|
Specific gravity body fluid
|
$203.58 |
$203.58 |
$203.58 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,360.08 |
$4,360.08 |
$4,360.08 |
$536.34
|
|
Spleen imaging
|
$4,883.99 |
$4,883.99 |
$4,883.99 |
$679.00
|
|
St cognitve performance testing healthcare professional each hour
|
$1,165.51 |
$1,165.51 |
$1,165.51 |
$284.65
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$81,424.08 |
$81,424.08 |
$81,424.08 |
$21,568.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$59,923.92 |
$59,923.92 |
$59,923.92 |
$17,271.50
|
|
Streptomycin injection
|
$453.19 |
$453.19 |
$453.19 |
$143.00
|
|
Stress test pulmonary
|
$1,007.97 |
$1,007.97 |
$1,007.97 |
$311.40
|
|
Stress tte complete
|
$8,840.70 |
$8,840.70 |
$8,840.70 |
$1,784.25
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$28.34 |
$28.34 |
$28.34 |
$50.22
|
|
Sulfonylurea screen qn-sendout
|
$466.49 |
$466.49 |
$466.49 |
$152.64
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,810.38 |
$1,810.38 |
$1,810.38 |
$123.58
|
|
Susceptibility enzyme detection per enzyme
|
$145.86 |
$145.86 |
$145.86 |
$35.10
|
|
Suscept studies macrobroth dilution ea
|
$173.14 |
$173.14 |
$173.14 |
$59.28
|
|
Svc venogram s&i
|
$4,563.69 |
$4,563.69 |
$4,563.69 |
$1,934.62
|
|
T3 (triiodothyronine) free
|
$894.50 |
$894.50 |
$894.50 |
$99.20
|
|
T3 (triiodothyronine) total
|
$1,046.81 |
$1,046.81 |
$1,046.81 |
$93.52
|
|
T4 (thyroxine) free
|
$859.24 |
$859.24 |
$859.24 |
$85.20
|
|
Tacrolimus therapeutic drug level
|
$1,421.93 |
$1,421.93 |
$1,421.93 |
$120.60
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$7.71 |
$7.71 |
$7.71 |
$14.62
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$1,617.27 |
$1,617.27 |
$1,617.27 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$275.72 |
$275.72 |
$275.72 |
$175.00
|
|
Tc-99m exametazime diag
|
$11,020.09 |
$11,020.09 |
$11,020.09 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$5,460.29 |
$5,460.29 |
$5,460.29 |
$302.40
|
|
Tc-99m maa
|
$1,050.33 |
$1,050.33 |
$1,050.33 |
$283.41
|
|
Tc-99m mebrofenin
|
$1,170.56 |
$1,170.56 |
$1,170.56 |
$160.58
|
|
Tc-99m medronate
|
$820.46 |
$820.46 |
$820.46 |
$109.50
|
|
Tc-99m mertiatide
|
$3,669.22 |
$3,669.22 |
$3,669.22 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$1,050.33 |
$1,050.33 |
$1,050.33 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$366.23 |
$366.23 |
$366.23 |
$27.20
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$909.20 |
$909.20 |
$909.20 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$4,105.94 |
$4,105.94 |
$4,105.94 |
$293.73
|
|
Tc-99m sulfur colloid
|
$782.22 |
$782.22 |
$782.22 |
$239.40
|
|
Tc-99m tilmanocept diag
|
$3,356.40 |
$3,356.40 |
$3,356.40 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$1,296.89 |
$1,296.89 |
$1,296.89 |
$175.00
|
|
T cells absolute cd 4 count
|
$787.10 |
$787.10 |
$787.10 |
$110.00
|
|
T cells total count
|
$787.10 |
$787.10 |
$787.10 |
$123.00
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$25,823.32 |
$25,823.32 |
$25,823.32 |
$3,723.60
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$257.66 |
$257.66 |
$257.66 |
$39.18
|
|
Test for porphobilinogen
|
$649.25 |
$649.25 |
$649.25 |
$33.57
|
|
Testicular imaging w/vasc flow
|
$4,765.15 |
$4,765.15 |
$4,765.15 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$7,431.29 |
$7,431.29 |
$7,431.29 |
$953.40
|
|
Test urine for porphyrins
|
$1,051.62 |
$1,051.62 |
$1,051.62 |
$50.50
|
|
Tetanus immune globulin inj
|
$7,002.48 |
$7,002.48 |
$7,002.48 |
$1,228.80
|
|
Theophylline therapeutic drug level
|
$900.93 |
$900.93 |
$900.93 |
$108.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$5,895.36 |
$5,895.36 |
$5,895.36 |
$1,687.50
|
|
Thromboendarterectomy common femoral
|
$13,186.55 |
$13,186.55 |
$13,186.55 |
$3,666.00
|
|
Thromboplastin inhibition
|
$91.38 |
$91.38 |
$91.38 |
$53.30
|
|
Thyroglobulin antibody
|
$1,080.47 |
$1,080.47 |
$1,080.47 |
$81.90
|
|
Thyroid imaging
|
$2,591.25 |
$2,591.25 |
$2,591.25 |
$673.01
|
|
Thyroid met imaging
|
$3,676.12 |
$3,676.12 |
$3,676.12 |
