|
Suction lipectomy lwr extrem
|
$13,000.00 |
$13,000.00 |
$13,000.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,544.00
|
|
Suction susp ak/knee disart
|
$394.55 |
$394.55 |
$394.55 |
$492.80
|
|
Sugars multiple quant
|
$52.00 |
$52.00 |
$52.00 |
$44.19
|
|
Sugars single quant
|
$52.00 |
$52.00 |
$52.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$109,687.50 |
$2,164,968.00 |
$2,164,968.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$2.96 |
$2.96 |
$2.96 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$20.80 |
$20.80 |
$20.80 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$137.15 |
$1,129.07 |
$1,129.07 |
$126.63
|
|
Sup of prep of antigen # of vials 95144
|
$89.70 |
$89.70 |
$89.70 |
$54.60
|
|
Supply of digital device
|
$334.75 |
$334.75 |
$334.75 |
$280.00
|
|
Support clav 29.6-40.5in med
|
$18.20 |
$18.20 |
$42.90 |
$94.08
|
|
Supprelin la implant
|
$117,424.98 |
$117,424.98 |
$117,424.98 |
$80,935.72
|
|
Suprv interfacilty transport
|
$429.00 |
$429.00 |
$429.00 |
$112.05
|
|
Suprv interfac trnsport addl
|
$371.80 |
$371.80 |
$371.80 |
$98.69
|
|
Surg dx exam anorectal
|
$468.00 |
$8,199.75 |
$8,199.75 |
$3,480.50
|
|
Surg ect salp-oophorectomy 59120
|
$3,294.20 |
$3,294.20 |
$3,294.20 |
$1,632.60
|
|
Surg ect without salp-oophorectomy 59121
|
$3,312.40 |
$3,312.40 |
$3,312.40 |
$1,634.40
|
|
Surgery for urethra pouch
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$4,627.00
|
|
Surgery to stop leg growth
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$7,907.11
|
|
Surgery to stop leg growth
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$7,913.97
|
|
Surgery to stop leg growth
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$7,907.11
|
|
Surgery to stop leg growth
|
$2,373.80 |
$2,373.80 |
$2,373.80 |
$8,412.89
|
|
Surgical opening esophagus
|
$5,733.00 |
$5,733.00 |
$5,733.00 |
$1,913.16
|
|
Surgical opening esophagus
|
$4,630.60 |
$4,630.60 |
$4,630.60 |
$1,550.00
|
|
Surgical opening of stomach 43500
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$1,477.80
|
|
Surgical opening of throat
|
$2,082.60 |
$2,082.60 |
$2,082.60 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$109.85 |
$109.85 |
$109.85 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$176.15 |
$176.15 |
$176.15 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.85 |
$239.85 |
$239.85 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$239.85 |
$239.85 |
$239.85 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$720.75
|
|
Surgical repair stomach bleedin ulcer 43501
|
$5,876.00 |
$5,876.00 |
$5,876.00 |
$2,415.60
|
|
Surgical revision intestine
|
$4,669.60 |
$4,669.60 |
$4,669.60 |
$2,366.76
|
|
Surgical trays
|
$399.75 |
$399.75 |
$553.41 |
$694.80
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$21.45 |
$21.45 |
$21.45 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$21.45 |
$21.45 |
$21.45 |
$35.70
|
|
Susceptibility mic per plate
|
$39.00 |
$39.00 |
$39.00 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$29.90 |
$29.90 |
$29.90 |
$59.28
|
|
Suspend bowel w/prosthesis
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$1,351.05
|
|
Suspension of testis
|
$1,354.60 |
$1,354.60 |
$1,354.60 |
$4,055.01
|
|
Suspension of uterus
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$1,059.58
|
|
Suspension of uterus 58400
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$856.80
|
|
Suspension sleeve lower ext
|
$93.40 |
$93.40 |
$93.40 |
$251.38
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$4,721.60 |
$4,721.60 |
$4,721.60 |
$1,995.00
|
|
Suture bile duct injury 47900
|
$5,834.40 |
$5,834.40 |
$5,834.40 |
$2,559.60
|
|
Svc venogram s&i
|
$6,967.35 |
$6,967.35 |
$7,263.75 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$370.50 |
$370.50 |
$370.50 |
