|
Sirolimus-protein bound 100 mg intravenous suspension
|
$8,390.75 |
$8,390.75 |
$8,390.75 |
$14,361.10
|
|
Skin Biopsy
|
$560.15 |
$560.15 |
$560.15 |
$360.34
|
|
Skyla, 13.5 mg
|
$2,686.44 |
$2,686.44 |
$2,686.44 |
$1,643.47
|
|
Sling suprapubic suburetheral
|
$12,123.72 |
$12,123.72 |
$12,123.72 |
$9,679.96
|
|
Slitting of prepuce
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,365.50
|
|
Slp eval non-spch gen comm dev
|
$399.50 |
$399.50 |
$399.50 |
$285.09
|
|
Slp ther svc non-spch gen
|
$346.80 |
$346.80 |
$346.80 |
$188.50
|
|
Small bowel endoscopy
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,638.57
|
|
Small bowel endoscopy br/wa
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$1,924.00
|
|
Smallpox&monkeypox vac 0.5ml
|
$283.90 |
$283.90 |
$283.90 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$21.25 |
$21.25 |
$21.25 |
$64.20
|
|
Smear gram stain
|
$17.85 |
$17.85 |
$17.85 |
$55.25
|
|
Smear nasal eosinophil
|
$29.75 |
$29.75 |
$29.75 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$24.65 |
$24.65 |
$24.65 |
$73.15
|
|
Smear wet mount
|
$24.65 |
$24.65 |
$24.65 |
$67.49
|
|
Sodium 24 hour urine
|
$21.25 |
$21.25 |
$21.25 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$109.57 |
$109.57 |
$109.57 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$27.20 |
$27.20 |
$27.20 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$30.96 |
$30.96 |
$30.96 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$11.48 |
$11.48 |
$11.48 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$114.53 |
$114.53 |
$114.53 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$250.75 |
$250.75 |
$250.75 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$19.55 |
$19.55 |
$19.55 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$269.45 |
$269.45 |
$269.45 |
$177.52
|
|
Somatropin injection
|
$9,876.06 |
$9,876.06 |
$9,876.06 |
$2,381.48
|
|
Sotalol hydrochloride IV
|
$8,745.25 |
$8,745.25 |
$8,745.25 |
$5,761.57
|
|
Special physics consult
|
$794.75 |
$794.75 |
$794.75 |
$725.00
|
|
Special radiation dosimetry
|
$635.80 |
$635.80 |
$635.80 |
$392.50
|
|
Special radiation treatment
|
$2,767.60 |
$2,767.60 |
$2,767.60 |
$1,986.00
|
|
Special teletx port plan
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$1,086.99
|
|
Sperm antibody test
|
$44.20 |
$44.20 |
$44.20 |
$57.85
|
|
Sperm isolation simple
|
$234.60 |
$234.60 |
$234.60 |
$126.05
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,936.30 |
$1,936.30 |
$1,936.30 |
$1,439.40
|
|
Spine device implant surgery
|
$32,279.60 |
$32,279.60 |
$32,279.60 |
$9,878.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$853.40 |
$853.40 |
$853.40 |
$543.26
|
|
Spleen imaging
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$679.00
|
|
Split blood or products
|
$80.75 |
$80.75 |
$80.75 |
$127.48
|
|
Srs linear based
|
$36,478.60 |
$36,478.60 |
$36,478.60 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$502.35 |
$502.35 |
$502.35 |
$297.60
|
|
Staph a dna amp probe
|
$141.95 |
$141.95 |
$141.95 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$270.30 |
$270.30 |
$270.30 |
$286.00
|
|
Stem cells total count
|
$312.80 |
$312.80 |
$312.80 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$30,812.50 |
$30,812.50 |
$30,812.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$18,014.38 |
$18,014.38 |
$18,014.38 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,631.82 |
$4,631.82 |
$4,631.82 |
$4,939.20
|
|
Stent placemt retro carotid
|
$21,068.10 |
$21,068.10 |
$21,068.10 |
$5,328.00
|
|
Stereotactic radiation trmt
|
$4,666.50 |
$4,666.50 |
$4,666.50 |
$845.60
|
|
St evaluate speech sound production
|
$510.85 |
$510.85 |
$510.85 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$421.60 |
$421.60 |
$421.60 |
$399.60
|
|
St evaluation swallow function
|
