|
St evaluation motion fluoroscopic swallow function cine/video
|
$731.70 |
$731.70 |
$731.70 |
$399.60
|
|
St evaluation swallow function
|
$629.85 |
$629.85 |
$1,672.05 |
$314.40
|
|
Stimulants synthetic
|
$319.80 |
$319.80 |
$319.80 |
$80.08
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$5,454.00 |
$5,454.00 |
$5,454.00 |
$2,607.60
|
|
Strapping of ankle and/or ft 29540
|
$205.20 |
$205.20 |
$205.20 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$225.15 |
$225.15 |
$225.15 |
$154.70
|
|
Strapping of hand or finger
|
$225.15 |
$225.15 |
$225.15 |
$174.82
|
|
Strapping of knee
|
$205.20 |
$205.20 |
$205.20 |
$205.20
|
|
Strapping of toes 29550
|
$142.05 |
$142.05 |
$142.05 |
$164.70
|
|
Strep a ag ia
|
$141.00 |
$141.00 |
$141.00 |
$75.40
|
|
Strep b dna amp probe
|
$284.25 |
$284.25 |
$284.25 |
$120.90
|
|
Streptomycin injection
|
$87.75 |
$87.75 |
$87.75 |
$138.30
|
|
Stress test pulmonary
|
$324.00 |
$324.00 |
$324.00 |
$322.85
|
|
Stress tte complete
|
$2,680.20 |
$2,680.20 |
$2,680.20 |
$1,870.50
|
|
St treatment speech individual
|
$524.40 |
$524.40 |
$524.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$420.30 |
$420.30 |
$761.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$63.42 |
$63.42 |
$63.42 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$295.20 |
$295.20 |
$295.20 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$113.66 |
$113.66 |
$308.85 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$32.84 |
$32.84 |
$32.84 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$124.85 |
$124.85 |
$124.85 |
$94.19
|
|
Supprelin la implant
|
$93,838.08 |
$93,838.08 |
$93,838.08 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$303.00 |
$303.00 |
$303.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$107.85 |
$107.85 |
$107.85 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$555.30 |
$555.30 |
$555.30 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$576.00 |
$576.00 |
$576.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$330.45 |
$330.45 |
$330.45 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$490.20 |
$490.20 |
$490.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$177.75 |
$177.75 |
$177.75 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$46.05 |
$46.05 |
$46.05 |
$35.70
|
|
Susceptibility mic per plate
|
$258.30 |
$258.30 |
$258.30 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$103.20 |
$103.20 |
$103.20 |
$59.28
|
|
Svc venogram s&i
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$1,934.62
|
|
Synvisc or synvisc-one
|
$2,711.85 |
$2,711.85 |
$2,711.85 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$136.35 |
$136.35 |
$136.35 |
$41.60
|
|
System cardiomems hosp electronics
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$39,037.95
|
|
System pacing micra av
|
$34,155.00 |
$34,155.00 |
$34,155.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$904.05 |
$904.05 |
$904.05 |
$889.35
|
|
T3 (triiodothyronine) free
|
$324.00 |
$324.00 |
$324.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$188.70 |
$188.70 |
$188.70 |
$93.52
|
|
T4 (thyroxine) free
|
$284.70 |
$284.70 |
$284.70 |
$85.20
|
|
T4 (thyroxine) total
|
$110.40 |
$110.40 |
$110.40 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$10.86 |
$10.86 |
$10.86 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.78 |
$9.78 |
$9.78 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$534.82 |
$534.82 |
$534.82 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$239.40 |
$239.40 |
$239.40 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$771.00 |
$771.00 |
$771.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$1,055.72 |
$1,055.72 |
$1,055.72 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,160.00 |
$2,160.00 |
$2,700.00 |
$1,655.52
|
|
Tavr perq femoral
|
$14,593.50 |
$14,593.50 |
$14,593.50 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$863.75 |
$863.75 |
$863.75 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$184.80 |
$184.80 |
$184.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$221.40 |
$221.40 |
$221.40 |
$177.65
|
|
Tc-99m exame autol wbc diag per dose
|
$2,431.95 |
$2,431.95 |
$2,431.95 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$306.00 |
$306.00 |
$306.00 |
$302.40
|
|
Tc-99m maa
|
$74.55 |
$74.55 |
$74.55 |
$292.80
|
|
Tc-99m mebrofenin
|
$202.80 |
$202.80 |
$202.80 |
$157.65
|
|
Tc-99m medronate
|
$41.70 |
$41.70 |
$41.70 |
$111.01
|
|
Tc-99m oxidronate
|
$74.55 |
$74.55 |
$74.55 |
$105.60
|
|
Tc-99m pentetate dtpa aerosol
|
$139.65 |
$139.65 |
$139.65 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$408.45 |
$408.45 |
$408.45 |
$274.45
|
|
Tc-99m sulfur colloid
|
$347.10 |
$347.10 |
$347.10 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$366.60 |
$366.60 |
$366.60 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,121.70 |
$1,121.70 |
$1,121.70 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$246.00 |
$246.00 |
$246.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$123.00 |
$123.00 |
$123.00 |
$111.20
|
|
T cells total count
|
$123.00 |
$123.00 |
$123.00 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$40,114.80 |
$40,114.80 |
$40,114.80 |
$40,114.80
|
|
Telavancin injection
|
$1,191.80 |
$1,191.80 |
$1,191.80 |
$1,191.80
|
|
Telehealth original site facility fee
|
$46.35 |
$46.35 |
$46.35 |
$51.00
|
|
Telethx isodose plan cplx
|
$872.85 |
$872.85 |
$872.85 |
$1,526.85
|
|
Temozolomide
|
$647.64 |
$647.64 |
$647.64 |
$588.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,950.80 |
$4,950.80 |
$4,950.80 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$9,028.34 |
$9,028.34 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$10.95 |
$10.95 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$335.00
|
|
Test stress cardiovascular tracing only
|
$818.10 |
$818.10 |
$818.10 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,285.36 |
$1,285.36 |
$1,285.36 |
$1,285.36
|
|
Tgsap so/hl 51/< rna alys
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$4,347.00
|
|
Tgsap so neo 5-50 rna alys
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$276.75 |
$276.75 |
$276.75 |
$108.00
|
|
Therapeutic procd strg endur
|
$113.70 |
$113.70 |
$113.70 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$50.00
|
|
Ther/proph/diag inj ia
|
$178.95 |
$178.95 |
$186.15 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.62 |
$13.62 |
$13.62 |
$25.54
|
|
Thigh/wght bear lacer molded
|
$873.03 |
$873.03 |
$873.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$464.92 |
$464.92 |
$464.92 |
$464.92
|
|
Thiotepa injection
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$938.70 |
$938.70 |
$938.70 |
$1,687.50
|
|
Thoracoscopy diagnostic 32601
|
$3,430.65 |
$3,430.65 |
$3,430.65 |
$6,442.80
|
|
Thoracoscopy surgical 32650
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$2,815.80
|
|
Thoracotomy with cardiac massage
|
$1,981.05 |
$1,981.05 |
$1,981.05 |
$2,138.76
|
|
Thrcspy w/diag bp lng nod uni
|
$6,120.30 |
$6,120.30 |
$6,120.30 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$3,422.10 |
$3,422.10 |
$3,422.10 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$11,787.75 |
$11,787.75 |
$14,277.20
|
