|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,734.20
|
|
Small bowel endoscopy
|
$3,248.05 |
$3,248.05 |
$3,248.05 |
$1,294.80
|
|
Small bowel endoscopy
|
$3,337.10 |
$3,337.10 |
$3,337.10 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,651.35 |
$2,651.35 |
$2,651.35 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$3,337.10 |
$3,337.10 |
$3,337.10 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$4,925.70 |
$4,925.70 |
$4,925.70 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$16.25 |
$16.25 |
$16.25 |
$64.20
|
|
Smear gram stain
|
$13.00 |
$13.00 |
$13.00 |
$57.85
|
|
Smear nasal eosinophil
|
$18.85 |
$18.85 |
$18.85 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$88.40 |
$88.40 |
$88.40 |
$64.35
|
|
Smear wet mount
|
$14.30 |
$14.30 |
$14.30 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$495.69
|
|
Smpd1 gene common variants
|
$880.75 |
$880.75 |
$880.75 |
$140.00
|
|
Snrpn/ube3a gene
|
$746.85 |
$746.85 |
$746.85 |
$228.80
|
|
Sodium 24 hour urine
|
$11.70 |
$11.70 |
$11.70 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$43.65 |
$43.65 |
$43.65 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$46.38 |
$46.38 |
$46.38 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$57.26 |
$57.26 |
$57.26 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$51.80 |
$51.80 |
$51.80 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$47.58 |
$47.58 |
$47.58 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$11.70 |
$11.70 |
$11.70 |
$42.70
|
|
So gsap cl fr cpy nmbr&mcrst
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$7,410.00 |
$7,410.00 |
$7,410.00 |
$2,332.88
|
|
Specimen fat stain
|
$38.35 |
$38.35 |
$38.35 |
$32.76
|
|
Sperm antibody test
|
$304.20 |
$304.20 |
$304.20 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$552.50 |
$552.50 |
$552.50 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$986.99 |
$986.99 |
$986.99 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.95 |
$29.95 |
$29.95 |
$41.58
|
|
Splint finger frog med
|
$13.31 |
$13.31 |
$13.31 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$130.44 |
$130.44 |
$130.44 |
$73.11
|
|
Split blood or products
|
$214.50 |
$214.50 |
$214.50 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$133.25 |
$133.25 |
$133.25 |
$300.00
|
|
Staph a dna amp probe
|
$107.25 |
$107.25 |
$107.25 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$116.35 |
$116.35 |
$116.35 |
$313.96
|
|
Stem cells total count
|
$326.30 |
$326.30 |
$326.30 |
$130.90
|
|
Stent bili dbl pgtl 10fx5cm
|
$157.48 |
$157.48 |
$157.48 |
$1,206.15
|
|
St evaluate speech sound production
|
$128.05 |
$128.05 |
$128.05 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$264.55 |
$264.55 |
$264.55 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$315.25 |
$315.25 |
$315.25 |
$406.40
|
|
St evaluation swallow function
|
$274.95 |
$274.95 |
$274.95 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$770.90 |
$770.90 |
$770.90 |
$248.05
|
|
Strapping of hand or finger
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$194.40
|
|
Strapping of toes 29550
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$185.36
|
|
Strep a dna dir probe
|
$217.10 |
$217.10 |
$217.10 |
$50.40
|
|
Strep b dna amp probe
|
$78.00 |
$78.00 |
$78.00 |
$139.20
|
|
Stress test pulmonary
|
$209.30 |
$209.30 |
$209.30 |
$327.20
|
|
Str markers spec anal addl
|
$421.20 |
$421.20 |
$421.20 |
$468.00
|
|
Str markers specimen anal
|
$1,278.55 |
$1,278.55 |
$1,278.55 |
$835.28
|
|
St treatment speech individual
|
$271.70 |
$271.70 |
$271.70 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$193.05 |
$193.05 |
$193.05 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.88 |
$22.88 |
$22.88 |
$49.13
|
|
Sugars single quant
|
$228.15 |
$228.15 |
$228.15 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.22 |
$59.22 |
$59.22 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$38.90 |
$38.90 |
$38.90 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$68.54
|
|
Surgical pathology level 1 gross examination only
|
$35.10 |
$35.10 |
$35.10 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$118.30 |
$118.30 |
$118.30 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$133.25 |
$133.25 |
$133.25 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$166.40 |
$166.40 |
$166.40 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$536.25 |
$536.25 |
$536.25 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$969.15 |
$969.15 |
$969.15 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$74.75 |
$74.75 |
$74.75 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$57.20 |
$57.20 |
$57.20 |
$34.48
|
|
Susceptibility mic per plate
|
$39.00 |
$39.00 |
$39.00 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$404.30 |
$404.30 |
$404.30 |
$48.30
|
|
Svc venogram s&i
|
$2,616.25 |
$2,616.25 |
$2,616.25 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.25 |
$29.25 |
$29.25 |
$44.85
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,698.61 |
$6,698.61 |
$6,698.61 |
$9,363.28
|
|
T3 (triiodothyronine) free
|
$41.60 |
$41.60 |
$41.60 |
$89.82
|
|
T3 (triiodothyronine) total
|
$35.10 |
$35.10 |
$35.10 |
$94.90
|
|
T4 (thyroxine) free
|
$65.00 |
$65.00 |
$65.00 |
$81.60
|
|
T4 (thyroxine) total
|
$16.90 |
$16.90 |
$16.90 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$33.80 |
$33.80 |
$33.80 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$5,684.25 |
$5,684.25 |
$5,684.25 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$8,365.50 |
$8,365.50 |
$8,365.50 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,832.75 |
$4,832.75 |
$4,832.75 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$176.15 |
$176.15 |
$176.15 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$279.50 |
$279.50 |
$279.50 |
$166.46
|
|
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
|
$68.54 |
$68.54 |
$68.54 |
$122.46
|
|
Tc-99m mertiatide
|
$523.61 |
$523.61 |
$523.61 |
$757.25
|
|
Tc-99m non-heu per study dose
|
$0.65 |
$0.65 |
$0.65 |
$10.00
|
|
Tc-99m pentetate dtpa aerosol
|
$320.22 |
$320.22 |
$320.22 |
$244.02
|
|
Tc-99m sestamibi p study dose
|
$63.69 |
$63.69 |
$63.69 |
$221.60
|
|
Tc-99m sulfur colloid
|
$227.44 |
$227.44 |
$227.44 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$68.25 |
$68.25 |
$68.25 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$211.90 |
$211.90 |
$211.90 |
$186.00
|
|
T cells absolute cd 4 count
|
$122.85 |
$122.85 |
$122.85 |
$120.25
|
