|
Staph a dna amp probe
|
$60.03 |
$60.03 |
$60.03 |
$125.00
|
|
St evaluate speech sound production
|
$88.09 |
$88.09 |
$88.09 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$173.88 |
$173.88 |
$173.88 |
$377.00
|
|
St evaluation swallow function
|
$80.73 |
$80.73 |
$80.73 |
$314.40
|
|
Stimulants synthetic
|
$20.93 |
$20.93 |
$20.93 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$50.83 |
$50.83 |
$50.83 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$36.80 |
$36.80 |
$36.80 |
$154.70
|
|
Strapping of hand or finger
|
$55.89 |
$55.89 |
$55.89 |
$174.82
|
|
Strapping of knee
|
$55.89 |
$55.89 |
$55.89 |
$205.20
|
|
Strapping of toes 29550
|
$50.83 |
$50.83 |
$50.83 |
$164.70
|
|
Strep b dna amp probe
|
$60.03 |
$60.03 |
$60.03 |
$120.90
|
|
Stress test pulmonary
|
$90.16 |
$90.16 |
$90.16 |
$322.85
|
|
Str markers specimen anal
|
$388.47 |
$388.47 |
$388.47 |
$751.50
|
|
St treatment swallow dysfunction/oral
|
$82.34 |
$82.34 |
$82.34 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$44.55 |
$44.55 |
$44.55 |
$52.31
|
|
Sugars multiple quant
|
$11.96 |
$11.96 |
$11.96 |
$44.19
|
|
Sulfonylurea screen qn-sendout
|
$18.40 |
$18.40 |
$18.40 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$48.88 |
$48.88 |
$48.88 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$18.86 |
$18.86 |
$18.86 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$38.87 |
$38.87 |
$38.87 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$44.39 |
$44.39 |
$44.39 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$74.06 |
$74.06 |
$74.06 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$230.92 |
$230.92 |
$230.92 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$327.29 |
$327.29 |
$327.29 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$8.28 |
$8.28 |
$8.28 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$3.91 |
$3.91 |
$3.91 |
$35.70
|
|
Susceptibility mic per plate
|
$14.95 |
$14.95 |
$14.95 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$7.13 |
$7.13 |
$7.13 |
$59.28
|
|
Sweat collection by iontophoresis
|
$23.23 |
$23.23 |
$23.23 |
$125.40
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$7.82 |
$7.82 |
$7.82 |
$41.60
|
|
T3 (triiodothyronine) free
|
$29.21 |
$29.21 |
$29.21 |
$99.20
|
|
T3 (triiodothyronine) total
|
$24.38 |
$24.38 |
$24.38 |
$93.52
|
|
T4 (thyroxine) free
|
$15.41 |
$15.41 |
$15.41 |
$85.20
|
|
T4 (thyroxine) total
|
$11.73 |
$11.73 |
$11.73 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$0.83 |
$0.83 |
$0.83 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$23.69 |
$23.69 |
$23.69 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$816.50 |
$816.50 |
$816.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,676.78 |
$3,676.78 |
$3,676.78 |
$3,746.70
|
|
Target gsa panel organ neop
|
$366.62 |
$366.62 |
$366.62 |
$1,655.52
|
|
Tbp gene detc abnor alleles
|
$105.80 |
$105.80 |
$105.80 |
$225.42
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$106.49 |
$106.49 |
$106.49 |
$177.65
|
|
Tc-99m oxidronate
|
$18.86 |
$18.86 |
$18.86 |
$105.60
|
|
T cells absolute cd4/cd8 including ratio
|
$80.73 |
$80.73 |
$80.73 |
$176.40
|
|
T cells absolute cd 4 count
|
$46.00 |
$46.00 |
$46.00 |
$111.20
|
|
T cells total count
|
$64.63 |
$64.63 |
$64.63 |
$126.90
|
|
Telehealth original site facility fee
|
$22.54 |
$22.54 |
$22.54 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$6,373.70 |
$6,373.70 |
$6,373.70 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$41.38 |
$41.38 |
$41.38 |
$39.33
|
|
Test for chlorohydrocarbons
|
$6.44 |
$6.44 |
$6.44 |
$65.00
|
|
Test for urine cystines
