|
Russell viper venom diluted
|
$439.52 |
$439.52 |
$439.52 |
$70.16
|
|
Salmonella antibody
|
$254.38 |
$254.38 |
$254.38 |
$37.58
|
|
Sargramostim injection
|
$1,899.10 |
$1,899.10 |
$1,899.10 |
$451.34
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$4,313.24 |
$4,313.24 |
$4,313.24 |
$589.60
|
|
Sclerotherapy fluid collection pq w/img
|
$7,802.01 |
$7,802.01 |
$7,802.01 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$53,512.50 |
$53,512.50 |
$53,512.50 |
$5,235.51
|
|
Screening prostate cancer PSA
|
$1,181.73 |
$1,181.73 |
$1,181.73 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$669.75 |
$669.75 |
$669.75 |
$44.20
|
|
Semen analysis w/count
|
$709.99 |
$709.99 |
$709.99 |
$56.44
|
|
Serpina1 gene
|
$1,151.14 |
$1,151.14 |
$1,151.14 |
$191.73
|
|
Set radiation therapy field
|
$2,317.89 |
$2,317.89 |
$2,317.89 |
$731.50
|
|
Set radiation therapy field
|
$4,327.29 |
$4,327.29 |
$4,327.29 |
$1,636.36
|
|
Shuntogram nonvascular supervision & interpretation
|
$2,424.16 |
$2,424.16 |
$2,424.16 |
$345.00
|
|
Sickling rbc
|
$407.32 |
$407.32 |
$407.32 |
$53.55
|
|
Sildenafil citrate, 25 mg
|
$539.62 |
$539.62 |
$539.62 |
$168.00
|
|
Sincalide 5 mcg solution for injection
|
$1,695.83 |
$1,695.83 |
$1,695.83 |
$409.96
|
|
Sinus/juglr venogram s&i
|
$3,304.91 |
$3,304.91 |
$3,304.91 |
$2,489.25
|
|
Sirolimus, oral
|
$434.94 |
$434.94 |
$434.94 |
$31.60
|
|
Sleep Study (Polysomnography)
|
$19,079.10 |
$19,079.10 |
$19,079.10 |
$3,936.80
|
|
Slp eval non-spch gen comm dev
|
$718.00 |
$718.00 |
$718.00 |
$285.09
|
|
Slp ther svc non-spch gen
|
$357.00 |
$357.00 |
$357.00 |
$186.40
|
|
Snrpn/ube3a gene
|
$1,400.76 |
$1,400.76 |
$1,400.76 |
$228.80
|
|
Sodium 24 hour urine
|
$649.00 |
$649.00 |
$649.00 |
$48.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$1,166.23 |
$1,166.23 |
$1,166.23 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$648.82 |
$648.82 |
$648.82 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$762.64 |
$762.64 |
$762.64 |
$223.86
|
|
Sotalol hydrochloride IV
|
$18,965.98 |
$18,965.98 |
$18,965.98 |
$1,153.60
|
|
Special physics consult
|
$2,519.24 |
$2,519.24 |
$2,519.24 |
$700.74
|
|
Special radiation dosimetry
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$445.50
|
|
Special radiation treatment
|
$6,313.81 |
$6,313.81 |
$6,313.81 |
$1,934.03
|
|
Special teletx port plan
|
$3,093.37 |
$3,093.37 |
$3,093.37 |
$1,046.65
|
|
Specific gravity body fluid
|
$144.89 |
$144.89 |
$144.89 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,270.00 |
$2,270.00 |
$2,270.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,746.68 |
$4,746.68 |
$4,746.68 |
$559.96
|
|
Splint finger fold over sm
|
$610.00 |
$610.00 |
$610.00 |
$57.33
|
|
Split blood or products
|
$321.12 |
$321.12 |
$321.12 |
$148.98
|
|
Srs linear based
|
$90,718.55 |
$90,718.55 |
$90,718.55 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$1,107.67 |
$1,107.67 |
$1,107.67 |
$300.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$87,996.47 |
$87,996.47 |
$87,996.47 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$75,594.66 |
$75,594.66 |
$75,594.66 |
$17,281.80
|
|
Stent placemt retro carotid
|
$30,882.66 |
$30,882.66 |
$30,882.66 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$75,594.66 |
$75,594.66 |
$75,594.66 |
$19,765.20
|
|
Strep b assay w/optic
|
$729.33 |
$729.33 |
$729.33 |
$32.00
|
|
Stress test pulmonary
|
$4,463.93 |
$4,463.93 |
$4,463.93 |
$327.20
|
|
Stress tte complete
|
$9,485.57 |
$9,485.57 |
$9,485.57 |
$1,964.95
|
|
Str markers specimen anal
|
$315.83 |
$315.83 |
$315.83 |
$835.28
|
|
Sulfonylurea screen qn-sendout
|
$2,052.73 |
$2,052.73 |
$2,052.73 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$2,046.50 |
$2,046.50 |
$2,046.50 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$350.98 |
$350.98 |
$350.98 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$573.15 |
$573.15 |
$573.15 |
$149.76
