|
Sbsq nursing facil care/day minor complj 15 min
|
$113.75 |
$113.75 |
$113.75 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$144.30 |
$144.30 |
$144.30 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$78.00 |
$78.00 |
$78.00 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$976.95 |
$976.95 |
$976.95 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$704.60 |
$704.60 |
$704.60 |
$662.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$586.30 |
$586.30 |
$586.30 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$629.85 |
$629.85 |
$629.85 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,110.85 |
$1,110.85 |
$1,110.85 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$650.00 |
$650.00 |
$650.00 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$614.90 |
$614.90 |
$614.90 |
$527.80
|
|
Screening Mammogram
|
$256.10 |
$256.10 |
$256.10 |
$287.12
|
|
Screening prostate cancer PSA
|
$96.20 |
$96.20 |
$96.20 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$194.35 |
$194.35 |
$194.35 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$41.60 |
$41.60 |
$41.60 |
$37.80
|
|
Semen analysis presence/motility
|
$120.90 |
$120.90 |
$120.90 |
$79.92
|
|
Shoulder MRI (with and without contrast)
|
$2,825.55 |
$2,825.55 |
$2,825.55 |
$2,628.75
|
|
Shoulder MRI (without contrast)
|
$2,250.95 |
$2,250.95 |
$2,250.95 |
$1,938.28
|
|
Shoulder X-ray
|
$568.75 |
$568.75 |
$568.75 |
$307.20
|
|
Sickling rbc
|
$72.15 |
$72.15 |
$72.15 |
$53.40
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Sinus CT scan (with and without contrast)
|
$2,081.95 |
$2,081.95 |
$2,081.95 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,938.95 |
$1,938.95 |
$1,938.95 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,287.65 |
$1,287.65 |
$1,287.65 |
$1,151.00
|
|
Skin Biopsy
|
$283.40 |
$283.40 |
$283.40 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$3,745.30 |
$3,745.30 |
$3,745.30 |
$4,043.20
|
|
Sleep study unattended
|
$862.55 |
$862.55 |
$862.55 |
$631.55
|
|
Smear fluorescent and/or acid fast stain
|
$58.50 |
$58.50 |
$58.50 |
$50.70
|
|
Smear gram stain
|
$57.85 |
$57.85 |
$57.85 |
$48.00
|
|
Smear nasal eosinophil
|
$45.50 |
$45.50 |
$45.50 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$69.55 |
$69.55 |
$69.55 |
$60.00
|
|
Smear wet mount
|
$62.40 |
$62.40 |
$62.40 |
$56.13
|
|
Snrpn/ube3a gene
|
$380.90 |
$380.90 |
$380.90 |
$228.80
|
|
Sodium 24 hour urine
|
$44.20 |
$44.20 |
$44.20 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$33.15 |
$33.15 |
$33.15 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$12.60 |
$12.60 |
$12.60 |
$8.89
|
|
Specific gravity body fluid
|
$26.00 |
$26.00 |
$26.00 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$711.75 |
$711.75 |
$711.75 |
$526.80
|
|
Splint rstrc wrst/cmc right med
|
$34.45 |
$34.45 |
$34.45 |
$74.97
|
|
Split blood or products
|
$92.30 |
$92.30 |
$92.30 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$430.30 |
$430.30 |
$430.30 |
$295.10
|
|
Staph a dna amp probe
|
$111.15 |
$111.15 |
$111.15 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$263.25 |
$263.25 |
$263.25 |
$313.96
|
|
St evaluate speech sound production
|
$430.30 |
$430.30 |
$430.30 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$430.30 |
$430.30 |
$430.30 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$616.20 |
$616.20 |
$616.20 |
$336.00
|
|
St evaluation swallow function
|
$430.30 |
$430.30 |
$430.30 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$179.40 |
$179.40 |
$179.40 |
$185.36
|
|
Strapping of elbow or wrist 29260
|
$137.15 |
$137.15 |
$137.15 |
$176.31
|
|
Strapping of knee
|
$186.55 |
$186.55 |
$186.55 |
$216.34
|
|
Strep a ag ia
|
$96.85 |
$96.85 |
$96.85 |
$75.40
|
|
Strep b dna amp probe
|
$102.70 |
$102.70 |
$102.70 |
$124.20
|
|
Stress test pulmonary
|
$329.55 |
$329.55 |
$329.55 |
$330.63
|
|
Str markers specimen anal
|
$815.10 |
$815.10 |
$815.10 |
$978.25
|
|
St treatment speech individual
|
$681.20 |
$681.20 |
$681.20 |
$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
|
$48.12 |
$48.12 |
$48.12 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$80.60 |
$80.60 |
$80.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$128.70 |
$128.70 |
$128.70 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$202.15 |
$202.15 |
$202.15 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$301.60 |
$301.60 |
$301.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$385.45 |
$385.45 |
$385.45 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$385.45 |
$385.45 |
$385.45 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$31.85 |
$31.85 |
$31.85 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$33.15 |
$33.15 |
$33.15 |
$31.85
|
|
Susceptibility mic per plate
|
$66.30 |
$66.30 |
$66.30 |
$89.70
|
|
Sweat collection by iontophoresis
|
$116.35 |
$116.35 |
$116.35 |
$100.20
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.65 |
$52.65 |
$52.65 |
$45.70
|
|
T3 (triiodothyronine) free
|
$111.15 |
$111.15 |
$111.15 |
$91.20
|
|
T3 (triiodothyronine) total
|
$79.95 |
$79.95 |
$79.95 |
$88.00
|
|
T4 (thyroxine) free
|
$87.75 |
$87.75 |
$87.75 |
$65.00
|
|
T4 (thyroxine) total
|
$54.60 |
$54.60 |
$54.60 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$169.65 |
$169.65 |
$169.65 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,643.85 |
$1,643.85 |
$1,643.85 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$132.60 |
$132.60 |
$132.60 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$193.70 |
$193.70 |
$193.70 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$215.15 |
$215.15 |
$215.15 |
$189.60
|
|
T cells absolute cd 4 count
|
$168.35 |
$168.35 |
$168.35 |
$120.25
|
|
T cells total count
|
$113.10 |
$113.10 |
$113.10 |
$126.90
|
|
Telavancin injection
|
$2,944.48 |
$2,944.48 |
$2,944.48 |
$2,428.05
|
|
Temozolomide
|
$145.27 |
$145.27 |
$145.27 |
$632.98
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$24,997.58 |
$24,997.58 |
$24,997.58 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$86.18 |
$86.18 |
$86.18 |
$39.33
|
|
Test for porphobilinogen
|
$42.25 |
$42.25 |
$42.25 |
$33.57
|
|
Test stress cardiovascular tracing only
|
$1,063.40 |
$1,063.40 |
$1,063.40 |
$1,016.00
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$14,944.83 |
$14,944.83 |
$14,944.83 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$100.10 |
$100.10 |
$100.10 |
$101.40
|
|
Therapeutic procd strg endur
|
$67.60 |
$67.60 |
$67.60 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$41.60 |
$41.60 |
$41.60 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$33.15 |
$33.15 |
$33.15 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$26.25 |
$26.25 |
$26.25 |
$25.80
|
|
Thrombin time
|
$63.05 |
$63.05 |
$63.05 |
$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 (TSH) Test
|
$93.60 |
$93.60 |
$93.60 |
$101.40
|