|
So neo gsap dna/dna&rna
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$2,332.88
|
|
Special physics consult
|
$1,827.80 |
$1,827.80 |
$1,827.80 |
$700.74
|
|
Special radiation dosimetry
|
$822.90 |
$822.90 |
$822.90 |
$445.50
|
|
Special radiation treatment
|
$2,568.15 |
$2,568.15 |
$2,568.15 |
$1,934.03
|
|
Special teletx port plan
|
$5,878.60 |
$5,878.60 |
$5,878.60 |
$1,046.65
|
|
Specimen fat stain
|
$30.55 |
$30.55 |
$30.55 |
$32.76
|
|
Sperm antibody test
|
$234.00 |
$234.00 |
$234.00 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,532.70 |
$1,532.70 |
$1,532.70 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$694.85 |
$694.85 |
$694.85 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$986.99 |
$986.99 |
$986.99 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.95 |
$29.95 |
$29.95 |
$52.65
|
|
Splint finger frog med
|
$13.31 |
$13.31 |
$13.31 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$130.44 |
$130.44 |
$130.44 |
$101.18
|
|
Split blood or products
|
$242.45 |
$242.45 |
$242.45 |
$148.98
|
|
Srs linear based
|
$5,569.85 |
$5,569.85 |
$5,569.85 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$108.55 |
$108.55 |
$108.55 |
$300.00
|
|
Staph a dna amp probe
|
$196.95 |
$196.95 |
$196.95 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$181.35 |
$181.35 |
$181.35 |
$313.96
|
|
Stem cells total count
|
$211.25 |
$211.25 |
$211.25 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,387.00 |
$23,387.00 |
$23,387.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,989.52 |
$4,989.52 |
$4,989.52 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$212.30 |
$212.30 |
$212.30 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,300.29 |
$1,300.29 |
$1,300.29 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,865.90 |
$17,865.90 |
$17,865.90 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,610.40 |
$2,610.40 |
$2,610.40 |
$9,276.80
|
|
Stent placemt retro carotid
|
$16,633.50 |
$16,633.50 |
$16,633.50 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$28,730.00 |
$28,730.00 |
$28,730.00 |
$19,765.20
|
|
St evaluate speech sound production
|
$104.00 |
$104.00 |
$104.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$215.80 |
$215.80 |
$215.80 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$284.05 |
$284.05 |
$284.05 |
$406.40
|
|
St evaluation swallow function
|
$268.45 |
$268.45 |
$268.45 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$799.50 |
$799.50 |
$799.50 |
$248.05
|
|
Strapping of hand or finger
|
$442.00 |
$442.00 |
$442.00 |
$194.40
|
|
Strapping of toes 29550
|
$1,069.90 |
$1,069.90 |
$1,069.90 |
$185.36
|
|
Strep a dna dir probe
|
$110.50 |
$110.50 |
$110.50 |
$50.40
|
|
Strep b dna amp probe
|
$185.25 |
$185.25 |
$185.25 |
$139.20
|
|
Stress test pulmonary
|
$313.95 |
$313.95 |
$313.95 |
$327.20
|
|
Str markers spec anal addl
|
$468.00 |
$468.00 |
$468.00 |
$468.00
|
|
Str markers specimen anal
|
$1,423.50 |
$1,423.50 |
$1,423.50 |
$835.28
|
|
St treatment speech individual
|
$256.75 |
$256.75 |
$256.75 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$240.50 |
$240.50 |
$240.50 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.62 |
$26.62 |
$26.62 |
$50.70
|
|
Sugars single quant
|
$169.00 |
$169.00 |
$169.00 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.22 |
$59.22 |
$59.22 |
$61.59
|
|
Sulfonylurea screen qn-sendout
|
$189.15 |
$189.15 |
$189.15 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.78 |
$39.78 |
$39.78 |
$144.79
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$146.25 |
$146.25 |
$146.25 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$300.30 |
$300.30 |
