|
Sodium chloride 3 % ivpb
|
$43.65 |
$43.65 |
$43.65 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$47.58 |
$47.58 |
$47.58 |
$91.00
|
|
Sodium serum/plasma/whole blood
|
$6.50 |
$6.50 |
$6.50 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$345.74 |
$345.74 |
$345.74 |
$156.60
|
|
So gsap cl fr cpy nmbr&mcrst
|
$8,880.30 |
$8,880.30 |
$8,880.30 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$11,840.40 |
$11,840.40 |
$11,840.40 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$9,373.65 |
$9,373.65 |
$9,373.65 |
$2,332.88
|
|
Special physics consult
|
$3,324.10 |
$3,324.10 |
$3,324.10 |
$700.74
|
|
Special radiation dosimetry
|
$1,134.90 |
$1,134.90 |
$1,134.90 |
$445.50
|
|
Special radiation treatment
|
$4,434.95 |
$4,434.95 |
$4,434.95 |
$1,934.03
|
|
Special teletx port plan
|
$8,119.80 |
$8,119.80 |
$8,119.80 |
$1,046.65
|
|
Specimen fat stain
|
$22.10 |
$22.10 |
$22.10 |
$32.76
|
|
Sperm antibody test
|
$172.90 |
$172.90 |
$172.90 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,316.25 |
$1,316.25 |
$1,316.25 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,153.75 |
$1,153.75 |
$1,153.75 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$986.99 |
$986.99 |
$986.99 |
$383.58
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.95 |
$29.95 |
$29.95 |
$50.09
|
|
Splint finger fold over sm
|
$65.89 |
$65.89 |
$65.89 |
$67.10
|
|
Splint finger frog med
|
$13.31 |
$13.31 |
$13.31 |
$27.95
|
|
Splint rstrc wrst/cmc right med
|
$187.68 |
$187.68 |
$187.68 |
$101.18
|
|
Split blood or products
|
$259.35 |
$259.35 |
$259.35 |
$148.98
|
|
Srs linear based
|
$7,551.70 |
$7,551.70 |
$7,551.70 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$245.05 |
$245.05 |
$245.05 |
$300.00
|
|
Staph a dna amp probe
|
$260.65 |
$260.65 |
$260.65 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$316.55 |
$316.55 |
$316.55 |
$313.96
|
|
Stem cells total count
|
$262.60 |
$262.60 |
$262.60 |
$130.90
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$44,262.40 |
$44,262.40 |
$44,262.40 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,509.22 |
$1,509.22 |
$1,509.22 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$242.86 |
$242.86 |
$242.86 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$6,196.89 |
$6,196.89 |
$6,196.89 |
$18,748.54
|
|
Stent iliac/open or perc/uni/init 37221
|
$33,815.60 |
$33,815.60 |
$33,815.60 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,941.95 |
$4,941.95 |
$4,941.95 |
$9,276.80
|
|
Stent placemt retro carotid
|
$30,910.10 |
$30,910.10 |
$30,910.10 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$41,614.30 |
$41,614.30 |
$41,614.30 |
$19,765.20
|
|
St evaluate speech sound production
|
$245.05 |
$245.05 |
$245.05 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$245.05 |
$245.05 |
$245.05 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$245.05 |
$245.05 |
$245.05 |
$406.40
|
|
St evaluation swallow function
|
$449.80 |
$449.80 |
$449.80 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$707.20 |
$707.20 |
$707.20 |
$248.05
|
|
Strapping of hand or finger
|
$941.20 |
$941.20 |
$941.20 |
$194.40
|
|
Strapping of toes 29550
|
$941.20 |
$941.20 |
$941.20 |
$185.36
|
|
Strep a dna dir probe
|
$191.75 |
$191.75 |
$191.75 |
$50.40
|
|
Strep b dna amp probe
|
$229.45 |
$229.45 |
$229.45 |
$139.20
|
|
Stress test pulmonary
|
$521.30 |
$521.30 |
$521.30 |
$327.20
|
|
Str markers spec anal addl
|
$503.10 |
$503.10 |
$503.10 |
$468.00
|
|
Str markers specimen anal
|
$1,052.35 |
$1,052.35 |
$1,052.35 |
$835.28
|
|
St treatment speech individual
|
$430.30 |
$430.30 |
