|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,441.50 |
$1,441.50 |
$1,441.50 |
$270.46
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,067.32 |
$1,067.32 |
$1,067.32 |
$472.39
|
|
Ring ostmy barr adapt 48mm
|
$81.00 |
$81.00 |
$81.00 |
$5.97
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$5,595.73 |
$5,595.73 |
$5,595.73 |
$4,888.96
|
|
Rmvl icd by tv extr
|
$19,046.44 |
$19,046.44 |
$19,046.44 |
$4,350.24
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$199,840.65 |
$199,840.65 |
$199,840.65 |
$26,030.94
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$277,297.16 |
$277,297.16 |
$277,297.16 |
$34,271.25
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$163,696.22 |
$163,696.22 |
$163,696.22 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$20,760.67 |
$20,760.67 |
$20,760.67 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$7,499.95 |
$7,499.95 |
$7,499.95 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$56,579.44 |
$56,579.44 |
$56,579.44 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$135,985.77 |
$135,985.77 |
$135,985.77 |
$17,351.25
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$51,907.90 |
$51,907.90 |
$51,907.90 |
$10,319.90
|
|
Rmvl pq iabp
|
$6,747.46 |
$6,747.46 |
$6,747.46 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$18,609.90 |
$18,609.90 |
$18,609.90 |
$2,896.40
|
|
Rmvl subq card rhythm mntr
|
$4,387.44 |
$4,387.44 |
$4,387.44 |
$2,054.83
|
|
Rmvl tv pm lead dual
|
$19,046.44 |
$19,046.44 |
$19,046.44 |
$4,031.69
|
|
Rmvl tv pm lead sgl
|
$19,046.44 |
$19,046.44 |
$19,046.44 |
$4,190.98
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$8,354.98 |
$8,354.98 |
$8,354.98 |
$2,204.24
|
|
Rpl tun-cvad w subq port
|
$22,142.31 |
$22,142.31 |
$22,142.31 |
$4,429.16
|
|
Rpl tun cvc wo subq port
|
$22,142.31 |
$22,142.31 |
$22,142.31 |
$3,802.20
|
|
Rubella antibody igg
|
$1,418.09 |
$1,418.09 |
$1,418.09 |
$73.10
|
|
Russell viper venom diluted
|
$791.55 |
$791.55 |
$791.55 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$57.34 |
$57.34 |
$57.34 |
$60.40
|
|
Sclerotherapy fluid collection pq w/img
|
$1,414.90 |
$1,414.90 |
$1,414.90 |
$2,114.45
|
|
Screening Mammogram
|
$1,606.38 |
$1,606.38 |
$1,606.38 |
$297.50
|
|
Sevelamer carbonate 800 mg tablet
|
$44.34 |
$44.34 |
$44.34 |
$17.10
|
|
Sincalide 5 mcg solution for injection
|
$573.99 |
$573.99 |
$573.99 |
$394.33
|
|
Smear fluorescent and/or acid fast stain
|
$732.82 |
$732.82 |
$732.82 |
$61.72
|
|
Smear wet mount
|
$546.81 |
$546.81 |
$546.81 |
$68.63
|
|
Sodium 24 hour urine
|
$653.10 |
$653.10 |
$653.10 |
$48.50
|
|
Sodium chloride 0.9 % IV bolus
|
$55.47 |
$55.47 |
$55.47 |
$42.25
|
|
Sodium serum/plasma/whole blood
|
$732.82 |
$732.82 |
$732.82 |
$42.43
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,333.44 |
$2,333.44 |
$2,333.44 |
$549.83
|
|
St analysis behavior qualitative voice/resonance
|
$1,048.81 |
$1,048.81 |
$1,048.81 |
$307.45
|
|
St cognitve performance testing healthcare professional each hour
|
$1,048.81 |
$1,048.81 |
$1,048.81 |
$313.96
|
|
St evaluate speech sound production
|
$1,048.81 |
$1,048.81 |
$1,048.81 |
$313.50
|
|
St evaluation swallow function
|
$825.77 |
$825.77 |
$825.77 |
$340.13
|
|
St treatment speech individual
|
$769.31 |
$769.31 |
$769.31 |
$256.75
|
|
St treatment swallow dysfunction/oral
|
$371.24 |
$371.24 |
$371.24 |
$258.40
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$35.70 |
$35.70 |
$35.70 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,695.56 |
$1,695.56 |
$1,695.56 |
$129.89
|
|
Surgical pathology level 1 gross examination only
|
$783.17 |
$783.17 |
$783.17 |
$95.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$946.79 |
$946.79 |
$946.79 |
$150.40
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,128.60 |
$1,128.60 |
$1,128.60 |
$191.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,395.72 |
$1,395.72 |
$1,395.72 |
$256.80
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,233.37 |
$3,233.37 |
$3,233.37 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$7,324.01 |
$7,324.01 |
$7,324.01 |
$783.25
|
|
Susceptibility mic per plate