$395.25 |
$395.25 |
$395.25 |
$314.40
|
|
Strapping of knee
|
$313.65 |
$313.65 |
$313.65 |
$205.20
|
|
Strep b dna amp probe
|
$141.95 |
$141.95 |
$141.95 |
$120.90
|
|
Streptomycin injection
|
$233.75 |
$233.75 |
$233.75 |
$138.30
|
|
Streptozocin injection
|
$364.71 |
$364.71 |
$364.71 |
$785.95
|
|
Stress test pulmonary
|
$60.35 |
$60.35 |
$60.35 |
$322.85
|
|
Stress tte complete
|
$2,218.50 |
$2,218.50 |
$2,218.50 |
$1,870.50
|
|
St treatment speech individual
|
$354.45 |
$354.45 |
$354.45 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$391.85 |
$391.85 |
$391.85 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$110.34 |
$110.34 |
$110.34 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,066.25 |
$5,066.25 |
$5,066.25 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$134.74 |
$134.74 |
$134.74 |
$82.43
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$644.07 |
$644.07 |
$644.07 |
$114.88
|
|
Supprelin la implant
|
$133,085.91 |
$133,085.91 |
$133,085.91 |
$80,935.72
|
|
Surgical opening of throat
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,133.48
|
|
Surgical pathology level 1 gross examination only
|
$66.30 |
$66.30 |
$66.30 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$143.65 |
$143.65 |
$143.65 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$170.85 |
$170.85 |
$170.85 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$193.80 |
$193.80 |
$193.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,123.70 |
$1,123.70 |
$1,123.70 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,562.30 |
$1,562.30 |
$1,562.30 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$19.55 |
$19.55 |
$19.55 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$19.55 |
$19.55 |
$19.55 |
$35.70
|
|
Susceptibility mic per plate
|
$35.70 |
$35.70 |
$35.70 |
$106.00
|
|
Svc venogram s&i
|
$7,189.30 |
$7,189.30 |
$7,189.30 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$1,405.51 |
$1,405.51 |
$1,405.51 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.85 |
$17.85 |
$17.85 |
$41.60
|
|
System pacing micra av
|
$15,108.75 |
$15,108.75 |
$15,108.75 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,856.69 |
$11,856.69 |
$11,856.69 |
$12,003.00
|
|
T3 (triiodothyronine) total
|
$56.95 |
$56.95 |
$56.95 |
$93.52
|
|
T4 (thyroxine) free
|
$37.40 |
$37.40 |
$37.40 |
$85.20
|
|
T4 (thyroxine) total
|
$28.05 |
$28.05 |
$28.05 |
$69.00
|
|
Tacrol astagraf ex rel oral
|
$34.57 |
$34.57 |
$34.57 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$33.96 |
$33.96 |
$33.96 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7,825.55 |
$7,825.55 |
$7,825.55 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$680.59 |
$680.59 |
$680.59 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$55.25 |
$55.25 |
$55.25 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$3,740.10 |
$3,740.10 |
$3,740.10 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$1,890.89 |
$1,890.89 |
$1,890.89 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$11,792.60 |
$11,792.60 |
$11,792.60 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$1,982.20 |
$1,982.20 |
$1,982.20 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,982.20 |
$1,982.20 |
$1,982.20 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,812.65 |
$2,812.65 |
$2,812.65 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$10,811.15 |
$10,811.15 |
$10,811.15 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,215.10 |
$2,215.10 |
$2,215.10 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$15,308.50 |
$15,308.50 |
$15,308.50 |
$24,217.20
|
|
Tavr perq femoral
|
$26,114.55 |
$26,114.55 |
$26,114.55 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$416.39 |
$416.39 |
$416.39 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$249.90 |
$249.90 |
$249.90 |
$177.65
|
