|
Sialography s&i
|
$168.72 |
$168.72 |
$168.72 |
$403.70
|
|
Sialolithotomy 42330
|
$1,805.60 |
$1,805.60 |
$1,805.60 |
$3,424.00
|
|
Sickling rbc
|
$25.81 |
$25.81 |
$25.81 |
$53.40
|
|
Sinus CT scan (with and without contrast)
|
$786.90 |
$786.90 |
$786.90 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$741.48 |
$741.48 |
$741.48 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$756.00 |
$756.00 |
$756.00 |
$1,151.00
|
|
Skin test unlisted antigen ea
|
$26.09 |
$26.09 |
$26.09 |
$43.80
|
|
Sling arm deluxe w/pad xs
|
$103.58 |
$103.58 |
$103.58 |
$37.80
|
|
Smear fluorescent and/or acid fast stain
|
$23.13 |
$23.13 |
$23.13 |
$50.70
|
|
Smear gram stain
|
$42.37 |
$42.37 |
$42.37 |
$48.00
|
|
Smear nasal eosinophil
|
$21.65 |
$21.65 |
$21.65 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$52.08 |
$52.08 |
$52.08 |
$60.00
|
|
Smear wet mount
|
$21.74 |
$21.74 |
$21.74 |
$56.13
|
|
Snrpn/ube3a gene
|
$479.34 |
$479.34 |
$479.34 |
$228.80
|
|
Sodium 24 hour urine
|
$47.18 |
$47.18 |
$47.18 |
$47.25
|
|
Sodium serum/plasma/whole blood
|
$24.88 |
$24.88 |
$24.88 |
$42.43
|
|
Somatosensory testing
|
$358.35 |
$358.35 |
$358.35 |
$827.45
|
|
Somatropin injection
|
$339.59 |
$339.59 |
$339.59 |
$339.59
|
|
Specific gravity body fluid
|
$14.99 |
$14.99 |
$14.99 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$159.01 |
$159.01 |
$159.01 |
$526.80
|
|
Split blood or products
|
$65.12 |
$65.12 |
$65.12 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$64.57 |
$64.57 |
$64.57 |
$295.10
|
|
St cognitve performance testing healthcare professional each hour
|
$106.28 |
$106.28 |
$106.28 |
$313.96
|
|
St evaluate speech sound production
|
$68.64 |
$68.64 |
$68.64 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$142.36 |
$142.36 |
$142.36 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$134.59 |
$134.59 |
$134.59 |
$336.00
|
|
St evaluation swallow function
|
$88.43 |
$88.43 |
$88.43 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$89.36 |
$89.36 |
$89.36 |
$185.36
|
|
Strapping of chest
|
$111.37 |
$111.37 |
$111.37 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$176.31 |
$176.31 |
$176.31 |
$176.31
|
|
Strapping of hand or finger
|
$153.74 |
$153.74 |
$153.74 |
$197.63
|
|
Strapping of hip
|
$114.33 |
$114.33 |
$114.33 |
$164.70
|
|
Strapping of knee
|
$93.52 |
$93.52 |
$93.52 |
$216.34
|
|
Strapping of toes 29550
|
$78.90 |
$78.90 |
$78.90 |
$183.30
|
|
St treatment speech individual
|
$66.05 |
$66.05 |
$66.05 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$87.32 |
$87.32 |
$87.32 |
$221.00
|
|
Sugars single quant
|
$92.91 |
$92.91 |
$92.91 |
$64.28
|
|
Surgical pathology level 1 gross examination only
|
$23.31 |
$23.31 |
$23.31 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$48.56 |
$48.56 |
$48.56 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$50.14 |
$50.14 |
$50.14 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$68.45 |
$68.45 |
$68.45 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$160.30 |
$160.30 |
$160.30 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$208.22 |
$208.22 |
$208.22 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$20.72 |
$20.72 |
$20.72 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$13.97 |
$13.97 |
$13.97 |
$31.85
|
|
Susceptibility mic per plate
|
$163.98 |
$163.98 |
$163.98 |
$89.70
|
|
Sweat collection by iontophoresis
|
$50.14 |
$50.14 |
$50.14 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$45.70 |
$45.70 |
$45.70 |
$45.70
|
|
T3 (triiodothyronine) free
|
$89.82 |
$89.82 |
$89.82 |
$91.20
|
|
T3 (triiodothyronine) total
|
$59.02 |
$59.02 |
$59.02 |
