|
Smear wet mount
|
$70.02 |
$77.76 |
$136.15 |
$68.63
|
|
Sodium 24 hour urine
|
$74.61 |
$82.89 |
$145.08 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$31.05 |
$31.05 |
$60.38 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$19.35 |
$20.70 |
$40.60 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$31.05 |
$31.05 |
$60.38 |
$46.35
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$80.73 |
$80.73 |
$156.98 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$46.26 |
$46.26 |
$89.95 |
$42.70
|
|
Special physics consult
|
$509.58 |
$509.58 |
$509.58 |
$700.74
|
|
Special radiation dosimetry
|
$238.95 |
$238.95 |
$238.95 |
$445.50
|
|
Special radiation treatment
|
$909.18 |
$909.18 |
$909.18 |
$1,934.03
|
|
Special teletx port plan
|
$238.95 |
$238.95 |
$238.95 |
$1,046.65
|
|
Specific gravity body fluid
|
$12.87 |
$12.87 |
$25.03 |
$23.63
|
|
Specimen fat stain
|
$25.11 |
$25.11 |
$48.83 |
$32.76
|
|
Speech audiometry complete
|
$26.19 |
$26.19 |
$54.08 |
$104.25
|
|
Speech evaluation complex
|
$284.94 |
$284.94 |
$554.05 |
$527.06
|
|
Speech recep thresh
|
$56.52 |
$56.52 |
$93.80 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$794.52 |
$794.52 |
$1,544.90 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$356.04 |
$418.86 |
$1,542.80 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$366.66 |
$366.66 |
$843.68 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$36.72 |
$36.72 |
$113.23 |
$41.58
|
|
Splint finger frog med
|
$86.80 |
$86.80 |
$86.80 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$74.97 |
$74.97 |
$145.78 |
$73.11
|
|
Split blood or products
|
$70.92 |
$78.84 |
$137.90 |
$148.98
|
|
Srs linear based
|
$11,601.72 |
$11,601.72 |
$11,601.72 |
$14,124.25
|
|
Srs multisource
|
$22,918.59 |
$22,918.59 |
$22,918.59 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$270.18 |
$270.18 |
$525.35 |
$300.00
|
|
Staph a dna amp probe
|
$313.92 |
$313.92 |
$610.40 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$258.21 |
$258.21 |
$502.08 |
$313.96
|
|
Stem cells total count
|
$108.72 |
$108.72 |
$211.40 |
$130.90
|
|
Stenger test speech
|
$71.10 |
$71.10 |
$147.00 |
$404.25
|
|
St evaluate speech sound production
|
$249.93 |
$249.93 |
$516.25 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$285.66 |
$285.66 |
$555.45 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$195.39 |
$206.28 |
$433.65 |
$406.40
|
|
St evaluation swallow function
|
$214.29 |
$214.29 |
$367.68 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$109.98 |
$109.98 |
$157.68 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$76.77 |
$84.06 |
$150.15 |
$171.00
|
|
Strapping of hand or finger
|
$102.06 |
$111.87 |
$199.68 |
$194.40
|
|
Strapping of hip
|
$18.73 |
$33.30 |
$33.30 |
$170.08
|
|
Strapping of knee
|
$75.42 |
$75.42 |
$146.65 |
$224.80
|
|
Strep b dna amp probe
|
$262.08 |
$262.08 |
$509.60 |
$139.20
|
|
Streptomycin injection
|
$9.27 |
$9.27 |
$18.03 |
$100.00
|
|
Streptozocin injection
|
$131.76 |
$169.65 |
$256.20 |
$954.71
|
|
Stress test pulmonary
|
$157.41 |
$306.08 |
$532.80 |
$327.20
|
|
Stress tte complete
|
$1,356.78 |
$1,699.83 |
$1,699.83 |
$1,964.95
|
|
Str markers specimen anal
|
$1,730.61 |
$1,730.61 |
$7,505.93 |
$835.28
|
|
St treatment speech individual
|
$154.26 |
$154.26 |
$299.95 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$110.70 |
$110.70 |
$228.90 |
$261.60
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$1,365.88 |
$1,365.88 |
$1,365.88 |
$819.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$45.81 |
$45.81 |
$89.08 |
$49.13
|
|
Sugars multiple quant
|
$44.19 |
$49.14 |
$85.93 |
$26.95
|
|
Sugars single quant
|
$86.04 |
$95.58 |
