|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$12,028.08 |
$12,028.08 |
$12,028.08 |
$4,713.66
|
|
Srs linear based
|
$17,715.60 |
$17,715.60 |
$17,715.60 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$341.40 |
$341.40 |
$341.40 |
$295.10
|
|
Staph a dna amp probe
|
$174.00 |
$174.00 |
$174.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$744.78 |
$744.78 |
$744.78 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$349.80 |
$349.80 |
$349.80 |
$281.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$53,739.45 |
$53,739.45 |
$53,739.45 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$43,197.24 |
$43,197.24 |
$43,197.24 |
$2,301.33
|
|
Stent bili rx wallflx 10x80 uncvr
|
$46,921.14 |
$46,921.14 |
$46,921.14 |
$20,164.93
|
|
Stent bronch dumon sil 10x40mm
|
$2,979.12 |
$2,979.12 |
$2,979.12 |
$4,673.50
|
|
Sterile water/saline, 10 ml
|
$30.00 |
$30.00 |
$30.00 |
$13.32
|
|
Sternal pad
|
$269.52 |
$269.52 |
$269.52 |
$216.89
|
|
St evaluate speech sound production
|
$321.60 |
$321.60 |
$321.60 |
$289.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$341.40 |
$341.40 |
$341.40 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$472.80 |
$472.80 |
$472.80 |
$370.50
|
|
St evaluation swallow function
|
$332.40 |
$332.40 |
$332.40 |
$309.60
|
|
Stimulants synthetic
|
$168.60 |
$168.60 |
$168.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$42.01 |
$42.01 |
$42.01 |
$31.58
|
|
Straight knee joint heavy du
|
$394.70 |
$394.70 |
$394.70 |
$317.69
|
|
Strep b dna amp probe
|
$99.60 |
$99.60 |
$99.60 |
$126.10
|
|
Streptomycin injection
|
$306.00 |
$306.00 |
$306.00 |
$143.00
|
|
Str markers specimen anal
|
$383.40 |
$383.40 |
$383.40 |
$804.16
|
|
St treatment speech individual
|
$381.00 |
$381.00 |
$381.00 |
$249.00
|
|
St treatment swallow dysfunction/oral
|
$247.80 |
$247.80 |
$247.80 |
$243.99
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$54.55
|
|
Sugars single quant
|
$90.00 |
$90.00 |
$90.00 |
$58.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,570.76 |
$5,570.76 |
$5,570.76 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$51.18 |
$51.18 |
$51.18 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$680.11 |
$680.11 |
$680.11 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$157.80 |
$157.80 |
$157.80 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$252.60 |
$252.60 |
$252.60 |
$143.65
|
|
Surgical pathology level 3 gross & microscopic examination
|
$508.20 |
$508.20 |
$508.20 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$556.80 |
$556.80 |
$556.80 |
$252.60
|
|
Surgical pathology level 5 gross & microscopic examination
|
$793.20 |
$793.20 |
$793.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$823.80 |
$823.80 |
$823.80 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$27.00 |
$27.00 |
$27.00 |
$43.20
|
|
Susceptibility enzyme detection per enzyme
|
$37.20 |
$37.20 |
$37.20 |
$35.40
|
|
Susceptibility mic per plate
|
$133.20 |
$133.20 |
$133.20 |
$104.58
|
|
Suscept studies macrobroth dilution ea
|
$66.60 |
$66.60 |
$66.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$285.37 |
$285.37 |
$285.37 |
$251.38
|
|
Svc venogram s&i
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$3,821.28 |
$3,821.28 |
$3,821.28 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$137.40 |
$137.40 |
$137.40 |
$40.00
|
|
System cardiomems hosp electronics
|
$56,603.28 |
$56,603.28 |
$56,603.28 |
$38,226.50
|
|
System pacing micra av
|
$49,751.30 |
$49,751.30 |
$49,751.30 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$24,038.52 |
$24,038.52 |
$24,038.52 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$20,481.45 |
$20,481.45 |
$20,481.45 |
$12,725.30
|
|
T3 (triiodothyronine) free
|
$100.80 |
$100.80 |
$100.80 |
$99.00
|
|
T3 (triiodothyronine) total
|
$209.40 |
$209.40 |
$209.40 |
$93.52
|
|
T4 (thyroxine) free
