|
St evaluation motion fluoroscopic swallow function cine/video
|
$399.60 |
$399.60 |
$399.60 |
$399.60
|
|
St evaluation swallow function
|
$414.00 |
$414.00 |
$414.00 |
$314.40
|
|
Stimulants synthetic
|
$249.60 |
$249.60 |
$249.60 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$83.05 |
$83.05 |
$83.05 |
$31.58
|
|
Straight knee joint heavy du
|
$671.29 |
$671.29 |
$671.29 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$114.00 |
$114.00 |
$114.00 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$118.20 |
$118.20 |
$118.20 |
$154.70
|
|
Strapping of hand or finger
|
$54.00 |
$54.00 |
$54.00 |
$174.82
|
|
Strapping of knee
|
$247.20 |
$247.20 |
$247.20 |
$205.20
|
|
Strep b dna amp probe
|
$212.40 |
$212.40 |
$212.40 |
$120.90
|
|
Stress test pulmonary
|
$247.80 |
$247.80 |
$247.80 |
$322.85
|
|
Stress tte complete
|
$2,473.80 |
$2,473.80 |
$2,473.80 |
$1,870.50
|
|
Str markers specimen anal
|
$252.00 |
$252.00 |
$252.00 |
$751.50
|
|
St treatment speech individual
|
$432.60 |
$432.60 |
$432.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$265.80 |
$265.80 |
$265.80 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$52.31
|
|
Sugars single quant
|
$301.20 |
$301.20 |
$301.20 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,990.04 |
$5,990.04 |
$5,990.04 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$45.60 |
$45.60 |
$45.60 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$974.91 |
$974.91 |
$974.91 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$103.20 |
$103.20 |
$103.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$286.80 |
$286.80 |
$286.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$307.20 |
$307.20 |
$307.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$333.00 |
$333.00 |
$333.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$942.60 |
$942.60 |
$942.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$593.40 |
$593.40 |
$593.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$82.80 |
$82.80 |
$82.80 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$52.20 |
$52.20 |
$52.20 |
$35.70
|
|
Susceptibility mic per plate
|
$110.40 |
$110.40 |
$110.40 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$85.20 |
$85.20 |
$85.20 |
$59.28
|
|
Suspension sleeve lower ext
|
$523.48 |
$523.48 |
$523.48 |
$251.38
|
|
Svc venogram s&i
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$67.80 |
$67.80 |
$67.80 |
$41.60
|
|
System cardiomems hosp electronics
|
$57,935.94 |
$57,935.94 |
$57,935.94 |
$39,037.95
|
|
System pacing micra av
|
$50,922.64 |
$50,922.64 |
$50,922.64 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$24,604.48 |
$24,604.48 |
$24,604.48 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$20,963.66 |
$20,963.66 |
$20,963.66 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$127.80 |
$127.80 |
$127.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$80.40 |
$80.40 |
$80.40 |
$93.52
|
|
T4 (thyroxine) free
|
$79.80 |
$79.80 |
$79.80 |
$85.20
|
|
T4 (thyroxine) total
|
$75.60 |
$75.60 |
$75.60 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$103.20 |
$103.20 |
$103.20 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,330.02 |
$4,330.02 |
$4,330.02 |
$2,762.00
|
|
Talymed
|
$3,964.04 |
$3,964.04 |
$3,964.04 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$3,175.20 |
$3,175.20 |
$3,175.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$479.40 |
$479.40 |
$479.40 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,199.70 |
$1,199.70 |
$1,199.70 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$173.40 |
$173.40 |
$173.40 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$221.40 |
$221.40 |
$221.40 |
$177.65
|
|
Tc-99m mebrofenin
|
$180.00 |
$180.00 |
$180.00 |
$157.65
|
|
Tc-99m medronate
|
$70.80 |
$70.80 |
$70.80 |
$111.01
|
|
Tc-99m mertiatide
|
$456.06 |
$456.06 |
$456.06 |
$756.00
|
|
Tc-99m sestamibi p study dose
|
$507.60 |
$507.60 |
$507.60 |
$274.45
|
|
Tc-99m sulfur colloid
|
$101.40 |
$101.40 |
$101.40 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$7,309.50 |
$7,309.50 |
$7,309.50 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$291.00 |
$291.00 |
$291.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$156.00 |
$156.00 |
$156.00 |
$111.20
|
|
T cells total count
|
$218.40 |
$218.40 |
$218.40 |
$126.90
|
|
Temozolomide 100 mg intravenous solution
|
$3,111.66 |
$3,111.66 |
$3,111.66 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$6,205.02 |
$6,205.02 |
$6,205.02 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,891.78 |
$24,891.78 |
$24,891.78 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,848.20 |
$2,848.20 |
$2,848.20 |
$2,139.67
|
|
Tension based scoliosis orth
|
$8,799.62 |
$8,799.62 |
$8,799.62 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$9.00 |
$9.00 |
$9.00 |
$39.33
|
|
Test for chlorohydrocarbons
|
$348.60 |
$348.60 |
$348.60 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$993.83 |
$993.83 |
$993.83 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,947.54 |
$1,947.54 |
$1,947.54 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$13,106.94 |
$13,106.94 |
$13,106.94 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$90.60 |
$90.60 |
$90.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$79.20 |
$79.20 |
$79.20 |
$85.68
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.36 |
$9.36 |
$9.36 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,057.58 |
$1,057.58 |
$1,057.58 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,247.66 |
$1,247.66 |
$1,247.66 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$923.41 |
$923.41 |
$923.41 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,086.89 |
$1,086.89 |
$1,086.89 |
$657.72
|
|
Thorac cont lat support upri
|
$668.45 |
$668.45 |
$668.45 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$728.64 |
$728.64 |
$728.64 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$754.21 |
$754.21 |
$754.21 |
$387.41
|
|
Thoracic pad
|
$533.64 |
$533.64 |
$533.64 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$3,160.74 |
$3,160.74 |
$3,160.74 |
$225.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$13,114.80 |
$13,114.80 |
$13,114.80 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$28,546.20 |
$28,546.20 |
$28,546.20 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$36,235.20 |
$36,235.20 |
$36,235.20 |
$21,413.60
|
|
Thrombin time
|
$60.60 |
$60.60 |
$60.60 |
$53.76
|
|
Thromboplastin inhibition
|
$180.00 |
$180.00 |
$180.00 |
$53.30
|
|
Th/wght bear nar m-l brim cu
|
$1,760.83 |
$1,760.83 |
$1,760.83 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$3,133.66 |
$3,133.66 |
$3,133.66 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,477.76 |
$1,477.76 |
$1,477.76 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$2,217.36 |
$2,217.36 |
$2,217.36 |
$1,695.23
|
|
Thyroglobulin antibody
|
$114.60 |
$114.60 |
$114.60 |
$82.00
|
|
Thyroid imaging
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$695.02
|
