|
Soft interface below knee se
|
$179.08 |
$179.08 |
$179.08 |
$179.08
|
|
So vest canvas/web pre ots
|
$377.96 |
$377.96 |
$377.96 |
$256.54
|
|
Sp bone algrft morsel add-on
|
$55,216.13 |
$55,216.13 |
$55,216.13 |
$498.55
|
|
Special physics consult
|
$1,201.80 |
$1,201.80 |
$1,201.80 |
$709.00
|
|
Special radiation dosimetry
|
$382.80 |
$382.80 |
$382.80 |
$398.47
|
|
Special radiation treatment
|
$3,643.20 |
$3,643.20 |
$3,643.20 |
$1,960.40
|
|
Special teletx port plan
|
$2,883.60 |
$2,883.60 |
$2,883.60 |
$1,056.31
|
|
Specific gravity body fluid
|
$14.40 |
$14.40 |
$14.40 |
$22.10
|
|
Specimen fat stain
|
$39.60 |
$39.60 |
$39.60 |
$37.70
|
|
Sperm antibody test
|
$108.60 |
$108.60 |
$108.60 |
$57.85
|
|
Spinal bone allograftstructural 20931
|
$34,495.10 |
$34,495.10 |
$34,495.10 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$53,148.38 |
$53,148.38 |
$53,148.38 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,822.20 |
$1,822.20 |
$1,822.20 |
$1,439.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,091.26 |
$1,091.26 |
$1,091.26 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$141.44 |
$141.44 |
$141.44 |
$67.76
|
|
Splint finger fold over sm
|
$208.00 |
$208.00 |
$208.00 |
$131.14
|
|
Splint finger frog med
|
$211.67 |
$211.67 |
$211.67 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$208.00 |
$208.00 |
$208.00 |
$100.00
|
|
Sputum specimen collection
|
$657.60 |
$657.60 |
$657.60 |
$171.52
|
|
Srs linear based
|
$15,964.80 |
$15,964.80 |
$15,964.80 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$447.60 |
$447.60 |
$447.60 |
$295.10
|
|
Staph a dna amp probe
|
$174.00 |
$174.00 |
$174.00 |
$129.00
|
|
Static or dynami afo pre ots
|
$656.06 |
$656.06 |
$656.06 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$65.40 |
$65.40 |
$65.40 |
$285.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,337.52 |
$47,337.52 |
$47,337.52 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$38,051.19 |
$38,051.19 |
$38,051.19 |
$2,301.33
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,331.47 |
$41,331.47 |
$41,331.47 |
$20,164.93
|
|
Stent bronch dumon sil 10x40mm
|
$918.48 |
$918.48 |
$918.48 |
$4,673.50
|
|
Sterile water/saline, 10 ml
|
$18.00 |
$18.00 |
$18.00 |
$13.32
|
|
Sternal pad
|
$237.41 |
$237.41 |
$237.41 |
$216.89
|
|
St evaluate speech sound production
|
$447.60 |
$447.60 |
$447.60 |
$289.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$441.00 |
$441.00 |
$441.00 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$496.20 |
$496.20 |
$496.20 |
$373.80
|
|
St evaluation swallow function
|
$547.20 |
$547.20 |
$547.20 |
$309.60
|
|
Stimulants synthetic
|
$168.60 |
$168.60 |
$168.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$37.00 |
$37.00 |
$37.00 |
$31.58
|
|
Straight knee joint heavy du
|
$347.68 |
$347.68 |
$347.68 |
$317.69
|
|
Strep a ag ia
|
$70.80 |
$70.80 |
$70.80 |
$76.80
|
|
Strep a dna dir probe
|
$70.20 |
$70.20 |
$70.20 |
$96.72
|
|
Strep b dna amp probe
|
$99.60 |
$99.60 |
$99.60 |
$126.10
|
|
Str markers specimen anal
|
$383.40 |
$383.40 |
$383.40 |
$811.20
|
|
St treatment speech individual
|
$279.60 |
$279.60 |
$279.60 |
$252.54
|
|
St treatment swallow dysfunction/oral
|
$401.40 |
$401.40 |
$401.40 |
$244.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$52.39
|
|
Sugars single quant
|
$90.00 |
$90.00 |
$90.00 |
$58.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$6,481.92 |
$6,481.92 |
$6,481.92 |
$7,914.03
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.46 |
$59.46 |
$59.46 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$599.08 |
$599.08 |
$599.08 |
$94.19
|
|
Surg dx exam anorectal
|
$8,794.14 |
$8,794.14 |
$8,794.14 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$269.40 |
$269.40 |
$269.40 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$293.40 |
$293.40 |