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,922.31 |
$1,922.31 |
$1,922.31 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$2,651.64 |
$2,651.64 |
$2,651.64 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,854.49 |
$2,854.49 |
$2,854.49 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$669.95 |
$669.95 |
$669.95 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$282.87 |
$282.87 |
$282.87 |
$48.30
|
|
T3 (triiodothyronine) free
|
$1,015.89 |
$1,015.89 |
$1,015.89 |
$89.82
|
|
T3 (triiodothyronine) total
|
$1,828.93 |
$1,828.93 |
$1,828.93 |
$94.90
|
|
T4 (thyroxine) free
|
$771.18 |
$771.18 |
$771.18 |
$81.60
|
|
T4 (thyroxine) total
|
$1,078.69 |
$1,078.69 |
$1,078.69 |
$73.64
|
|
Tacrol envarsus ex rel oral
|
$249.13 |
$249.13 |
$249.13 |
$3.20
|
|
Tacrolimus therapeutic drug level
|
$763.13 |
$763.13 |
$763.13 |
$122.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$84.48 |
$84.48 |
$84.48 |
$35.75
|
|
Target gsa panel hmtlmph neop
|
$3,249.50 |
$3,249.50 |
$3,249.50 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$11,028.37 |
$11,028.37 |
$11,028.37 |
$3,385.00
|
|
Target gsa panel organ neop
|
$9,434.48 |
$9,434.48 |
$9,434.48 |
$1,913.00
|
|
Tavr perq femoral
|
$124,261.95 |
$124,261.95 |
$124,261.95 |
$16,357.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$956.33 |
$956.33 |
$956.33 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$1,257.66 |
$1,257.66 |
$1,257.66 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$6,497.16 |
$6,497.16 |
$6,497.16 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$323.01
|
|
Tc-99m maa
|
$1,280.09 |
$1,280.09 |
$1,280.09 |
$312.06
|
|
Tc-99m mebrofenin
|
$1,280.09 |
$1,280.09 |
$1,280.09 |
$169.53
|
|
Tc-99m medronate
|
$1,280.09 |
$1,280.09 |
$1,280.09 |
$122.46
|
|
Tc-99m mertiatide
|
$2,515.31 |
$2,515.31 |
$2,515.31 |
$757.25
|
|
Tc-99m oxidronate
|
$185.03 |
$185.03 |
$185.03 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$1,557.69 |
$1,557.69 |
$1,557.69 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$235.55 |
$235.55 |
$235.55 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1,280.09 |
$1,280.09 |
$1,280.09 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$5,974.19 |
$5,974.19 |
$5,974.19 |
$221.60
|
|
Tc-99m sulfur colloid
|
$1,280.09 |
$1,280.09 |
$1,280.09 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$2,340.10 |
$2,340.10 |
$2,340.10 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$1,115.71 |
$1,115.71 |
$1,115.71 |
$186.00
|
|
T cells absolute cd 4 count
|
$830.75 |
$830.75 |
$830.75 |
$120.25
|
|
T cells total count
|
$648.82 |
$648.82 |
$648.82 |
$124.11
|
|
Telethx isodose plan cplx
|
$4,921.38 |
$4,921.38 |
$4,921.38 |
$1,617.00
|
|
Tert gene targeted seq alys
|
$250.96 |
$250.96 |
$250.96 |
$304.59
|
|
Test for porphobilinogen
|
$239.89 |
$239.89 |
$239.89 |
$33.57
|
|
Test pathogen(s) for platelets reference
|
$225.84 |
$225.84 |
$225.84 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$12,264.31 |
$12,264.31 |
$12,264.31 |
$1,001.55
|
|
Test urine for porphyrins
|
$378.34 |
$378.34 |
$378.34 |
$27.30
|
|
Tetanus immune globulin inj
|
$7,795.85 |
$7,795.85 |
$7,795.85 |
$1,395.20
|
|
Tgsap so neo 5-50 rna alys
|
$810.22 |
$810.22 |
$810.22 |
$816.27
|
|
Theophylline therapeutic drug level
|
$542.57 |
$542.57 |
$542.57 |
$108.00
|
|
Therapeutic procd strg endur
|
$159.61 |
$159.61 |
$159.61 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$177.13 |
$177.13 |
$177.13 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$159.58 |
$159.58 |
$159.58 |
$50.40
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$16,757.81 |
$16,757.81 |
$16,757.81 |
$1,804.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$15,807.81 |
$15,807.81 |
$15,807.81 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$30,542.06 |
$30,542.06 |
$30,542.06 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$95,740.11 |
$95,740.11 |
$95,740.11 |
$24,605.30
|
