|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$416.80 |
$416.80 |
$416.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$89.60 |
$89.60 |
$89.60 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$715.20 |
$715.20 |
$715.20 |
$611.91
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$114.40 |
$114.40 |
$114.40 |
$96.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$124.00 |
$124.00 |
$124.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$337.60 |
$337.60 |
$337.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$276.80 |
$276.80 |
$276.80 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,819.20 |
$3,819.20 |
$3,819.20 |
$2,743.02
|
|
Shoulder MRI (without contrast)
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$2,096.84
|
|
Shoulder X-ray
|
$320.80 |
$320.80 |
$320.80 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$227.20 |
$227.20 |
$227.20 |
$263.25
|
|
Sinus CT scan (with and without contrast)
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,045.60 |
$2,045.60 |
$2,045.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,618.40 |
$1,618.40 |
$1,618.40 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$404.00 |
$404.00 |
$404.00 |
$346.45
|
|
Sinus X-ray (limited)
|
$227.20 |
$227.20 |
$227.20 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$377.60 |
$377.60 |
$377.60 |
$294.45
|
|
Skull X-ray (complete)
|
$492.80 |
$492.80 |
$492.80 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,947.20 |
$3,947.20 |
$3,947.20 |
$3,734.50
|
|
Smear fluorescent and/or acid fast stain
|
$44.00 |
$44.00 |
$44.00 |
$64.35
|
|
Smear gram stain
|
$27.20 |
$27.20 |
$27.20 |
$55.55
|
|
Smear nasal eosinophil
|
$25.60 |
$25.60 |
$25.60 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$53.60 |
$53.60 |
$53.60 |
$73.50
|
|
Smear wet mount
|
$35.20 |
$35.20 |
$35.20 |
$67.55
|
|
Sodium 24 hour urine
|
$28.80 |
$28.80 |
$28.80 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$60.00 |
$60.00 |
$60.00 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$72.00 |
$72.00 |
$72.00 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$3.60 |
$3.60 |
$3.60 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$29.60 |
$29.60 |
$29.60 |
$46.26
|
|
Specimen fat stain
|
$52.00 |
$52.00 |
$52.00 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$452.00 |
$452.00 |
$452.00 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$282.40 |
$282.40 |
$282.40 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$240.80 |
$240.80 |
$240.80 |
$251.00
|
|
St analysis behavior qualitative voice/resonance
|
$297.60 |
$297.60 |
$297.60 |
$297.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$32,403.15
|
|
Sterile water/saline, 10 ml
|
$3.60 |
$3.60 |
$3.60 |
$13.32
|
|
St evaluate speech sound production
|
$331.20 |
$331.20 |
$331.20 |
$292.95
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,649.60 |
$1,649.60 |
$1,649.60 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$161.60 |
$161.60 |
$161.60 |
$223.45
|
|
Strapping of chest
|
$168.00 |
$168.00 |
$168.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$188.00 |
$188.00 |
$188.00 |
$157.46
|
|
Strapping of hand or finger
|
$163.20 |
$163.20 |
$163.20 |
$177.45
|
|
Strapping of hip
|
$189.60 |
$189.60 |
$189.60 |
$164.70
|
|
Strapping of knee
|
$178.40 |
$178.40 |
$178.40 |
$205.20
|
|
Strapping of toes 29550
|
$127.20 |
$127.20 |
$127.20 |
$164.70
|
|
Stress test pulmonary
|
$319.20 |
$319.20 |
$319.20 |
$324.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$63.72 |
$63.72 |
$63.72 |
$54.80
|
|
Sulfonylurea screen qn-sendout
|
$104.00 |
$104.00 |
$104.00 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$64.46 |
$64.46 |
$64.46 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$32.80 |
$32.80 |
$32.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$77.60 |
$77.60 |
$77.60 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$104.00 |
$104.00 |
$104.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$107.20 |
$107.20 |
$107.20 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$680.00 |
$680.00 |
$680.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$968.00 |
$968.00 |
$968.00 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$34.40 |
$34.40 |
$34.40 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$36.80 |
$36.80 |
$36.80 |
$35.89
|
|
Susceptibility mic per plate
|
$158.40 |
$158.40 |
$158.40 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$362.40 |
$362.40 |
$362.40 |
$316.80
|
|
Swallowing Therapy Session
|
$244.00 |
$244.00 |
$244.00 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$11.20 |
$11.20 |
$11.20 |
$42.24
|
|
T3 (triiodothyronine) free
|
$108.80 |
$108.80 |
$108.80 |
$100.32
|
|
T3 (triiodothyronine) total
|
$68.80 |
$68.80 |
$68.80 |
$93.52
|
|
T4 (thyroxine) free
|
$60.80 |
$60.80 |
$60.80 |
$89.60
|
|
T4 (thyroxine) total
|
$30.40 |
$30.40 |
$30.40 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.20 |
$1.20 |
$1.20 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$147.20 |
$147.20 |
$147.20 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$291.20 |
$291.20 |
$291.20 |
$289.20
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$304.80 |
$304.80 |
$304.80 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$178.40 |
$178.40 |
$178.40 |
$179.95
|
|
Tc-99m maa
|
$936.80 |
$936.80 |
$936.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$178.40 |
$178.40 |
$178.40 |
$157.65
|
|
Tc-99m medronate
|
$133.60 |
$133.60 |
$133.60 |
$111.01
|
|
Tc-99m oxidronate
|
$168.00 |
$168.00 |
$168.00 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$388.80 |
$388.80 |
$388.80 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$108.00 |
$108.00 |
$108.00 |
$18.67
|
|
Tc-99m sestamibi p study dose
|
$352.00 |
$352.00 |
$352.00 |
$287.20
|
|
Tc-99m sulfur colloid
|
$308.00 |
$308.00 |
$308.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$120.00 |
$120.00 |
$120.00 |
$193.28
|
|
T cells absolute cd4/cd8 including ratio
|
$201.60 |
$201.60 |
$201.60 |
$184.00
|
|
T cells absolute cd 4 count
|
$117.60 |
$117.60 |
$117.60 |
$111.20
|
|
T cells total count
|
$183.20 |
$183.20 |
$183.20 |
$130.20
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$10,355.48 |
$10,355.48 |
$10,355.48 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$61.18 |
$61.18 |
$61.18 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$1,025.60 |
$1,025.60 |
$1,025.60 |
$953.40
|
|
Tetanus immune globulin inj
|
$899.08 |
$899.08 |
$899.08 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$63.20 |
$63.20 |
$63.20 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$114.40 |
$114.40 |
$114.40 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$117.60 |
$117.60 |
$117.60 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$45.60 |
$45.60 |
$45.60 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$45.60 |
$45.60 |
$45.60 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$62.53 |
$62.53 |
$62.53 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$316.00 |
$316.00 |
$316.00 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$1,724.25
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,034.40 |
$2,034.40 |
$2,034.40 |
$1,703.45
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$65.60 |
$65.60 |
$65.60 |
$62.01
|