$300.30 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$348.40 |
$348.40 |
$348.40 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$590.20 |
$590.20 |
$590.20 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$638.95 |
$638.95 |
$638.95 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$653.25 |
$653.25 |
$653.25 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$60.45 |
$60.45 |
$60.45 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$40.30 |
$40.30 |
$40.30 |
$34.48
|
|
Susceptibility mic per plate
|
$208.65 |
$208.65 |
$208.65 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$260.00 |
$260.00 |
$260.00 |
$48.30
|
|
Svc venogram s&i
|
$628.55 |
$628.55 |
$628.55 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.65 |
$52.65 |
$52.65 |
$44.85
|
|
System pacing micra av
|
$0.65 |
$0.65 |
$0.65 |
$24,469.57
|
|
T3 (triiodothyronine) free
|
$35.75 |
$35.75 |
$35.75 |
$89.82
|
|
T3 (triiodothyronine) total
|
$33.80 |
$33.80 |
$33.80 |
$94.90
|
|
T4 (thyroxine) free
|
$55.90 |
$55.90 |
$55.90 |
$81.60
|
|
T4 (thyroxine) total
|
$141.70 |
$141.70 |
$141.70 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.30 |
$10.30 |
$10.30 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$51.35 |
$51.35 |
$51.35 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$5,684.25 |
$5,684.25 |
$5,684.25 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$8,365.50 |
$8,365.50 |
$8,365.50 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,832.75 |
$4,832.75 |
$4,832.75 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$937.50 |
$937.50 |
$937.50 |
$957.09
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$100.10 |
$100.10 |
$100.10 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$137.80 |
$137.80 |
$137.80 |
$166.46
|
|
Tc-99m exametazime diag
|
$3,058.54 |
$3,058.54 |
$3,058.54 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$247.06 |
$247.06 |
$247.06 |
$323.01
|
|
Tc-99m maa
|
$312.06 |
$312.06 |
$312.06 |
$312.06
|
|
Tc-99m mebrofenin
|
$59.48 |
$59.48 |
$59.48 |
$169.53
|
|
Tc-99m medronate
|
$70.14 |
$70.14 |
$70.14 |
$122.46
|
|
Tc-99m mertiatide
|
$523.61 |
$523.61 |
$523.61 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$0.67 |
$0.67 |
$0.67 |
$8.00
|
|
Tc-99m pentetate dtpa aerosol
|
$320.22 |
$320.22 |
$320.22 |
$244.02
|
|
Tc-99m sestamibi p study dose
|
$64.23 |
$64.23 |
$64.23 |
$221.60
|
|
Tc-99m sulfur colloid
|
$190.06 |
$190.06 |
$190.06 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$68.25 |
$68.25 |
$68.25 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$969.15 |
$969.15 |
$969.15 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$240.50 |
$240.50 |
$240.50 |
$186.00
|
|
T cells absolute cd 4 count
|
$329.55 |
$329.55 |
$329.55 |
$120.25
|
|
T cells total count
|
$464.10 |
$464.10 |
$464.10 |
$124.11
|
|
Telethx isodose plan cplx
|
$10,010.65 |
$10,010.65 |
$10,010.65 |
$1,617.00
|
|
Telethx isodose plan simple
|
$4,524.00 |
$4,524.00 |
$4,524.00 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,874.78 |
$20,874.78 |
$20,874.78 |
$15,600.75
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,982.50 |
$1,982.50 |
$1,982.50 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$22.59 |
$22.59 |
$22.59 |
$46.10
|
|
Tert gene targeted seq alys
|
$1,784.90 |
$1,784.90 |
$1,784.90 |
$304.59
|
|
Test for chlorohydrocarbons
|
$263.90 |
$263.90 |
$263.90 |
$71.04
|
|
Test for porphobilinogen
|
$65.00 |
$65.00 |
$65.00 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$952.25 |
$952.25 |
$952.25 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$146.25 |
$146.25 |
$146.25 |
$75.00
|
|
Test stress cardiovascular tracing only
|
$843.70 |
$843.70 |
$843.70 |
$1,001.55
|
