|
Sodium chloride 3 % ivpb
|
$9.49 |
$9.49 |
$9.49 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$13.87 |
$13.87 |
$13.87 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$51.06 |
$51.06 |
$51.06 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$170.77 |
$170.77 |
$170.77 |
$177.52
|
|
Specific gravity body fluid
|
$1.61 |
$1.61 |
$1.61 |
$22.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$155.94 |
$155.94 |
$155.94 |
$543.26
|
|
St analysis behavior qualitative voice/resonance
|
$69.00 |
$69.00 |
$69.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$81.88 |
$81.88 |
$81.88 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$16,917.88 |
$16,917.88 |
$16,917.88 |
$21,626.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$11,205.37 |
$11,205.37 |
$11,205.37 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,180.22 |
$9,180.22 |
$9,180.22 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,259.19 |
$11,259.19 |
$11,259.19 |
$17,271.50
|
|
St evaluate speech sound production
|
$67.16 |
$67.16 |
$67.16 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$138.23 |
$138.23 |
$138.23 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$191.59 |
$191.59 |
$191.59 |
$399.60
|
|
St evaluation swallow function
|
$131.56 |
$131.56 |
$131.56 |
$314.40
|
|
Stimulants synthetic
|
$17.48 |
$17.48 |
$17.48 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$43.01 |
$43.01 |
$43.01 |
$223.45
|
|
Strapping of chest
|
$48.99 |
$48.99 |
$48.99 |
$195.33
|
|
Strapping of hand or finger
|
$33.81 |
$33.81 |
$33.81 |
$174.82
|
|
Strapping of knee
|
$33.81 |
$33.81 |
$33.81 |
$205.20
|
|
Strapping of toes 29550
|
$33.81 |
$33.81 |
$33.81 |
$164.70
|
|
Streptomycin injection
|
$66.92 |
$66.92 |
$66.92 |
$138.30
|
|
Stress test pulmonary
|
$51.52 |
$51.52 |
$51.52 |
$322.85
|
|
St treatment speech individual
|
$133.86 |
$133.86 |
$133.86 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$189.52 |
$189.52 |
$189.52 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$48.13 |
$48.13 |
$48.13 |
$52.31
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$39.90 |
$39.90 |
$39.90 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$8.74 |
$8.74 |
$8.74 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$14.49 |
$14.49 |
$14.49 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$31.97 |
$31.97 |
$31.97 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$31.97 |
$31.97 |
$31.97 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$115.23 |
$115.23 |
$115.23 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$242.42 |
$242.42 |
$242.42 |
$718.00
|
|
Susceptibility mic per plate
|
$53.82 |
$53.82 |
$53.82 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$4.83 |
$4.83 |
$4.83 |
$59.28
|
|
Svc venogram s&i
|
$641.47 |
$641.47 |
$641.47 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$37.26 |
$37.26 |
$37.26 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$43.93 |
$43.93 |
$43.93 |
$41.60
|
|
T3 (triiodothyronine) free
|
$69.00 |
$69.00 |
$69.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$57.50 |
$57.50 |
$57.50 |
$93.52
|
|
T4 (thyroxine) free
|
$46.00 |
$46.00 |
$46.00 |
$85.20
|
|
T4 (thyroxine) total
|
$9.20 |
$9.20 |
$9.20 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.00 |
$3.00 |
$3.00 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$197.80 |
$197.80 |
$197.80 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$944.26 |
$944.26 |
$944.26 |
$2,762.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$53.36 |
$53.36 |
$53.36 |
$177.65
|
|
Tc-99m disofenin
|
$103.14 |
$103.14 |
$103.14 |
$124.32
|
|
Tc-99m maa
|
$55.89 |
$55.89 |
$55.89 |
$292.80
|
|
Tc-99m mebrofenin
|
$36.22 |
$36.22 |
$36.22 |
