|
Sprchoroidal spc njx rx agt
|
$415.50 |
$415.50 |
$415.50 |
$454.19
|
|
Sputum specimen collection
|
$112.00 |
$112.00 |
$112.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$252.50 |
$252.50 |
$252.50 |
$297.60
|
|
Staph a dna amp probe
|
$58.00 |
$58.00 |
$58.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$316.00 |
$316.00 |
$316.00 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,053.75 |
$1,053.75 |
$1,053.75 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$271.22 |
$271.22 |
$271.22 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,401.39 |
$1,401.39 |
$1,401.39 |
$20,962.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$6,580.00 |
$6,580.00 |
$6,580.00 |
$14,356.50
|
|
Sterile needle
|
$1,230.78 |
$1,230.78 |
$1,230.78 |
$190.13
|
|
St evaluate speech sound production
|
$252.50 |
$252.50 |
$252.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$531.50 |
$531.50 |
$531.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$235.50 |
$235.50 |
$235.50 |
$399.60
|
|
St evaluation swallow function
|
$230.00 |
$230.00 |
$230.00 |
$314.40
|
|
Strapping of toes 29550
|
$98.50 |
$98.50 |
$98.50 |
$164.70
|
|
Strep a ag ia
|
$45.00 |
$45.00 |
$45.00 |
$75.40
|
|
Strep b dna amp probe
|
$103.00 |
$103.00 |
$103.00 |
$120.90
|
|
Stress test pulmonary
|
$246.50 |
$246.50 |
$246.50 |
$322.85
|
|
Stress tte complete
|
$1,156.50 |
$1,156.50 |
$1,156.50 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$211.00 |
$211.00 |
$211.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$230.00 |
$230.00 |
$230.00 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$230.50 |
$230.50 |
$230.50 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$42.48 |
$42.48 |
$42.48 |
$52.31
|
|
Sugars single quant
|
$520.00 |
$520.00 |
$520.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$354.50 |
$354.50 |
$354.50 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$118.50 |
$118.50 |
$118.50 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$54.00 |
$54.00 |
$54.00 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$19.63 |
$19.63 |
$19.63 |
$94.19
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surg dx exam anorectal
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$39.50 |
$39.50 |
$39.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$144.00 |
$144.00 |
$144.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$103.50 |
$103.50 |
$103.50 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$402.00 |
$402.00 |
$402.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,419.50 |
$3,419.50 |
$3,419.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$1,574.50 |
$1,574.50 |
$1,574.50 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$91.00 |
$91.00 |
$91.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$22.00 |
$22.00 |
$22.00 |
$35.70
|
|
Susceptibility mic per plate
|
$612.00 |
$612.00 |
$612.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$87.50 |
$87.50 |
$87.50 |
$59.28
|
|
Svc venogram s&i
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$1,427.43 |
$1,427.43 |
$1,427.43 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$13.00 |
$13.00 |
$13.00 |
$41.60
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$3,420.50 |
$3,420.50 |
$3,420.50 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$30.50 |
$30.50 |
$30.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$95.50 |
$95.50 |
$95.50 |
$93.52
|
|
T4 (thyroxine) free
|
$131.00 |
$131.00 |
$131.00 |
$85.20
|
|
T4 (thyroxine) total
|
$14.50 |
$14.50 |
$14.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$13.75 |
$13.75 |
$13.75 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$204.50 |
$204.50 |
$204.50 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$3,599.50 |
$3,599.50 |
$3,599.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,312.50 |
$1,312.50 |
$1,312.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$911.61 |
$911.61 |
$911.61 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$139.00 |
$139.00 |
$139.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$119.50 |
$119.50 |
$119.50 |
$177.65
|
|
Tc-99m disofenin
|
$56.50 |
$56.50 |
$56.50 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$3,301.50 |
$3,301.50 |
$3,301.50 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$3,301.50 |
$3,301.50 |
$3,301.50 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$92.00 |
$92.00 |
$92.00 |
$302.40
|
|
Tc-99m maa
|
$98.00 |
$98.00 |
$98.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$125.00 |
$125.00 |
$125.00 |
$157.65
|
|
Tc-99m medronate
|
$23.50 |
$23.50 |
$23.50 |
$111.01
|
|
Tc-99m mertiatide
|
$855.50 |
$855.50 |
$855.50 |
$756.00
|
|
Tc-99m oxidronate
|
$36.00 |
$36.00 |
$36.00 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$56.00 |
$56.00 |
$56.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$86.50 |
$86.50 |
$86.50 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$2.50 |
$2.50 |
$2.50 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$32.50 |
$32.50 |
$32.50 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$495.50 |
$495.50 |
$495.50 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$866.50 |
$866.50 |
$866.50 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$175.00 |
$175.00 |
$175.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$169.00 |
$169.00 |
$169.00 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$65.50 |
$65.50 |
$65.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$253.00 |
$253.00 |
$253.00 |
$111.20
|
|
T cells total count
|
$68.00 |
$68.00 |
$68.00 |
$126.90
|
|
Telehealth original site facility fee
|
$168.00 |
$168.00 |
$168.00 |
$51.00
|
|
Telethx isodose plan cplx
|
$674.00 |
$674.00 |
$674.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$674.00 |
$674.00 |
$674.00 |
$873.62
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$21,338.89 |
$21,338.89 |
$21,338.89 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$2,069.83 |
$2,069.83 |
$2,069.83 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$3,760.50 |
$3,760.50 |
$3,760.50 |
$2,811.20
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$0.70 |
$0.70 |
$0.70 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$414.50 |
$414.50 |
$414.50 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$753.50 |
$753.50 |
$753.50 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,210.21 |
$1,210.21 |
$1,210.21 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.50 |
$50.50 |
$50.50 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$38.50 |
$38.50 |
$38.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$47.50 |
$47.50 |
$47.50 |
$85.68
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$33.00 |
$33.00 |
$33.00 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$1,695.67 |
$1,695.67 |
$1,695.67 |
$3,786.00
|
|
Ther/proph/diag inj ia
|
$240.00 |
$240.00 |
$240.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.51 |
$15.51 |
$15.51 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,409.50 |
$1,409.50 |
$1,409.50 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$208.00 |
$208.00 |
$208.00 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$8,084.00
|
