|
Splint finger frog med
|
$13.31 |
$13.31 |
$13.31 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$187.68 |
$187.68 |
$187.68 |
$101.18
|
|
Split blood or products
|
$260.65 |
$260.65 |
$260.65 |
$148.98
|
|
Srs linear based
|
$4,807.40 |
$4,807.40 |
$4,807.40 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$161.85 |
$161.85 |
$161.85 |
$300.00
|
|
Staph a dna amp probe
|
$352.30 |
$352.30 |
$352.30 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$270.40 |
$270.40 |
$270.40 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$34,281.00 |
$34,281.00 |
$34,281.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,607.25 |
$6,607.25 |
$6,607.25 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$276.31 |
$276.31 |
$276.31 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,147.90 |
$1,147.90 |
$1,147.90 |
$18,748.54
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,188.50 |
$26,188.50 |
$26,188.50 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,827.85 |
$3,827.85 |
$3,827.85 |
$9,276.80
|
|
Stent placemt retro carotid
|
$24,381.50 |
$24,381.50 |
$24,381.50 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$33,328.10 |
$33,328.10 |
$33,328.10 |
$19,765.20
|
|
St evaluate speech sound production
|
$157.30 |
$157.30 |
$157.30 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$325.00 |
$325.00 |
$325.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$426.40 |
$426.40 |
$426.40 |
$406.40
|
|
St evaluation swallow function
|
$403.00 |
$403.00 |
$403.00 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$650.00 |
$650.00 |
$650.00 |
$248.05
|
|
Strapping of hand or finger
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$194.40
|
|
Strapping of toes 29550
|
$585.00 |
$585.00 |
$585.00 |
$185.36
|
|
Strep a dna dir probe
|
$201.50 |
$201.50 |
$201.50 |
$50.40
|
|
Strep b dna amp probe
|
$301.60 |
$301.60 |
$301.60 |
$139.20
|
|
Stress test pulmonary
|
$414.05 |
$414.05 |
$414.05 |
$327.20
|
|
Str markers spec anal addl
|
$549.25 |
$549.25 |
$549.25 |
$468.00
|
|
Str markers specimen anal
|
$1,538.55 |
$1,538.55 |
$1,538.55 |
$835.28
|
|
St treatment speech individual
|
$339.30 |
$339.30 |
$339.30 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$317.20 |
$317.20 |
$317.20 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.62 |
$26.62 |
$26.62 |
$50.89
|
|
Sugars single quant
|
$143.65 |
$143.65 |
$143.65 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$40.40 |
$40.40 |
$40.40 |
$68.12
|
|
Sulfonylurea screen qn-sendout
|
$193.70 |
$193.70 |
$193.70 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$38.90 |
$38.90 |
$38.90 |
$123.58
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$90.09
|
|
Surgical pathology level 1 gross examination only
|
$108.55 |
$108.55 |
$108.55 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$223.60 |
$223.60 |
$223.60 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$258.05 |
$258.05 |
$258.05 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$471.90 |
$471.90 |
$471.90 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$378.95 |
$378.95 |
$378.95 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$483.60 |
$483.60 |
$483.60 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$111.15 |
$111.15 |
$111.15 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$45.50 |
$45.50 |
$45.50 |
$34.48
|
|
Susceptibility mic per plate
|
$245.05 |
$245.05 |
$245.05 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$475.15 |
$475.15 |
$475.15 |
$48.30
|
|
Svc venogram s&i
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$62.40 |
$62.40 |
$62.40 |
$44.85
|
|
System cardiomems hosp electronics
|
$14,953.25 |
$14,953.25 |
$14,953.25 |
$41,360.00
|
|
T3 (triiodothyronine) free
|
$31.85 |
$31.85 |
