|
St evaluation motion fluoroscopic swallow function cine/video
|
$558.60 |
$558.60 |
$558.60 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$658.20 |
$658.20 |
$658.20 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$816.00 |
$816.00 |
$816.00 |
$223.45
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$54.80
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$14,672.40 |
$14,672.40 |
$14,672.40 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$476.80 |
$476.80 |
$476.80 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$128.40 |
$128.40 |
$128.40 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$34.80 |
$34.80 |
$34.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$49.80 |
$49.80 |
$49.80 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$80.40 |
$80.40 |
$80.40 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$100.20 |
$100.20 |
$100.20 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$189.60 |
$189.60 |
$189.60 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$273.00 |
$273.00 |
$273.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$86.40 |
$86.40 |
$86.40 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$78.60 |
$78.60 |
$78.60 |
$35.89
|
|
Susceptibility mic per plate
|
$58.80 |
$58.80 |
$58.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$114.60 |
$114.60 |
$114.60 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$413.40 |
$413.40 |
$413.40 |
$316.80
|
|
Swallowing Therapy Session
|
$362.40 |
$362.40 |
$362.40 |
$232.56
|
|
Synvisc or synvisc-one
|
$65.40 |
$65.40 |
$65.40 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$80.40 |
$80.40 |
$80.40 |
$42.24
|
|
System pacing micra av
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$24,316.50
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$9,612.00 |
$9,612.00 |
$9,612.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$83.40 |
$83.40 |
$83.40 |
$100.32
|
|
T3 (triiodothyronine) total
|
$75.00 |
$75.00 |
$75.00 |
$93.52
|
|
T4 (thyroxine) free
|
$49.80 |
$49.80 |
$49.80 |
$89.60
|
|
T4 (thyroxine) total
|
$41.40 |
$41.40 |
$41.40 |
$70.20
|
|
Tacrol envarsus ex rel oral
|
$3.40 |
$3.40 |
$3.40 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$29.40 |
$29.40 |
$29.40 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$91.20 |
$91.20 |
$91.20 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$108.00 |
$108.00 |
$108.00 |
$289.20
|
|
Target gsa panel hmtlmph neop
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,739.00 |
$5,739.00 |
$5,739.00 |
$3,746.70
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$24,217.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$3.00 |
$3.00 |
$3.00 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$179.95
|
|
Tc-99m labeled rbc
|
$336.60 |
$336.60 |
$336.60 |
$306.00
|
|
Tc-99m maa
|
$86.40 |
$86.40 |
$86.40 |
$312.06
|
|
Tc-99m mebrofenin
|
$213.60 |
$213.60 |
$213.60 |
$157.65
|
|
Tc-99m medronate
|
$186.00 |
$186.00 |
$186.00 |
$111.01
|
|
Tc-99m mertiatide
|
$1,771.80 |
$1,771.80 |
$1,771.80 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$8.00
|
|
Tc-99m pentetate dtpa
|
$64.80 |
$64.80 |
$64.80 |
$222.60
|
|
Tc-99m sestamibi p study dose
|
$652.80 |
$652.80 |
$652.80 |
$287.20
|
|
Tc-99m sulfur colloid
|
$254.40 |
$254.40 |
$254.40 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$299.40 |
$299.40 |
$299.40 |
$184.00
|
|
T cells absolute cd 4 count
|
$249.60 |
$249.60 |
$249.60 |
$111.20
|
|
T cells total count
|
$222.00 |
$222.00 |
$222.00 |
$130.20
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$430.80 |
$430.80 |
$430.80 |
$40,114.80
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$8,390.40 |
$8,390.40 |
$8,390.40 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$159.20 |
$159.20 |
$159.20 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$390.00 |
$390.00 |
$390.00 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.00 |
$50.00 |
$50.00 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$75.00 |
$75.00 |
$75.00 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$75.00 |
$75.00 |
$75.00 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.00 |
$27.00 |
$27.00 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$21.60 |
$21.60 |
$21.60 |
$50.40
|
|
Ther/proph/diag inj ia
|
$205.20 |
$205.20 |
$205.20 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$28.80 |
$28.80 |
$28.80 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$108.00 |
$108.00 |
$108.00 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$705.60 |
$705.60 |
$705.60 |
$1,703.45
|
|
Thrombin time
|
$168.00 |
$168.00 |
$168.00 |
$54.18
|
|
Thromboplastin inhibition
|
$133.20 |
$133.20 |
$133.20 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$101.40 |
$101.40 |
$101.40 |
$62.01
|
|
Thyroglobulin antibody
|
$106.20 |
$106.20 |
$106.20 |
$82.50
|
|
Thyroid (TSH) Test
|
$91.20 |
$91.20 |
$91.20 |
$112.70
|
|
Thyroid Ultrasound
|
$291.00 |
$291.00 |
$291.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$6,332.80 |
$6,332.80 |
$6,332.80 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$63.60 |
$63.60 |
$63.60 |
$64.51
|
|
Tigecycline injection
|
$6.00 |
$6.00 |
$6.00 |
$235.29
|
|
Tissue culture skin/biopsy
|
$1,359.60 |
$1,359.60 |
$1,359.60 |
$488.74
|
|
Tissue exam koh skin/hair/nails
|
$33.00 |
$33.00 |
$33.00 |
$47.40
|
|
Tissue transglutaminase iga
|
$100.20 |
$100.20 |
$100.20 |
$44.80
|
|
Tixagev and cilgav inj
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$244.50
|
|
Tobramycin peak therapeutic drug level
|
$97.80 |
$97.80 |
$97.80 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,334.60 |
$5,334.60 |
$5,334.60 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$100.20 |
$100.20 |
$100.20 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$123.00 |
$123.00 |
$123.00 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$45.00 |
$45.00 |
$45.00 |
$74.10
|
|
Total tau
|
$100.20 |
$100.20 |
$100.20 |
$312.50
|
|
Toxoplasma antibody igg
|
$83.40 |
$83.40 |
$83.40 |
$91.65
|
|
Toxoplasma antibody igm
|
$83.40 |
$83.40 |
$83.40 |
$87.75
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$121.20 |
$121.20 |
$121.20 |
$102.27
|
|
Transferrin
|
$66.60 |
$66.60 |
$66.60 |
$82.00
|
|
Transparent film >16<=48 in
|
$2.40 |
$2.40 |
$2.40 |
$12.95
|
|
Transparent film <= 16 sq in
|
$0.60 |
$0.60 |
$0.60 |
$4.50
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$299.40 |
$299.40 |
$299.40 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$769.20 |
$769.20 |
$769.20 |
$499.20
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$196.80 |
$196.80 |
$196.80 |
$5,846.40
|
|
Treat ankle dislocation
|
$3,647.40 |
$3,647.40 |
$3,647.40 |
$2,360.00
|
|
Treat elbow dislocation
|
$4,884.00 |
$4,884.00 |
$4,884.00 |
$2,272.50
|
|
Treat finger fracture each
|
$4,893.00 |
$4,893.00 |
$4,893.00 |
$1,592.00
|
|
Treat fracture of radius
|
$3,913.20 |
$3,913.20 |
$3,913.20 |
$1,790.00
|
|
Treat fracture of radius
|
$3,415.80 |
$3,415.80 |
$3,415.80 |
$1,849.00
|
