|
Sternal pad
|
$424.20 |
$424.20 |
$424.20 |
$216.89
|
|
St evaluate speech sound production
|
$358.20 |
$358.20 |
$358.20 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$358.20 |
$358.20 |
$358.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$567.00 |
$567.00 |
$567.00 |
$399.60
|
|
St evaluation swallow function
|
$621.60 |
$621.60 |
$621.60 |
$314.40
|
|
Stimulants synthetic
|
$160.20 |
$160.20 |
$160.20 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$70.68 |
$70.68 |
$70.68 |
$31.58
|
|
Straight knee joint heavy du
|
$574.74 |
$574.74 |
$574.74 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$186.00 |
$186.00 |
$186.00 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$223.80 |
$223.80 |
$223.80 |
$154.70
|
|
Strapping of hand or finger
|
$84.60 |
$84.60 |
$84.60 |
$174.82
|
|
Strapping of knee
|
$304.80 |
$304.80 |
$304.80 |
$205.20
|
|
Strep b dna amp probe
|
$189.60 |
$189.60 |
$189.60 |
$120.90
|
|
Stress test pulmonary
|
$448.20 |
$448.20 |
$448.20 |
$322.85
|
|
Str markers specimen anal
|
$260.40 |
$260.40 |
$260.40 |
$751.50
|
|
St treatment speech individual
|
$482.40 |
$482.40 |
$482.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$278.40 |
$278.40 |
$278.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$52.31
|
|
Sugars single quant
|
$347.40 |
$347.40 |
$347.40 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,064.00 |
$5,064.00 |
$5,064.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$47.04 |
$47.04 |
$47.04 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$839.38 |
$839.38 |
$839.38 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$107.40 |
$107.40 |
$107.40 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$255.00 |
$255.00 |
$255.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$332.40 |
$332.40 |
$332.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$462.60 |
$462.60 |
$462.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$612.60 |
$612.60 |
$612.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$899.40 |
$899.40 |
$899.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$21.60 |
$21.60 |
$21.60 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$52.20 |
$52.20 |
$52.20 |
$35.70
|
|
Susceptibility mic per plate
|
$97.80 |
$97.80 |
$97.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$115.80 |
$115.80 |
$115.80 |
$59.28
|
|
Suspension sleeve lower ext
|
$449.15 |
$449.15 |
$449.15 |
$251.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$63.00 |
$63.00 |
$63.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$50,244.36 |
$50,244.36 |
$50,244.36 |
$39,037.95
|
|
System pacing micra av
|
$44,162.15 |
$44,162.15 |
$44,162.15 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$21,337.99 |
$21,337.99 |
$21,337.99 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$18,180.53 |
$18,180.53 |
$18,180.53 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$238.20 |
$238.20 |
$238.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$129.00 |
$129.00 |
$129.00 |
$93.52
|
|
T4 (thyroxine) free
|
$160.80 |
$160.80 |
$160.80 |
$85.20
|
|
T4 (thyroxine) total
|
$124.20 |
$124.20 |
$124.20 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.00 |
$3.00 |
$3.00 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$202.80 |
$202.80 |
$202.80 |
$122.40
|
|
Talymed
|
$3,437.77 |
$3,437.77 |
$3,437.77 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$869.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$393.00 |
$393.00 |
$393.00 |
$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
|
$157.80 |
$157.80 |
$157.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$288.00 |
$288.00 |
$288.00 |
$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
|
$330.00 |
$330.00 |
$330.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$101.40 |
$101.40 |
$101.40 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$278.40 |
$278.40 |
$278.40 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$282.00 |
$282.00 |
$282.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$160.80 |
$160.80 |
$160.80 |
$111.20
|
|
T cells total count
|
$206.40 |
$206.40 |
$206.40 |
$126.90
|
|
Telehealth original site facility fee
|
$66.00 |
$66.00 |
$66.00 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,891.78 |
$24,891.78 |
$24,891.78 |
$15,245.38
|
|
Tension based scoliosis orth
|
$7,631.38 |
$7,631.38 |
$7,631.38 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$18.48 |
$18.48 |
$18.48 |
$39.33
|
|
Test for chlorohydrocarbons
|
$402.60 |
$402.60 |
$402.60 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$1,145.40 |
$1,145.40 |
$1,145.40 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$855.67 |
$855.67 |
$855.67 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$910.20 |
$910.20 |
$910.20 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,947.54 |
$1,947.54 |
$1,947.54 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$124.20 |
$124.20 |
$124.20 |
$108.00
|
|
Therapeutic procd strg endur
|
$48.00 |
$48.00 |
$48.00 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$154.80 |
$154.80 |
$154.80 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$29.40 |
$29.40 |
$29.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$29.40 |
$29.40 |
$29.40 |
$50.00
|
|
Ther/proph/diag inj ia
|
$214.20 |
$214.20 |
$214.20 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.36 |
$9.36 |
$9.36 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$914.74 |
$914.74 |
$914.74 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,082.03 |
$1,082.03 |
$1,082.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$795.04 |
$795.04 |
$795.04 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$934.60 |
$934.60 |
$934.60 |
$657.72
|
|
Thorac cont lat support upri
|
$572.31 |
$572.31 |
$572.31 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$623.85 |
$623.85 |
$623.85 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$646.30 |
$646.30 |
$646.30 |
$387.41
|
|
Thoracic pad
|
$457.87 |
$457.87 |
$457.87 |
$234.19
|
|
Thoracotomy with cardiac massage
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,138.76
|
|
Thor rib belt custom fabrica
|
$2,741.12 |
$2,741.12 |
$2,741.12 |
$225.50
|
|
Thrombin time
|
$60.60 |
$60.60 |
$60.60 |
$53.76
|
|
Thromboplastin inhibition
|
$213.60 |
$213.60 |
$213.60 |
$53.30
|
|
Th/wght bear nar m-l brim cu
|
$1,527.06 |
$1,527.06 |
$1,527.06 |
$1,515.38
|
|
Th/wght bear nar m-l brim mo
|
$2,717.64 |
$2,717.64 |
$2,717.64 |
$2,395.79
|
|
Th/wght bear quad-lat brim c
|
$1,281.58 |
$1,281.58 |
$1,281.58 |
$1,129.80
|
|
Th/wght bear quad-lat brim m
|
$1,922.98 |
$1,922.98 |
$1,922.98 |
$1,695.23
|
|
Thyroglobulin antibody
|
$171.60 |
$171.60 |
$171.60 |
$82.00
|
|
Thyroid imaging
|
$457.20 |
$457.20 |
$457.20 |
$695.02
|
|
Thyroid (TSH) Test
|
$154.80 |
$154.80 |
$154.80 |
$111.00
|
|
Thyroid Ultrasound
|
$517.20 |
$517.20 |
$517.20 |
$588.50
|
