|
Stent/athrectomy/fem/pop/unilat 37227
|
$49,101.56 |
$49,101.56 |
$49,101.56 |
$21,568.80
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,120.24 |
$6,120.24 |
$6,120.24 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$35,204.12 |
$35,204.12 |
$35,204.12 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$8,229.86 |
$8,229.86 |
$8,229.86 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,055.19 |
$24,055.19 |
$24,055.19 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,391.32 |
$14,391.32 |
$14,391.32 |
$8,948.40
|
|
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 |
$5,187.87 |
$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 |
$963.58 |
$75.40
|
|
Strep b assay w/optic
|
$1,031.59 |
$1,031.59 |
$1,031.59 |
$58.95
|
|
Strep b dna amp probe
|
$194.21 |
$194.21 |
$194.21 |
$122.43
|
|
Stress test pulmonary
|
$363.12 |
$363.12 |
$1,048.93 |
$324.00
|
|
Stress tte complete
|
$2,721.33 |
$2,721.33 |
$17,536.28 |
$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)
|
$16.05 |
$16.05 |
$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 |
$1,724.97 |
$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 |
$607.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$176.63 |
$176.63 |
$991.75 |
$142.20
|
|
Surgical pathology level 3 gross & microscopic examination
|
$239.50 |
$239.50 |
$1,349.99 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$474.00 |
$474.00 |
$1,792.82 |
$248.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$476.75 |
$476.75 |
$2,258.84 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$657.12 |
$657.12 |
$2,807.79 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$54.62 |
$54.62 |
$54.62 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$88.04 |
$88.04 |
$172.47 |
$35.75
|
|
Susceptibility mic per plate
|
$169.46 |
$169.46 |
$169.46 |
$105.75
|
|
Suscept studies macrobroth dilution ea
|
$59.71 |
$59.71 |
$182.43 |
$59.28
|
|
Svc venogram s&i
|
$1,934.62 |
$1,934.62 |
$6,434.53 |
$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 |
$3,001.83 |
$100.32
|
|
T3 (triiodothyronine) total
|
$141.20 |
$141.20 |
$1,097.92 |
$93.52
|
|
T4 (thyroxine) free
|
$128.73 |
$128.73 |
$1,076.34 |
$88.44
|
|
T4 (thyroxine) total
|
$102.22 |
$102.22 |
$1,222.29 |
$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 |
$1,414.67 |
$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
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$2.38 |
$2.38 |
$2.38 |
$14.62
|
|
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
|
$482.62 |
$482.62 |
$506.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$220.37 |
$220.37 |
$670.02 |
$180.80
|
|
Tc-99m bicisate
|
$7,441.56 |
$7,441.56 |
$7,441.56 |
$2,070.00
|
|
Tc-99m exame autol wbc diag per dose
|
$10,083.24 |
$10,083.24 |
$10,083.24 |
$2,503.15
|
|
Tc-99m exametazime diag
|
$6,312.44 |
$6,312.44 |
$6,312.44 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$1,236.71 |
$1,236.71 |
$1,236.71 |
$306.00
|
|
Tc-99m maa
|
$745.67 |
$745.67 |
$745.67 |
$312.06
|
|
Tc-99m mebrofenin
|
$745.67 |
$745.67 |
$745.67 |
$157.65
|
|
Tc-99m mertiatide
|
$2,091.53 |
$2,091.53 |
$2,091.53 |
$756.00
|
|
Tc-99m oxidronate
|
$4,051.18 |
$4,051.18 |
$4,051.18 |
$108.00
|
|
Tc-99m pentetate dtpa
|
$780.54 |
$780.54 |
$780.54 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$668.37 |
$668.37 |
$668.37 |
$191.50
|
|
Tc-99m pertechnetate per mci
|
$16.68 |
$16.68 |
$16.68 |
$18.67
|
|
Tc-99m sestamibi p study dose
|
$109.62 |
$109.62 |
$1,820.22 |
$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 |
$1,273.10 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$1,274.62 |
$1,274.62 |
$1,274.62 |
$193.28
|
|
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 |
$1,235.57 |
$185.28
|
|
T cells absolute cd 4 count
|
$258.20 |
$258.20 |
$258.20 |
$111.20
|
|
T cells total count
|
$363.75 |
$363.75 |
$1,235.57 |
$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
|
