|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$2,893.80 |
$4,073.40 |
$4,211.40 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$448.80 |
$448.80 |
$478.80 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$214.80 |
$607.80 |
$4,609.20 |
$34.00
|
|
Splint fing stax assort 1-7in
|
$10.20 |
$10.20 |
$18.00 |
$5.60
|
|
Splint func pos polyflex ii med
|
$89.40 |
$121.20 |
$1,043.40 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$128.40 |
$131.40 |
$137.40 |
$99.04
|
|
Split blood or products
|
$226.20 |
$303.00 |
$384.00 |
$129.50
|
|
Srs cranial lesion simple
|
$11,250.60 |
$11,250.60 |
$11,250.60 |
$3,145.05
|
|
Srs linear based
|
$6,303.60 |
$7,146.60 |
$19,575.60 |
$14,124.25
|
|
Srs multisource
|
$30,975.00 |
$30,975.00 |
$33,912.60 |
$35,004.79
|
|
St analysis behavior qualitative voice/resonance
|
$228.60 |
$348.60 |
$429.60 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$982.20 |
$982.20 |
$982.20 |
$286.00
|
|
Stem cells total count
|
$346.80 |
$346.80 |
$1,216.20 |
$184.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$55,112.40 |
$60,352.80 |
$67,511.40 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$23,331.00 |
$44,044.80 |
$58,726.80 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$720.00 |
$1,015.20 |
$3,092.40 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$11,522.40 |
$33,109.80 |
$46,683.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$10,323.00 |
$13,557.00 |
$22,262.40 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,102.40 |
$21,521.40 |
$33,589.20 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,973.20 |
$16,830.00 |
$24,101.40 |
$8,948.40
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$34,695.00 |
$34,695.00 |
$40,886.40 |
$16,875.93
|
|
Sterile gauze <= 16 sq in
|
$0.60 |
$2.40 |
$12.00 |
$1.52
|
|
Sterile needle
|
$291.00 |
$649.80 |
$6,580.20 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$4.60 |
$35.55 |
$35.55 |
$13.32
|
|
Sterile water/saline, 500 ml
|
$21.60 |
$32.55 |
$61.20 |
$28.11
|
|
St evaluate speech sound production
|
$228.60 |
$239.40 |
$429.60 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$490.80 |
$638.40 |
$827.40 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$733.20 |
$1,825.20 |
$2,901.00 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$640.20 |
$792.00 |
$996.60 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$453.00 |
$453.00 |
$516.60 |
$157.46
|
|
Strapping of knee
|
$764.40 |
$764.40 |
$764.40 |
$205.20
|
|
Strapping of toes 29550
|
$720.00 |
$720.00 |
$742.80 |
$164.70
|
|
Strep a ag ia
|
$48.60 |
$52.20 |
$89.40 |
$75.40
|
|
Strep b dna amp probe
|
$241.80 |
$306.60 |
$443.40 |
$122.43
|
|
Streptomycin injection
|
$8.40 |
$8.40 |
$8.40 |
$138.30
|
|
Streptozocin injection
|
$995.40 |
$1,416.00 |
$2,809.80 |
$785.95
|
|
Stress test pulmonary
|
$41.40 |
$264.60 |
$478.20 |
$324.00
|
|
Stress tte complete
|
$1,935.00 |
$2,034.00 |
$3,415.80 |
$1,894.20
|
|
Str markers spec anal addl
|
$1,587.00 |
$1,683.00 |
$1,683.00 |
$479.17
|
|
Str markers specimen anal
|
$1,683.00 |
$2,521.20 |
$2,521.20 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.20 |
$11.40 |
$67.80 |
$54.80
|
|
Sugars single quant
|
$114.60 |
$114.60 |
$156.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,649.60 |
$83,609.40 |
$4,538,400.00 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.20 |
$0.60 |
$0.60 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$321.60 |
$1,520.40 |
$1,520.40 |
$126.63
|
|
Supp non-insulin inf cath/wk
|
$17.40 |
$17.40 |
$24.00 |
$8.45
|
|
Support clav 29.6-40.5in med
|
$128.40 |
$131.40 |
$137.40 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$43.80 |
$67.80 |
$330.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$109.20 |
$154.80 |
$440.40 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$212.40 |
