|
Strapping of hand or finger
|
$35.60 |
$35.60 |
$35.60 |
$194.40
|
|
Strapping of hip
|
$41.58 |
$41.58 |
$41.58 |
$170.08
|
|
Strapping of knee
|
$39.38 |
$39.38 |
$39.38 |
$224.80
|
|
Strapping of toes 29550
|
$34.02 |
$34.02 |
$34.02 |
$185.36
|
|
Strep a ag ia
|
$106.40 |
$106.40 |
$106.40 |
$75.40
|
|
Strep b dna amp probe
|
$413.35 |
$413.35 |
$413.35 |
$139.20
|
|
Stress test pulmonary
|
$106.75 |
$106.75 |
$106.75 |
$327.20
|
|
Stress tte complete
|
$2,309.27 |
$2,309.27 |
$2,309.27 |
$1,964.95
|
|
St treatment speech individual
|
$83.65 |
$83.65 |
$83.65 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$121.10 |
$121.10 |
$121.10 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$36.75 |
$36.75 |
$36.75 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$0.63 |
$0.63 |
$0.63 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$186.00 |
$186.00 |
$186.00 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$33.95 |
$33.95 |
$33.95 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$129.15 |
$129.15 |
$129.15 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$123.48 |
$123.48 |
$123.48 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$253.75 |
$253.75 |
$253.75 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$403.20 |
$403.20 |
$403.20 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$910.53 |
$910.53 |
$910.53 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$25.83 |
$25.83 |
$25.83 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$11.90 |
$11.90 |
$11.90 |
$34.48
|
|
Susceptibility mic per plate
|
$93.24 |
$93.24 |
$93.24 |
$94.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$39.55 |
$39.55 |
$39.55 |
$44.85
|
|
System pacing micra av
|
$5,129.72 |
$5,129.72 |
$5,129.72 |
$22,733.55
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,080.39 |
$6,080.39 |
$6,080.39 |
$9,363.28
|
|
T3 (triiodothyronine) free
|
$41.90 |
$41.90 |
$41.90 |
$89.82
|
|
T3 (triiodothyronine) total
|
$69.83 |
$69.83 |
$69.83 |
$94.90
|
|
T4 (thyroxine) free
|
$62.85 |
$62.85 |
$62.85 |
$81.60
|
|
T4 (thyroxine) total
|
$70.56 |
$70.56 |
$70.56 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$84.00 |
$84.00 |
$84.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,428.53 |
$1,428.53 |
$1,428.53 |
$1,928.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$359.80 |
$359.80 |
$359.80 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$152.60 |
$152.60 |
$152.60 |
$166.46
|
|
Tc-99m depreotide
|
$64.58 |
$64.58 |
$64.58 |
$1,937.35
|
|
Tc-99m disofenin
|
$239.72 |
$239.72 |
$239.72 |
$151.32
|
|
Tc-99m exametazime diag
|
$2,102.00 |
$2,102.00 |
$2,102.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$227.43 |
$227.43 |
$227.43 |
$323.01
|
|
Tc-99m maa
|
$120.91 |
$120.91 |
$120.91 |
$312.06
|
|
Tc-99m mebrofenin
|
$224.91 |
$224.91 |
$224.91 |
$169.53
|
|
Tc-99m medronate
|
$229.32 |
$229.32 |
$229.32 |
$122.46
|
|
Tc-99m mertiatide
|
$233.80 |
$233.80 |
$233.80 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$141.75 |
$141.75 |
$141.75 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$23.63 |
$23.63 |
$23.63 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$413.07 |
$413.07 |
$413.07 |
$221.60
|
|
Tc-99m sulfur colloid
|
$126.70 |
$126.70 |
$126.70 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$271.22 |
$271.22 |
$271.22 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$978.71 |
$978.71 |
$978.71 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$254.80 |
$254.80 |
$254.80 |
$186.00
|
|
T cells absolute cd 4 count
|
$214.20 |
$214.20 |
$214.20 |
$120.25
|
|
Telethx isodose plan cplx
|
$402.57 |
$402.57 |
$402.57 |
$1,617.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$6,050.26 |
$6,050.26 |
