|
Stocking sup grips 4 pre ots
|
$42.58 |
$42.58 |
$42.58 |
$31.58
|
|
Straight knee joint heavy du
|
$400.09 |
$400.09 |
$400.09 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$631.20 |
$631.20 |
$631.20 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$655.20 |
$655.20 |
$655.20 |
$154.70
|
|
Strapping of hand or finger
|
$655.20 |
$655.20 |
$655.20 |
$174.82
|
|
Strapping of knee
|
$655.20 |
$655.20 |
$655.20 |
$205.20
|
|
Strapping of toes 29550
|
$103.20 |
$103.20 |
$103.20 |
$164.70
|
|
Strep a ag ia
|
$27.60 |
$27.60 |
$27.60 |
$75.40
|
|
Strep b dna amp probe
|
$156.00 |
$156.00 |
$156.00 |
$120.90
|
|
Streptomycin injection
|
$832.50 |
$832.50 |
$832.50 |
$138.30
|
|
Str markers specimen anal
|
$297.00 |
$297.00 |
$297.00 |
$751.50
|
|
St treatment speech individual
|
$348.60 |
$348.60 |
$348.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$934.20 |
$934.20 |
$934.20 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$14.70 |
$14.70 |
$14.70 |
$52.31
|
|
Suction lipectomy head&neck
|
$106,814.46 |
$106,814.46 |
$106,814.46 |
$4,350.00
|
|
Suction lipectomy lwr extrem
|
$179,123.72 |
$179,123.72 |
$179,123.72 |
$5,339.00
|
|
Suction lipectomy trunk
|
$179,123.72 |
$179,123.72 |
$179,123.72 |
$4,332.25
|
|
Suction lipectomy upr extrem
|
$51,738.96 |
$51,738.96 |
$51,738.96 |
$4,544.00
|
|
Sugars single quant
|
$261.60 |
$261.60 |
$261.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$35,464.50 |
$35,464.50 |
$35,464.50 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$683.94 |
$683.94 |
$683.94 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$689.38 |
$689.38 |
$689.38 |
$94.19
|
|
Supprelin la implant
|
$150,544.86 |
$150,544.86 |
$150,544.86 |
$80,935.72
|
|
Surg dx exam anorectal
|
$23,377.64 |
$23,377.64 |
$23,377.64 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$276.00 |
$276.00 |
$276.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$406.20 |
$406.20 |
$406.20 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$600.00 |
$600.00 |
$600.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$517.80 |
$517.80 |
$517.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$654.00 |
$654.00 |
$654.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$54.00 |
$54.00 |
$54.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$54.00 |
$54.00 |
$54.00 |
$35.70
|
|
Susceptibility mic per plate
|
$154.80 |
$154.80 |
$154.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$87.60 |
$87.60 |
$87.60 |
$59.28
|
|
Suspension of uterus 58400
|
$29,702.40 |
$29,702.40 |
$29,702.40 |
$1,136.00
|
|
Suspension sleeve lower ext
|
$289.26 |
$289.26 |
$289.26 |
$251.38
|
|
Svc venogram s&i
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$21,941.34 |
$21,941.34 |
$21,941.34 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$126.60 |
$126.60 |
$126.60 |
$41.60
|
|
System cardiomems hosp electronics
|
$57,375.06 |
$57,375.06 |
$57,375.06 |
$39,037.95
|
|
System pacing micra av
|
$50,429.66 |
$50,429.66 |
$50,429.66 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$24,366.28 |
$24,366.28 |
$24,366.28 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$20,760.71 |
$20,760.71 |
$20,760.71 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$208.80 |
$208.80 |
$208.80 |
$99.20
|
|
T3 (triiodothyronine) total
|
$251.40 |
$251.40 |
$251.40 |
$93.52
|
|
T4 (thyroxine) free
|
$190.80 |
$190.80 |
$190.80 |
$85.20
|
|
T4 (thyroxine) total
|
$156.00 |
$156.00 |
$156.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$25.50 |
$25.50 |
$25.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$27.90 |
$27.90 |
$27.90 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$4,636.44 |
