|
Sinus/juglr venogram s&i
|
$911.27 |
$911.27 |
$911.27 |
$2,052.67
|
|
Sirolimus, oral
|
$13.29 |
$13.29 |
$13.29 |
$19.16
|
|
Sm-153 lexidron ther
|
$17,839.89 |
$17,839.89 |
$17,839.89 |
$11,993.80
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,200.46
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,101.52
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,455.20
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,101.52
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,200.46
|
|
Small bowel endoscopy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,104.13
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,101.52
|
|
Small bowel endoscopy 44365
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,073.18
|
|
Small bowel endoscopy/biopsy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,178.16
|
|
Small bowel endoscopy/biopsy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,101.52
|
|
Small bowel endoscopy br/wa
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,247.13
|
|
Small bowel endoscopy br/wa
|
$1,201.23 |
$1,201.23 |
$1,201.23 |
$2,218.50
|
|
Smear fluorescent and/or acid fast stain
|
$46.43 |
$46.43 |
$46.43 |
$50.70
|
|
Smear gram stain
|
$41.24 |
$41.24 |
$41.24 |
$48.00
|
|
Smear special stain inclusion bodies/parasites
|
$58.32 |
$58.32 |
$58.32 |
$60.00
|
|
Smear wet mount
|
$75.90 |
$75.90 |
$75.90 |
$56.13
|
|
Sodium 24 hour urine
|
$40.10 |
$40.10 |
$40.10 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$46.35 |
$46.35 |
$46.35 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$46.35 |
$46.35 |
$46.35 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$46.35 |
$46.35 |
$46.35 |
$42.25
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$13.67 |
$13.67 |
$13.67 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$26.93 |
$26.93 |
$26.93 |
$42.43
|
|
Special physics consult
|
$396.15 |
$396.15 |
$396.15 |
$688.05
|
|
Special radiation dosimetry
|
$244.74 |
$244.74 |
$244.74 |
$482.08
|
|
Special radiation treatment
|
$785.24 |
$785.24 |
$785.24 |
$1,945.00
|
|
Special teletx port plan
|
$1,086.99 |
$1,086.99 |
$1,086.99 |
$975.60
|
|
Specific gravity body fluid
|
$29.67 |
$29.67 |
$29.67 |
$21.55
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$869.79 |
$869.79 |
$869.79 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$536.34 |
$536.34 |
$536.34 |
$526.80
|
|
Sr-89 stront chlor ther / mci
|
$2,617.05 |
$2,617.05 |
$2,617.05 |
$5,445.60
|
|
Srs linear based
|
$3,525.80 |
$3,525.80 |
$3,525.80 |
$14,124.25
|
|
Staph a dna amp probe
|
$94.53 |
$94.53 |
$94.53 |
$116.39
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$27,301.35 |
$27,301.35 |
$27,301.35 |
$28,126.65
|
|
Stent iliac/open or perc/uni/init 37221
|
$22,106.90 |
$22,106.90 |
$22,106.90 |
$19,385.83
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$12,015.15 |
$12,015.15 |
$12,015.15 |
$10,086.20
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$21,166.35 |
$21,166.35 |
$21,166.35 |
$24,161.40
|
|
St evaluate speech sound production comprehensive/expressive
|
$146.49 |
$146.49 |
$146.49 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$212.79 |
$212.79 |
$212.79 |
$336.00
|
|
St evaluation swallow function
|
$111.96 |
$111.96 |
$111.96 |
$323.72
|
|
Streptomycin injection
|
$167.91 |
$167.91 |
$167.91 |
$26.21
|
|
Stress test pulmonary
|
$118.40 |
$118.40 |
$118.40 |
$330.63
|
|
St treatment speech individual
|
$111.56 |
$111.56 |
$111.56 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$130.97 |
$130.97 |
$130.97 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$5.33 |
$5.33 |
$5.33 |
$22.19
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$23.64 |
$23.64 |
$23.64 |
$52.49
|
|
Surg dx exam anorectal
|
$2,363.76 |
$2,363.76 |
$2,363.76 |
$2,814.85
|
|
