|
St evaluation swallow function
|
$437.45 |
$437.45 |
$437.45 |
$323.72
|
|
Strep a ag ia
|
$96.85 |
$96.85 |
$96.85 |
$75.40
|
|
Strep b dna amp probe
|
$110.50 |
$110.50 |
$110.50 |
$124.20
|
|
Stress test pulmonary
|
$221.00 |
$221.00 |
$221.00 |
$330.63
|
|
Stress tte complete
|
$1,671.15 |
$1,671.15 |
$1,671.15 |
$1,989.60
|
|
Str markers specimen anal
|
$843.05 |
$843.05 |
$843.05 |
$978.25
|
|
St treatment speech individual
|
$326.30 |
$326.30 |
$326.30 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$340.60 |
$340.60 |
$340.60 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$53.62 |
$53.62 |
$53.62 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$91.65 |
$91.65 |
$91.65 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$144.30 |
$144.30 |
$144.30 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$203.45 |
$203.45 |
$203.45 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$304.85 |
$304.85 |
$304.85 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$420.55 |
$420.55 |
$420.55 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$432.90 |
$432.90 |
$432.90 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$28.60 |
$28.60 |
$28.60 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$32.50 |
$32.50 |
$32.50 |
$31.85
|
|
Susceptibility mic per plate
|
$81.90 |
$81.90 |
$81.90 |
$89.70
|
|
Svc venogram s&i
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$126.10 |
$126.10 |
$126.10 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$49.40 |
$49.40 |
$49.40 |
$45.70
|
|
T3 (triiodothyronine) free
|
$131.95 |
$131.95 |
$131.95 |
$91.20
|
|
T3 (triiodothyronine) total
|
$100.75 |
$100.75 |
$100.75 |
$88.00
|
|
T4 (thyroxine) free
|
$101.40 |
$101.40 |
$101.40 |
$65.00
|
|
T4 (thyroxine) total
|
$62.40 |
$62.40 |
$62.40 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$173.55 |
$173.55 |
$173.55 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,759.55 |
$1,759.55 |
$1,759.55 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,072.85 |
$2,072.85 |
$2,072.85 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,065.71 |
$1,065.71 |
$1,065.71 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$131.95 |
$131.95 |
$131.95 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$205.40 |
$205.40 |
$205.40 |
$178.40
|
|
Tc-99m maa
|
$143.65 |
$143.65 |
$143.65 |
$306.60
|
|
Tc-99m mebrofenin
|
$188.50 |
$188.50 |
$188.50 |
$169.53
|
|
Tc-99m medronate
|
$113.10 |
$113.10 |
$113.10 |
$120.35
|
|
Tc-99m pertechnetate per mci
|
$12.35 |
$12.35 |
$12.35 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$169.65 |
$169.65 |
$169.65 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$395.85 |
$395.85 |
$395.85 |
$221.60
|
|
Tc-99m sulfur colloid
|
$252.85 |
$252.85 |
$252.85 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$384.80 |
$384.80 |
$384.80 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$230.75 |
$230.75 |
$230.75 |
$189.60
|
|
T cells absolute cd 4 count
|
$181.35 |
$181.35 |
$181.35 |
$120.25
|
|
T cells total count
|
$117.65 |
$117.65 |
$117.65 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$22,775.57 |
$22,775.57 |
$22,775.57 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.50 |
$19.50 |
$19.50 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$770.25 |
$770.25 |
$770.25 |
$1,016.00
|
|
Theophylline therapeutic drug level
|
$103.35 |
$103.35 |
$103.35 |
$101.40
|
|
Therapeutic procd strg endur
|
$91.65 |
$91.65 |
$91.65 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$42.90 |
$42.90 |
$42.90 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$39.65 |
$39.65 |
$39.65 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$7.31 |
