|
Small bowel endoscopy
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$2,399.20
|
|
Small bowel endoscopy
|
$2,818.50 |
$2,818.50 |
$2,818.50 |
$2,740.80
|
|
Small bowel endoscopy
|
$2,842.50 |
$2,842.50 |
$2,842.50 |
$3,486.34
|
|
Small bowel endoscopy/biopsy
|
$3,847.50 |
$3,847.50 |
$3,847.50 |
$2,490.15
|
|
Small bowel endoscopy br/wa
|
$1,481.25 |
$1,481.25 |
$1,481.25 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$1,848.75 |
$1,848.75 |
$1,848.75 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$5,295.00 |
$5,295.00 |
$5,295.00 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$75.00 |
$75.00 |
$75.00 |
$64.35
|
|
Smear gram stain
|
$54.75 |
$54.75 |
$54.75 |
$55.55
|
|
Smear nasal eosinophil
|
$47.25 |
$47.25 |
$47.25 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$42.00 |
$42.00 |
$42.00 |
$73.50
|
|
Smear wet mount
|
$78.75 |
$78.75 |
$78.75 |
$67.55
|
|
Snrpn/ube3a gene
|
$376.50 |
$376.50 |
$376.50 |
$230.63
|
|
Sodium 24 hour urine
|
$76.50 |
$76.50 |
$76.50 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.28 |
$33.28 |
$33.28 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$20.34 |
$20.34 |
$20.34 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$19.42 |
$19.42 |
$19.42 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$11.10 |
$11.10 |
$11.10 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$28.46 |
$28.46 |
$28.46 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$651.32 |
$651.32 |
$651.32 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$52.50 |
$52.50 |
$52.50 |
$46.26
|
|
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
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,046.35
|
|
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
|
$69.75 |
$69.75 |
$69.75 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$300.00 |
$300.00 |
$300.00 |
$384.80
|
|
Speech evaluation complex
|
$927.00 |
$927.00 |
$927.00 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$295.50 |
$295.50 |
$295.50 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,128.75 |
$1,128.75 |
$1,128.75 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$327.00 |
$327.00 |
$327.00 |
$251.00
|
|
Spirometry up to 2 yrs old
|
$929.25 |
$929.25 |
$929.25 |
$326.04
|
|
Spleen imaging
|
$390.75 |
$390.75 |
$390.75 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$84.75 |
$84.75 |
$84.75 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$93.00 |
$93.00 |
$93.00 |
$71.44
|
|
Splint finger frog med
|
$67.50 |
$67.50 |
$67.50 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$35.25 |
$35.25 |
$35.25 |
$99.04
|
|
Sputum specimen collection
|
$312.00 |
$312.00 |
$312.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$326.25 |
$326.25 |
$326.25 |
$297.60
|
|
Staph a dna amp probe
|
$119.25 |
$119.25 |
$119.25 |
$125.00
|
|
Static or dynami afo pre ots
|
$87.09 |
$87.09 |
$87.09 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$286.50 |
$286.50 |
$286.50 |
$286.00
|
|
Stem cells total count
|
$110.25 |
$110.25 |
$110.25 |
$194.25
|
|
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 |
$2,704.27
|
|
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
|
$280.50 |
$280.50 |
$280.50 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$354.75 |
$354.75 |
$354.75 |
$400.00
|
|
Stimulants synthetic
|
$80.25 |
$80.25 |
$80.25 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$141.75 |
$141.75 |
$141.75 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$189.75 |
$189.75 |
$189.75 |
$157.46
|
|
Strapping of hand or finger
|
$291.00 |
$291.00 |
$291.00 |
$177.45
|
|
Strapping of knee
|
$113.25 |
$113.25 |
$113.25 |
$205.20
|
|
Streptozocin injection
|
$1,286.99 |
$1,286.99 |
$1,286.99 |
$785.95
|
|
Stress test pulmonary
|
$452.25 |
$452.25 |
$452.25 |
$324.00
|
|
Stress tte complete
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$1,900.96
|
|
Str markers specimen anal
|
$1,918.50 |
$1,918.50 |
$1,918.50 |
$756.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$54.80
|
|
Sulfonylurea screen qn-sendout
|
$249.75 |
$249.75 |
$249.75 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$167.98 |
$167.98 |
$167.98 |
$129.89
|
|
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
|
$105.75 |
$105.75 |
$105.75 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$232.50 |
$232.50 |
$232.50 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$369.00 |
$369.00 |
$369.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$443.25 |
$443.25 |
$443.25 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$676.50 |
$676.50 |
$676.50 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$713.25 |
$713.25 |
$713.25 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$69.75 |
$69.75 |
$69.75 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$24.75 |
$24.75 |
$24.75 |
$35.89
|
|
Susceptibility mic per plate
|
$107.25 |
$107.25 |
$107.25 |
$106.00
|
|
Svc venogram s&i
|
$2,816.25 |
$2,816.25 |
$2,816.25 |
$1,990.95
|
|
Swallowing Evaluation (Bedside)
|
$284.25 |
$284.25 |
$284.25 |
$316.80
|
|
Swallowing Therapy Session
|
$447.00 |
$447.00 |
$447.00 |
$232.56
|
|
Synvisc or synvisc-one
|
$1,696.83 |
$1,696.83 |
$1,696.83 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$78.75 |
$78.75 |
$78.75 |
$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 |
$24,316.50
|
|
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 |
$889.35
|
|
T3 (triiodothyronine) free
|
$60.75 |
$60.75 |
$60.75 |
$100.32
|
|
T3 (triiodothyronine) total
|
$60.75 |
$60.75 |
$60.75 |
$93.52
|
|
T4 (thyroxine) free
|
$41.25 |
$41.25 |
$41.25 |
$89.60
|
|
T4 (thyroxine) total
|
$127.50 |
$127.50 |
$127.50 |
$70.20
|
|
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
|
$171.00 |
$171.00 |
$171.00 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,161.23 |
$5,161.23 |
$5,161.23 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$281.25 |
$281.25 |
$281.25 |
$289.20
|
|
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
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,701.91
|
|
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
|
$598.50 |
$598.50 |
$598.50 |
$200.00
|
|
Tc-99m mebrofenin
|
$1,248.75 |
$1,248.75 |
$1,248.75 |
$157.65
|