|
$636.33 |
$636.33 |
$636.33 |
$94.38
|
|
Svc venogram s&i
|
$6,868.02 |
$6,868.02 |
$6,868.02 |
$1,890.50
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$861.48 |
$861.48 |
$861.48 |
$44.85
|
|
T3 (triiodothyronine) free
|
$1,359.35 |
$1,359.35 |
$1,359.35 |
$89.82
|
|
T3 (triiodothyronine) total
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$92.00
|
|
T4 (thyroxine) free
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$81.60
|
|
T4 (thyroxine) total
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$739.81 |
$739.81 |
$739.81 |
$122.50
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$4.91 |
$4.91 |
$4.91 |
$35.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$1,749.55 |
$1,749.55 |
$1,749.55 |
$164.45
|
|
Tc-99m exametazime diag
|
$3,218.16 |
$3,218.16 |
$3,218.16 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,460.79 |
$1,460.79 |
$1,460.79 |
$319.56
|
|
Tc-99m maa
|
$661.03 |
$661.03 |
$661.03 |
$312.06
|
|
Tc-99m mebrofenin
|
$769.84 |
$769.84 |
$769.84 |
$169.53
|
|
Tc-99m medronate
|
$903.13 |
$903.13 |
$903.13 |
$122.46
|
|
Tc-99m mertiatide
|
$2,699.87 |
$2,699.87 |
$2,699.87 |
$757.25
|
|
Tc-99m pertechnetate per mci
|
$165.94 |
$165.94 |
$165.94 |
$27.20
|
|
Tc-99m sestamibi p study dose
|
$2,207.50 |
$2,207.50 |
$2,207.50 |
$221.60
|
|
Tc-99m sulfur colloid
|
$496.45 |
$496.45 |
$496.45 |
$245.20
|
|
Tc-99m tetrofosmin p study dose
|
$457.01 |
$457.01 |
$457.01 |
$198.05
|
|
Tetanus immune globulin inj
|
$2,799.91 |
$2,799.91 |
$2,799.91 |
$1,073.02
|
|
Thrombectomy/inf pq dialysis circuit
|
$24,160.49 |
$24,160.49 |
$24,160.49 |
$8,095.35
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$14,034.00 |
$14,034.00 |
$14,034.00 |
$15,255.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$27,050.81 |
$27,050.81 |
$27,050.81 |
$24,605.30
|
|
Thrombin time
|
$999.94 |
$999.94 |
$999.94 |
$47.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$390.18 |
$390.18 |
$390.18 |
$57.50
|
|
Thyroglobulin antibody
|
$1,069.87 |
$1,069.87 |
$1,069.87 |
$85.15
|
|
Thyroid (TSH) Test
|
$2,005.47 |
$2,005.47 |
$2,005.47 |
$110.00
|
|
Thyroxine binding globulin (tbg)
|
$952.39 |
$952.39 |
$952.39 |
$63.60
|
|
Tigecycline injection
|
$838.51 |
$838.51 |
$838.51 |
$337.90
|
|
Tl-201 thallium diag per mci
|
$1,024.18 |
$1,024.18 |
$1,024.18 |
$77.22
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$325.36 |
$325.36 |
$325.36 |
$146.72
|
|
Tobramycin peak therapeutic drug level
|
$981.76 |
$981.76 |
$981.76 |
$115.80
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$9,391.67 |
$9,391.67 |
$9,391.67 |
$3,890.64
|
|
Toxoplasma antibody igg
|
$1,536.97 |
$1,536.97 |
$1,536.97 |
$85.80
|
|
Toxoplasma antibody igm
|
$1,536.97 |
$1,536.97 |
$1,536.97 |
$90.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$9.88 |
$9.88 |
$9.88 |
$77.65
|
|
Transferrin
|
$509.07 |
$509.07 |
$509.07 |
$84.54
|
|
Transfusion blood/blood component(s)
|
$2,459.13 |
$2,459.13 |
$2,459.13 |
$1,005.00
|
|
Trauma partial team response w/critical care services level 4
|
$3,261.18 |
$3,261.18 |
$3,261.18 |
$5,441.36
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$766.40 |
$766.40 |
$766.40 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$564.11 |
$564.11 |
$564.11 |
$150.53
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$689.48 |
$689.48 |
$689.48 |
$203.49
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$259.66 |
$259.66 |
$259.66 |
$44.19
|
|
Triglycerides
|
$1,521.58 |
$1,521.58 |
$1,521.58 |
$54.60
|
|
Trnscath plc vas stent w/s&i ini vein
|
$16,917.84 |
$16,917.84 |
$16,917.84 |
$15,408.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$14,079.73 |
$14,079.73 |
$14,079.73 |
$4,505.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$14,079.73 |
$14,079.73 |
$14,079.73 |
$4,779.00
|
|
Trnscath tx thromblytc vein ini day
|
$7,064.80 |
$7,064.80 |
$7,064.80 |
$4,201.80
|
|
Troponin quantitative
|
$1,243.27 |
$1,243.27 |
$1,243.27 |
$123.50
|
|
Tx atrial fib pulm vein isol
|
$105,689.84 |
$105,689.84 |
$105,689.84 |
$32,450.00
|
|
Ultrasound guide intraoperative
|
$3,424.18 |
$3,424.18 |
$3,424.18 |
$632.90
|