$383.40 |
$622.20 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$345.00 |
$615.00 |
$826.20 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$440.40 |
$799.80 |
$1,323.60 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$301.20 |
$669.60 |
$1,452.60 |
$720.75
|
|
Surgical trays
|
$72.00 |
$72.00 |
$674.40 |
$694.80
|
|
Susceptibility agar dilution per agent
|
$34.80 |
$96.60 |
$606.60 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$47.40 |
$55.80 |
$68.40 |
$35.75
|
|
Susceptibility mic per plate
|
$59.40 |
$88.20 |
$168.60 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$63.00 |
$72.60 |
$3,450.60 |
$59.28
|
|
Svc venogram s&i
|
$1,851.60 |
$2,331.00 |
$9,229.80 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$416.40 |
$490.80 |
$828.60 |
$316.55
|
|
Swallowing Therapy Session
|
$146.40 |
$335.40 |
$523.20 |
$240.31
|
|
Sweat collection by iontophoresis
|
$4,935.00 |
$4,935.00 |
$4,935.00 |
$123.78
|
|
Synvisc or synvisc-one
|
$50.40 |
$50.40 |
$198.00 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$41.40 |
$60.00 |
$104.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$92,408.40 |
$92,408.40 |
$92,408.40 |
$38,234.70
|
|
System pacing micra av
|
$28,759.80 |
$30,110.40 |
$45,109.20 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,878.40 |
$31,525.20 |
$33,284.40 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$16,981.20 |
$16,981.20 |
$16,981.20 |
$11,183.00
|
|
System sealant biosentry tract
|
$888.00 |
$888.00 |
$940.80 |
$889.35
|
|
T3 (triiodothyronine) free
|
$115.20 |
$349.80 |
$369.60 |
$100.32
|
|
T3 (triiodothyronine) total
|
$96.60 |
$190.20 |
$269.40 |
$93.52
|
|
T4 (thyroxine) free
|
$66.00 |
$226.20 |
$609.00 |
$88.44
|
|
T4 (thyroxine) total
|
$46.80 |
$91.80 |
$240.00 |
$69.58
|
|
Tacrol astagraf ex rel oral
|
$1.60 |
$3.15 |
$3.15 |
$62.32
|
|
Tacrol envarsus ex rel oral
|
$3.20 |
$3.45 |
$109.20 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$29.40 |
$91.80 |
$192.00 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,712.00 |
$2,712.00 |
$2,712.00 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$81.60 |
$187.20 |
$798.00 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$405.00 |
$456.60 |
$686.40 |
$289.90
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$133.80 |
$133.80 |
$141.60 |
$1,223.36
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$175.20 |
$175.20 |
$175.20 |
$21,745.13
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$10.40 |
$48.60 |
$48.60 |
$14.62
|
|
Tap block bilat cont infusion 64489
|
$1,381.20 |
$1,381.20 |
$1,647.60 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$587.40 |
$1,384.20 |
$1,877.40 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$10.20 |
$10.20 |
$10.20 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$1,353.00 |
$3,792.60 |
$9,245.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$5,739.00 |
$8,669.40 |
$9,920.40 |
$3,746.70
|
|
Target gsa panel organ neop
|
$3,223.20 |
$3,415.80 |
$3,915.00 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$24,217.20
|
|
Tas congenital car anomal
|
$4,667.40 |
$4,667.40 |
$4,667.40 |
$6,003.27
|
|
Tavr perq femoral
|
$15,259.80 |
$15,259.80 |
$15,259.80 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$6.00 |
$6.00 |
$6.00 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$283.80 |
$283.80 |
$2,393.40 |
$225.42
|
|
Tbs techl calculation only
|
$93.60 |
$93.60 |
$93.60 |
$153.60
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$531.60 |
$615.60 |
$785.40 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$415.80 |
$559.80 |
$763.20 |
$180.80
|
|
Tc-99m bicisate
|
$1,872.60 |
$1,984.80 |
$2,040.00 |
$2,070.00
|
|
Tc-99m disofenin
|
$366.00 |
$366.00 |
$366.00 |
$124.32
|
|
Tc-99m exametazime diag
|
$566.40 |
$1,461.00 |
$8,173.20 |
$2,135.70
|
