|
So airplane w/wo joint cf
|
$2,350.00 |
$2,350.00 |
$2,350.00 |
$1,276.80
|
|
Socket insert w lock mech
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$1,544.50
|
|
Sodium 24 hour urine
|
$103.00 |
$103.00 |
$103.00 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$100.00 |
$100.00 |
$100.00 |
$45.60
|
|
Soft interface below knee se
|
$205.00 |
$205.00 |
$205.00 |
$179.08
|
|
Special physics consult
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$725.00
|
|
Special radiation dosimetry
|
$649.50 |
$649.50 |
$649.50 |
$392.50
|
|
Special radiation treatment
|
$3,035.50 |
$3,035.50 |
$3,035.50 |
$1,986.00
|
|
Special teletx port plan
|
$1,636.50 |
$1,636.50 |
$1,636.50 |
$1,086.99
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$392.00 |
$392.00 |
$392.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$117.50 |
$117.50 |
$117.50 |
$392.09
|
|
Splint rstrc wrst/cmc right med
|
$27.00 |
$27.00 |
$27.00 |
$99.04
|
|
St analysis behavior qualitative voice/resonance
|
$505.50 |
$505.50 |
$505.50 |
$297.60
|
|
Staph a dna amp probe
|
$58.00 |
$58.00 |
$58.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$225.50 |
$225.50 |
$225.50 |
$286.00
|
|
Stem cells total count
|
$220.50 |
$220.50 |
$220.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$41,200.00 |
$41,200.00 |
$41,200.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$30,079.00 |
$30,079.00 |
$30,079.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,403.50 |
$2,403.50 |
$2,403.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$41,616.00 |
$41,616.00 |
$41,616.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,894.00 |
$5,894.00 |
$5,894.00 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$14,770.50 |
$14,770.50 |
$14,770.50 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,770.50 |
$14,770.50 |
$14,770.50 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$31,358.00 |
$31,358.00 |
$31,358.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$373.50 |
$373.50 |
$373.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$373.50 |
$373.50 |
$373.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$453.50 |
$453.50 |
$453.50 |
$399.60
|
|
St evaluation swallow function
|
$373.50 |
$373.50 |
$373.50 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$238.50 |
$238.50 |
$238.50 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$492.50 |
$492.50 |
$492.50 |
$154.70
|
|
Strapping of hand or finger
|
$607.00 |
$607.00 |
$607.00 |
$174.82
|
|
Strapping of hip
|
$155.00 |
$155.00 |
$155.00 |
$164.70
|
|
Strapping of knee
|
$155.00 |
$155.00 |
$155.00 |
$205.20
|
|
Strapping of toes 29550
|
$106.00 |
$106.00 |
$106.00 |
$164.70
|
|
Strep a ag ia
|
$102.00 |
$102.00 |
$102.00 |
$75.40
|
|
Stress test pulmonary
|
$291.00 |
$291.00 |
$291.00 |
$322.85
|
|
Str markers spec anal addl
|
$415.00 |
$415.00 |
$415.00 |
$479.17
|
|
Str markers specimen anal
|
$341.00 |
$341.00 |
$341.00 |
$751.50
|
|
St treatment speech individual
|
$256.50 |
$256.50 |
$256.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$288.50 |
$288.50 |
$288.50 |
$240.31
|
|
Sulfonylurea screen qn-sendout
|
$240.00 |
$240.00 |
$240.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$138.00 |
$138.00 |
$138.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$60.50 |
$60.50 |
$60.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$83.50 |
$83.50 |
$83.50 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$162.00 |
$162.00 |
$162.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$275.00 |
$275.00 |
$275.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$261.00 |
$261.00 |
$261.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$402.00 |
$402.00 |
$402.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$90.00 |
$90.00 |
$90.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$37.50 |
$37.50 |
$37.50 |
$35.70
|
|
Susceptibility mic per plate
|
$346.50 |
$346.50 |
$346.50 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$139.00 |
$139.00 |
$139.00 |
$59.28
|
|
Svc venogram s&i
|
$1,829.50 |
$1,829.50 |
$1,829.50 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$188.00 |
$188.00 |
$188.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$111,240.00 |
$111,240.00 |
$111,240.00 |
$39,037.95
|
|
System pacing micra av
|
$21,995.50 |
$21,995.50 |
$21,995.50 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$11,419.50 |
$11,419.50 |
$11,419.50 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$11,183.00 |
$11,183.00 |
$11,183.00 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$230.50 |
$230.50 |
$230.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$92.50 |
$92.50 |
$92.50 |
$93.52
|
|
T4 (thyroxine) free
|
$183.50 |
$183.50 |
$183.50 |
$85.20
|
|
T4 (thyroxine) total
|
$188.50 |
$188.50 |
$188.50 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$108.50 |
$108.50 |
$108.50 |
$122.40
|
|
Talymed
|
$199.00 |
$199.00 |
$199.00 |
$3,411.49
|
|
Target gsa panel hmtlmph neop
|
$4,356.50 |
$4,356.50 |
$4,356.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,910.00 |
$3,910.00 |
$3,910.00 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$564.00 |
$564.00 |
$564.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$564.00 |
$564.00 |
$564.00 |
$177.65
|
|
T cells absolute cd4/cd8 including ratio
|
$247.00 |
$247.00 |
$247.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$246.50 |
$246.50 |
$246.50 |
$111.20
|
|
T cells total count
|
$335.00 |
$335.00 |
$335.00 |
$126.90
|
|
Tcranial magn stim tx deli
|
$379.00 |
$379.00 |
$379.00 |
$389.22
|
|
Tcranial magn stim tx plan
|
$379.00 |
$379.00 |
$379.00 |
$437.22
|
|
Tcran magn stim redetemine
|
$379.00 |
$379.00 |
$379.00 |
$457.60
|
|
Telehealth original site facility fee
|
$70.50 |
$70.50 |
$70.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,558.50 |
$1,558.50 |
$1,558.50 |
$873.62
|
|
Testicular imaging w/vasc flow
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$834.50 |
$834.50 |
$834.50 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$4,347.00 |
$4,347.00 |
$4,347.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$152.00 |
$152.00 |
$152.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$104.50 |
$104.50 |
$104.50 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$191.50 |
$191.50 |
$191.50 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.50 |
$27.50 |
$27.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$50.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,645.50 |
$2,645.50 |
$2,645.50 |
$1,687.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$8,836.50 |
$8,836.50 |
$8,836.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$22,781.00 |
$22,781.00 |
$22,781.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$38,142.00 |
$38,142.00 |
$38,142.00 |
$21,413.60
|
|
Thrombin time
|
$92.00 |
$92.00 |
$92.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$111.00 |
$111.00 |
$111.00 |
$61.52
|
|
Thyroglobulin antibody
|
$101.00 |
$101.00 |
$101.00 |
$82.00
|
|
Thyroid imaging
|
$929.00 |
$929.00 |
$929.00 |
$695.02
|
|
Thyroid mets imag whole body
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$308.00 |
$308.00 |
$308.00 |
$111.00
|
|
Thyroid Ultrasound
|
$1,047.50 |
$1,047.50 |
$1,047.50 |
$588.50
|
|
Thyroid uptake measurement
|
$836.00 |
$836.00 |
$836.00 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$113.00 |
$113.00 |
$113.00 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$41,200.00 |
$41,200.00 |
$41,200.00 |
$21,249.26
|