$88.00
|
|
T4 (thyroxine) free
|
$61.33 |
$61.33 |
$61.33 |
$65.00
|
|
T4 (thyroxine) total
|
$41.26 |
$41.26 |
$41.26 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$96.66 |
$96.66 |
$96.66 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$925.19 |
$925.19 |
$925.19 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$3,567.96
|
|
Target gsa panel organ neop
|
$1,426.07 |
$1,426.07 |
$1,426.07 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$85.93 |
$85.93 |
$85.93 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$77.52 |
$77.52 |
$77.52 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$185.28 |
$185.28 |
$185.28 |
$189.60
|
|
T cells absolute cd 4 count
|
$110.72 |
$110.72 |
$110.72 |
$120.25
|
|
T cells total count
|
$68.92 |
$68.92 |
$68.92 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$116.48 |
$116.48 |
$116.48 |
$116.48
|
|
Test for urine cystines
|
$18.50 |
$18.50 |
$18.50 |
$23.20
|
|
Testicular imaging w/vasc flow
|
$342.62 |
$342.62 |
$342.62 |
$586.96
|
|
Test stress cardiovascular tracing only
|
$365.84 |
$365.84 |
$365.84 |
$1,016.00
|
|
Theophylline therapeutic drug level
|
$60.77 |
$60.77 |
$60.77 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$48.29 |
$48.29 |
$48.29 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$26.64 |
$26.64 |
$26.64 |
$47.50
|
|
Ther nma rdctj intus/obstrcj
|
$254.19 |
$254.19 |
$254.19 |
$524.80
|
|
Ther/proph/diag inj ia
|
$221.54 |
$221.54 |
$221.54 |
$247.33
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$967.18 |
$967.18 |
$967.18 |
$1,658.70
|
|
Thoracotomy with cardiac massage
|
$921.49 |
$921.49 |
$921.49 |
$2,313.88
|
|
Thrombin time
|
$42.83 |
$42.83 |
$42.83 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$34.60 |
$34.60 |
$34.60 |
$56.93
|
|
Thyroglobulin antibody
|
$56.89 |
$56.89 |
$56.89 |
$86.40
|
|
Thyroid imaging
|
$176.21 |
$176.21 |
$176.21 |
$577.80
|
|
Thyroid mets imag whole body
|
$589.32 |
$589.32 |
$589.32 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$83.07 |
$83.07 |
$83.07 |
$101.40
|
|
Thyroid Ultrasound
|
$408.02 |
$408.02 |
$408.02 |
$553.80
|
|
Thyroid uptake measurement
|
$134.03 |
$134.03 |
$134.03 |
$580.20
|
|
Thyroxine binding globulin (tbg)
|
$61.42 |
$61.42 |
$61.42 |
$75.00
|
|
Tilt table study
|
$487.29 |
$487.29 |
$487.29 |
$1,488.24
|
|
Tirofiban 12.5 mg/50 ml
|
$696.08 |
$696.08 |
$696.08 |
$696.08
|
|
Tissue culture skin/biopsy
|
$560.27 |
$560.27 |
$560.27 |
$626.77
|
|
Tissue culture tumor
|
$320.05 |
$320.05 |
$320.05 |
$605.60
|
|
Tissue exam koh skin/hair/nails
|
$21.09 |
$21.09 |
$21.09 |
$45.23
|
|
Tobramycin peak therapeutic drug level
|
$65.95 |
$65.95 |
$65.95 |
$117.00
|
|
Tomosynthesis breast diagnostic left
|
$34.97 |
$34.97 |
$34.97 |
$53.92
|
|
Tomosynthesis breast screen bilateral
|
$34.97 |
$34.97 |
$34.97 |
$77.46
|
|
Toxoplasma antibody igg
|
$49.77 |
$49.77 |
$49.77 |
$83.20
|
|
Toxoplasma antibody igm
|
$48.93 |
$48.93 |
$48.93 |
$85.80
|
|
Tp53 gene full gene sequence
|
$535.76 |
$535.76 |
$535.76 |
$660.00
|
|
Transferrin
|
$53.47 |
$53.47 |
$53.47 |
$83.07
|
|
Treat ankle dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,132.50
|
|
Treat clavicle dislocation 23545
|
$759.61 |
$759.61 |
$759.61 |
$759.61
|
|
Treat elbow dislocation
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$2,326.40
|
|
Treat elbow fracture
|
$2,856.96 |
$2,856.96 |
$2,856.96 |
$2,055.00
|
|
Treat eyelid by injection
|
$147.08 |
$147.08 |
$147.08 |
$387.00
|
|
Treat finger fracture each
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,808.00
|
|
Treat foot dislocation
|
$198.60 |
$198.60 |
$198.60 |
$435.60
|
