|
Stent/tib/peroneal/unilat/initial 37230
|
$8,765.40 |
$8,765.40 |
$8,765.40 |
$19,765.20
|
|
St evaluate speech sound production
|
$147.74 |
$147.74 |
$147.74 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$297.50 |
$297.50 |
$297.50 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$448.00 |
$448.00 |
$448.00 |
$406.40
|
|
St evaluation swallow function
|
$286.02 |
$286.02 |
$286.02 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$78.12 |
$78.12 |
$78.12 |
$248.05
|
|
Strapping of chest
|
$78.12 |
$78.12 |
$78.12 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$85.68 |
$85.68 |
$85.68 |
$171.00
|
|
Strapping of hand or finger
|
$85.68 |
$85.68 |
$85.68 |
$194.40
|
|
Strapping of hip
|
$39.06 |
$39.06 |
$39.06 |
$170.08
|
|
Strapping of knee
|
$113.40 |
$113.40 |
$113.40 |
$224.80
|
|
Strapping of toes 29550
|
$117.25 |
$117.25 |
$117.25 |
$185.36
|
|
Strep a ag ia
|
$50.09 |
$50.09 |
$50.09 |
$75.40
|
|
Strep b assay w/optic
|
$1,116.76 |
$1,116.76 |
$1,116.76 |
$32.00
|
|
Strep b dna amp probe
|
$626.07 |
$626.07 |
$626.07 |
$139.20
|
|
Streptomycin injection
|
$231.34 |
$231.34 |
$231.34 |
$100.00
|
|
Stress test pulmonary
|
$96.08 |
$96.08 |
$709.44 |
$327.20
|
|
Stress tte complete
|
$2,339.82 |
$2,339.82 |
$2,339.82 |
$1,964.95
|
|
St treatment speech individual
|
$256.55 |
$256.55 |
$256.55 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$146.30 |
$146.30 |
$146.30 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$36.02 |
$36.02 |
$36.02 |
$49.13
|
|
Sugars single quant
|
$44.42 |
$44.42 |
$44.42 |
$52.47
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$309.81 |
$309.81 |
$1,460.12 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$116.20 |
$116.20 |
$116.20 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$179.97 |
$179.97 |
$203.75 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$290.73 |
$290.73 |
$337.05 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$415.80 |
$415.80 |
$415.80 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$494.90 |
$494.90 |
$503.01 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$503.01 |
$503.01 |
$1,093.75 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$23.94 |
$23.94 |
$732.32 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$28.04 |
$28.04 |
$28.04 |
$34.48
|
|
Susceptibility mic per plate
|
$185.15 |
$185.15 |
$1,016.78 |
$94.38
|
|
Svc venogram s&i
|
$1,115.73 |
$1,115.73 |
$1,115.73 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$870.63 |
$870.63 |
$870.63 |
$44.85
|
|
System pacing micra av
|
$30,074.00 |
$30,074.00 |
$30,074.00 |
$22,733.55
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$107,728.59 |
$107,728.59 |
$107,728.59 |
$9,363.28
|
|
T3 (triiodothyronine) free
|
$44.61 |
$44.61 |
$1,199.83 |
$89.82
|
|
T3 (triiodothyronine) total
|
$114.10 |
$114.10 |
$1,539.78 |
$94.90
|
|
T4 (thyroxine) free
|
$74.55 |
$74.55 |
$998.32 |
$81.60
|
|
T4 (thyroxine) total
|
$78.75 |
$78.75 |
$1,429.01 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.56 |
$9.56 |
$9.56 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$126.95 |
$126.95 |
$750.66 |
$122.40
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$43.55 |
$43.55 |
$43.55 |
$35.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$32.76 |
$32.76 |
$838.34 |
$166.46
|
|
Tc-99m apcitide diag
|
$383.99 |
$383.99 |
$17,745.29 |
$1,765.30
|
|
Tc-99m depreotide
|
$11,048.09 |
$11,048.09 |
$11,048.09 |
$1,937.35
|
|
Tc-99m disofenin
|
$2,962.11 |
$2,962.11 |
$2,962.11 |
$151.32
|
|
Tc-99m exametazime diag
|
$2,389.91 |
$2,389.91 |
$2,389.91 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,535.85 |
$1,535.85 |
$1,535.85 |
$323.01
|
|
Tc-99m maa
|
$399.11 |
$399.11 |
$1,371.46 |
$312.06
|
|
Tc-99m mebrofenin
|
$239.40 |
$239.40 |
