|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$63.42 |
$63.42 |
$63.42 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$295.20 |
$295.20 |
$295.20 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$32.84 |
$32.84 |
$32.84 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$124.85 |
$124.85 |
$124.85 |
$94.19
|
|
Supprelin la implant
|
$93,838.08 |
$93,838.08 |
$93,838.08 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$207.45 |
$207.45 |
$207.45 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$226.65 |
$226.65 |
$226.65 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$288.45 |
$288.45 |
$288.45 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$361.05 |
$361.05 |
$361.05 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$330.45 |
$330.45 |
$330.45 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$757.35 |
$757.35 |
$757.35 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$177.75 |
$177.75 |
$177.75 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$46.05 |
$46.05 |
$46.05 |
$35.70
|
|
Susceptibility mic per plate
|
$258.30 |
$258.30 |
$258.30 |
$106.00
|
|
Synvisc or synvisc-one
|
$2,711.85 |
$2,711.85 |
$2,711.85 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$136.35 |
$136.35 |
$136.35 |
$41.60
|
|
System cardiomems hosp electronics
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$39,037.95
|
|
System pacing micra av
|
$34,155.00 |
$34,155.00 |
$34,155.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$904.05 |
$904.05 |
$904.05 |
$889.35
|
|
T3 (triiodothyronine) free
|
$324.00 |
$324.00 |
$324.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$188.70 |
$188.70 |
$188.70 |
$93.52
|
|
T4 (thyroxine) free
|
$296.10 |
$296.10 |
$296.10 |
$85.20
|
|
T4 (thyroxine) total
|
$110.40 |
$110.40 |
$110.40 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$10.86 |
$10.86 |
$10.86 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.78 |
$9.78 |
$9.78 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$534.82 |
$534.82 |
$534.82 |
$601.95
|
|
Tap block bilat cont infusion 64489
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$771.00 |
$771.00 |
$771.00 |
$869.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$863.75 |
$863.75 |
$863.75 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$184.80 |
$184.80 |
$184.80 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$115.50 |
$115.50 |
$115.50 |
$177.65
|
|
Tc-99m tilmanocept diag
|
$1,121.70 |
$1,121.70 |
$1,121.70 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$246.00 |
$246.00 |
$246.00 |
$176.40
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$40,114.80 |
$40,114.80 |
$40,114.80 |
$40,114.80
|
|
Telavancin injection
|
$1,191.80 |
$1,191.80 |
$1,191.80 |
$1,191.80
|
|
Temozolomide
|
$647.64 |
$647.64 |
$647.64 |
$588.46
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,950.80 |
$4,950.80 |
$4,950.80 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$9,028.34 |
$9,028.34 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$10.95 |
$10.95 |
$39.33
|
|
Tetanus immune globulin inj
|
$1,285.36 |
$1,285.36 |
$1,285.36 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$276.75 |
$276.75 |
$276.75 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.62 |
$13.62 |
$13.62 |
$25.54
|
|
Thigh/wght bear lacer molded
|
$873.03 |
$873.03 |
$873.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$464.92 |
$464.92 |
$464.92 |
$464.92
|
|
Thiotepa injection
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,485.00
|
|
Thrombin time
|
$115.95 |
$115.95 |
$115.95 |
$53.76
|
|
Thyroglobulin antibody
|
$12.30 |
$12.30 |
$12.30 |
$82.00
|
|
Thyroid (TSH) Test
|
$324.00 |
$324.00 |
$324.00 |
$111.00
|
|
Thyroid Ultrasound
|
$601.05 |
$601.05 |