$7.31 |
$7.31 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$457.60 |
$457.60 |
$457.60 |
$1,658.70
|
|
Thrombectmy crnry perq mechanical
|
$3,043.30 |
$3,043.30 |
$3,043.30 |
$3,580.00
|
|
Thrombin time
|
$63.70 |
$63.70 |
$63.70 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$44.85 |
$44.85 |
$44.85 |
$56.93
|
|
Thyroglobulin antibody
|
$85.15 |
$85.15 |
$85.15 |
$86.40
|
|
Thyroid mets imag whole body
|
$1,173.25 |
$1,173.25 |
$1,173.25 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$128.05 |
$128.05 |
$128.05 |
$101.40
|
|
Thyroid Ultrasound
|
$375.70 |
$375.70 |
$375.70 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$77.35 |
$77.35 |
$77.35 |
$75.00
|
|
Tilt table study
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$1,488.24
|
|
Tissue culture placenta
|
$462.80 |
$462.80 |
$462.80 |
$470.00
|
|
Tissue culture skin/biopsy
|
$295.10 |
$295.10 |
$295.10 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$55.90 |
$55.90 |
$55.90 |
$45.23
|
|
Tissue transglutaminase iga
|
$93.60 |
$93.60 |
$93.60 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$65.00 |
$65.00 |
$65.00 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$11.50 |
$11.50 |
$11.50 |
$72.00
|
|
Tobramycin peak therapeutic drug level
|
$131.30 |
$131.30 |
$131.30 |
$117.00
|
|
Toxoplasma antibody igg
|
$85.80 |
$85.80 |
$85.80 |
$83.20
|
|
Toxoplasma antibody igm
|
$85.80 |
$85.80 |
$85.80 |
$85.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$95.55 |
$95.55 |
$95.55 |
$90.35
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$29.25 |
$29.25 |
$29.25 |
$77.65
|
|
Transferrin
|
$91.00 |
$91.00 |
$91.00 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$2,613.65 |
$2,613.65 |
$2,613.65 |
$988.24
|
|
Treat fracture of ulna
|
$726.05 |
$726.05 |
$726.05 |
$806.13
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$89.05 |
$89.05 |
$89.05 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$89.05 |
$89.05 |
$89.05 |
$140.04
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$89.05 |
$89.05 |
$89.05 |
$197.60
|
|
Treatment of ankle fracture 27786
|
$540.80 |
$540.80 |
$540.80 |
$575.25
|
|
Treatment of toe fracture 28510
|
$239.20 |
$239.20 |
$239.20 |
$362.00
|
|
Treponema pallidum antibody
|
$80.60 |
$80.60 |
$80.60 |
$74.40
|
|
Trg gene rearrangement anal
|
$474.50 |
$474.50 |
$474.50 |
$474.50
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$41.44 |
$41.44 |
$41.44 |
$28.90
|
|
Trichinella antibody
|
$72.15 |
$72.15 |
$72.15 |
$56.55
|
|
Triglycerides
|
$55.90 |
$55.90 |
$55.90 |
$48.75
|
|
Troponin quantitative
|
$128.70 |
$128.70 |
$128.70 |
$112.80
|
|
Tte w or without contr, cont ecg
|
$1,613.95 |
$1,613.95 |
$1,613.95 |
$1,613.95
|
|
Tx tarsal bone fx without manip 28450
|
$423.15 |
$423.15 |
$423.15 |
$414.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$394.55 |
$394.55 |
$394.55 |
$394.20
|
|
Ultrasound breast complete
|
$378.95 |
$378.95 |
$378.95 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$531.70 |
$531.70 |
$531.70 |
$427.00
|
|
Ultrasound chest
|
$256.75 |
$256.75 |
$256.75 |
$430.10
|
|
Ultrasound encephalogram
|
$230.10 |
$230.10 |
$230.10 |
$463.50
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$219.05 |
$219.05 |
$219.05 |
$428.68
|
|
Ultrasound guidance for vascular access
|
$195.00 |
$195.00 |
$195.00 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$585.65 |
$585.65 |
$585.65 |
$629.64
|
|
Ultrasound guide tissue ablation
|
$546.00 |
$546.00 |
$546.00 |
$463.50
|
|
Ultrasound joint complete left
|
$605.15 |
$605.15 |
$605.15 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$541.45 |
$541.45 |
$541.45 |
$426.60
|