$231.53 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$115.92 |
$115.92 |
$225.40 |
$184.60
|
|
Support clav 29.6-40.5in med
|
$44.91 |
$77.22 |
$225.40 |
$68.54
|
|
Supprelin la implant
|
$24,970.32 |
$24,970.32 |
$48,553.40 |
$45,560.39
|
|
Surgical pathology level 1 gross examination only
|
$140.58 |
$140.58 |
$273.35 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$149.76 |
$149.76 |
$291.20 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$303.48 |
$303.48 |
$590.10 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$139.86 |
$139.86 |
$427.70 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$535.41 |
$535.41 |
$1,041.08 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$768.15 |
$768.15 |
$1,493.63 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$40.68 |
$40.68 |
$633.85 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$40.68 |
$40.68 |
$79.10 |
$34.48
|
|
Susceptibility mic per plate
|
$94.23 |
$104.58 |
$183.23 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$51.57 |
$51.57 |
$100.28 |
$48.30
|
|
Svc venogram s&i
|
$906.84 |
$906.84 |
$1,787.45 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$71.64 |
$71.64 |
$487.73 |
$105.21
|
|
Synvisc or synvisc-one
|
$268.29 |
$268.29 |
$521.68 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$34.29 |
$34.29 |
$69.65 |
$44.85
|
|
T3 (triiodothyronine) free
|
$95.40 |
$106.11 |
$439.60 |
$89.82
|
|
T3 (triiodothyronine) total
|
$118.17 |
$131.49 |
$439.60 |
$94.90
|
|
T4 (thyroxine) free
|
$39.51 |
$43.83 |
$195.65 |
$81.60
|
|
T4 (thyroxine) total
|
$80.73 |
$80.73 |
$156.98 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.11 |
$7.11 |
$35.19 |
$9.99
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$163.98 |
$163.98 |
$318.85 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$162.54 |
$162.54 |
$316.05 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$565.20 |
$565.20 |
$565.20 |
$4,222.23
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$2,369.70 |
$2,369.70 |
$2,369.70 |
$77.55
|
|
Target gsa panel hmtlmph neop
|
$1,522.17 |
$1,522.17 |
$2,959.78 |
$1,928.40
|
|
Tas congenital car anomal
|
$25,117.29 |
$25,117.29 |
$25,117.29 |
$6,003.27
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$691.83 |
$691.83 |
$1,345.23 |
$959.55
|
|
Tbs techl calculation only
|
$239.75 |
$239.75 |
$239.75 |
$123.30
|
|
Tbs techl prep&transmis data
|
$239.75 |
$239.75 |
$239.75 |
$104.19
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$581.22 |
$581.22 |
$1,130.15 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$112.86 |
$112.86 |
$856.98 |
$166.46
|
|
Tc-99m bicisate
|
$648.63 |
$648.63 |
$1,218.18 |
$1,969.45
|
|
Tc-99m maa
|
$69.66 |
$69.66 |
$135.45 |
$312.06
|
|
Tc-99m medronate
|
$45.45 |
$45.45 |
$103.60 |
$122.46
|
|
Tc-99m oxidronate
|
$65.16 |
$65.16 |
$65.16 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$158.04 |
$158.04 |
$204.40 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$83.43 |
$83.43 |
$189.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$72.00 |
$72.00 |
$142.28 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$177.48 |
$177.48 |
$345.10 |
$221.60
|
|
Tc-99m sulfur colloid
|
$393.12 |
$393.12 |
$893.55 |
$245.70
|
|
Tcd emboli detect w/inj
|
$177.21 |
$177.21 |
$177.21 |
$404.68
|
|
Tcd emboli detect without inj
|
$177.21 |
$177.21 |
$177.21 |
$397.15
|
|
T cells absolute cd4/cd8 including ratio
|
$197.73 |
$219.60 |
$384.48 |
$186.00
|
|
T cells absolute cd 4 count
|
$125.46 |
$139.32 |
$243.95 |
$120.25
|
|
T cells total count
|
$114.75 |
$124.11 |
$324.98 |
$124.11
|
|
Tcranial magn stim tx deli
|
$321.48 |
$321.48 |
$321.48 |
$368.50
|
|
Tcranial magn stim tx plan
|
$596.58 |
$596.58 |
$596.58 |
$386.88
|
