|
St evaluate speech sound production
|
$465.40 |
$465.40 |
$465.40 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$459.55 |
$459.55 |
$459.55 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$477.75 |
$477.75 |
$477.75 |
$336.00
|
|
St evaluation swallow function
|
$403.00 |
$403.00 |
$403.00 |
$323.72
|
|
Strep a ag ia
|
$91.00 |
$91.00 |
$91.00 |
$75.40
|
|
Strep b dna amp probe
|
$79.30 |
$79.30 |
$79.30 |
$124.20
|
|
Stress test pulmonary
|
$168.35 |
$168.35 |
$168.35 |
$330.63
|
|
Stress tte complete
|
$1,585.35 |
$1,585.35 |
$1,585.35 |
$1,989.60
|
|
Str markers specimen anal
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
$978.25
|
|
St treatment speech individual
|
$324.35 |
$324.35 |
$324.35 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$338.00 |
$338.00 |
$338.00 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$177.84 |
$177.84 |
$177.84 |
$0.60
|
|
Sulfonylurea screen qn-sendout
|
$92.95 |
$92.95 |
$92.95 |
$151.45
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$53.62 |
$53.62 |
$53.62 |
$52.49
|
|
Surg dx exam anorectal
|
$4,788.76 |
$4,788.76 |
$4,788.76 |
$2,814.85
|
|
Surgical pathology level 1 gross examination only
|
$4,312.09 |
$4,312.09 |
$4,312.09 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$16,299.04 |
$16,299.04 |
$16,299.04 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$9,826.17 |
$9,826.17 |
$9,826.17 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,350.46 |
$3,350.46 |
$3,350.46 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$15,457.58 |
$15,457.58 |
$15,457.58 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$20,587.81 |
$20,587.81 |
$20,587.81 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$40.30 |
$40.30 |
$40.30 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$35.75 |
$35.75 |
$35.75 |
$31.85
|
|
Susceptibility mic per plate
|
$91.00 |
$91.00 |
$91.00 |
$89.70
|
|
Svc venogram s&i
|
$2,166.45 |
$2,166.45 |
$2,166.45 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$108.55 |
$108.55 |
$108.55 |
$100.20
|
|
Synvisc or synvisc-one
|
$3,650.04 |
$3,650.04 |
$3,650.04 |
$1,053.54
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$54.60 |
$54.60 |
$54.60 |
$45.70
|
|
System pacing micra av
|
$14,625.00 |
$14,625.00 |
$14,625.00 |
$22,146.00
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$15,886.00 |
$15,886.00 |
$15,886.00 |
$11,441.25
|
|
T3 (triiodothyronine) free
|
$60.45 |
$60.45 |
$60.45 |
$91.20
|
|
T3 (triiodothyronine) total
|
$74.75 |
$74.75 |
$74.75 |
$88.00
|
|
T4 (thyroxine) free
|
$48.10 |
$48.10 |
$48.10 |
$65.00
|
|
T4 (thyroxine) total
|
$53.30 |
$53.30 |
$53.30 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$107.75 |
$107.75 |
$107.75 |
$4.87
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,280.56 |
$1,280.56 |
$1,280.56 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$163.80 |
$163.80 |
$163.80 |
$137.15
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,171.70 |
$4,171.70 |
$4,171.70 |
$5,161.23
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$35.75 |
$35.75 |
$35.75 |
$35.75
|
|
Target gsa panel hmtlmph neop
|
$2,644.85 |
$2,644.85 |
$2,644.85 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$45,197.75 |
$45,197.75 |
$45,197.75 |
$1,567.49
|
|
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
|
$170.30 |
$170.30 |
$170.30 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$166.40 |
$166.40 |
$166.40 |
$178.40
|
|
Tc-99m exame autol wbc diag per dose
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$2,393.40
|
|
Tc-99m labeled rbc
|
$257.40 |
$257.40 |
$257.40 |
$312.70
|
|
Tc-99m maa
|
$135.85 |
$135.85 |
$135.85 |
$306.60
|
|
Tc-99m mebrofenin
|
$444.60 |
$444.60 |
$444.60 |
$169.53
|
|
