|
Smear wet mount
|
$88.50 |
$88.50 |
$88.50 |
$66.30
|
|
Snrpn/ube3a gene
|
$376.50 |
$376.50 |
$376.50 |
$228.80
|
|
Sodium 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.28 |
$33.28 |
$33.28 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$20.34 |
$20.34 |
$20.34 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$19.42 |
$19.42 |
$19.42 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$11.10 |
$11.10 |
$11.10 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$28.46 |
$28.46 |
$28.46 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$651.32 |
$651.32 |
$651.32 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$57.00 |
$57.00 |
$57.00 |
$45.60
|
|
So gsap cll fr dna/dna&rna
|
$2,242.50 |
$2,242.50 |
$2,242.50 |
$1,195.83
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,580.25 |
$1,580.25 |
$1,580.25 |
$1,046.35
|
|
Somatosensory testing
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$816.00
|
|
Somatropin injection
|
$2,600.83 |
$2,600.83 |
$2,600.83 |
$2,111.40
|
|
Sotalol hydrochloride IV
|
$13,396.05 |
$13,396.05 |
$13,396.05 |
$5,761.57
|
|
Special casting material
|
$357.75 |
$357.75 |
$357.75 |
$47.45
|
|
Specimen fat stain
|
$60.75 |
$60.75 |
$60.75 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$387.00 |
$387.00 |
$387.00 |
$380.00
|
|
Speech audiometry complete
|
$104.25 |
$104.25 |
$104.25 |
$109.20
|
|
Speech evaluation complex
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$527.06
|
|
Speech recep thresh
|
$104.25 |
$104.25 |
$104.25 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$332.25 |
$332.25 |
$332.25 |
$248.84
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$360.00 |
$360.00 |
$360.00 |
$251.40
|
|
Spirometry up to 2 yrs old
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
$242.25
|
|
Spleen imaging
|
$469.50 |
$469.50 |
$469.50 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$48.75 |
$48.75 |
$48.75 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$93.00 |
$93.00 |
$93.00 |
$67.76
|
|
Splint finger frog med
|
$73.50 |
$73.50 |
$73.50 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$35.25 |
$35.25 |
$35.25 |
$100.00
|
|
Split blood or products
|
$606.00 |
$606.00 |
$606.00 |
$129.50
|
|
Sputum specimen collection
|
$337.50 |
$337.50 |
$337.50 |
$180.00
|
|
Staggered spondaic word test
|
$474.75 |
$474.75 |
$474.75 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$393.00 |
$393.00 |
$393.00 |
$295.10
|
|
Staph a dna amp probe
|
$129.00 |
$129.00 |
$129.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$87.09 |
$87.09 |
$87.09 |
$291.20
|
|
St cognitve performance testing healthcare professional each hour
|
$330.75 |
$330.75 |
$330.75 |
$281.00
|
|
Stem cells total count
|
$96.00 |
$96.00 |
$96.00 |
$184.00
|
|
Stenger test pure tone
|
$162.00 |
$162.00 |
$162.00 |
$77.84
|
|
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 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,076.00 |
$5,076.00 |
$5,076.00 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$38,815.81 |
$38,815.81 |
$38,815.81 |
$20,962.50
|
|
Sterile water/saline, 500 ml
|
$28.11 |
$28.11 |
$28.11 |
$28.11
|
|
St evaluate speech sound production
|
$341.25 |
$341.25 |
$341.25 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$551.25 |
$551.25 |
$551.25 |
$396.90
|
|
Stimulants synthetic
|
$70.50 |
$70.50 |
$70.50 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,431.75 |
$1,431.75 |
$1,431.75 |
$1,350.05
|
|
Strapping of ankle and/or ft 29540
|
$183.75 |
$183.75 |
$183.75 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$230.25 |
$230.25 |
$230.25 |
$157.46
|
|
Strapping of hand or finger
|
$315.00 |
$315.00 |
$315.00 |
$177.45
|
|
Strapping of hip
|
$147.00 |
$147.00 |
$147.00 |
$164.70
|
|
Strapping of knee
|
$204.75 |
$204.75 |
$204.75 |
$205.20
|
|
Strapping of toes 29550
|
$151.50 |
$151.50 |
$151.50 |
$164.70
|
|
Streptozocin injection
|
$1,286.99 |
$1,286.99 |
$1,286.99 |
$785.95
|
|
Stress test pulmonary
|
$654.00 |
$654.00 |
$654.00 |
$324.00
|
|
Stress tte complete
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,820.70
|
|
Str markers specimen anal
|
$1,678.50 |
$1,678.50 |
$1,678.50 |
$751.50
|
|
Subq njx filling matrl 1cc/<
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$54.80
|
|
Sulfonylurea screen qn-sendout
|
$270.00 |
$270.00 |
$270.00 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$167.98 |
$167.98 |
$167.98 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$105.75 |
$105.75 |
$105.75 |
$94.08
|
|
Supprelin la implant
|
$185,546.55 |
$185,546.55 |
$185,546.55 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$117.00 |
$117.00 |
$117.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$193.50 |
$193.50 |
$193.50 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$240.00 |
$240.00 |
$240.00 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$330.75 |
$330.75 |
$330.75 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$507.00 |
$507.00 |
$507.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$720.75 |
$720.75 |
$720.75 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$130.50 |
$130.50 |
$130.50 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$31.50 |
$31.50 |
$31.50 |
$35.70
|
|
Susceptibility mic per plate
|
$96.00 |
$96.00 |
$96.00 |
$104.65
|
|
Svc venogram s&i
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$442.50 |
$442.50 |
$442.50 |
$314.40
|
|
Swallowing Therapy Session
|
$415.50 |
$415.50 |
$415.50 |
$240.50
|
|
Synvisc or synvisc-one
|
$1,696.83 |
$1,696.83 |
$1,696.83 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$67.50 |
$67.50 |
$67.50 |
$42.24
|
|
System cardiomems hosp electronics
|
$53,437.50 |
$53,437.50 |
$53,437.50 |
$38,234.70
|
|
System pacing micra av
|
$33,750.00 |
$33,750.00 |
$33,750.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,441.25 |
$11,441.25 |
$11,441.25 |
$12,003.00
|
|
System sealant biosentry tract
|
$900.00 |
$900.00 |
$900.00 |
$890.03
|
|
T3 (triiodothyronine) free
|
$62.25 |
$62.25 |
$62.25 |
$100.00
|
|
T3 (triiodothyronine) total
|
$52.50 |
$52.50 |
$52.50 |
$93.52
|
|
T4 (thyroxine) free
|
$45.75 |
$45.75 |
$45.75 |
$87.30
|
|
T4 (thyroxine) total
|
$99.75 |
$99.75 |
$99.75 |
$68.40
|
|
Tacrol astagraf ex rel oral
|
$2,970.47 |
$2,970.47 |
$2,970.47 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$8,369.30 |
$8,369.30 |
$8,369.30 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$12,682.80 |
$12,682.80 |
$12,682.80 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$874.23 |
$874.23 |
$874.23 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$174.75 |
$174.75 |
$174.75 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,161.23 |
$5,161.23 |
$5,161.23 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$297.00 |
$297.00 |
$297.00 |
$288.60
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$25,827.38 |
$25,827.38 |
$25,827.38 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$1,749.44
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$1,148.25 |
$1,148.25 |
$1,148.25 |
$931.50
|
|
Tavr perq femoral
|
$25,185.75 |
$25,185.75 |
$25,185.75 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$959.55 |
$959.55 |
$959.55 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$460.50 |
$460.50 |
$460.50 |
$200.00
|
