|
Stent/tib/peroneal/unilat/initial 37230
|
$27,840.56 |
$27,840.56 |
$27,840.56 |
$16,875.93
|
|
St evaluate speech sound production
|
$363.57 |
$363.57 |
$363.57 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$470.28 |
$470.28 |
$470.28 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,861.14 |
$1,861.14 |
$1,861.14 |
$1,342.00
|
|
Strapping of ankle and/or ft 29540
|
$258.86 |
$258.86 |
$258.86 |
$223.45
|
|
Strapping of chest
|
$226.35 |
$226.35 |
$226.35 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$215.27 |
$215.27 |
$215.27 |
$157.46
|
|
Strapping of hand or finger
|
$216.60 |
$216.60 |
$216.60 |
$174.82
|
|
Strapping of hip
|
$140.74 |
$140.74 |
$140.74 |
$164.70
|
|
Strapping of knee
|
$216.34 |
$216.34 |
$216.34 |
$205.20
|
|
Strapping of toes 29550
|
$244.30 |
$244.30 |
$244.30 |
$164.70
|
|
Strep a ag ia
|
$104.03 |
$104.03 |
$104.03 |
$75.40
|
|
Strep b dna amp probe
|
$194.21 |
$194.21 |
$194.21 |
$122.43
|
|
Stress test pulmonary
|
$363.12 |
$363.12 |
$363.12 |
$324.00
|
|
Stress tte complete
|
$2,721.33 |
$2,721.33 |
$2,721.33 |
$1,894.20
|
|
Str markers spec anal addl
|
$479.17 |
$479.17 |
$479.17 |
$479.17
|
|
Str markers specimen anal
|
$984.41 |
$984.41 |
$984.41 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$72.13 |
$72.13 |
$72.13 |
$54.80
|
|
Sugars single quant
|
$77.40 |
$77.40 |
$77.40 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$1,979,710.86 |
$1,979,710.86 |
$1,979,710.86 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$138.43 |
$138.43 |
$138.43 |
$82.46
|
|
Sulfonylurea screen qn-sendout
|
$241.66 |
$241.66 |
$241.66 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$237.70 |
$237.70 |
$237.70 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$175.89 |
$175.89 |
$175.89 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$110.02 |
$110.02 |
$110.02 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$176.63 |
$176.63 |
$176.63 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.50 |
$239.50 |
$239.50 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$474.00 |
$474.00 |
$474.00 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$476.75 |
$476.75 |
$476.75 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$657.12 |
$657.12 |
$657.12 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$54.62 |
$54.62 |
$54.62 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$88.04 |
$88.04 |
$88.04 |
$35.75
|
|
Susceptibility mic per plate
|
$169.46 |
$169.46 |
$169.46 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$59.71 |
$59.71 |
$59.71 |
$59.28
|
|
Svc venogram s&i
|
$1,934.62 |
$1,934.62 |
$1,934.62 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$340.13 |
$340.13 |
$340.13 |
$316.55
|
|
Swallowing Therapy Session
|
$297.77 |
$297.77 |
$297.77 |
$240.31
|
|
Synvisc or synvisc-one
|
$1,232.66 |
$1,232.66 |
$1,232.66 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$69.79 |
$69.79 |
$69.79 |
$41.60
|
|
System cardiomems hosp electronics
|
$45,886.50 |
$45,886.50 |
$45,886.50 |
$38,234.70
|
|
System pacing micra av
|
$32,426.46 |
$32,426.46 |
$32,426.46 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,861.20 |
$8,861.20 |
$8,861.20 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$14,020.88 |
$14,020.88 |
$14,020.88 |
$11,183.00
|
|
System sealant biosentry tract
|
$1,023.33 |
$1,023.33 |
$1,023.33 |
$889.35
|
|
T3 (triiodothyronine) free
|
$175.79 |
$175.79 |
$175.79 |
$100.32
|
|
T3 (triiodothyronine) total
|
$141.20 |
$141.20 |
$141.20 |
$93.52
|
|
T4 (thyroxine) free
|
$128.73 |
$128.73 |
$128.73 |
$88.44
|
|
T4 (thyroxine) total
|
$102.22 |
$102.22 |
$102.22 |
$69.58
|
|
Tacrol envarsus ex rel oral
|
$32.80 |
$32.80 |