$6,050.26 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$7.72 |
$7.72 |
$7.72 |
$44.49
|
|
Testicular imaging w/vasc flow
|
$412.34 |
$412.34 |
$412.34 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$84.35 |
$84.35 |
$84.35 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$1,001.35 |
$1,001.35 |
$1,001.35 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$67.73 |
$67.73 |
$67.73 |
$108.00
|
|
Therapeutic procd strg endur
|
$11.97 |
$11.97 |
$11.97 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$33.31 |
$33.31 |
$33.31 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$15.75 |
$15.75 |
$15.75 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$425.57 |
$425.57 |
$425.57 |
$534.32
|
|
Ther/proph/diag inj ia
|
$393.75 |
$393.75 |
$393.75 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$20.85 |
$20.85 |
$20.85 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$524.30 |
$524.30 |
$524.30 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$2,495.43 |
$2,495.43 |
$2,495.43 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,804.88 |
$8,804.88 |
$8,804.88 |
$15,185.00
|
|
Thrombin time
|
$47.25 |
$47.25 |
$47.25 |
$48.75
|
|
Thyroglobulin antibody
|
$56.97 |
$56.97 |
$56.97 |
$84.00
|
|
Thyroid imaging
|
$527.29 |
$527.29 |
$527.29 |
$670.80
|
|
Thyroid (TSH) Test
|
$99.96 |
$99.96 |
$99.96 |
$120.00
|
|
Thyroid Ultrasound
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$9.45 |
$9.45 |
$9.45 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$14,634.20 |
$14,634.20 |
$14,634.20 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$6,287.75 |
$6,287.75 |
$6,287.75 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$5,479.60 |
$5,479.60 |
$5,479.60 |
$10,406.14
|
|
Tigecycline injection
|
$108.78 |
$108.78 |
$108.78 |
$308.75
|
|
Tilt table study
|
$1,933.47 |
$1,933.47 |
$1,933.47 |
$1,495.00
|
|
Tissue transglutaminase iga
|
$16.39 |
$16.39 |
$16.39 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$320.99 |
$320.99 |
$320.99 |
$77.22
|
|
Tobramycin peak therapeutic drug level
|
$81.59 |
$81.59 |
$81.59 |
$121.55
|
|
Tomosynthesis breast diagnostic left
|
$39.55 |
$39.55 |
$39.55 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$36.75 |
$36.75 |
$36.75 |
$73.45
|
|
Toxoplasma antibody igg
|
$79.70 |
$79.70 |
$79.70 |
$84.35
|
|
Toxoplasma antibody igm
|
$86.24 |
$86.24 |
$86.24 |
$83.20
|
|
Tpmt gene com vrnts
|
$128.21 |
$128.21 |
$128.21 |
$381.55
|
|
Transcath occlusion non-cns
|
$3,086.69 |
$3,086.69 |
$3,086.69 |
$12,427.79
|
|
Transferrin
|
$33.60 |
$33.60 |
$33.60 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$268.10 |
$268.10 |
$268.10 |
$988.24
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$3,379.17 |
$3,379.17 |
$3,379.17 |
$7,620.16
|
|
Trastuzumab-qyyp 150 mg intravenous solution
|
$1,495.47 |
$1,495.47 |
$1,495.47 |
$3,600.00
|
|
Trauma partial team response w/critical care services level 4
|
$2,249.10 |
$2,249.10 |
$2,249.10 |
$5,941.07
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$186.20 |
$186.20 |
$186.20 |
$210.00
|
|
Treatment radiation delivery level 2
|
$371.70 |
$371.70 |
$371.70 |
$735.00
|
|
Treponema pallidum antibody
|
$19.76 |
$19.76 |
$19.76 |
$72.80
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$17.64 |
$17.64 |
$17.64 |
$48.22
|
|
#tricyclicantidprssnt
|
$0.95 |
$0.95 |
$0.95 |
$57.08
|
|
Triglycerides
|
$61.25 |
$61.25 |
$61.25 |
$54.60
|
|
Trim nondyst nails
|
$40.60 |
$40.60 |
$40.60 |
$124.22
|
|
Triptorelin pamoate
|
$2,194.59 |
$2,194.59 |
$2,194.59 |
$4,276.66
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$1,500.98 |
$1,500.98 |
$1,500.98 |
$8,244.55
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,233.79 |
$3,233.79 |
$3,233.79 |
$15,408.00
|
