|
St evaluation motion fluoroscopic swallow function cine/video
|
$183.60 |
$183.60 |
$183.60 |
$373.50
|
|
St evaluation swallow function
|
$225.00 |
$225.00 |
$225.00 |
$309.60
|
|
Stimulants synthetic
|
$192.60 |
$192.60 |
$192.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$37.00 |
$37.00 |
$37.00 |
$31.58
|
|
Straight knee joint heavy du
|
$347.68 |
$347.68 |
$347.68 |
$317.69
|
|
Strep b dna amp probe
|
$148.80 |
$148.80 |
$148.80 |
$126.10
|
|
Str markers specimen anal
|
$557.40 |
$557.40 |
$557.40 |
$800.30
|
|
St treatment speech individual
|
$222.60 |
$222.60 |
$222.60 |
$250.50
|
|
St treatment swallow dysfunction/oral
|
$121.80 |
$121.80 |
$121.80 |
$243.99
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$53.40
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$8,625.66 |
$8,625.66 |
$8,625.66 |
$7,914.03
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$56.64 |
$56.64 |
$56.64 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$599.08 |
$599.08 |
$599.08 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$79.20 |
$79.20 |
$79.20 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$146.40 |
$146.40 |
$146.40 |
$144.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.40 |
$239.40 |
$239.40 |
$184.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$221.40 |
$221.40 |
$221.40 |
$252.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$507.00 |
$507.00 |
$507.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$564.00 |
$564.00 |
$564.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$52.20 |
$52.20 |
$52.20 |
$43.20
|
|
Susceptibility enzyme detection per enzyme
|
$35.40 |
$35.40 |
$35.40 |
$35.50
|
|
Susceptibility mic per plate
|
$66.60 |
$66.60 |
$66.60 |
$105.93
|
|
Suspension sleeve lower ext
|
$251.38 |
$251.38 |
$251.38 |
$251.38
|
|
Svc venogram s&i
|
$3,075.00 |
$3,075.00 |
$3,075.00 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$37.20 |
$37.20 |
$37.20 |
$41.25
|
|
System cardiomems hosp electronics
|
$49,860.18 |
$49,860.18 |
$49,860.18 |
$38,226.50
|
|
System pacing micra av
|
$43,824.47 |
$43,824.47 |
$43,824.47 |
$24,667.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,174.83 |
$21,174.83 |
$21,174.83 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,041.51 |
$18,041.51 |
$18,041.51 |
$12,725.30
|
|
T3 (triiodothyronine) free
|
$319.80 |
$319.80 |
$319.80 |
$99.50
|
|
T3 (triiodothyronine) total
|
$132.60 |
$132.60 |
$132.60 |
$93.52
|
|
T4 (thyroxine) free
|
$96.60 |
$96.60 |
$96.60 |
$85.20
|
|
T4 (thyroxine) total
|
$76.20 |
$76.20 |
$76.20 |
$68.16
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.18 |
$3.18 |
$3.18 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$77.40 |
$77.40 |
$77.40 |
$121.20
|
|
Talymed
|
$3,411.49 |
$3,411.49 |
$3,411.49 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,408.40 |
$2,408.40 |
$2,408.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$3,193.20 |
$3,193.20 |
$3,193.20 |
$2,160.00
|
|
Target gsa panel organ/hmtlmph neop
|
$6,127.20 |
$6,127.20 |
$6,127.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$997.80 |
$997.80 |
$997.80 |
$1,643.25
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$7,650.00 |
$7,650.00 |
$7,650.00 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,727.58 |
$1,727.58 |
$1,727.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$151.20 |
$151.20 |
$151.20 |
$175.00
|
|
Tc-99m bicisate
|
$900.00 |
$900.00 |
$900.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.94 |
$5,141.94 |
$5,141.94 |
$2,431.95
|
|
Tc-99m mebrofenin
|
$122.40 |
$122.40 |
$122.40 |
$157.65
|
|
Tc-99m medronate
|
$22.80 |
$22.80 |
$22.80 |
$111.00
|
|
Tc-99m mertiatide
|
$387.00 |
$387.00 |
$387.00 |
$756.00
|
|
Tc-99m oxidronate
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$99.00
|
|
Tc-99m sestamibi p study dose