$31.85 |
$89.82
|
|
T3 (triiodothyronine) total
|
$29.25 |
$29.25 |
$29.25 |
$94.90
|
|
T4 (thyroxine) free
|
$57.20 |
$57.20 |
$57.20 |
$81.60
|
|
T4 (thyroxine) total
|
$120.25 |
$120.25 |
$120.25 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$14.88 |
$14.88 |
$14.88 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$829.72 |
$829.72 |
$829.72 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$42.25 |
$42.25 |
$42.25 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,817.00 |
$3,817.00 |
$3,817.00 |
$3,817.00
|
|
Target gsa panel hmtlmph neop
|
$6,823.70 |
$6,823.70 |
$6,823.70 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$10,043.80 |
$10,043.80 |
$10,043.80 |
$3,385.00
|
|
Target gsa panel organ neop
|
$5,801.90 |
$5,801.90 |
$5,801.90 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$40,817.63 |
$40,817.63 |
$40,817.63 |
$27,030.00
|
|
Tavr perq femoral
|
$26,161.20 |
$26,161.20 |
$26,161.20 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$146.25 |
$146.25 |
$146.25 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$172.25 |
$172.25 |
$172.25 |
$166.46
|
|
Tc-99m non-heu per study dose
|
$0.68 |
$0.68 |
$0.68 |
$8.00
|
|
T cells absolute cd4/cd8 including ratio
|
$351.65 |
$351.65 |
$351.65 |
$186.00
|
|
T cells absolute cd 4 count
|
$329.55 |
$329.55 |
$329.55 |
$120.25
|
|
T cells total count
|
$579.80 |
$579.80 |
$579.80 |
$124.11
|
|
Tcranial magn stim tx deli
|
$574.60 |
$574.60 |
$574.60 |
$368.50
|
|
Tcranial magn stim tx plan
|
$809.90 |
$809.90 |
$809.90 |
$386.88
|
|
Tcran magn stim redetemine
|
$809.90 |
$809.90 |
$809.90 |
$417.06
|
|
Telehealth original site facility fee
|
$117.65 |
$117.65 |
$117.65 |
$57.75
|
|
Telethx isodose plan cplx
|
$4,534.40 |
$4,534.40 |
$4,534.40 |
$1,617.00
|
|
Telethx isodose plan simple
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,845.40 |
$20,845.40 |
$20,845.40 |
$16,233.59
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,614.00 |
$3,614.00 |
$3,614.00 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.36 |
$22.36 |
$22.36 |
$46.10
|
|
Tert gene targeted seq alys
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$304.59
|
|
Test for chlorohydrocarbons
|
$222.30 |
$222.30 |
$222.30 |
$71.04
|
|
Test for porphobilinogen
|
$70.85 |
$70.85 |
$70.85 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$154.05 |
$154.05 |
$154.05 |
$75.95
|
|
Test stress cardiovascular tracing only
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,765.86 |
$1,765.86 |
$1,765.86 |
$1,172.11
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$14,189.56 |
$14,189.56 |
$14,189.56 |
$9,351.55
|
|
Tgsap so/hl 51/< rna alys
|
$7,563.40 |
$7,563.40 |
$7,563.40 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$45.50 |
$45.50 |
$45.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$104.65 |
$104.65 |
$104.65 |
$85.80
|
|
Therapy activity per session >= 45 minutes
|
$659.75 |
$659.75 |
$659.75 |
$158.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$33.15 |
$33.15 |
$33.15 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$24.70 |
$24.70 |
$24.70 |
$50.40
|
|
Ther/proph/diag inj ia
|
$228.15 |
$228.15 |
$228.15 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$23.98 |
$23.98 |
$23.98 |
$35.82
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$2,453.75 |
$2,453.75 |
$2,453.75 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$7,828.60 |
$7,828.60 |
$7,828.60 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,996.15 |
$14,996.15 |
$14,996.15 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$26,657.15 |
$26,657.15 |
$26,657.15 |
$24,605.30
|
|
Thrombin time
|
$196.95 |
$196.95 |
$196.95 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$470.60 |
$470.60 |
$470.60 |
$56.93
|