$293.40 |
$144.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$293.40 |
$293.40 |
$293.40 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$298.80 |
$298.80 |
$298.80 |
$252.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$263.40 |
$263.40 |
$263.40 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$64.20 |
$64.20 |
$64.20 |
$43.50
|
|
Susceptibility enzyme detection per enzyme
|
$16.80 |
$16.80 |
$16.80 |
$35.70
|
|
Susceptibility mic per plate
|
$166.20 |
$166.20 |
$166.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$36.00 |
$36.00 |
$36.00 |
$59.28
|
|
Suspension sleeve lower ext
|
$251.38 |
$251.38 |
$251.38 |
$251.38
|
|
Svc venogram s&i
|
$2,514.60 |
$2,514.60 |
$2,514.60 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$163.80 |
$163.80 |
$163.80 |
$125.50
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$115.20 |
$115.20 |
$115.20 |
$41.40
|
|
System cardiomems hosp electronics
|
$49,860.18 |
$49,860.18 |
$49,860.18 |
$38,156.25
|
|
System pacing micra av
|
$43,824.47 |
$43,824.47 |
$43,824.47 |
$24,701.52
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,174.83 |
$21,174.83 |
$21,174.83 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,041.51 |
$18,041.51 |
$18,041.51 |
$12,725.30
|
|
T3 (triiodothyronine) free
|
$171.60 |
$171.60 |
$171.60 |
$99.82
|
|
T3 (triiodothyronine) total
|
$186.00 |
$186.00 |
$186.00 |
$93.52
|
|
T4 (thyroxine) free
|
$121.20 |
$121.20 |
$121.20 |
$85.20
|
|
T4 (thyroxine) total
|
$68.40 |
$68.40 |
$68.40 |
$68.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$15.00 |
$15.00 |
$15.00 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$152.40 |
$152.40 |
$152.40 |
$121.39
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,502.54 |
$5,502.54 |
$5,502.54 |
$2,762.00
|
|
Talymed
|
$3,411.49 |
$3,411.49 |
$3,411.49 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$869.40 |
$869.40 |
$869.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$869.40 |
$869.40 |
$869.40 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$2,662.20 |
$2,662.20 |
$2,662.20 |
$2,160.00
|
|
Target gsa panel organ/hmtlmph neop
|
$3,862.80 |
$3,862.80 |
$3,862.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$992.40 |
$992.40 |
$992.40 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$59,130.00 |
$59,130.00 |
$59,130.00 |
$24,217.20
|
|
Tavr perq femoral
|
$15,186.60 |
$15,186.60 |
$15,186.60 |
$15,259.80
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,535.58 |
$1,535.58 |
$1,535.58 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$279.00 |
$279.00 |
$279.00 |
$191.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$171.00 |
$171.00 |
$171.00 |
$175.00
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$45.60 |
$45.60 |
$45.60 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$100.20 |
$100.20 |
$100.20 |
$292.95
|
|
Tc-99m succimer (dmsa)
|
$21.00 |
$21.00 |
$21.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$142.20 |
$142.20 |
$142.20 |
$239.40
|
|
T cells absolute cd4/cd8 including ratio
|
$100.80 |
$100.80 |
$100.80 |
$175.20
|
|
T cells absolute cd 4 count
|
$129.00 |
$129.00 |
$129.00 |
$110.72
|
|
T cells total count
|
$80.40 |
$80.40 |
$80.40 |
$123.00
|
|
Telethx isodose plan cplx
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$1,526.85
|
|
Telethx isodose plan simple
|
$680.40 |
$680.40 |
$680.40 |
$839.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$31,861.50 |
$31,861.50 |
$31,861.50 |
$15,245.38
|
|
Tension based scoliosis orth
|
$7,573.03 |
$7,573.03 |
$7,573.03 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.40 |
$23.40 |
$23.40 |
$39.18
|
|
Test for chlorohydrocarbons
|
$138.00 |
$138.00 |
$138.00 |
$61.60
|
|
Testicular imaging w/vasc flow
|
$703.20 |
$703.20 |
$703.20 |
$879.80
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$66.15
|
