|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$747.20 |
$747.20 |
$747.20 |
$77.77
|
|
Soft interface below knee se
|
$855.00 |
$855.00 |
$855.00 |
$181.69
|
|
Specific gravity body fluid
|
$234.74 |
$234.74 |
$234.74 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,224.33 |
$1,224.33 |
$1,224.33 |
$536.34
|
|
Spleen imaging
|
$1,914.53 |
$1,914.53 |
$1,914.53 |
$679.00
|
|
St cognitve performance testing healthcare professional each hour
|
$508.82 |
$508.82 |
$508.82 |
$284.65
|
|
Stem cells total count
|
$925.12 |
$925.12 |
$925.12 |
$172.10
|
|
Strep b assay w/optic
|
$257.72 |
$257.72 |
$257.72 |
$80.16
|
|
Streptomycin injection
|
$317.43 |
$317.43 |
$317.43 |
$143.00
|
|
Streptozocin injection
|
$3,721.19 |
$3,721.19 |
$3,721.19 |
$811.35
|
|
Stress tte complete
|
$9,020.33 |
$9,020.33 |
$9,020.33 |
$1,784.25
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.97 |
$12.97 |
$12.97 |
$50.22
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$135.77 |
$135.77 |
$135.77 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,576.37 |
$1,576.37 |
$1,576.37 |
$123.58
|
|
Surgical pathology level 1 gross examination only
|
$440.32 |
$440.32 |
$440.32 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$644.34 |
$644.34 |
$644.34 |
$146.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$885.21 |
$885.21 |
$885.21 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,156.76 |
$1,156.76 |
$1,156.76 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,561.78 |
$1,561.78 |
$1,561.78 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,911.57 |
$1,911.57 |
$1,911.57 |
$730.20
|
|
Susceptibility agar dilution per agent
|
$133.47 |
$133.47 |
$133.47 |
$42.70
|
|
Susceptibility enzyme detection per enzyme
|
$133.47 |
$133.47 |
$133.47 |
$35.10
|
|
Suscept studies macrobroth dilution ea
|
$142.68 |
$142.68 |
$142.68 |
$59.28
|
|
T3 (triiodothyronine) free
|
$717.98 |
$717.98 |
$717.98 |
$99.20
|
|
T3 (triiodothyronine) total
|
$779.35 |
$779.35 |
$779.35 |
$93.52
|
|
T4 (thyroxine) free
|
$644.34 |
$644.34 |
$644.34 |
$85.20
|
|
T4 (thyroxine) total
|
$731.79 |
$731.79 |
$731.79 |
$67.80
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,016.45 |
$2,016.45 |
$2,016.45 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$770.16 |
$770.16 |
$770.16 |
$120.60
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$57.26 |
$57.26 |
$57.26 |
$14.62
|
|
Target gsa panel hmtlmph neop
|
$2,567.44 |
$2,567.44 |
$2,567.44 |
$2,160.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$644.34 |
$644.34 |
$644.34 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$882.16 |
$882.16 |
$882.16 |
$175.00
|
|
Tc-99m exametazime diag
|
$5,894.03 |
$5,894.03 |
$5,894.03 |
$2,033.20
|
|
Tc-99m fanolesomab diag
|
$9,050.72 |
$9,050.72 |
$9,050.72 |
$2,115.12
|
|
Tc-99m labeled rbc
|
$1,734.80 |
$1,734.80 |
$1,734.80 |
$302.40
|
|
Tc-99m maa
|
$2,855.81 |
$2,855.81 |
$2,855.81 |
$283.41
|
|
Tc-99m mebrofenin
|
$1,818.66 |
$1,818.66 |
$1,818.66 |
$160.58
|
|
Tc-99m medronate
|
$348.14 |
$348.14 |
$348.14 |
$109.50
|
|
Tc-99m mertiatide
|
$2,027.70 |
$2,027.70 |
$2,027.70 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$1,516.44 |
$1,516.44 |
$1,516.44 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$23.97 |
$23.97 |
$23.97 |
$27.20
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$522.00 |
$522.00 |
$522.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$2,895.76 |
$2,895.76 |
$2,895.76 |
$293.73
|
|
Tc-99m sulfur colloid
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$239.40
|
|
Tc-99m tetrofosmin p study dose
|
$324.56 |
$324.56 |
$324.56 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$4,736.26 |
$4,736.26 |
$4,736.26 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$4,240.42 |
$4,240.42 |
$4,240.42 |
$175.00
|
|
T cells absolute cd 4 count
|
$432.63 |
$432.63 |
$432.63 |