$601.05 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$3,914.94 |
$4,112.43
|
|
Tibial length sock fx or equ
|
$228.69 |
$228.69 |
$228.69 |
$88.92
|
|
Tigecycline injection
|
$216.00 |
$216.00 |
$216.00 |
$234.00
|
|
Tirofiban 12.5 mg/50 ml
|
$516.15 |
$516.15 |
$516.15 |
$458.85
|
|
Tissue amnio epifix inj 100mg
|
$4,201.20 |
$4,201.20 |
$4,201.20 |
$4,834.73
|
|
Tissue culture skin/biopsy
|
$377.40 |
$377.40 |
$377.40 |
$484.00
|
|
Tissue culture tumor
|
$660.30 |
$660.30 |
$660.30 |
$483.36
|
|
Tissue exam koh skin/hair/nails
|
$51.30 |
$51.30 |
$51.30 |
$47.20
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$293.82 |
$293.82 |
$293.82 |
$1,134.00
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$92.25 |
$92.25 |
$92.25 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$36.90 |
$36.90 |
$36.90 |
$44.16
|
|
Tlso 2 shl symphys-stern cst
|
$2,095.23 |
$2,095.23 |
$2,095.23 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,570.48 |
$2,570.48 |
$2,570.48 |
$2,117.57
|
|
Tlso r fram soft ant pre cst
|
$801.11 |
$801.11 |
$801.11 |
$801.11
|
|
Tlso rigid frame pre subclav
|
$1,193.13 |
$1,193.13 |
$1,193.13 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,831.21 |
$2,831.21 |
$2,831.21 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,118.31 |
$2,118.31 |
$2,118.31 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$5,853.60 |
$5,853.60 |
$5,853.60 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,788.42 |
$2,788.42 |
$2,788.42 |
$2,788.42
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$175.50 |
$175.50 |
$175.50 |
$152.36
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$5,258.52 |
$5,258.52 |
$5,258.52 |
$5,258.52
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$507.60 |
$507.60 |
$507.60 |
$325.00
|
|
Torsion ank & half solid sti
|
$292.47 |
$292.47 |
$292.47 |
$291.13
|
|
Torsion straight knee joint
|
$318.65 |
$318.65 |
$318.65 |
$253.84
|
|
Toxoplasma antibody igm
|
$23.85 |
$23.85 |
$23.85 |
$87.00
|
|
Trabectedin 1 mg intravenous solution
|
$6,827.00 |
$6,827.00 |
$6,827.00 |
$6,827.00
|
|
Tracheostoma stent/stud/bttn
|
$452.64 |
$452.64 |
$452.64 |
$333.29
|
|
Trach/laryn tube plug/stop
|
$9.18 |
$9.18 |
$9.18 |
$9.18
|
|
Transferrin
|
$243.00 |
$243.00 |
$243.00 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$2,352.15 |
$2,352.15 |
$2,352.15 |
$983.00
|
|
Transparent film >16<=48 in
|
$18.02 |
$18.02 |
$18.02 |
$12.95
|
|
Transparent film <= 16 sq in
|
$14.78 |
$14.78 |
$14.78 |
$4.50
|
|
Trastuzumab 150 mg intravenous solution
|
$3,085.68 |
$3,085.68 |
$3,085.68 |
$3,141.85
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$7,540.20 |
$7,540.20 |
$7,540.20 |
$7,540.20
|
|
Tray bonemarrw oncontrol 102mm
|
$1,019.25 |
$1,019.25 |
$1,019.25 |
$940.80
|
|
Treat elbow dislocation
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$2,223.20
|
|
Treat knuckle dislocation
|
$1,894.05 |
$1,894.05 |
$1,894.05 |
$1,523.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$310.80 |
$310.80 |
$310.80 |
$203.35
|
|
Treatment of ankle fracture 27786
|
$279.90 |
$279.90 |
$279.90 |
$520.80
|
|
Treat wrist dislocation
|
$429.45 |
$429.45 |
$429.45 |
$656.25
|
|
Treponema pallidum antibody
|
$175.20 |
$175.20 |
$175.20 |
$70.40
|
|
Treprostinil injection
|
$25,211.74 |
$25,211.74 |
$25,211.74 |
$19,071.84
|
|
Trg gene rearrangement anal
|
$265.20 |
$265.20 |
$265.20 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$25.61 |
$25.61 |
$25.61 |
$43.21
|
|
Triamcinolone a inj prs-free
|
$1,869.12 |
$1,869.12 |
$1,869.12 |
$223.56
|
|
Triglycerides
|
$265.20 |
$265.20 |
$265.20 |
$58.05
|
|
Trimethobenzamide hcl inj
|
$117.49 |
$117.49 |
$117.49 |
$117.49
|
|
Triptorelin pamoate
|
$1,706.82 |
$1,706.82 |
$1,706.82 |
$4,619.39
|