|
$8.74 |
$8.74 |
$8.74 |
$26.00
|
|
Test urine urobilinogen
|
$5.52 |
$5.52 |
$5.52 |
$9.75
|
|
Tetanus immune globulin inj
|
$562.95 |
$562.95 |
$562.95 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$947.83 |
$947.83 |
$947.83 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$24.38 |
$24.38 |
$24.38 |
$108.00
|
|
Ther/proph/diag inj ia
|
$52.67 |
$52.67 |
$52.67 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$5.72 |
$5.72 |
$5.72 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$376.51 |
$376.51 |
$376.51 |
$1,687.50
|
|
Thoracotomy with cardiac massage
|
$1,877.49 |
$1,877.49 |
$1,877.49 |
$2,138.76
|
|
Thrombin time
|
$9.89 |
$9.89 |
$9.89 |
$53.76
|
|
Thromboplastin inhibition
|
$16.56 |
$16.56 |
$16.56 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$11.04 |
$11.04 |
$11.04 |
$61.52
|
|
Thyroglobulin antibody
|
$27.37 |
$27.37 |
$27.37 |
$82.00
|
|
Thyroid (TSH) Test
|
$28.98 |
$28.98 |
$28.98 |
$111.00
|
|
Thyroid Ultrasound
|
$99.82 |
$99.82 |
$99.82 |
$588.50
|
|
Thyrotropin releasing hormone
|
$86.71 |
$86.71 |
$86.71 |
$88.35
|
|
Thyroxine binding globulin (tbg)
|
$24.61 |
$24.61 |
$24.61 |
$64.35
|
|
Tigecycline injection
|
$200.96 |
$200.96 |
$200.96 |
$234.00
|
|
Tissue culture placenta
|
$118.91 |
$118.91 |
$118.91 |
$457.00
|
|
Tissue culture skin/biopsy
|
$128.34 |
$128.34 |
$128.34 |
$484.00
|
|
Tissue culture tumor
|
$119.37 |
$119.37 |
$119.37 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$6.90 |
$6.90 |
$6.90 |
$47.20
|
|
Tissue transglutaminase iga
|
$72.91 |
$72.91 |
$72.91 |
$44.16
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$7.80 |
$7.80 |
$7.80 |
$152.36
|
|
Tobramycin peak therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$120.60
|
|
Total tau
|
$50.14 |
$50.14 |
$50.14 |
$312.50
|
|
Toxoplasma antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$89.40
|
|
Toxoplasma antibody igm
|
$24.61 |
$24.61 |
$24.61 |
$87.00
|
|
Tp53 gene full gene sequence
|
$808.22 |
$808.22 |
$808.22 |
$709.80
|
|
Tp53 gene known famil vrnt
|
$388.01 |
$388.01 |
$388.01 |
$395.40
|
|
Tp53 gene trgt sequence alys
|
$414.92 |
$414.92 |
$414.92 |
$790.68
|
|
Tpmt gene com vrnts
|
$220.11 |
$220.11 |
$220.11 |
$371.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$264.50 |
$264.50 |
$264.50 |
$1,420.44
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$11.13 |
$11.13 |
$11.13 |
$56.38
|
|
Transferrin
|
$21.39 |
$21.39 |
$21.39 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$117.07 |
$117.07 |
$117.07 |
$983.00
|
|
Tray bonemarrw oncontrol 102mm
|
$894.50 |
$894.50 |
$894.50 |
$940.80
|
|
Treat clavicle dislocation 23545
|
$207.92 |
$207.92 |
$207.92 |
$705.60
|
|
Treat elbow dislocation
|
$710.01 |
$710.01 |
$710.01 |
$2,223.20
|
|
Treat elbow fracture
|
$710.01 |
$710.01 |
$710.01 |
$1,919.13
|
|
Treat finger fracture each
|
$62.10 |
$62.10 |
$62.10 |
$1,536.00
|
|
Treat foot dislocation
|
$99.82 |
$99.82 |
$99.82 |
$527.28
|
|
Treat fracture of radius
|
$201.94 |
$201.94 |
$201.94 |
$1,790.00
|
|
Treat fracture of ulna
|
$207.92 |
$207.92 |
$207.92 |
$726.05
|
|
Treat hip dislocation
|
$676.20 |
$676.20 |
$676.20 |
$2,192.80
|
|
Treat humerus fracture
|
$207.92 |
$207.92 |
$207.92 |
$1,771.43
|
|
Treat humerus fracture
|
$278.76 |
$278.76 |
$278.76 |
$1,771.43
|
|
Treat knee dislocation
|
$646.99 |
$646.99 |
$646.99 |
$2,220.89
|
|
Treat knee fracture 27530
|
$106.95 |
$106.95 |
$106.95 |
$550.00
|
|
Treat lower leg dislocation
|
$207.92 |
$207.92 |
$207.92 |
$530.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$819.49 |
$819.49 |
$819.49 |
$3,916.04
|
