|
Speech Therapy Session (one-on-one)
|
$163.80 |
$163.80 |
$163.80 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$215.40 |
$215.40 |
$215.40 |
$251.00
|
|
Splint rstrc wrst/cmc right med
|
$72.00 |
$72.00 |
$72.00 |
$99.04
|
|
Split blood or products
|
$109.20 |
$109.20 |
$109.20 |
$129.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$26,710.20 |
$26,710.20 |
$26,710.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$817.20 |
$817.20 |
$817.20 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$10,104.00 |
$10,104.00 |
$10,104.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$8,667.60 |
$8,667.60 |
$8,667.60 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,973.40 |
$16,973.40 |
$16,973.40 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$8,948.40
|
|
Sterile needle
|
$192.00 |
$192.00 |
$192.00 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$7.00 |
$7.00 |
$7.00 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$7.80 |
$7.80 |
$7.80 |
$28.11
|
|
St evaluate speech sound production
|
$463.20 |
$463.20 |
$463.20 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$443.40 |
$443.40 |
$443.40 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$576.60 |
$576.60 |
$576.60 |
$1,342.00
|
|
Strapping of toes 29550
|
$572.40 |
$572.40 |
$572.40 |
$164.70
|
|
Strep a ag ia
|
$52.20 |
$52.20 |
$52.20 |
$75.40
|
|
Strep b dna amp probe
|
$318.00 |
$318.00 |
$318.00 |
$122.43
|
|
Stress test pulmonary
|
$265.20 |
$265.20 |
$265.20 |
$324.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$54.80
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.40 |
$0.40 |
$0.40 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$140.00 |
$140.00 |
$140.00 |
$126.63
|
|
Supp non-insulin inf cath/wk
|
$18.00 |
$18.00 |
$18.00 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$40.80 |
$40.80 |
$40.80 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$52.80 |
$52.80 |
$52.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$52.80 |
$52.80 |
$52.80 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$94.80 |
$94.80 |
$94.80 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$98.40 |
$98.40 |
$98.40 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$327.00 |
$327.00 |
$327.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$456.60 |
$456.60 |
$456.60 |
$720.75
|
|
Surgical trays
|
$393.60 |
$393.60 |
$393.60 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$34.80 |
$34.80 |
$34.80 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$15.60 |
$15.60 |
$15.60 |
$35.75
|
|
Susceptibility mic per plate
|
$25.80 |
$25.80 |
$25.80 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$72.00 |
$72.00 |
$72.00 |
$59.28
|
|
Svc venogram s&i
|
$1,475.40 |
$1,475.40 |
$1,475.40 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$443.40 |
$443.40 |
$443.40 |
$316.55
|
|
Swallowing Therapy Session
|
$286.80 |
$286.80 |
$286.80 |
$240.31
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.40 |
$29.40 |
$29.40 |
$41.60
|
|
System pacing micra av
|
$7,359.00 |
$7,359.00 |
$7,359.00 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$7,450.20 |
$7,450.20 |
$7,450.20 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$67.20 |
$67.20 |
$67.20 |
$100.32
|
|
T3 (triiodothyronine) total
|
$60.00 |
$60.00 |
$60.00 |
$93.52
|
|
T4 (thyroxine) free
|
$60.00 |
$60.00 |
$60.00 |
$88.44
|
|
T4 (thyroxine) total
|
$33.60 |
$33.60 |
$33.60 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$1.60 |
$1.60 |
$1.60 |
$62.32
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$51.60 |
$51.60 |
$51.60 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$265.20 |
$265.20 |
$265.20 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$215.40 |
$215.40 |
$215.40 |
$289.90
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$5.40 |
$5.40 |
$5.40 |
$14.62
|
|
Tap block bilat cont infusion 64489
|
$1,231.80 |
$1,231.80 |
$1,231.80 |
$1,541.40
|
|
Target gsa panel hmtlmph neop
|
$7,146.00 |
$7,146.00 |
$7,146.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,739.00 |
$5,739.00 |
$5,739.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$3,223.20 |
$3,223.20 |
$3,223.20 |
$1,681.28
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$508.20 |
$508.20 |
$508.20 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$168.60 |
$168.60 |
$168.60 |
$180.80
|
|
Tc-99m bicisate
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$2,070.00
|
|
Tc-99m exametazime diag
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$211.20 |
$211.20 |
$211.20 |
$306.00
|
|
Tc-99m maa
|
$52.80 |
$52.80 |
$52.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$131.40 |
$131.40 |
$131.40 |
$157.65
|
|
Tc-99m medronate
|
$110.40 |
$110.40 |
$110.40 |
$111.01
|
|
Tc-99m mertiatide
|
$363.60 |
$363.60 |
$363.60 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$15.00 |
$15.00 |
$15.00 |
$6.50
|
|
Tc-99m pentetate dtpa
|
$94.80 |
$94.80 |
$94.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$94.80 |
$94.80 |
$94.80 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$28.20 |
$28.20 |
$28.20 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$93.60 |
$93.60 |
$93.60 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$268.80 |
$268.80 |
$268.80 |
$287.20
|
|
Tc-99m sulfur colloid
|
$158.40 |
$158.40 |
$158.40 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$505.80 |
$505.80 |
$505.80 |
$193.28
|
|
Tc-99m tilmanocept diag
|
$6,193.80 |
$6,193.80 |
$6,193.80 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$186.00 |
$186.00 |
$186.00 |
$185.28
|
|
T cells absolute cd 4 count
|
$136.20 |
$136.20 |
$136.20 |
$111.20
|
|
T cells total count
|
$141.60 |
$141.60 |
$141.60 |
$130.35
|
|
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
|
$35.00 |
$35.00 |
$35.00 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$720.00 |
$720.00 |
$720.00 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$4,563.00
|
|
Theophylline therapeutic drug level
|
$43.20 |
$43.20 |
$43.20 |
$108.00
|
|
Therapeutic procd strg endur
|
$81.60 |
$81.60 |
$81.60 |
$85.68
|
|
Therapy Activity Training (each 15 minutes)
|
$119.40 |
$119.40 |
$119.40 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$91.80 |
$91.80 |
$91.80 |
$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
|
$20.40 |
$20.40 |
$20.40 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$19.80 |
$19.80 |
$19.80 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$308.40 |
$308.40 |
$308.40 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,316.40 |
$1,316.40 |
$1,316.40 |
$1,733.65
|
|
Thoracotomy w/expl
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$905.40 |
$905.40 |
$905.40 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$5,448.00 |
$5,448.00 |
$5,448.00 |
$3,836.00
|
|
Thrombin time
|
$55.80 |
$55.80 |
$55.80 |
$54.18
|
|
Thromboplastin inhibition
|
$47.40 |
$47.40 |
$47.40 |
$55.20
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$19.80 |
$19.80 |
$19.80 |
$61.52
|
|
Thromboxane urine
|
$141.60 |
$141.60 |
$141.60 |
$119.40
|
|
Thyroglobulin antibody
|
$60.00 |
$60.00 |
$60.00 |
$82.73
|
