|
St evaluation motion fluoroscopic swallow function cine/video
|
$178.00 |
$178.00 |
$178.00 |
$399.60
|
|
St evaluation swallow function
|
$252.50 |
$252.50 |
$252.50 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$136.50 |
$136.50 |
$136.50 |
$223.45
|
|
Strapping of chest
|
$119.00 |
$119.00 |
$119.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$219.50 |
$219.50 |
$219.50 |
$154.70
|
|
Strapping of hand or finger
|
$119.00 |
$119.00 |
$119.00 |
$174.82
|
|
Strapping of hip
|
$72.50 |
$72.50 |
$72.50 |
$164.70
|
|
Strapping of knee
|
$72.50 |
$72.50 |
$72.50 |
$205.20
|
|
Strapping of toes 29550
|
$61.00 |
$61.00 |
$61.00 |
$164.70
|
|
Strep a ag ia
|
$126.00 |
$126.00 |
$126.00 |
$75.40
|
|
Stress test pulmonary
|
$180.50 |
$180.50 |
$180.50 |
$322.85
|
|
Stress tte complete
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$1,870.50
|
|
Str markers spec anal addl
|
$417.00 |
$417.00 |
$417.00 |
$479.17
|
|
Str markers specimen anal
|
$342.00 |
$342.00 |
$342.00 |
$751.50
|
|
St treatment speech individual
|
$194.50 |
$194.50 |
$194.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$194.50 |
$194.50 |
$194.50 |
$240.31
|
|
Suction lipectomy trunk
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$4,332.25
|
|
Sugars single quant
|
$125.50 |
$125.50 |
$125.50 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$264.00 |
$264.00 |
$264.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$152.50 |
$152.50 |
$152.50 |
$94.19
|
|
Surg dx exam anorectal
|
$2,832.50 |
$2,832.50 |
$2,832.50 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$52.00 |
$52.00 |
$52.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$63.00 |
$63.00 |
$63.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$151.00 |
$151.00 |
$151.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$198.00 |
$198.00 |
$198.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$246.50 |
$246.50 |
$246.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$380.00 |
$380.00 |
$380.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$108.00 |
$108.00 |
$108.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$90.00 |
$90.00 |
$90.00 |
$35.70
|
|
Susceptibility mic per plate
|
$411.50 |
$411.50 |
$411.50 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$165.50 |
$165.50 |
$165.50 |
$59.28
|
|
Svc venogram s&i
|
$933.00 |
$933.00 |
$933.00 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$86.50 |
$86.50 |
$86.50 |
$41.60
|
|
System cardiomems hosp electronics
|
$144,844.00 |
$144,844.00 |
$144,844.00 |
$39,037.95
|
|
System pacing micra av
|
$27,858.00 |
$27,858.00 |
$27,858.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$14,053.50 |
$14,053.50 |
$14,053.50 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$20,255.50 |
$20,255.50 |
$20,255.50 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$624.00 |
$624.00 |
$624.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$94.50 |
$94.50 |
$94.50 |
$93.52
|
|
T4 (thyroxine) free
|
$124.00 |
$124.00 |
$124.00 |
$85.20
|
|
T4 (thyroxine) total
|
$103.00 |
$103.00 |
$103.00 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$178.00 |
$178.00 |
$178.00 |
$122.40
|
|
Talymed
|
$270.00 |
$270.00 |
$270.00 |
$3,411.49
|
|
Target gsa panel hmtlmph neop
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$4,174.50 |
$4,174.50 |
$4,174.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$4,085.00 |
$4,085.00 |
$4,085.00 |
$1,655.52
|
|
Tavr perq femoral
|
$33,983.50 |
$33,983.50 |
$33,983.50 |
$15,454.40
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$296.50 |
$296.50 |
$296.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$419.50 |
$419.50 |
$419.50 |
$177.65
|
|
T cells absolute cd4/cd8 including ratio
|
$279.50 |
$279.50 |
