|
Splint finger frog med
|
$505.74 |
$505.74 |
$505.74 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$496.96 |
$496.96 |
$496.96 |
$99.04
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$37,133.77 |
$37,133.77 |
$37,133.77 |
$4,619.65
|
|
Sputum specimen collection
|
$122.40 |
$122.40 |
$122.40 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$207.00 |
$207.00 |
$207.00 |
$297.60
|
|
Static or dynami afo pre ots
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$275.40 |
$275.40 |
$275.40 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$113,102.65 |
$113,102.65 |
$113,102.65 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$90,915.00 |
$90,915.00 |
$90,915.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$98,752.50 |
$98,752.50 |
$98,752.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$2,194.50 |
$2,194.50 |
$2,194.50 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$55,917.31 |
$55,917.31 |
$55,917.31 |
$14,356.50
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$146,740.21 |
$146,740.21 |
$146,740.21 |
$17,271.50
|
|
Sterile water/saline, 10 ml
|
$105.00 |
$105.00 |
$105.00 |
$13.32
|
|
Sternal pad
|
$567.25 |
$567.25 |
$567.25 |
$216.89
|
|
St evaluate speech sound production
|
$220.80 |
$220.80 |
$220.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$255.60 |
$255.60 |
$255.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$302.40 |
$302.40 |
$302.40 |
$399.60
|
|
St evaluation swallow function
|
$251.40 |
$251.40 |
$251.40 |
$314.40
|
|
Stimulants synthetic
|
$313.80 |
$313.80 |
$313.80 |
$80.08
|
|
Stocking sup grips 4 pre ots
|
$88.41 |
$88.41 |
$88.41 |
$31.58
|
|
Straight knee joint heavy du
|
$830.71 |
$830.71 |
$830.71 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$364.20 |
$364.20 |
$364.20 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$143.40 |
$143.40 |
$143.40 |
$154.70
|
|
Strapping of hand or finger
|
$143.40 |
$143.40 |
$143.40 |
$174.82
|
|
Strapping of knee
|
$290.40 |
$290.40 |
$290.40 |
$205.20
|
|
Strep b assay w/optic
|
$209.40 |
$209.40 |
$209.40 |
$80.16
|
|
Strep b dna amp probe
|
$151.80 |
$151.80 |
$151.80 |
$120.90
|
|
Stress tte complete
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$1,870.50
|
|
Str markers specimen anal
|
$699.00 |
$699.00 |
$699.00 |
$751.50
|
|
St treatment speech individual
|
$253.20 |
$253.20 |
$253.20 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$186.00 |
$186.00 |
$186.00 |
$240.31
|
|
Subtalar arthro w/deb
|
$16,430.12 |
$16,430.12 |
$16,430.12 |
$3,839.54
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$52.31
|
|
Suction lipectomy trunk
|
$6,120.00 |
$6,120.00 |
$43,788.59 |
$4,332.25
|
|
Suction lipectomy upr extrem
|
$32,681.65 |
$32,681.65 |
$32,681.65 |
$4,544.00
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$312.62 |
$312.62 |
$349.87 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$171.60 |
$171.60 |
$171.60 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$1,431.38 |
$1,431.38 |
$1,431.38 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$109.20 |
$109.20 |
$109.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$193.20 |
$193.20 |
$193.20 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$289.20 |
$289.20 |
$289.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$331.20 |
$331.20 |
$331.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$414.60 |
$414.60 |
$414.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$730.20 |
$730.20 |
$730.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$41.40 |
$41.40 |
$41.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$36.00 |
$36.00 |
$36.00 |
$35.70
|
|
Susceptibility mic per plate
|
$181.20 |
$181.20 |