$110.00
|
|
T cells total count
|
$282.28 |
$282.28 |
$282.28 |
$123.00
|
|
Telavancin injection
|
$3,081.51 |
$3,081.51 |
$3,081.51 |
$1,191.80
|
|
Temozolomide
|
$190.44 |
$190.44 |
$190.44 |
$540.06
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$112.79 |
$112.79 |
$112.79 |
$39.18
|
|
Test for porphobilinogen
|
$314.52 |
$314.52 |
$314.52 |
$33.57
|
|
Test for urine cystines
|
$900.56 |
$900.56 |
$900.56 |
$27.03
|
|
Test pathogen(s) for platelets reference
|
$358.69 |
$358.69 |
$358.69 |
$66.00
|
|
Test urine for porphyrins
|
$406.56 |
$406.56 |
$406.56 |
$50.50
|
|
Tetanus immune globulin inj
|
$6,045.88 |
$6,045.88 |
$6,045.88 |
$1,228.80
|
|
Tgsap so/hl 51/< rna alys
|
$4,250.94 |
$4,250.94 |
$4,250.94 |
$3,505.00
|
|
Theophylline therapeutic drug level
|
$911.29 |
$911.29 |
$911.29 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$60.88 |
$60.88 |
$60.88 |
$57.50
|
|
Ther/proph/diag inj ia
|
$1,044.71 |
$1,044.71 |
$1,044.71 |
$237.75
|
|
Thigh/wght bear lacer non-mo
|
$261.00 |
$261.00 |
$261.00 |
$464.92
|
|
Thrombin time
|
$469.45 |
$469.45 |
$469.45 |
$53.60
|
|
Thyroglobulin antibody
|
$627.48 |
$627.48 |
$627.48 |
$81.90
|
|
Thyroid imaging
|
$1,525.76 |
$1,525.76 |
$1,525.76 |
$673.01
|
|
Thyroid mets imag whole body
|
$2,990.27 |
$2,990.27 |
$2,990.27 |
$1,544.00
|
|
Thyroid uptake measurement
|
$841.43 |
$841.43 |
$841.43 |
$580.20
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$16,240.60 |
$16,240.60 |
$16,240.60 |
$4,044.25
|
|
Thyrotropin releasing hormone
|
$1,365.39 |
$1,365.39 |
$1,365.39 |
$127.20
|
|
Thyroxine binding globulin (tbg)
|
$612.15 |
$612.15 |
$612.15 |
$64.92
|
|
Tigecycline injection
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$234.00
|
|
Tilt table study
|
$14,454.36 |
$14,454.36 |
$14,454.36 |
$1,495.00
|
|
Tissue culture placenta
|
$4,963.02 |
$4,963.02 |
$4,963.02 |
$462.80
|
|
Tissue culture tumor
|
$582.98 |
$582.98 |
$582.98 |
$513.00
|
|
Tissue exam koh skin/hair/nails
|
$148.81 |
$148.81 |
$148.81 |
$47.40
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$416,851.00 |
$416,851.00 |
$416,851.00 |
$18,999.96
|
|
Tixagev and cilgav inj
|
$236.98 |
$236.98 |
$236.98 |
$216.70
|
|
Tl-201 thallium diag per mci
|
$351.49 |
$351.49 |
$351.49 |
$80.10
|
|
Tlso 2mod symphis-xipho pre
|
$4,093.00 |
$4,093.00 |
$4,093.00 |
$2,110.21
|
|
Tlso 3mod sacro-scap pre
|
$5,731.00 |
$5,731.00 |
$5,731.00 |
$1,986.72
|
|
Tlso rig fram pelvic pre cst
|
$8,339.00 |
$8,339.00 |
$8,339.00 |
$1,125.03
|
|
Tlso rigid lined custom fab
|
$6,619.00 |
$6,619.00 |
$6,619.00 |
$2,831.21
|
|
Tlso rigid plastic cust fab
|
$10.00 |
$10.00 |
$10.00 |
$2,192.40
|
|
Tobramycin comp unit
|
$886.28 |
$886.28 |
$886.28 |
$662.40
|
|
Tobramycin non-comp unit
|
$1,001.51 |
$1,001.51 |
$1,001.51 |
$105.75
|
|
Tobramycin peak therapeutic drug level
|
$1,133.74 |
$1,133.74 |
$1,133.74 |
$121.55
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$9.50 |
$9.50 |
$9.50 |
$305.23
|
|
Toxoplasma antibody igg
|
$859.13 |
$859.13 |
$859.13 |
$89.57
|
|
Toxoplasma antibody igm
|
$980.32 |
$980.32 |
$980.32 |
$87.00
|
|
Tpmt gene com vrnts
|
$145.60 |
$145.60 |
$145.60 |
$373.00
|
|
Transcath biopsy
|
$8,373.98 |
$8,373.98 |
$8,373.98 |
$4,285.93
|
|
Transcatheter bx s&i
|
$8,431.82 |
$8,431.82 |
$8,431.82 |
$1,973.01
|
|
Trans cath replace aortic valve 33366
|
$41,383.82 |
$41,383.82 |
$41,383.82 |
$13,308.36
|
|
Transferrin
|
$530.82 |
$530.82 |
$530.82 |
$81.60
|
|
Trastuzumab 150 mg intravenous solution
|
$7,399.08 |
$7,399.08 |
$7,399.08 |
$3,141.85
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$645.83 |
$645.83 |
$645.83 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$128.50 |
$128.50 |
$128.50 |
$141.00
|
|
Treatment radiation delivery level 2
|
$226.10 |
$226.10 |
$226.10 |
$737.25
|
|
Trg gene rearrangement anal
|
$303.77 |
$303.77 |
$303.77 |
$455.70
|