$157.65
|
|
Tc-99m medronate
|
$29.12 |
$29.12 |
$29.12 |
$111.01
|
|
Tc-99m mertiatide
|
$242.88 |
$242.88 |
$242.88 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$55.89 |
$55.89 |
$55.89 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$0.25 |
$0.25 |
$0.25 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$110.33 |
$110.33 |
$110.33 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$49.70 |
$49.70 |
$49.70 |
$274.45
|
|
Tc-99m sulfur colloid
|
$55.66 |
$55.66 |
$55.66 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$67.16 |
$67.16 |
$67.16 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$360.18 |
$360.18 |
$360.18 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$46.92 |
$46.92 |
$46.92 |
$176.40
|
|
T cells absolute cd 4 count
|
$46.23 |
$46.23 |
$46.23 |
$111.20
|
|
T cells total count
|
$46.46 |
$46.46 |
$46.46 |
$126.90
|
|
Telehealth original site facility fee
|
$15.87 |
$15.87 |
$15.87 |
$51.00
|
|
Temozolomide
|
$134.35 |
$134.35 |
$134.35 |
$588.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$914.84 |
$914.84 |
$914.84 |
$3,723.60
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,003.26 |
$1,003.26 |
$1,003.26 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$8.62 |
$8.62 |
$8.62 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$338.56 |
$338.56 |
$338.56 |
$949.70
|
|
Test urine for porphyrins
|
$33.35 |
$33.35 |
$33.35 |
$49.98
|
|
Tgsap hl neo 5-50 rna alys
|
$566.95 |
$566.95 |
$566.95 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$2,178.79 |
$2,178.79 |
$2,178.79 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$446.43 |
$446.43 |
$446.43 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$89.70 |
$89.70 |
$89.70 |
$108.00
|
|
Therapeutic procd strg endur
|
$18.63 |
$18.63 |
$18.63 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$23.00 |
$23.00 |
$23.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.70 |
$20.70 |
$20.70 |
$50.00
|
|
Ther/proph/diag inj ia
|
$66.01 |
$66.01 |
$66.01 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$15.88 |
$15.88 |
$15.88 |
$25.54
|
|
Thiotepa injection
|
$1,500.05 |
$1,500.05 |
$1,500.05 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$702.88 |
$702.88 |
$702.88 |
$1,687.50
|
|
Thoracotomy w/expl
|
$668.38 |
$668.38 |
$668.38 |
$2,045.17
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$7,065.83 |
$7,065.83 |
$7,065.83 |
$21,413.60
|
|
Thrombin time
|
$47.61 |
$47.61 |
$47.61 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$19.55 |
$19.55 |
$19.55 |
$61.52
|
|
Thyroglobulin antibody
|
$37.49 |
$37.49 |
$37.49 |
$82.00
|
|
Thyroid imaging
|
$322.69 |
$322.69 |
$322.69 |
$695.02
|
|
Thyroid (TSH) Test
|
$65.09 |
$65.09 |
$65.09 |
$111.00
|
|
Thyroid Ultrasound
|
$235.06 |
$235.06 |
$235.06 |
$588.50
|
|
Thyroid uptake measurement
|
$292.33 |
$292.33 |
$292.33 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$211.37 |
$211.37 |
$211.37 |
$64.35
|
|
Tib/per revasc stent & ather 37231
|
$16,917.88 |
$16,917.88 |
$16,917.88 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$14,839.14 |
$14,839.14 |
$14,839.14 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$9,280.50 |
$9,280.50 |
$9,280.50 |
$9,769.65
|
|
Tigecycline injection
|
$167.63 |
$167.63 |
$167.63 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$144.90 |
$144.90 |
$144.90 |
$458.85
|
|
Tissue transglutaminase iga
|
$8.74 |
$8.74 |
$8.74 |
$44.16
|
|
Tixagev and cilgav inj
|
$117.07 |
$117.07 |
$117.07 |
$224.55
|
|
Tl-201 thallium diag per mci
|
$79.30 |
$79.30 |
$79.30 |
$78.40
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$122.88 |
$122.88 |
$122.88 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$32.43 |
$32.43 |
$32.43 |
$120.60
|