|
Splint func pos polyflex ii med
|
$104.00 |
$104.00 |
$104.00 |
$149.40
|
|
Split blood or products
|
$317.85 |
$317.85 |
$317.85 |
$143.64
|
|
Sr-89 stront chlor ther / mci
|
$6,990.75 |
$6,990.75 |
$6,990.75 |
$5,445.60
|
|
Srs linear based
|
$46,780.40 |
$46,780.40 |
$46,780.40 |
$14,124.25
|
|
Srs multisource
|
$50,441.36 |
$50,441.36 |
$50,441.36 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$442.00 |
$442.00 |
$442.00 |
$295.10
|
|
Staph a dna amp probe
|
$74.75 |
$74.75 |
$74.75 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$205.40 |
$205.40 |
$205.40 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$15,722.85 |
$15,722.85 |
$15,722.85 |
$30,010.80
|
|
Stent bili dbl pgtl 10fx5cm
|
$376.35 |
$376.35 |
$376.35 |
$1,512.00
|
|
Stent bili rx wallflx 10x80 uncvr
|
$23,887.50 |
$23,887.50 |
$23,887.50 |
$23,887.50
|
|
St evaluate speech sound production
|
$403.00 |
$403.00 |
$403.00 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$568.75 |
$568.75 |
$568.75 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$665.60 |
$665.60 |
$665.60 |
$336.00
|
|
St evaluation swallow function
|
$432.25 |
$432.25 |
$432.25 |
$323.72
|
|
Strep a ag ia
|
$100.75 |
$100.75 |
$100.75 |
$75.40
|
|
Strep b dna amp probe
|
$193.05 |
$193.05 |
$193.05 |
$124.20
|
|
Streptomycin injection
|
$328.09 |
$328.09 |
$328.09 |
$26.21
|
|
Streptozocin injection
|
$4,784.65 |
$4,784.65 |
$4,784.65 |
$400.68
|
|
Stress test pulmonary
|
$285.35 |
$285.35 |
$285.35 |
$330.63
|
|
Str markers specimen anal
|
$756.60 |
$756.60 |
$756.60 |
$978.25
|
|
St treatment speech individual
|
$406.90 |
$406.90 |
$406.90 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$365.30 |
$365.30 |
$365.30 |
$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
|
$26.62 |
$26.62 |
$26.62 |
$0.60
|
|
Sulfonylurea screen qn-sendout
|
$65.65 |
$65.65 |
$65.65 |
$151.45
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$52.49 |
$52.49 |
$52.49 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$70.20 |
$70.20 |
$70.20 |
$105.75
|
|
Surg dx exam anorectal
|
$3,795.53 |
$3,795.53 |
$3,795.53 |
$2,814.85
|
|
Surgical pathology level 1 gross examination only
|
$9,624.56 |
$9,624.56 |
$9,624.56 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$11,763.34 |
$11,763.34 |
$11,763.34 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$8,186.55 |
$8,186.55 |
$8,186.55 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,405.77 |
$3,405.77 |
$3,405.77 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$13,154.51 |
$13,154.51 |
$13,154.51 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$19,379.26 |
$19,379.26 |
$19,379.26 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$29.25 |
$29.25 |
$29.25 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$30.55 |
$30.55 |
$30.55 |
$31.85
|
|
Susceptibility mic per plate
|
$120.90 |
$120.90 |
$120.90 |
$89.70
|
|
Suscept studies macrobroth dilution ea
|
$122.85 |
$122.85 |
$122.85 |
$47.17
|
|
Svc venogram s&i
|
$1,827.15 |
$1,827.15 |
$1,827.15 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$135.20 |
$135.20 |
$135.20 |
$100.20
|
|
Synvisc or synvisc-one
|
$4,460.17 |
$4,460.17 |
$4,460.17 |
$1,053.54
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$61.10 |
$61.10 |
$61.10 |
$45.70
|
|
System pacing micra av
|
$5,362.50 |
$5,362.50 |
$5,362.50 |
$22,146.00
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,035.25 |
$6,035.25 |
$6,035.25 |
$11,441.25
|
|
T3 (triiodothyronine) free
|
$60.45 |
$60.45 |
$60.45 |
$91.20
|
|
T3 (triiodothyronine) total
|
$107.90 |
$107.90 |
$107.90 |
$88.00
|
|
T4 (thyroxine) free
|
$48.10 |
$48.10 |
$48.10 |
$65.00
|
|
T4 (thyroxine) total
|
$67.60 |
$67.60 |
$67.60 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,149.09 |
$1,149.09 |
