|
Straight knee joint heavy du
|
$380.21 |
$380.21 |
$380.21 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$364.20 |
$364.20 |
$364.20 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$364.20 |
$364.20 |
$364.20 |
$154.70
|
|
Strapping of hand or finger
|
$364.20 |
$364.20 |
$364.20 |
$174.82
|
|
Strapping of knee
|
$364.20 |
$364.20 |
$364.20 |
$205.20
|
|
Strep a ag ia
|
$36.00 |
$36.00 |
$36.00 |
$75.40
|
|
Strep b dna amp probe
|
$148.80 |
$148.80 |
$148.80 |
$120.90
|
|
Stress test pulmonary
|
$210.60 |
$210.60 |
$210.60 |
$322.85
|
|
Str markers specimen anal
|
$298.20 |
$298.20 |
$298.20 |
$751.50
|
|
St treatment speech individual
|
$163.80 |
$163.80 |
$163.80 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$128.40 |
$128.40 |
$128.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$52.31
|
|
Sugars single quant
|
$336.60 |
$336.60 |
$336.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,010.42 |
$2,010.42 |
$2,010.42 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$49.68 |
$49.68 |
$49.68 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$655.13 |
$655.13 |
$655.13 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$176.40 |
$176.40 |
$176.40 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$303.00 |
$303.00 |
$303.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$366.60 |
$366.60 |
$366.60 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$89.40 |
$89.40 |
$89.40 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$782.40 |
$782.40 |
$782.40 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$772.20 |
$772.20 |
$772.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$12.00 |
$12.00 |
$12.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$52.20 |
$52.20 |
$52.20 |
$35.70
|
|
Susceptibility mic per plate
|
$117.00 |
$117.00 |
$117.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$96.60 |
$96.60 |
$96.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$274.89 |
$274.89 |
$274.89 |
$251.38
|
|
Svc venogram s&i
|
$3,119.40 |
$3,119.40 |
$3,119.40 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$3,262.44 |
$3,262.44 |
$3,262.44 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$48.60 |
$48.60 |
$48.60 |
$41.60
|
|
System cardiomems hosp electronics
|
$54,525.06 |
$54,525.06 |
$54,525.06 |
$39,037.95
|
|
System pacing micra av
|
$47,924.66 |
$47,924.66 |
$47,924.66 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$23,155.93 |
$23,155.93 |
$23,155.93 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$19,729.46 |
$19,729.46 |
$19,729.46 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$144.00 |
$144.00 |
$144.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$96.60 |
$96.60 |
$96.60 |
$93.52
|
|
T4 (thyroxine) free
|
$82.80 |
$82.80 |
$82.80 |
$85.20
|
|
T4 (thyroxine) total
|
$61.20 |
$61.20 |
$61.20 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$73.80 |
$73.80 |
$73.80 |
$122.40
|
|
Talymed
|
$3,730.66 |
$3,730.66 |
$3,730.66 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,330.40 |
$2,330.40 |
$2,330.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$3,175.20 |
$3,175.20 |
$3,175.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$3,746.70
|
|
Target gsa panel organ neop
|
$392.40 |
$392.40 |
$392.40 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$952.56 |
$952.56 |
$952.56 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$148.80 |
$148.80 |
$148.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$322.20 |
$322.20 |
$322.20 |
$177.65
|
|
Tc-99m bicisate
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$1,969.45
|
|
Tc-99m mebrofenin
|
$222.60 |
$222.60 |
$222.60 |
$157.65
|
|
Tc-99m medronate
|
$111.00 |
$111.00 |
$111.00 |
$111.01
|
|
Tc-99m mertiatide
|
$836.40 |
$836.40 |
$836.40 |
$756.00
|
|
Tc-99m oxidronate
|
$21.00 |
$21.00 |
$21.00 |
$105.60
|
|
Tc-99m sestamibi p study dose
|
$330.48 |
$330.48 |
$330.48 |
$274.45
|
|
Tc-99m sulfur colloid
|
$876.00 |
$876.00 |
$876.00 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$1,122.48 |
$1,122.48 |
$1,122.48 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$188.40 |
$188.40 |
$188.40 |
$176.40
|
|
T cells absolute cd 4 count
|
$106.20 |
$106.20 |
$106.20 |
$111.20
|
|
T cells total count
|
$150.60 |
$150.60 |
$150.60 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$19,764.12 |
$19,764.12 |
$19,764.12 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$32,978.80 |
$32,978.80 |
$32,978.80 |
$2,139.67
|
|
Tension based scoliosis orth
|
$8,281.55 |
$8,281.55 |
$8,281.55 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$39.33
|
|
Test for chlorohydrocarbons
|
$114.60 |
$114.60 |
$114.60 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$1,475.40 |
$1,475.40 |
$1,475.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$667.85 |
$667.85 |
$667.85 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$637.20 |
$637.20 |
$637.20 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,546.38 |
$1,546.38 |
$1,546.38 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$93.60 |
$93.60 |
$93.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$79.20 |
$79.20 |
$79.20 |
$85.68
|
|
Ther nma rdctj intus/obstrcj
|
$784.80 |
$784.80 |
$784.80 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.90 |
$9.90 |
$9.90 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$880.38 |
$880.38 |
$880.38 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,174.21 |
$1,174.21 |
$1,174.21 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$620.53 |
$620.53 |
$620.53 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$809.70 |
$809.70 |
$809.70 |
$657.72
|
|
Thorac cont lat support upri
|
$378.61 |
$378.61 |
$378.61 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$412.70 |
$412.70 |
$412.70 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$463.61 |
$463.61 |
$463.61 |
$387.41
|
|
Thoracic pad
|
$280.23 |
$280.23 |
$280.23 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$2,462.40 |
$2,462.40 |
$2,462.40 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$2,974.66 |
$2,974.66 |
$2,974.66 |
$225.50
|
|
Thrombin time
|
$60.60 |
$60.60 |
$60.60 |
$53.76
|
|
Thromboplastin inhibition
|
$209.40 |
$209.40 |
$209.40 |
$53.30
|
|
Th/wght bear nar m-l brim cu
|
$1,657.16 |
$1,657.16 |
$1,657.16 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,949.17 |
$2,949.17 |
$2,949.17 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,390.76 |
$1,390.76 |
$1,390.76 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$2,086.82 |
$2,086.82 |
$2,086.82 |
$1,695.23
|
|
Thyroglobulin antibody
|
$149.40 |
$149.40 |
$149.40 |
$82.00
|
|
Thyroid imaging
|
$685.80 |
$685.80 |
$685.80 |
$695.02
|
|
Thyroid (TSH) Test
|
$88.20 |
$88.20 |
$88.20 |
$111.00
|
|
Thyroid Ultrasound
|
$601.80 |
$601.80 |
$601.80 |
$588.50
|
|
Thyroid uptake measurement
|
$480.60 |
$480.60 |
$480.60 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$79.20 |
$79.20 |
$79.20 |
$64.35
|
|
Tic-brn enceph vac 0.25ml im
|
$410.40 |
$410.40 |
$410.40 |
$520.31
|
|
Tic-brn enceph vac 0.5ml im
|
$410.40 |
$410.40 |
$410.40 |
$520.31
|
|
Tirofiban 12.5 mg/50 ml
|
$364.32 |
$364.32 |
$364.32 |
$458.85
|
