|
Stress tte complete
|
$697.77 |
$697.77 |
$697.77 |
$1,964.95
|
|
Str markers specimen anal
|
$3,860.19 |
$3,860.19 |
$3,860.19 |
$835.28
|
|
St treatment speech individual
|
$154.26 |
$154.26 |
$154.26 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$117.72 |
$117.72 |
$117.72 |
$261.60
|
|
Subdural tap fontanelle/sutur infant init 61000
|
$702.45 |
$702.45 |
$702.45 |
$819.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$45.81 |
$45.81 |
$45.81 |
$49.13
|
|
Sugars multiple quant
|
$44.19 |
$44.19 |
$44.19 |
$26.95
|
|
Sugars single quant
|
$119.07 |
$119.07 |
$119.07 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$115.92 |
$115.92 |
$115.92 |
$184.60
|
|
Support clav 29.6-40.5in med
|
$115.92 |
$115.92 |
$115.92 |
$68.54
|
|
Supprelin la implant
|
$24,970.32 |
$24,970.32 |
$24,970.32 |
$45,560.39
|
|
Surgical pathology level 1 gross examination only
|
$140.58 |
$140.58 |
$140.58 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$149.76 |
$149.76 |
$149.76 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$303.48 |
$303.48 |
$303.48 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$219.96 |
$219.96 |
$219.96 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$535.41 |
$535.41 |
$535.41 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$768.15 |
$768.15 |
$768.15 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$325.98 |
$325.98 |
$325.98 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$40.68 |
$40.68 |
$40.68 |
$34.48
|
|
Susceptibility mic per plate
|
$94.23 |
$94.23 |
$94.23 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$51.57 |
$51.57 |
$51.57 |
$48.30
|
|
Svc venogram s&i
|
$919.26 |
$919.26 |
$919.26 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$250.83 |
$250.83 |
$250.83 |
$105.21
|
|
Synvisc or synvisc-one
|
$268.29 |
$268.29 |
$268.29 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$35.82 |
$35.82 |
$35.82 |
$44.85
|
|
T3 (triiodothyronine) free
|
$226.08 |
$226.08 |
$226.08 |
$89.82
|
|
T3 (triiodothyronine) total
|
$226.08 |
$226.08 |
$226.08 |
$94.90
|
|
T4 (thyroxine) free
|
$100.62 |
$100.62 |
$100.62 |
$81.60
|
|
T4 (thyroxine) total
|
$80.73 |
$80.73 |
$80.73 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.11 |
$7.11 |
$7.11 |
$9.99
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$163.98 |
$163.98 |
$163.98 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$162.54 |
$162.54 |
$162.54 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,522.17 |
$1,522.17 |
$1,522.17 |
$1,928.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$691.83 |
$691.83 |
$691.83 |
$959.55
|
|
Tbs techl calculation only
|
$123.30 |
$123.30 |
$123.30 |
$123.30
|
|
Tbs techl prep&transmis data
|
$123.30 |
$123.30 |
$123.30 |
$104.19
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$581.22 |
$581.22 |
$581.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$440.73 |
$440.73 |
$440.73 |
$166.46
|
|
Tc-99m bicisate
|
$626.49 |
$626.49 |
$626.49 |
$1,969.45
|
|
Tc-99m maa
|
$69.66 |
$69.66 |
$69.66 |
$312.06
|
|
Tc-99m medronate
|
$53.28 |
$53.28 |
$53.28 |
$122.46
|
|
Tc-99m pentetate dtpa
|
$105.12 |
$105.12 |
$105.12 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$97.20 |
$97.20 |
$97.20 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$73.17 |
$73.17 |
$73.17 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$177.48 |
$177.48 |
$177.48 |
$221.60
|
|
Tc-99m sulfur colloid
|
$459.54 |
$459.54 |
$459.54 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$197.73 |
$197.73 |
$197.73 |
$186.00
|
|
T cells absolute cd 4 count
|
$125.46 |
$125.46 |
$125.46 |
$120.25
|
|
T cells total count
|
$167.13 |
$167.13 |
$167.13 |
$124.11
|
|
Tcranial magn stim tx deli
|
$165.33 |
$165.33 |
$165.33 |