Surgical pathology level 1 gross examination only
|
$30.20 |
$30.20 |
$30.20 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$65.42 |
$65.42 |
$65.42 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$104.06 |
$104.06 |
$104.06 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$112.20 |
$112.20 |
$112.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$161.76 |
$161.76 |
$161.76 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$368.46 |
$368.46 |
$368.46 |
$720.75
|
|
Susceptibility enzyme detection per enzyme
|
$46.89 |
$46.89 |
$46.89 |
$31.85
|
|
Susceptibility mic per plate
|
$107.91 |
$107.91 |
$107.91 |
$89.70
|
|
Suscept studies macrobroth dilution ea
|
$67.58 |
$67.58 |
$67.58 |
$47.17
|
|
Svc venogram s&i
|
$1,419.30 |
$1,419.30 |
$1,419.30 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$118.29 |
$118.29 |
$118.29 |
$45.70
|
|
T3 (triiodothyronine) free
|
$82.88 |
$82.88 |
$82.88 |
$91.20
|
|
T3 (triiodothyronine) total
|
$52.46 |
$52.46 |
$52.46 |
$88.00
|
|
T4 (thyroxine) free
|
$161.18 |
$161.18 |
$161.18 |
$65.00
|
|
T4 (thyroxine) total
|
$44.97 |
$44.97 |
$44.97 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.48 |
$3.48 |
$3.48 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$173.70 |
$173.70 |
$173.70 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$4,117.83 |
$4,117.83 |
$4,117.83 |
$1,928.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.79 |
$1.79 |
$1.79 |
$760.95
|
|
Tbs techl calculation only
|
$129.47 |
$129.47 |
$129.47 |
$119.66
|
|
Tbs techl prep&transmis data
|
$129.47 |
$129.47 |
$129.47 |
$105.08
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$166.46 |
$166.46 |
$166.46 |
$178.40
|
|
Tc-99m exametazime diag
|
$3,089.18 |
$3,089.18 |
$3,089.18 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$299.49 |
$299.49 |
$299.49 |
$312.70
|
|
Tc-99m maa
|
$216.27 |
$216.27 |
$216.27 |
$306.60
|
|
Tc-99m mebrofenin
|
$57.54 |
$57.54 |
$57.54 |
$169.53
|
|
Tc-99m medronate
|
$70.22 |
$70.22 |
$70.22 |
$120.35
|
|
Tc-99m mertiatide
|
$615.42 |
$615.42 |
$615.42 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$229.71 |
$229.71 |
$229.71 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$229.71 |
$229.71 |
$229.71 |
$231.60
|
|
Tc-99m pertechnetate per mci
|
$22.07 |
$22.07 |
$22.07 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$137.01 |
$137.01 |
$137.01 |
$137.01
|
|
Tc-99m sestamibi p study dose
|
$144.12 |
$144.12 |
$144.12 |
$221.60
|
|
Tc-99m sulfur colloid
|
$401.36 |
$401.36 |
$401.36 |
$240.50
|
|
Tc-99m tilmanocept diag
|
$1,108.52 |
$1,108.52 |
$1,108.52 |
$1,007.79
|
|
T cells absolute cd4/cd8 including ratio
|
$255.23 |
$255.23 |
$255.23 |
$189.60
|
|
Telethx isodose plan cplx
|
$1,086.99 |
$1,086.99 |
$1,086.99 |
$1,526.85
|
|
Telethx isodose plan simple
|
$370.44 |
$370.44 |
$370.44 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$213.27 |
$213.27 |
$213.27 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$8.60 |
$8.60 |
$8.60 |
$39.33
|
|
Test for chlorohydrocarbons
|
$254.78 |
$254.78 |
$254.78 |
$71.04
|
|
Testicular imaging w/vasc flow
|
$329.15 |
$329.15 |
$329.15 |
$586.96
|
|
Test pathogen(s) for platelets reference
|
$146.37 |
$146.37 |
$146.37 |
$52.00
|
|
Test stress cardiovascular tracing only
|
$614.06 |
$614.06 |
$614.06 |
$1,016.00
|
|
Tetanus immune globulin inj
|
$1,395.20 |
$1,395.20 |
$1,395.20 |
$1,073.02
|
|
Theophylline therapeutic drug level
|
$107.94 |
$107.94 |
$107.94 |
$101.40
|
|
Therapeutic procd strg endur
|
$68.93 |
$68.93 |
$68.93 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$30.08 |
$30.08 |
$30.08 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$30.08 |
$30.08 |
$30.08 |
$47.50
|
|
Ther/proph/diag inj ia
|
$293.46 |
$293.46 |
$293.46 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.54 |
$9.54 |
$9.54 |
$25.80
|