$1,149.09 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$167.70 |
$167.70 |
$167.70 |
$137.15
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$5,237.62 |
$5,237.62 |
$5,237.62 |
$5,161.23
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$303.74 |
$303.74 |
$303.74 |
$133.80
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$43,800.48 |
$43,800.48 |
$43,800.48 |
$72.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$36.45 |
$36.45 |
$36.45 |
$35.75
|
|
Target gsa panel hmtlmph neop
|
$1,608.75 |
$1,608.75 |
$1,608.75 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$5,548.40 |
$5,548.40 |
$5,548.40 |
$3,567.96
|
|
Target gsa panel organ neop
|
$5,852.60 |
$5,852.60 |
$5,852.60 |
$1,913.00
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$56,474.60 |
$56,474.60 |
$56,474.60 |
$1,567.49
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,302.25 |
$1,302.25 |
$1,302.25 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$148.85 |
$148.85 |
$148.85 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$202.80 |
$202.80 |
$202.80 |
$178.40
|
|
Tc-99m apcitide diag
|
$1,252.55 |
$1,252.55 |
$1,252.55 |
$1,765.30
|
|
Tc-99m bicisate
|
$3,641.95 |
$3,641.95 |
$3,641.95 |
$2,398.20
|
|
Tc-99m exame autol wbc diag per dose
|
$2,040.35 |
$2,040.35 |
$2,040.35 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$2,290.60 |
$2,290.60 |
$2,290.60 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$337.35 |
$337.35 |
$337.35 |
$312.70
|
|
Tc-99m maa
|
$87.75 |
$87.75 |
$87.75 |
$306.60
|
|
Tc-99m mebrofenin
|
$384.80 |
$384.80 |
$384.80 |
$169.53
|
|
Tc-99m medronate
|
$158.60 |
$158.60 |
$158.60 |
$120.35
|
|
Tc-99m mertiatide
|
$648.05 |
$648.05 |
$648.05 |
$757.25
|
|
Tc-99m oxidronate
|
$134.55 |
$134.55 |
$134.55 |
$132.05
|
|
Tc-99m pentetate dtpa
|
$161.85 |
$161.85 |
$161.85 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$132.60 |
$132.60 |
$132.60 |
$231.60
|
|
Tc-99m pertechnetate per mci
|
$37.05 |
$37.05 |
$37.05 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$251.55 |
$251.55 |
$251.55 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$807.30 |
$807.30 |
$807.30 |
$221.60
|
|
Tc-99m sulfur colloid
|
$720.20 |
$720.20 |
$720.20 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$1,343.55 |
$1,343.55 |
$1,343.55 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$222.30 |
$222.30 |
$222.30 |
$189.60
|
|
T cells absolute cd 4 count
|
$219.70 |
$219.70 |
$219.70 |
$120.25
|
|
T cells total count
|
$113.75 |
$113.75 |
$113.75 |
$126.90
|
|
Telavancin injection
|
$2,944.48 |
$2,944.48 |
$2,944.48 |
$2,428.05
|
|
Telehealth original site facility fee
|
$230.75 |
$230.75 |
$230.75 |
$55.65
|
|
Telethx isodose plan cplx
|
$36,822.50 |
$36,822.50 |
$36,822.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$848.72
|
|
Temozolomide
|
$773.04 |
$773.04 |
$773.04 |
$632.98
|
|
Temozolomide 100 mg intravenous solution
|
$3,700.11 |
$3,700.11 |
$3,700.11 |
$601.80
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$5,271.27 |
$5,271.27 |
$5,271.27 |
$116.48
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$27,830.64 |
$27,830.64 |
$27,830.64 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$86.18 |
$86.18 |
$86.18 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$984.75 |
$984.75 |
$984.75 |
$586.96
|
|
Test pathogen(s) for platelets reference
|
$55.90 |
$55.90 |
$55.90 |
$52.00
|
|
Test stress cardiovascular tracing only
|
$1,435.85 |
$1,435.85 |
$1,435.85 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$2,868.19 |
$2,868.19 |
$2,868.19 |
$1,073.02
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$16,793.56 |
$16,793.56 |
$16,793.56 |
$6,935.61
|
|
Theophylline therapeutic drug level
|
$85.80 |
$85.80 |
$85.80 |
$101.40
|
|
Therapeutic procd strg endur
|
$143.65 |
$143.65 |
$143.65 |
$72.39
|