$368.50
|
|
Tcranial magn stim tx plan
|
$306.81 |
$306.81 |
$306.81 |
$386.88
|
|
Tcran magn stim redetemine
|
$165.33 |
$165.33 |
$165.33 |
$417.06
|
|
Tee w or without fol w/cont,cong
|
$1,079.73 |
$1,079.73 |
$1,079.73 |
$1,432.00
|
|
Tee w or without fol w/cont, mon
|
$807.84 |
$807.84 |
$807.84 |
$934.93
|
|
Temozolomide
|
$325.53 |
$325.53 |
$325.53 |
$438.51
|
|
Temozolomide 100 mg intravenous solution
|
$433.35 |
$433.35 |
$433.35 |
$2,851.96
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$81.18 |
$81.18 |
$81.18 |
$2,791.41
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$4,954.68 |
$4,954.68 |
$4,954.68 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$58.05 |
$58.05 |
$58.05 |
$44.49
|
|
Test for porphobilinogen
|
$68.31 |
$68.31 |
$68.31 |
$33.57
|
|
Test for urine cystines
|
$74.61 |
$74.61 |
$74.61 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$780.48
|
|
Test pathogen(s) for platelets reference
|
$45.72 |
$45.72 |
$45.72 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$907.74 |
$907.74 |
$907.74 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$131.22 |
$131.22 |
$131.22 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$1,569.51 |
$1,569.51 |
$1,569.51 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$105.03 |
$105.03 |
$105.03 |
$108.00
|
|
Therapeutic procd strg endur
|
$50.22 |
$50.22 |
$50.22 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$41.22 |
$41.22 |
$41.22 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$27.36 |
$27.36 |
$27.36 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$285.57 |
$285.57 |
$285.57 |
$534.32
|
|
Ther/proph/diag inj ia
|
$361.17 |
$361.17 |
$361.17 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$4.32 |
$4.32 |
$4.32 |
$38.64
|
|
Throat x-ray & fluoroscopy
|
$108.09 |
$108.09 |
$108.09 |
$188.00
|
|
Thrombectmy crnry perq mechanical
|
$3,252.51 |
$3,252.51 |
$3,252.51 |
$3,580.00
|
|
Thrombin time
|
$102.06 |
$102.06 |
$102.06 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$50.31 |
$50.31 |
$50.31 |
$56.93
|
|
Thyroglobulin antibody
|
$105.57 |
$105.57 |
$105.57 |
$84.00
|
|
Thyroid imaging
|
$206.55 |
$206.55 |
$206.55 |
$670.80
|
|
Thyroid mets imag whole body
|
$506.34 |
$506.34 |
$506.34 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$126.27 |
$126.27 |
$126.27 |
$120.00
|
|
Thyroid Ultrasound
|
$417.06 |
$417.06 |
$417.06 |
$589.96
|
|
Thyroid uptake measurement
|
$187.11 |
$187.11 |
$187.11 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$901.71 |
$901.71 |
$901.71 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$82.26 |
$82.26 |
$82.26 |
$63.60
|
|
Tigecycline injection
|
$2.07 |
$2.07 |
$2.07 |
$308.75
|
|
Tilt table study
|
$2,343.33 |
$2,343.33 |
$2,343.33 |
$1,495.00
|
|
Tirofiban 12.5 mg/50 ml
|
$107.10 |
$107.10 |
$107.10 |
$360.60
|
|
Tissue culture placenta
|
$1,054.53 |
$1,054.53 |
$1,054.53 |
$520.91
|
|
Tissue culture skin/biopsy
|
$385.20 |
$385.20 |
$385.20 |
$558.87
|
|
Tissue culture tumor
|
$605.52 |
$605.52 |
$605.52 |
$529.23
|
|
Tissue exam koh skin/hair/nails
|
$32.67 |
$32.67 |
$32.67 |
$47.40
|
|
Tissue transglutaminase iga
|
$19.80 |
$19.80 |
$19.80 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$405.99 |
$405.99 |
$405.99 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$110.34 |
$110.34 |
$110.34 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,743.02 |
$2,743.02 |
$2,743.02 |
$5,790.85
|
|
Tomosynthesis breast diagnostic left
|
$53.82 |
$53.82 |
$53.82 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$61.38 |
$61.38 |
$61.38 |
$73.45
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$1,005.03 |
$1,005.03 |
$1,005.03 |
$303.88
|
|
Toxoplasma antibody igg
|
$118.17 |
$118.17 |
$118.17 |
$84.35
|