$838.25
|
|
Thyroid met imaging/studies
|
$2,198.76 |
$2,198.76 |
$2,198.76 |
$763.73
|
|
Thyroid mets imag whole body
|
$5,399.48 |
$5,399.48 |
$5,399.48 |
$1,544.00
|
|
Thyroid uptake measurement
|
$4,611.74 |
$4,611.74 |
$4,611.74 |
$580.20
|
|
Thyrotropin releasing hormone
|
$3,233.38 |
$3,233.38 |
$3,233.38 |
$127.20
|
|
Thyroxine binding globulin (tbg)
|
$1,553.38 |
$1,553.38 |
$1,553.38 |
$64.92
|
|
Tib/per revasc stent & ather 37231
|
$70,786.32 |
$70,786.32 |
$70,786.32 |
$21,249.26
|
|
Tigecycline injection
|
$1,395.68 |
$1,395.68 |
$1,395.68 |
$234.00
|
|
Tilt table study
|
$3,086.31 |
$3,086.31 |
$3,086.31 |
$1,495.00
|
|
Tissue culture placenta
|
$9,167.94 |
$9,167.94 |
$9,167.94 |
$462.80
|
|
Tl-201 thallium diag per mci
|
$464.35 |
$464.35 |
$464.35 |
$80.10
|
|
Tlso 3mod sacro-scap pre
|
$11,132.00 |
$11,132.00 |
$11,132.00 |
$1,986.72
|
|
Tlso rig fram pelvic pre cst
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$1,125.03
|
|
Tlso rigid lined custom fab
|
$12,859.00 |
$12,859.00 |
$12,859.00 |
$2,831.21
|
|
Tomosynthesis breast diagnostic left
|
$265.34 |
$265.34 |
$265.34 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$265.34 |
$265.34 |
$265.34 |
$70.89
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$19,950.31 |
$19,950.31 |
$19,950.31 |
$305.23
|
|
Toxoplasma antibody igg
|
$990.69 |
$990.69 |
$990.69 |
$89.57
|
|
Toxoplasma antibody igm
|
$990.69 |
$990.69 |
$990.69 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$35,532.56 |
$35,532.56 |
$35,532.56 |
$6,827.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$62.62 |
$62.62 |
$62.62 |
$55.69
|
|
Transcath biopsy
|
$22,069.99 |
$22,069.99 |
$22,069.99 |
$4,285.93
|
|
Transcath closure of asd
|
$110,912.31 |
$110,912.31 |
$110,912.31 |
$18,408.00
|
|
Transcath closure of vsd
|
$52,934.40 |
$52,934.40 |
$52,934.40 |
$16,369.51
|
|
Transcatheter bx s&i
|
$3,544.44 |
$3,544.44 |
$3,544.44 |
$1,973.01
|
|
Transcath occlusion cns
|
$14,499.67 |
$14,499.67 |
$14,499.67 |
$7,337.20
|
|
Transcath occlusion non-cns
|
$10,303.13 |
$10,303.13 |
$10,303.13 |
$10,416.60
|
|
Transcath rmvl perm ldss pmkr rv
|
$21,541.06 |
$21,541.06 |
$21,541.06 |
$4,775.16
|
|
Transferrin
|
$684.52 |
$684.52 |
$684.52 |
$81.60
|
|
Trastuzumab 150 mg intravenous solution
|
$2,739.05 |
$2,739.05 |
$2,739.05 |
$3,141.85
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$942.15 |
$942.15 |
$942.15 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$159.79 |
$159.79 |
$159.79 |
$141.00
|
|
Trh stimulation panel
|
$3,687.04 |
$3,687.04 |
$3,687.04 |
$117.75
|
|
Trichinella antibody
|
$121.83 |
$121.83 |
$121.83 |
$70.65
|
|
Trnscath plc stent crv crtd without prtct
|
$36,891.07 |
$36,891.07 |
$36,891.07 |
$7,795.71
|
|
Trnscath plc stent crv crtd w/prtct
|
$41,873.67 |
$41,873.67 |
$41,873.67 |
$9,767.25
|
|
Trnscath plc vas stent w/s&i ini vein
|
$61,629.59 |
$61,629.59 |
$61,629.59 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$7,243.41 |
$7,243.41 |
$7,243.41 |
$4,627.00
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$39,254.73 |
$39,254.73 |
$39,254.73 |
$4,250.25
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$39,254.73 |
$39,254.73 |
$39,254.73 |
$4,250.25
|
|
Tte w or without contr, cont ecg
|
$7,050.28 |
$7,050.28 |
$7,050.28 |
$1,966.90
|
|
Tx atrial fib pulm vein isol
|
$134,003.47 |
$134,003.47 |
$134,003.47 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$40,909.47 |
$40,909.47 |
$40,909.47 |
$7,005.00
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$2,946.43 |
$2,946.43 |
$2,946.43 |
$323.40
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,420.71 |
$1,420.71 |
$1,420.71 |
$420.80
|
|
Unlistd noninvas vasc dx std
|
$1,600.87 |
$1,600.87 |
$1,600.87 |
$564.60
|
|
Unlisted dx gi procedure
|
$7,566.52 |
$7,566.52 |
$7,566.52 |
$613.20
|
|
Unlisted gi px dx nuc med
|
$985.00 |
$985.00 |
$985.00 |
$1,150.80
|
|
Unsched dialysis esrd pt hos
|
$7,809.55 |
$7,809.55 |
$7,809.55 |
$1,248.00
|
|
Upgrade pm system
|
$8,501.45 |
$8,501.45 |
$8,501.45 |
$12,087.24
|