Tc-99m medronate
|
$392.60 |
$392.60 |
$392.60 |
$120.35
|
|
Tc-99m mertiatide
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$117.00 |
$117.00 |
$117.00 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$16.90 |
$16.90 |
$16.90 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$207.35 |
$207.35 |
$207.35 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$341.90 |
$341.90 |
$341.90 |
$221.60
|
|
Tc-99m sulfur colloid
|
$709.80 |
$709.80 |
$709.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$1,118.65 |
$1,118.65 |
$1,118.65 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$572.65 |
$572.65 |
$572.65 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$179.40 |
$179.40 |
$179.40 |
$189.60
|
|
T cells absolute cd 4 count
|
$171.60 |
$171.60 |
$171.60 |
$120.25
|
|
T cells total count
|
$91.00 |
$91.00 |
$91.00 |
$126.90
|
|
Telehealth original site facility fee
|
$24.05 |
$24.05 |
$24.05 |
$55.65
|
|
Telethx isodose plan cplx
|
$39,087.10 |
$39,087.10 |
$39,087.10 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,119.30 |
$1,119.30 |
$1,119.30 |
$848.72
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$3,779.43 |
$3,779.43 |
$3,779.43 |
$116.48
|
|
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 pathogen(s) for platelets reference
|
$71.50 |
$71.50 |
$71.50 |
$52.00
|
|
Test stress cardiovascular tracing only
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$3,196.34 |
$3,196.34 |
$3,196.34 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$13,424.68 |
$13,424.68 |
$13,424.68 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$76.05 |
$76.05 |
$76.05 |
$101.40
|
|
Therapeutic procd strg endur
|
$118.30 |
$118.30 |
$118.30 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$83.20 |
$83.20 |
$83.20 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$78.00 |
$78.00 |
$78.00 |
$47.50
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$7.56 |
$7.56 |
$7.56 |
$25.80
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$3,719.30 |
$3,719.30 |
$3,719.30 |
$1,658.70
|
|
Thrombectmy crnry perq mechanical
|
$3,903.25 |
$3,903.25 |
$3,903.25 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,395.40 |
$8,395.40 |
$8,395.40 |
$8,395.40
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,759.55 |
$14,759.55 |
$14,759.55 |
$15,640.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,513.05 |
$21,513.05 |
$21,513.05 |
$25,597.40
|
|
Thrombin time
|
$48.10 |
$48.10 |
$48.10 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$76.05 |
$76.05 |
$76.05 |
$56.93
|
|
Thyroglobulin antibody
|
$29.25 |
$29.25 |
$29.25 |
$86.40
|
|
Thyroid imaging
|
$429.65 |
$429.65 |
$429.65 |
$577.80
|
|
Thyroid mets imag whole body
|
$7,498.12 |
$7,498.12 |
$7,498.12 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$59.80 |
$59.80 |
$59.80 |
$101.40
|
|
Thyroid Ultrasound
|
$559.65 |
$559.65 |
$559.65 |
$553.80
|
|
Thyroxine binding globulin (tbg)
|
$96.85 |
$96.85 |
$96.85 |
$75.00
|
|
Tilt table study
|
$1,200.55 |
$1,200.55 |
$1,200.55 |
$1,488.24
|
|
Tissue culture placenta
|
$596.70 |
$596.70 |
$596.70 |
$470.00
|
|
Tissue culture skin/biopsy
|
$606.45 |
$606.45 |
$606.45 |
$626.77
|
|
Tissue exam koh skin/hair/nails
|
$56.55 |
$56.55 |
$56.55 |
$45.23
|
|
Tissue transglutaminase iga
|
$40.95 |
$40.95 |
$40.95 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$217.10 |
$217.10 |
$217.10 |
$78.40
|
|
Tlh uterus 250 g or less
|
$15,462.32 |
$15,462.32 |
$15,462.32 |
$8,196.46
|
|
Tlh w/t/o 250 g or less
|
$17,583.00 |
$17,583.00 |
$17,583.00 |
$10,799.26
|
|
Tlh w/t/o uterus over 250 g
|
$21,804.07 |
$21,804.07 |
$21,804.07 |
$10,700.71
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$375.37 |
$375.37 |
$375.37 |
$72.00
|