$4,636.44 |
$4,636.44 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$155.40 |
$155.40 |
$155.40 |
$122.40
|
|
Talymed
|
$3,925.66 |
$3,925.66 |
$3,925.66 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,626.20 |
$2,626.20 |
$2,626.20 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$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
|
$2,331.60 |
$2,331.60 |
$2,331.60 |
$3,746.70
|
|
Target gsa panel organ neop
|
$477.60 |
$477.60 |
$477.60 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$127,800.00 |
$127,800.00 |
$127,800.00 |
$24,217.20
|
|
Tavr perq femoral
|
$9,874.20 |
$9,874.20 |
$9,874.20 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$6,406.20 |
$6,406.20 |
$6,406.20 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$136.20 |
$136.20 |
$136.20 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$249.00 |
$249.00 |
$249.00 |
$177.65
|
|
Tc-99m bicisate
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.94 |
$5,141.94 |
$5,141.94 |
$2,435.36
|
|
Tc-99m mebrofenin
|
$231.00 |
$231.00 |
$231.00 |
$157.65
|
|
Tc-99m medronate
|
$115.20 |
$115.20 |
$115.20 |
$111.01
|
|
Tc-99m mertiatide
|
$831.00 |
$831.00 |
$831.00 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$126.00 |
$126.00 |
$126.00 |
$222.60
|
|
Tc-99m sestamibi p study dose
|
$928.08 |
$928.08 |
$928.08 |
$274.45
|
|
Tc-99m sulfur colloid
|
$963.00 |
$963.00 |
$963.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$10,233.30 |
$10,233.30 |
$10,233.30 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,122.48 |
$1,122.48 |
$1,122.48 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$291.00 |
$291.00 |
$291.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$126.00 |
$126.00 |
$126.00 |
$111.20
|
|
T cells total count
|
$175.20 |
$175.20 |
$175.20 |
$126.90
|
|
Teaec w/wo patch graft iliofemoral
|
$10,984.80 |
$10,984.80 |
$10,984.80 |
$5,163.60
|
|
Telethx isodose plan cplx
|
$241.80 |
$241.80 |
$241.80 |
$1,526.85
|
|
Telethx isodose plan simple
|
$594.00 |
$594.00 |
$594.00 |
$873.62
|
|
Temozolomide 100 mg intravenous solution
|
$8,546.52 |
$8,546.52 |
$8,546.52 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$17,042.76 |
$17,042.76 |
$17,042.76 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$133,419.96 |
$133,419.96 |
$133,419.96 |
$15,245.38
|
|
Tenolysis extensor tendon hand/finger each
|
$10,225.92 |
$10,225.92 |
$10,225.92 |
$2,811.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$77,892.76 |
$77,892.76 |
$77,892.76 |
$2,139.67
|
|
Tension based scoliosis orth
|
$8,714.42 |
$8,714.42 |
$8,714.42 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$89.58 |
$89.58 |
$89.58 |
$39.33
|
|
Test for chlorohydrocarbons
|
$303.00 |
$303.00 |
$303.00 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$702.76 |
$702.76 |
$702.76 |
$535.15
|
|
Tetanus immune globulin inj
|
$10,438.68 |
$10,438.68 |
$10,438.68 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$70,252.92 |
$70,252.92 |
$70,252.92 |
$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
|
$226.20 |
$226.20 |
$226.20 |
$108.00
|
|
Ther fx nasal inf turbinate
|
$49,058.89 |
$49,058.89 |
$49,058.89 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$997.80 |
$997.80 |
$997.80 |
$529.08
|
|
Ther/proph/diag inj ia
|
$246.00 |
$246.00 |
$246.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$45.24 |
$45.24 |
$45.24 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$926.39 |
$926.39 |
$926.39 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,235.59 |
$1,235.59 |
$1,235.59 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$652.96 |
$652.96 |
$652.96 |
$464.92
|
