|
Small bowel endoscopy/biopsy
|
$4,161.00 |
$4,161.00 |
$4,161.00 |
$2,200.46
|
|
Small bowel endoscopy/biopsy
|
$2,205.75 |
$2,205.75 |
$2,205.75 |
$2,178.16
|
|
Small bowel endoscopy br/wa
|
$2,166.75 |
$2,166.75 |
$2,166.75 |
$1,104.13
|
|
Small bowel endoscopy br/wa
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$2,234.01
|
|
Small bowel endoscopy/stent 44370
|
$6,607.50 |
$6,607.50 |
$6,607.50 |
$5,952.81
|
|
Smallpox&monkeypox vac 0.5ml
|
$2.43 |
$2.43 |
$2.43 |
$614.40
|
|
Smear fluorescent and/or acid fast stain
|
$81.00 |
$81.00 |
$81.00 |
$47.50
|
|
Smear gram stain
|
$66.00 |
$66.00 |
$66.00 |
$48.00
|
|
Smear nasal eosinophil
|
$46.50 |
$46.50 |
$46.50 |
$56.44
|
|
Smear special stain inclusion bodies/parasites
|
$52.50 |
$52.50 |
$52.50 |
$60.00
|
|
Smear wet mount
|
$88.50 |
$88.50 |
$88.50 |
$55.90
|
|
Snrpn/ube3a gene
|
$376.50 |
$376.50 |
$376.50 |
$225.00
|
|
Sodium 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$47.30
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.28 |
$33.28 |
$33.28 |
$33.28
|
|
Sodium chloride 0.9 % IV bolus
|
$20.34 |
$20.34 |
$20.34 |
$22.20
|
|
Sodium chloride 0.9 % IV bolus
|
$19.42 |
$19.42 |
$19.42 |
$29.80
|
|
Sodium chloride 3 % ivpb
|
$11.10 |
$11.10 |
$11.10 |
$11.10
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$28.46 |
$28.46 |
$28.46 |
$28.46
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$651.32 |
$651.32 |
$651.32 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$57.00 |
$57.00 |
$57.00 |
$42.43
|
|
So gsap cll fr dna/dna&rna
|
$2,242.50 |
$2,242.50 |
$2,242.50 |
$2,242.50
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,580.25 |
$1,580.25 |
$1,580.25 |
$1,580.25
|
|
Somatosensory testing
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$864.60
|
|
Somatropin injection
|
$2,600.83 |
$2,600.83 |
$2,600.83 |
$2,600.83
|
|
Sotalol hydrochloride IV
|
$13,396.05 |
$13,396.05 |
$13,396.05 |
$13,396.05
|
|
Specimen fat stain
|
$60.75 |
$60.75 |
$60.75 |
$40.00
|
|
Speech audiometry complete
|
$104.25 |
$104.25 |
$104.25 |
$121.60
|
|
Speech evaluation complex
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$415.20
|
|
Speech recep thresh
|
$104.25 |
$104.25 |
$104.25 |
$99.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$672.00 |
$672.00 |
$672.00 |
$549.83
|
|
Spirometry up to 2 yrs old
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
$194.40
|
|
Spleen imaging
|
$469.50 |
$469.50 |
$469.50 |
$549.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$48.75 |
$48.75 |
$48.75 |
$48.75
|
|
Splint extn xsm w sof-stretch rolyan
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Splint finger frog med
|
$73.50 |
$73.50 |
$73.50 |
$73.50
|
|
Splint rstrc wrst/cmc right med
|
$35.25 |
$35.25 |
$35.25 |
$35.25
|
|
Split blood or products
|
$606.00 |
$606.00 |
$606.00 |
$164.99
|
|
Sputum specimen collection
|
$337.50 |
$337.50 |
$337.50 |
$180.00
|
|
Staggered spondaic word test
|
$474.75 |
$474.75 |
$474.75 |
$184.26
|
|
St analysis behavior qualitative voice/resonance
|
$393.00 |
$393.00 |
$393.00 |
$326.25
|
|
Staph a dna amp probe
|
$129.00 |
$129.00 |
$129.00 |
$119.25
|
|
St cognitve performance testing healthcare professional each hour
|
$330.75 |
$330.75 |
$330.75 |
$330.75
|
|
Stem cells total count
|
$96.00 |
$96.00 |
$96.00 |
$156.00
|
|
Stenger test pure tone
|
$162.00 |
$162.00 |
$162.00 |
$81.12
|
|
Stenger test speech
|
$404.25 |
$404.25 |
$404.25 |
$404.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,137.50 |
$47,137.50 |
$47,137.50 |
$44,044.80
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,076.00 |
$5,076.00 |
$5,076.00 |
$1,894.80
|
|
Stent bili rx wallflx 10x80 uncvr
|
$38,815.81 |
$38,815.81 |
$38,815.81 |
$35,011.80
|
|
St evaluate speech sound production
|
$341.25 |
$341.25 |
$341.25 |
$340.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$387.00 |
$387.00 |
$387.00 |
$423.40
