|
Stem cells total count
|
$237.25 |
$237.25 |
$237.25 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$36,543.00 |
$36,543.00 |
$36,543.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$6,175.00 |
$6,175.00 |
$6,175.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$252.97 |
$252.97 |
$252.97 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$7,787.21 |
$7,787.21 |
$7,787.21 |
$18,748.54
|
|
Stent iliac/open or perc/uni/init 37221
|
$27,916.20 |
$27,916.20 |
$27,916.20 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,078.75 |
$4,078.75 |
$4,078.75 |
$9,276.80
|
|
Stent placemt retro carotid
|
$25,990.90 |
$25,990.90 |
$25,990.90 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$30,240.60 |
$30,240.60 |
$30,240.60 |
$19,765.20
|
|
St evaluate speech sound production
|
$109.20 |
$109.20 |
$109.20 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$226.85 |
$226.85 |
$226.85 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$299.00 |
$299.00 |
$299.00 |
$406.40
|
|
St evaluation swallow function
|
$282.75 |
$282.75 |
$282.75 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$248.05
|
|
Strapping of hand or finger
|
$1,541.80 |
$1,541.80 |
$1,541.80 |
$194.40
|
|
Strapping of toes 29550
|
$1,541.80 |
$1,541.80 |
$1,541.80 |
$185.36
|
|
Strep a dna dir probe
|
$215.80 |
$215.80 |
$215.80 |
$50.40
|
|
Strep b dna amp probe
|
$231.40 |
$231.40 |
$231.40 |
$139.20
|
|
Stress test pulmonary
|
$401.70 |
$401.70 |
$401.70 |
$327.20
|
|
Str markers spec anal addl
|
$741.00 |
$741.00 |
$741.00 |
$468.00
|
|
Str markers specimen anal
|
$952.90 |
$952.90 |
$952.90 |
$835.28
|
|
St treatment speech individual
|
$270.40 |
$270.40 |
$270.40 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$252.85 |
$252.85 |
$252.85 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$62.34 |
$62.34 |
$62.34 |
$50.89
|
|
Sugars single quant
|
$177.45 |
$177.45 |
$177.45 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.22 |
$59.22 |
$59.22 |
$68.53
|
|
Sulfonylurea screen qn-sendout
|
$189.15 |
$189.15 |
$189.15 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$37.98 |
$37.98 |
$37.98 |
$122.16
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$89.38
|
|
Surgical pathology level 1 gross examination only
|
$164.45 |
$164.45 |
$164.45 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$338.00 |
$338.00 |
$338.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$391.95 |
$391.95 |
$391.95 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$531.05 |
$531.05 |
$531.05 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$575.25 |
$575.25 |
$575.25 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$734.50 |
$734.50 |
$734.50 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$94.25 |
$94.25 |
$94.25 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$50.70 |
$50.70 |
$50.70 |
$34.48
|
|
Susceptibility mic per plate
|
$326.95 |
$326.95 |
$326.95 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$406.25 |
$406.25 |
$406.25 |
$48.30
|
|
Svc venogram s&i
|
$1,448.85 |
$1,448.85 |
$1,448.85 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$37.86 |
$37.86 |
$37.86 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$66.95 |
$66.95 |
$66.95 |
$44.85
|
|
System cardiomems hosp electronics
|
$42,927.01 |
$42,927.01 |
$42,927.01 |
$40,814.28
|
|
System pacing micra av
|
$20,783.35 |
$20,783.35 |
$20,783.35 |
$23,908.80
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,114.73 |
$6,114.73 |
$6,114.73 |
$10,980.00
|
|
System sealant biosentry tract
|
$698.82 |
$698.82 |
$698.82 |
$900.00
|
|
T3 (triiodothyronine) free
|
$38.35 |
$38.35 |
$38.35 |
$89.82
|
|
T3 (triiodothyronine) total
|
$34.45 |
$34.45 |
$34.45 |
$94.90
|
|
T4 (thyroxine) free
|
$57.20 |
$57.20 |
$57.20 |
$81.60
|
|
T4 (thyroxine) total
|
$146.25 |
$146.25 |
$146.25 |
$73.64
|
|
Tacrol envarsus ex rel oral
|
$14.43 |
$14.43 |
$14.43 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.30 |
$10.30 |
$10.30 |
$12.25
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$286.86 |
$286.86 |
$286.86 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$59.80 |
$59.80 |
$59.80 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$37.39 |
$37.39 |
$37.39 |
$3,817.00
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$185.62 |
$185.62 |
$185.62 |
$31,080.00
|
|
Target gsa panel hmtlmph neop
|
$4,650.75 |
$4,650.75 |
$4,650.75 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$6,844.50 |
$6,844.50 |
$6,844.50 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,953.95 |
$3,953.95 |
$3,953.95 |
$1,913.00
|
|
Tavr perq femoral
|
$27,888.25 |
$27,888.25 |
$27,888.25 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$126.10 |
$126.10 |
$126.10 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$137.80 |
$137.80 |
$137.80 |
$166.46
|
|
Tc-99m bicisate
|
$1,599.84 |
$1,599.84 |
$1,599.84 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$3,915.05 |
$3,915.05 |
$3,915.05 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$1,882.18 |
$1,882.18 |
$1,882.18 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$236.55 |
$236.55 |
$236.55 |
$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
|
$68.20 |
$68.20 |
$68.20 |
$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 oxidronate
|
$85.38 |
$85.38 |
$85.38 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$316.58 |
$316.58 |
$316.58 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$320.22 |
$320.22 |
$320.22 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$1.04 |
$1.04 |
$1.04 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$75.92 |
$75.92 |
$75.92 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$64.31 |
$64.31 |
$64.31 |
$221.60
|
|
Tc-99m sulfur colloid
|
$246.40 |
$246.40 |
$246.40 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$68.25 |
$68.25 |
$68.25 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$814.78 |
$814.78 |
$814.78 |
$930.54
|
|
T-cell depletion of harvest
|
$1,673.75 |
$1,673.75 |
$1,673.75 |
$1,673.75
|
|
T cells absolute cd4/cd8 including ratio
|
$303.55 |
$303.55 |
$303.55 |
$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
|
|
Tcranial magn stim tx deli
|
$409.50 |
$409.50 |
$409.50 |
$368.50
|
|
Tcranial magn stim tx plan
|
$577.85 |
$577.85 |
$577.85 |
$386.88
|
|
Tcran magn stim redetemine
|
$577.85 |
$577.85 |
$577.85 |
$417.06
|
|
Telehealth original site facility fee
|
$98.15 |
$98.15 |
$98.15 |
$60.80
|
|
Telethx isodose plan cplx
|
$8,553.35 |
$8,553.35 |
$8,553.35 |
$1,617.00
|
|
Telethx isodose plan simple
|
$6,947.20 |
$6,947.20 |
$6,947.20 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$20,845.40 |
$20,845.40 |
$20,845.40 |
$16,288.56
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$4,798.30 |
$4,798.30 |
$4,798.30 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.60 |
$23.60 |
$23.60 |
$46.10
|
|
Tert gene targeted seq alys
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$304.59
|
|
Test for chlorohydrocarbons
|
$251.55 |
$251.55 |
$251.55 |
$71.04
|
|
Test for porphobilinogen
|
$78.65 |
$78.65 |
$78.65 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$588.25 |
$588.25 |
$588.25 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$180.05 |
$180.05 |
$180.05 |
$75.95
|
|
Test stress cardiovascular tracing only
|
$759.20 |
$759.20 |
$759.20 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,836.49 |
$1,836.49 |
$1,836.49 |
$1,172.11
|