$899.88 |
$169.53
|
|
Tc-99m medronate
|
$384.78 |
$384.78 |
$1,226.82 |
$122.46
|
|
Tc-99m mertiatide
|
$893.40 |
$893.40 |
$5,148.36 |
$757.25
|
|
Tc-99m oxidronate
|
$807.58 |
$807.58 |
$807.58 |
$124.23
|
|
Tc-99m pentetate dtpa aerosol
|
$46.62 |
$46.62 |
$46.62 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$8.82 |
$8.82 |
$8.82 |
$28.08
|
|
Tc-99m sestamibi p study dose
|
$120.75 |
$120.75 |
$120.75 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$658.22 |
$658.22 |
$2,001.67 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$356.48 |
$356.48 |
$1,482.51 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$165.20 |
$165.20 |
$165.20 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$932.09 |
$932.09 |
$932.09 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$229.32 |
$229.32 |
$541.46 |
$186.00
|
|
T cells absolute cd 4 count
|
$193.41 |
$193.41 |
$1,132.14 |
$120.25
|
|
Tee w or without fol w/cont,cong
|
$26,872.84 |
$26,872.84 |
$26,872.84 |
$1,432.00
|
|
Tee w or without fol w/cont, mon
|
$26,872.84 |
$26,872.84 |
$26,872.84 |
$934.93
|
|
Telethx isodose plan cplx
|
$5,010.92 |
$5,010.92 |
$5,010.92 |
$1,617.00
|
|
Telethx isodose plan simple
|
$2,763.55 |
$2,763.55 |
$2,763.55 |
$848.72
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,167.13 |
$1,167.13 |
$1,167.13 |
$2,139.67
|
|
Test for porphobilinogen
|
$48.20 |
$48.20 |
$48.20 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$916.65 |
$916.65 |
$6,493.86 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$1,814.75 |
$1,814.75 |
$1,814.75 |
$1,001.55
|
|
Test urine for porphyrins
|
$63.63 |
$63.63 |
$63.63 |
$27.30
|
|
Tetanus immune globulin inj
|
$3,498.56 |
$3,498.56 |
$3,498.56 |
$1,395.20
|
|
Theophylline therapeutic drug level
|
$45.68 |
$45.68 |
$1,310.58 |
$108.00
|
|
Therapeutic procd strg endur
|
$330.67 |
$330.67 |
$330.67 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$22.68 |
$22.68 |
$22.68 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$15.75 |
$15.75 |
$15.75 |
$50.40
|
|
Ther/proph/diag inj ia
|
$306.25 |
$306.25 |
$306.25 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$17.64 |
$17.64 |
$17.64 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,240.75 |
$1,240.75 |
$1,240.75 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$1,882.76 |
$1,882.76 |
$1,882.76 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,948.65 |
$4,948.65 |
$20,557.88 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$6,623.19 |
$6,623.19 |
$6,623.19 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$9,916.52 |
$9,916.52 |
$63,586.44 |
$24,605.30
|
|
Thrombin time
|
$42.53 |
$42.53 |
$1,030.62 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$54.18 |
$54.18 |
$54.18 |
$56.93
|
|
Thyroglobulin antibody
|
$38.43 |
$38.43 |
$1,009.08 |
$84.00
|
|
Thyroid imaging
|
$568.40 |
$568.40 |
$2,047.80 |
$670.80
|
|
Thyroid met imaging
|
$841.37 |
$841.37 |
$2,584.28 |
$549.70
|
|
Thyroid met imaging/studies
|
$3,615.39 |
$3,615.39 |
$3,615.39 |
$607.23
|
|
Thyroid mets imag whole body
|
$10,533.25 |
$10,533.25 |
$10,533.25 |
$1,524.99
|
|
Thyroid met uptake
|
$6,666.92 |
$6,666.92 |
$6,666.92 |
$380.00
|
|
Thyroid (TSH) Test
|
$180.95 |
$180.95 |
$2,253.52 |
$120.00
|
|
Thyroid Ultrasound
|
$1,026.20 |
$1,026.20 |
$1,026.20 |
$589.96
|
|
Thyroid uptake measurement
|
$308.07 |
$308.07 |
$1,557.48 |
$653.60
|
|
Thyroxine binding globulin (tbg)
|
$56.70 |
$56.70 |
$1,624.37 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$9,313.15 |
$9,313.15 |
$9,313.15 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$4,656.75 |
$4,656.75 |
$4,656.75 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$4,109.00 |
$4,109.00 |
$4,109.00 |
$10,406.14
|
|
Tigecycline injection
|
$93.80 |
$93.80 |
$93.80 |
$308.75
|