|
$230.40 |
$230.40 |
$230.40 |
$289.80
|
|
Tc-99m sulfur colloid
|
$205.80 |
$205.80 |
$205.80 |
$239.40
|
|
Tc-99m tetrofosmin p study dose
|
$143.40 |
$143.40 |
$143.40 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$196.80 |
$196.80 |
$196.80 |
$930.54
|
|
T-cell depletion of harvest
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$292.80 |
$292.80 |
$292.80 |
$175.00
|
|
T cells absolute cd 4 count
|
$49.20 |
$49.20 |
$49.20 |
$110.72
|
|
T cells total count
|
$85.20 |
$85.20 |
$85.20 |
$123.00
|
|
Tdh sdrl/ventr pnxr
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$1,087.20
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$35,844.18 |
$35,844.18 |
$35,844.18 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$2,139.67
|
|
Tension based scoliosis orth
|
$7,573.03 |
$7,573.03 |
$7,573.03 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$6.00 |
$6.00 |
$6.00 |
$37.76
|
|
Tert gene targeted seq alys
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$335.00
|
|
Test for chlorohydrocarbons
|
$59.40 |
$59.40 |
$59.40 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$819.00 |
$819.00 |
$819.00 |
$890.63
|
|
Test pathogen(s) for platelets reference
|
$75.00 |
$75.00 |
$75.00 |
$69.30
|
|
Test socket below knee
|
$610.71 |
$610.71 |
$610.71 |
$535.15
|
|
Tetanus immune globulin inj
|
$2,804.46 |
$2,804.46 |
$2,804.46 |
$1,218.27
|
|
Thaw preserved stem cells
|
$991.80 |
$991.80 |
$991.80 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$109.20 |
$109.20 |
$109.20 |
$108.00
|
|
Therapeutic procd strg endur
|
$260.40 |
$260.40 |
$260.40 |
$83.16
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$11.28 |
$11.28 |
$11.28 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$805.06 |
$805.06 |
$805.06 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,073.75 |
$1,073.75 |
$1,073.75 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$567.44 |
$567.44 |
$567.44 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$740.42 |
$740.42 |
$740.42 |
$657.72
|
|
Thorac cont lat support upri
|
$346.21 |
$346.21 |
$346.21 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$377.39 |
$377.39 |
$377.39 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,952.00 |
$5,952.00 |
$5,952.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$423.94 |
$423.94 |
$423.94 |
$387.41
|
|
Thoracic pad
|
$256.25 |
$256.25 |
$256.25 |
$234.19
|
|
Thor rib belt custom fabrica
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$239.38
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,761.80 |
$5,761.80 |
$5,761.80 |
$7,594.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,227.80 |
$14,227.80 |
$14,227.80 |
$14,111.16
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$25,210.20 |
$25,210.20 |
$25,210.20 |
$21,249.26
|
|
Thrombin time
|
$70.20 |
$70.20 |
$70.20 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$127.20 |
$127.20 |
$127.20 |
$61.50
|
|
Th/wght bear nar m-l brim cu
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,696.86 |
$2,696.86 |
$2,696.86 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,271.78 |
$1,271.78 |
$1,271.78 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,908.28 |
$1,908.28 |
$1,908.28 |
$1,695.23
|
|
Thyroglobulin antibody
|
$157.80 |
$157.80 |
$157.80 |
$81.90
|
|
Thyroid imaging
|
$595.80 |
$595.80 |
$595.80 |
$694.98
|
|
Thyroid (TSH) Test
|
$120.60 |
$120.60 |
$120.60 |
$112.70
|
|
Thyroid Ultrasound
|
$693.00 |
$693.00 |
$693.00 |
$589.96
|
|
Thyroid uptake measurement
|
$448.80 |
$448.80 |
$448.80 |
$589.22
|
|
Thyroxine binding globulin (tbg)
|
$25.20 |
$25.20 |
$25.20 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$26,876.35 |
$26,876.35 |
$26,876.35 |
$5,801.60
|
|
Tisagenlecleucel car-pos t
|
$1,906,815.00 |
$1,906,815.00 |
$1,906,815.00 |
$1,382,069.38
|