$32.80 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$43.10 |
$43.10 |
$43.10 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$668.52 |
$668.52 |
$668.52 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$209.24 |
$209.24 |
$209.24 |
$122.50
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,456.76 |
$2,456.76 |
$2,456.76 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$278.57 |
$278.57 |
$278.57 |
$289.90
|
|
Target gsa panel hmtlmph neop
|
$8,967.00 |
$8,967.00 |
$8,967.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$5,238.75 |
$5,238.75 |
$5,238.75 |
$1,681.28
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$27,030.00 |
$27,030.00 |
$27,030.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$6,003.27
|
|
Tavr perq femoral
|
$32,560.45 |
$32,560.45 |
$32,560.45 |
$15,454.40
|
|
Tbs techl calculation only
|
$99.13 |
$99.13 |
$99.13 |
$153.60
|
|
Tbs techl prep&transmis data
|
$99.13 |
$99.13 |
$99.13 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$506.22 |
$506.22 |
$506.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$220.37 |
$220.37 |
$220.37 |
$180.80
|
|
Tc-99m sestamibi p study dose
|
$109.62 |
$109.62 |
$109.62 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$205.55 |
$205.55 |
$205.55 |
$245.70
|
|
Tcd emboli detect w/inj
|
$640.22 |
$640.22 |
$640.22 |
$475.80
|
|
Tcd emboli detect without inj
|
$600.96 |
$600.96 |
$600.96 |
$475.28
|
|
Tcd vasoreactivity study
|
$566.88 |
$566.88 |
$566.88 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$228.43 |
$228.43 |
$228.43 |
$185.28
|
|
T cells absolute cd 4 count
|
$258.20 |
$258.20 |
$258.20 |
$111.20
|
|
T cells total count
|
$363.75 |
$363.75 |
$363.75 |
$130.35
|
|
Teaec w/wo patch graft iliofemoral
|
$1,344.96 |
$1,344.96 |
$1,344.96 |
$6,120.00
|
|
Team conf without pat by hc pro
|
$141.89 |
$141.89 |
$141.89 |
$110.62
|
|
Team conf w/pat by hc prof
|
$113.83 |
$113.83 |
$113.83 |
$104.59
|
|
Telehealth original site facility fee
|
$465.99 |
$465.99 |
$465.99 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,679.31 |
$1,679.31 |
$1,679.31 |
$1,526.85
|
|
Telethx isodose plan simple
|
$620.10 |
$620.10 |
$620.10 |
$877.09
|
|
Temozolomide
|
$64.37 |
$64.37 |
$64.37 |
$540.06
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,031.44 |
$9,031.44 |
$9,031.44 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$14,951.87 |
$14,951.87 |
$14,951.87 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$73.32 |
$73.32 |
$73.32 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$449.57 |
$449.57 |
$449.57 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$29.90 |
$29.90 |
$29.90 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$1,251.88 |
$1,251.88 |
$1,251.88 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,172.11 |
$1,172.11 |
$1,172.11 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$5,025.00 |
$5,025.00 |
$5,025.00 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$5,536.50 |
$5,536.50 |
$5,536.50 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$141.91 |
$141.91 |
$141.91 |
$108.00
|
|
Therapeutic procd strg endur
|
$143.36 |
$143.36 |
$143.36 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$158.40 |
$158.40 |
$158.40 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$122.76 |
$122.76 |
$122.76 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$125.24 |
$125.24 |
$125.24 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$67.10 |
$67.10 |
$67.10 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$64.10 |
$64.10 |
$64.10 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$232.32 |
$232.32 |
$232.32 |
$538.88
|
|
Ther/proph/diag inj ia
|
$247.33 |
$247.33 |
$247.33 |
$247.33
|