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$551.25 |
$551.25 |
$551.25 |
$406.40
|
|
St evaluation swallow function
|
$442.50 |
$442.50 |
$442.50 |
$340.13
|
|
Strapping of ankle and/or ft 29540
|
$183.75 |
$183.75 |
$183.75 |
$250.97
|
|
Strapping of elbow or wrist 29260
|
$230.25 |
$230.25 |
$230.25 |
$177.45
|
|
Strapping of hand or finger
|
$315.00 |
$315.00 |
$315.00 |
$206.70
|
|
Strapping of hip
|
$147.00 |
$147.00 |
$147.00 |
$164.70
|
|
Strapping of knee
|
$204.75 |
$204.75 |
$204.75 |
$243.60
|
|
Strapping of toes 29550
|
$151.50 |
$151.50 |
$151.50 |
$183.30
|
|
Streptozocin injection
|
$1,286.99 |
$1,286.99 |
$1,286.99 |
$1,286.99
|
|
Stress test pulmonary
|
$654.00 |
$654.00 |
$654.00 |
$363.12
|
|
Stress tte complete
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,989.60
|
|
Str markers specimen anal
|
$1,678.50 |
$1,678.50 |
$1,678.50 |
$984.41
|
|
St treatment speech individual
|
$332.25 |
$332.25 |
$332.25 |
$264.98
|
|
St treatment swallow dysfunction/oral
|
$415.50 |
$415.50 |
$415.50 |
$267.00
|
|
Subq njx filling matrl 1cc/<
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$231.52
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$22.19
|
|
Sulfonylurea screen qn-sendout
|
$270.00 |
$270.00 |
$270.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$167.98 |
$167.98 |
$167.98 |
$167.98
|
|
Support clav 29.6-40.5in med
|
$105.75 |
$105.75 |
$105.75 |
$105.75
|
|
Supprelin la implant
|
$185,546.55 |
$185,546.55 |
$185,546.55 |
$185,546.55
|
|
Surgical pathology level 1 gross examination only
|
$117.00 |
$117.00 |
$117.00 |
$91.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$193.50 |
$193.50 |
$193.50 |
$140.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$240.00 |
$240.00 |
$240.00 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$330.75 |
$330.75 |
$330.75 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$507.00 |
$507.00 |
$507.00 |
$492.88
|
|
Surgical pathology level 6 gross & microscopic examination
|
$720.75 |
$720.75 |
$720.75 |
$783.25
|
|
Susceptibility agar dilution per agent
|
$130.50 |
$130.50 |
$130.50 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$31.50 |
$31.50 |
$31.50 |
$31.50
|
|
Susceptibility mic per plate
|
$96.00 |
$96.00 |
$96.00 |
$89.70
|
|
Svc venogram s&i
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$1,990.95
|
|
Synvisc or synvisc-one
|
$1,696.83 |
$1,696.83 |
$1,696.83 |
$1,696.83
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$67.50 |
$67.50 |
$67.50 |
$44.85
|
|
System cardiomems hosp electronics
|
$53,437.50 |
$53,437.50 |
$53,437.50 |
$53,437.50
|
|
System pacing micra av
|
$33,750.00 |
$33,750.00 |
$33,750.00 |
$33,750.00
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,441.25 |
$11,441.25 |
$11,441.25 |
$11,441.25
|
|
System sealant biosentry tract
|
$900.00 |
$900.00 |
$900.00 |
$900.00
|
|
T3 (triiodothyronine) free
|
$62.25 |
$62.25 |
$62.25 |
$99.20
|
|
T3 (triiodothyronine) total
|
$52.50 |
$52.50 |
$52.50 |
$77.40
|
|
T4 (thyroxine) free
|
$45.75 |
$45.75 |
$45.75 |
$65.00
|
|
T4 (thyroxine) total
|
$99.75 |
$99.75 |
$99.75 |
$63.00
|
|
Tacrol astagraf ex rel oral
|
$2,970.47 |
$2,970.47 |
$2,970.47 |
$2,970.47
|
|
Tacrol envarsus ex rel oral
|
$8,369.30 |
$8,369.30 |
$8,369.30 |
$3.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$12,682.80 |
$12,682.80 |
$12,682.80 |
$29.40
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$874.23 |
$874.23 |
$874.23 |
$874.23
|
|
Tacrolimus therapeutic drug level
|
$174.75 |
$174.75 |
$174.75 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,161.23 |
$5,161.23 |
$5,161.23 |
$5,161.23
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$25,827.38 |
$25,827.38 |
$25,827.38 |
$25,827.38
|
|
Target gsa panel hmtlmph neop
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$2,392.00
|
|
Target gsa panel organ neop
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$2,234.70
|