$430.30 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$402.35 |
$402.35 |
$402.35 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$26.62 |
$26.62 |
$26.62 |
$50.89
|
|
Sugars single quant
|
$157.95 |
$157.95 |
$157.95 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.22 |
$59.22 |
$59.22 |
$68.53
|
|
Sulfonylurea screen qn-sendout
|
$195.00 |
$195.00 |
$195.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$38.90 |
$38.90 |
$38.90 |
$122.16
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$89.38
|
|
Surgical pathology level 1 gross examination only
|
$163.80 |
$163.80 |
$163.80 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$332.15 |
$332.15 |
$332.15 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$384.80 |
$384.80 |
$384.80 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$590.20 |
$590.20 |
$590.20 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$566.80 |
$566.80 |
$566.80 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$724.10 |
$724.10 |
$724.10 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$83.85 |
$83.85 |
$83.85 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$45.50 |
$45.50 |
$45.50 |
$34.48
|
|
Susceptibility mic per plate
|
$223.60 |
$223.60 |
$223.60 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$356.20 |
$356.20 |
$356.20 |
$48.30
|
|
Svc venogram s&i
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$31.13 |
$31.13 |
$31.13 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$91.65 |
$91.65 |
$91.65 |
$44.85
|
|
System cardiomems hosp electronics
|
$42,927.01 |
$42,927.01 |
$42,927.01 |
$40,814.28
|
|
System pacing micra av
|
$13,326.34 |
$13,326.34 |
$13,326.34 |
$23,908.80
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$5,656.60 |
$5,656.60 |
$5,656.60 |
$10,980.00
|
|
System sealant biosentry tract
|
$698.82 |
$698.82 |
$698.82 |
$900.00
|
|
T3 (triiodothyronine) free
|
$36.40 |
$36.40 |
$36.40 |
$89.82
|
|
T3 (triiodothyronine) total
|
$34.45 |
$34.45 |
$34.45 |
$94.90
|
|
T4 (thyroxine) free
|
$57.85 |
$57.85 |
$57.85 |
$81.60
|
|
T4 (thyroxine) total
|
$110.50 |
$110.50 |
$110.50 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.30 |
$10.30 |
$10.30 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$41.60 |
$41.60 |
$41.60 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,817.00 |
$3,817.00 |
$3,817.00 |
$3,817.00
|
|
Target gsa panel hmtlmph neop
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$8,656.70 |
$8,656.70 |
$8,656.70 |
$3,385.00
|
|
Target gsa panel organ neop
|
$5,001.75 |
$5,001.75 |
$5,001.75 |
$1,913.00
|
|
Tavr perq femoral
|
$33,164.30 |
$33,164.30 |
$33,164.30 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$172.25 |
$172.25 |
$172.25 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$170.95 |
$170.95 |
$170.95 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$3,915.05 |
$3,915.05 |
$3,915.05 |
$2,393.40
|
|
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 oxidronate
|
$85.38 |
$85.38 |
$85.38 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$320.22 |
$320.22 |
$320.22 |
$244.02
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$37.96 |
$37.96 |
$37.96 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$64.35 |
$64.35 |
$64.35 |
$221.60
|
|
Tc-99m sulfur colloid
|
$201.43 |
$201.43 |
$201.43 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$822.31 |
$822.31 |
$822.31 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$413.40 |
$413.40 |
$413.40 |
$186.00
|
|
T cells absolute cd 4 count
|
$408.85 |
$408.85 |
$408.85 |
$120.25
|
|
T cells total count
|
$575.25 |
$575.25 |
$575.25 |
$124.11
|