$279.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$350.00 |
$350.00 |
$350.00 |
$111.20
|
|
T cells total count
|
$301.50 |
$301.50 |
$301.50 |
$126.90
|
|
Telehealth original site facility fee
|
$51.00 |
$51.00 |
$51.00 |
$51.00
|
|
Test for urine cystines
|
$19.00 |
$19.00 |
$19.00 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$725.50 |
$725.50 |
$725.50 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$509.50 |
$509.50 |
$509.50 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$107.50 |
$107.50 |
$107.50 |
$108.00
|
|
Therapeutic procd strg endur
|
$74.50 |
$74.50 |
$74.50 |
$85.68
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$970.00 |
$970.00 |
$970.00 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$3,941.00 |
$3,941.00 |
$3,941.00 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$10,615.00 |
$10,615.00 |
$10,615.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$18,003.50 |
$18,003.50 |
$18,003.50 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$27,481.50 |
$27,481.50 |
$27,481.50 |
$21,413.60
|
|
Thrombin time
|
$116.00 |
$116.00 |
$116.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$226.00 |
$226.00 |
$226.00 |
$61.52
|
|
Thyroglobulin antibody
|
$91.50 |
$91.50 |
$91.50 |
$82.00
|
|
Thyroid imaging
|
$429.50 |
$429.50 |
$429.50 |
$695.02
|
|
Thyroid mets imag whole body
|
$649.50 |
$649.50 |
$649.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$167.50 |
$167.50 |
$167.50 |
$111.00
|
|
Thyroid Ultrasound
|
$220.00 |
$220.00 |
$220.00 |
$588.50
|
|
Thyroid uptake measurement
|
$288.00 |
$288.00 |
$288.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$137.50 |
$137.50 |
$137.50 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$19,932.50 |
$19,932.50 |
$19,932.50 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$11,509.00 |
$11,509.00 |
$11,509.00 |
$9,769.65
|
|
Tilt table study
|
$715.50 |
$715.50 |
$715.50 |
$1,507.01
|
|
Tissue culture placenta
|
$330.50 |
$330.50 |
$330.50 |
$457.00
|
|
Tissue culture skin/biopsy
|
$532.50 |
$532.50 |
$532.50 |
$484.00
|
|
Tissue culture tumor
|
$479.50 |
$479.50 |
$479.50 |
$483.36
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$307.50 |
$307.50 |
$307.50 |
$1,134.00
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$87.00 |
$87.00 |
$87.00 |
$18,999.96
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$26.50 |
$26.50 |
$26.50 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$199.50 |
$199.50 |
$199.50 |
$44.16
|
|
Tixagev and cilgav inj
|
$327.00 |
$327.00 |
$327.00 |
$224.55
|
|
Tlso rigid lined custom fab
|
$4,241.00 |
$4,241.00 |
$4,241.00 |
$2,831.21
|
|
Tobramycin peak therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$120.60
|
|
Tomosynthesis breast screen bilateral
|
$358.00 |
$358.00 |
$358.00 |
$72.68
|
|
Toxoplasma antibody igg
|
$89.50 |
$89.50 |
$89.50 |
$89.40
|
|
Toxoplasma antibody igm
|
$146.00 |
$146.00 |
$146.00 |
$87.00
|
|
Tp53 gene trgt sequence alys
|
$411.00 |
$411.00 |
$411.00 |
$790.68
|
|
Tracheobrnchsc thru est trachs incisn
|
$774.00 |
$774.00 |
$774.00 |
$1,420.44
|
|
Transcath biopsy
|
$2,679.00 |
$2,679.00 |
$2,679.00 |
$4,285.93
|
|
Transcath closure of asd
|
$17,202.00 |
$17,202.00 |
$17,202.00 |
$16,741.40
|
|
Transcatheter bx s&i
|
$1,118.50 |
$1,118.50 |
$1,118.50 |
$1,915.00
|
|
Transcath mv repair addl prosthesis
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$4,385.00
|
|
Transcath mv repair init prosthesis
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$12,418.00
|
|
Transcath occlusion non-cns
|
$9,808.00 |
$9,808.00 |
$9,808.00 |
$10,031.28
|
|
Trans cath replace aortic valve 33366
|
$14,799.50 |
$14,799.50 |
$14,799.50 |
$14,363.70
|
|
Transcutaneous hgb 88738
|
$17.50 |
$17.50 |
$17.50 |
$13.80
|