$1,251.60 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$50.40 |
$50.40 |
$50.40 |
$59.28
|
|
Suspension sleeve lower ext
|
$600.61 |
$600.61 |
$600.61 |
$251.38
|
|
Svc venogram s&i
|
$2,170.80 |
$2,170.80 |
$2,170.80 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$96.00 |
$96.00 |
$96.00 |
$41.60
|
|
System cardiomems hosp electronics
|
$119,130.00 |
$119,130.00 |
$119,130.00 |
$39,037.95
|
|
System pacing micra av
|
$104,709.00 |
$104,709.00 |
$104,709.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$50,592.63 |
$50,592.63 |
$50,592.63 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$43,106.25 |
$43,106.25 |
$43,106.25 |
$11,183.00
|
|
T3 (triiodothyronine) total
|
$171.00 |
$171.00 |
$171.00 |
$93.52
|
|
T4 (thyroxine) free
|
$101.40 |
$101.40 |
$101.40 |
$85.20
|
|
T4 (thyroxine) total
|
$185.40 |
$185.40 |
$185.40 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$64.49 |
$64.49 |
$72.18 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,119.28 |
$2,119.28 |
$2,371.76 |
$601.95
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$6,951.44 |
$6,951.44 |
$7,956.46 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$34,789.24 |
$34,789.24 |
$39,819.01 |
$2,369.70
|
|
Talymed
|
$8,151.00 |
$8,151.00 |
$8,151.00 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,443.80 |
$2,443.80 |
$2,443.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$8,758.80 |
$8,758.80 |
$8,758.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,679.52 |
$1,679.52 |
$1,919.45 |
$937.50
|
|
Tc-99m bicisate
|
$627.60 |
$627.60 |
$627.60 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$5,141.90 |
$5,141.90 |
$5,141.90 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$354.60 |
$354.60 |
$354.60 |
$302.40
|
|
Tc-99m maa
|
$131.40 |
$131.40 |
$131.40 |
$292.80
|
|
Tc-99m mebrofenin
|
$258.60 |
$258.60 |
$258.60 |
$157.65
|
|
Tc-99m medronate
|
$69.60 |
$69.60 |
$69.60 |
$111.01
|
|
Tc-99m mertiatide
|
$648.00 |
$648.00 |
$648.00 |
$756.00
|
|
Tc-99m oxidronate
|
$73.80 |
$73.80 |
$73.80 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$81.00 |
$81.00 |
$81.00 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$51.60 |
$51.60 |
$51.60 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$156.00 |
$156.00 |
$156.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$396.00 |
$396.00 |
$396.00 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,438.61 |
$1,438.61 |
$1,438.61 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$186.00 |
$186.00 |
$186.00 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$744.00 |
$744.00 |
$744.00 |
$955.60
|
|
Tcd emboli detect w/inj
|
$250.20 |
$250.20 |
$250.20 |
$475.80
|
|
T cells absolute cd 4 count
|
$199.20 |
$199.20 |
$199.20 |
$111.20
|
|
T cells total count
|
$162.00 |
$162.00 |
$162.00 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,961.60 |
$9,961.60 |
$11,401.82 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$34,848.49 |
$34,848.49 |
$39,826.85 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$19,547.57 |
$19,547.57 |
$19,547.57 |
$5,886.74
|
|
Tenosynovectomy radic 26145
|
$39,725.01 |
$39,725.01 |
$39,725.01 |
$1,893.86
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$14,606.18 |
$14,606.18 |
$14,606.18 |
$2,139.67
|
|
Tension based scoliosis orth
|
$18,094.09 |
$18,094.09 |
$18,094.09 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$45.00 |
$45.00 |
$45.00 |
$39.33
|
|
Test for urine cystines
|
$28.80 |
$28.80 |
$28.80 |
$26.00
|
|
Test pathogen(s) for platelets reference
|
$54.00 |
$54.00 |
$54.00 |
$70.00
|
|
Test socket below knee
|
$1,459.15 |
$1,459.15 |
$1,459.15 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,726.51 |
$2,726.51 |
$3,116.02 |
$1,285.36
|
