimen collection
|
$87.55 |
$87.55 |
$87.55 |
|
|
Srs linear based
|
$10,508.50 |
$14,124.25 |
$14,124.25 |
|
|
Srs multisource
|
$14,869.00 |
$110,980.50 |
$110,980.50 |
|
|
St analysis behavior qualitative voice/resonance
|
$264.00 |
$376.23 |
$524.37 |
|
|
Staph a dna amp probe
|
$400.00 |
$400.00 |
$400.00 |
|
|
St cognitve performance testing healthcare professional each hour
|
$251.50 |
$358.30 |
$358.30 |
|
|
Stem cells total count
|
$92.50 |
$108.03 |
$108.03 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$18,418.75 |
$18,418.75 |
$29,685.00 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,726.33 |
$9,135.38 |
$9,135.38 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$315.00 |
$315.00 |
$323.44 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$5,016.64 |
$9,000.00 |
$9,000.00 |
|
|
Stent bronch dumon sil 10x40mm
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,694.50 |
$19,385.83 |
$19,385.83 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,236.50 |
$10,086.20 |
$10,086.20 |
|
|
Stent placemt retro carotid
|
$11,099.98 |
$11,099.98 |
$11,099.98 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$19,136.05 |
$19,136.05 |
$25,903.00 |
|
|
Sterile needle
|
$262.50 |
$262.50 |
$262.50 |
|
|
St evaluate speech sound production
|
$264.00 |
$376.23 |
$541.07 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$202.76 |
$292.80 |
$508.00 |
|
|
Stimulants synthetic
|
$28.73 |
$28.73 |
$28.73 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$650.50 |
$1,331.43 |
$2,242.00 |
|
|
Storage/year embryo(s)
|
$150.18 |
$150.18 |
$150.18 |
|
|
Storage/year oocyte(s)
|
$154.70 |
$154.70 |
$154.70 |
|
|
Storage/year reprod tissue
|
$72.08 |
$72.08 |
$72.08 |
|
|
Storage/year sperm/semen
|
$138.88 |
$138.88 |
$138.88 |
|
|
Strapping of ankle and/or ft 29540
|
$178.60 |
$178.60 |
$1,137.06 |
|
|
Strapping of chest
|
$145.50 |
$145.50 |
$145.50 |
|
|
Strapping of elbow or wrist 29260
|
$129.15 |
$129.15 |
$486.00 |
|
|
Strapping of hand or finger
|
$197.63 |
$197.63 |
$413.50 |
|
|
Strapping of hip
|
$120.00 |
$164.70 |
$164.70 |
|
|
Strapping of knee
|
$245.63 |
$245.63 |
$807.18 |
|
|
Strapping of toes 29550
|
$164.70 |
$164.70 |
$631.56 |
|
|
Strep a ag ia
|
$49.03 |
$49.03 |
$49.03 |
|
|
Strep b dna amp probe
|
$87.73 |
$87.73 |
$87.73 |
|
|
Streptomycin injection
|
$138.30 |
$138.30 |
$138.30 |
|
|
Streptozocin injection
|
$811.35 |
$811.35 |
$811.35 |
|
|
Stress test pulmonary
|
$263.00 |
$372.15 |
$1,143.00 |
|
|
Stress tte complete
|
$1,319.50 |
$3,545.85 |
$6,818.00 |
|
|
Str markers specimen anal
|
$190.50 |
$1,724.40 |
$1,724.40 |
|
|
Subq njx fil matrl 5.1-10cc
|
$859.00 |
$859.00 |
$859.00 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$65.22 |
$1,068.60 |
$1,068.60 |
|
|
Suction lipectomy lwr extrem
|
$4,922.50 |
$4,922.50 |
$4,922.50 |
|
|
Sugars single quant
|
$38.55 |
$38.55 |
$115.00 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,163.73 |
$1,014,000.00 |
$1,014,000.00 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$116.83 |
$116.83 |
$116.83 |
|
|
Sulfonylurea screen qn-sendout
|
$118.00 |
$563.93 |
$563.93 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$45.36 |
$220.10 |
$220.10 |
|
|
Support clav 29.6-40.5in med
|
$44.50 |
$330.00 |
$330.00 |
|
|
Supprelin la implant
|
$97,534.75 |
$97,534.75 |
$97,534.75 |
|
|
Surgical pathology level 1 gross examination only
|
$60.00 |
$95.15 |
$214.00 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$94.50 |
$165.30 |
$330.00 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$134.72 |
$218.95 |
$469.00 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$127.00 |
$346.30 |
$581.00 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$421.50 |
$496.43 |
$893.00 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$569.60 |
$569.60 |
$1,028.00 |
|
|
Susceptibility agar dilution per agent
|
$41.85 |
$41.85 |
$266.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$56.63 |
$56.63 |
$147.00 |
|
|
Susceptibility mic per plate
|
$67.35 |
$67.35 |
$256.00 |
|
|
Suscept studies macrobroth dilution ea
|
$18.43 |
$18.43 |
$18.43 |
|
|
Svc venogram s&i
|
$1,200.50 |
$2,036.18 |
$2,036.18 |
|
|
Swallowing Evaluation (Bedside)
|
$187.32 |
$237.65 |
$486.00 |
|
|
Swallowing Therapy Session
|
$172.63 |
$172.63 |
$396.00 |
|
|
Sweat collection by iontophoresis
|
$220.73 |
$220.73 |
$220.73 |
|
|
Synvisc or synvisc-one
|
$670.59 |
$1,278.73 |
$1,278.73 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$22.50 |
$22.50 |
$86.73 |
|
|
System cardiomems hosp electronics
|
$13,118.62 |
$13,118.62 |
$13,118.62 |
|
|
System pacing micra av
|
$4,375.00 |
$4,375.00 |
$8,453.36 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$2,150.00 |
$2,150.00 |
$15,925.03 |
|
|
System sealant biosentry tract
|
$253.06 |
$253.06 |
$253.06 |
|
|
T3 (triiodothyronine) free
|
$127.85 |
$127.85 |
$204.00 |
|
|
T3 (triiodothyronine) total
|
$99.78 |
$99.78 |
$198.00 |
|
|
T4 (thyroxine) free
|
$72.45 |
$150.93 |
$240.00 |
|
|
T4 (thyroxine) total
|
$37.00 |
$115.68 |
$115.68 |
|
|
Tacrol astagraf ex rel oral
|
$400.58 |
$400.58 |
$400.58 |
|
|
Tacrol envarsus ex rel oral
|
$4,449.20 |
$4,449.20 |
$4,449.20 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6,841.00 |
$6,841.00 |
$6,841.00 |
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$601.95 |
$601.95 |
$601.95 |
|
|
Tacrolimus therapeutic drug level
|
$45.57 |
$290.75 |
$343.00 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,762.00 |
$2,762.00 |
$2,762.00 |
|