$314.40
|
|
Swallowing Therapy Session
|
$431.60 |
$431.60 |
$431.60 |
$240.50
|
|
Sweat collection by iontophoresis
|
$239.85 |
$239.85 |
$239.85 |
$121.55
|
|
Sympathectomy cervical
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$3,934.40
|
|
Sympathectomy digital artery
|
$2,792.40 |
$2,792.40 |
$2,792.40 |
$2,310.83
|
|
Sympathectomy lumbar
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$2,844.40 |
$2,844.40 |
$2,844.40 |
$3,839.54
|
|
Sympathectomy thoracolumbar
|
$3,824.60 |
$3,824.60 |
$3,824.60 |
$1,681.03
|
|
Synch audio-only est high 40
|
$676.00 |
$676.00 |
$676.00 |
$190.77
|
|
Synch audio-only est low 20
|
$312.00 |
$312.00 |
$312.00 |
$90.60
|
|
Synch audio-only est mod 30
|
$455.00 |
$455.00 |
$455.00 |
$136.64
|
|
Synch audio-only est sf 10
|
$169.00 |
$169.00 |
$169.00 |
$53.20
|
|
Synch audio-only new high 60
|
$832.00 |
$832.00 |
$832.00 |
$207.64
|
|
Synch audio-only new low 30
|
$403.00 |
$403.00 |
$403.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$629.20 |
$629.20 |
$629.20 |
$166.70
|
|
Synch audio-only new sf 15
|
$234.00 |
$234.00 |
$234.00 |
$67.80
|
|
Synvisc or synvisc-one
|
$66.81 |
$534.14 |
$534.14 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$19.50 |
$19.50 |
$19.50 |
$42.24
|
|
System cardiomems hosp electronics
|
$22,750.00 |
$22,750.00 |
$22,750.00 |
$38,234.70
|
|
System pacing micra av
|
$24,667.50 |
$25,837.50 |
$25,837.50 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,995.00 |
$7,995.00 |
$10,359.70 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$76.05 |
$76.05 |
$76.05 |
$100.00
|
|
T3 (triiodothyronine) total
|
$63.70 |
$63.70 |
$63.70 |
$93.52
|
|
T4 (thyroxine) free
|
$40.30 |
$40.30 |
$40.30 |
$87.30
|
|
T4 (thyroxine) total
|
$30.55 |
$30.55 |
$30.55 |
$68.40
|
|
Tacrol astagraf ex rel oral
|
$9.01 |
$9.01 |
$9.01 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$44.58 |
$44.58 |
$44.58 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$28.99 |
$28.99 |
$28.99 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$596.76 |
$596.76 |
$596.76 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$61.75 |
$61.75 |
$61.75 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,355.10 |
$4,355.10 |
$4,355.10 |
$2,762.00
|
|
Tah rad debulk/lymph remove 58954
|
$9,653.80 |
$9,653.80 |
$9,653.80 |
$5,380.00
|
|
Tah rad dissect for debulk 58953
|
$8,873.80 |
$8,873.80 |
$8,873.80 |
$4,964.80
|
|
Tah w/mmk 58152
|
$5,683.60 |
$5,683.60 |
$5,683.60 |
$2,428.80
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$395.20 |
$395.20 |
$439.40 |
$288.60
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$21,795.67 |
$21,795.67 |
$21,795.67 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$36,045.46 |
$36,045.46 |
$36,045.46 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$914.55 |
$914.55 |
$914.55 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$914.55 |
$914.55 |
$914.55 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$54.63 |
$54.63 |
$54.63 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$3,406.65 |
$3,406.65 |
$3,406.65 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,973.10 |
$2,973.10 |
$3,391.05 |
$3,762.00
|
|
Target gsa panel organ neop
|
$2,234.70 |
$2,234.70 |
$2,234.70 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$46,800.00 |
$46,800.00 |
$46,800.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$3,662.75 |
$3,662.75 |
$3,662.75 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$931.50
|
|
Tavr perq femoral
|
$9,826.05 |
$9,826.05 |
$9,826.05 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,169.67 |
$1,169.67 |
$1,169.67 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$614.25 |
$614.25 |
$614.25 |
$225.42
|
|
Tbs dxa cal w/i&r fx risk
|
$200.85 |
$200.85 |
$200.85 |
$127.12
|