|
$206.40 |
$206.40 |
$206.40 |
$84.15
|
|
T4 (thyroxine) total
|
$174.60 |
$174.60 |
$174.60 |
$67.10
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.44 |
$4.44 |
$4.44 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,040.52 |
$1,040.52 |
$1,040.52 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$166.80 |
$166.80 |
$166.80 |
$120.60
|
|
Talymed
|
$3,872.86 |
$3,872.86 |
$3,872.86 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$717.00 |
$717.00 |
$717.00 |
$868.40
|
|
Target gsa panel organ/hmtlmph neop
|
$4,598.40 |
$4,598.40 |
$4,598.40 |
$3,746.70
|
|
Target gsa panel organ neop
|
$992.40 |
$992.40 |
$992.40 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,115.70 |
$1,115.70 |
$1,115.70 |
$937.50
|
|
Tbs techl calculation only
|
$159.00 |
$159.00 |
$159.00 |
$153.60
|
|
Tbs techl prep&transmis data
|
$159.00 |
$159.00 |
$159.00 |
$112.36
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$178.80 |
$178.80 |
$178.80 |
$191.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$142.80 |
$142.80 |
$142.80 |
$175.92
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.94 |
$5,141.94 |
$5,141.94 |
$2,431.95
|
|
Tc-99m succimer (dmsa)
|
$2,608.20 |
$2,608.20 |
$2,608.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$51.60 |
$51.60 |
$51.60 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$98.40 |
$98.40 |
$98.40 |
$175.00
|
|
T cells absolute cd 4 count
|
$75.60 |
$75.60 |
$75.60 |
$110.72
|
|
T cells total count
|
$85.20 |
$85.20 |
$85.20 |
$123.00
|
|
Telethx isodose plan cplx
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$1,522.19
|
|
Telethx isodose plan simple
|
$618.60 |
$618.60 |
$618.60 |
$848.72
|
|
Temozolomide 100 mg intravenous solution
|
$2,786.64 |
$2,786.64 |
$2,786.64 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,799.74 |
$3,799.74 |
$3,799.74 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$23,149.38 |
$23,149.38 |
$23,149.38 |
$15,245.38
|
|
Tenosynovectomy radic 26145
|
$16,445.34 |
$16,445.34 |
$16,445.34 |
$1,893.86
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$31,846.06 |
$31,846.06 |
$31,846.06 |
$2,139.67
|
|
Tension based scoliosis orth
|
$8,597.20 |
$8,597.20 |
$8,597.20 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$37.76
|
|
Test for chlorohydrocarbons
|
$138.00 |
$138.00 |
$138.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$900.00
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$69.95
|
|
Test socket below knee
|
$693.30 |
$693.30 |
$693.30 |
$535.15
|
|
Tetanus immune globulin inj
|
$1,811.22 |
$1,811.22 |
$1,811.22 |
$1,210.21
|
|
Theophylline therapeutic drug level
|
$147.60 |
$147.60 |
$147.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$105.60 |
$105.60 |
$105.60 |
$83.16
|
|
Ther nma rdctj intus/obstrcj
|
$443.40 |
$443.40 |
$443.40 |
$538.88
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$10.20 |
$10.20 |
$10.20 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$913.93 |
$913.93 |
$913.93 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,218.97 |
$1,218.97 |
$1,218.97 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$644.18 |
$644.18 |
$644.18 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$840.56 |
$840.56 |
$840.56 |
$657.72
|
|
Thorac cont lat support upri
|
$393.04 |
$393.04 |
$393.04 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$428.43 |
$428.43 |
$428.43 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,108.60 |
$3,108.60 |
$3,108.60 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$481.28 |
$481.28 |
$481.28 |
$387.41
|
|
Thoracic pad
|
$290.91 |
$290.91 |
$290.91 |
$234.19
|
|
Thorcscpy w/biop pleura
|
$13,077.29 |
$13,077.29 |
$13,077.29 |
$6,904.15
|
|
Thor rib belt custom fabrica
|
$3,088.04 |
$3,088.04 |
$3,088.04 |
$239.38
|
|
Thrombectomy/inf pq dialysis circuit
|
$5,167.20 |
$5,167.20 |
$5,167.20 |
$7,594.40
|
