|
Sulfonylurea screen qn-sendout
|
$99.72 |
$99.72 |
$241.66 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$233.10 |
$233.10 |
$237.70 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$175.89 |
$175.89 |
$175.89 |
$94.08
|
|
Surg dx exam anorectal
|
$2,814.85 |
$2,814.85 |
$2,814.85 |
$3,480.50
|
|
Surgery for urethra pouch
|
$4,892.98 |
$4,892.98 |
$4,892.98 |
$4,627.00
|
|
Surgery to stop leg growth
|
$4,294.43 |
$4,294.43 |
$4,294.43 |
$7,907.11
|
|
Surgery to stop leg growth
|
$4,294.43 |
$4,294.43 |
$4,294.43 |
$7,907.11
|
|
Surgical exposure prostate 55860
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$5,626.86
|
|
Surgical pathology level 1 gross examination only
|
$54.45 |
$54.45 |
$139.48 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$99.72 |
$99.72 |
$187.56 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$113.40 |
$113.40 |
$266.74 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$140.49 |
$140.49 |
$474.00 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$271.98 |
$271.98 |
$519.16 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$229.23 |
$229.23 |
$880.68 |
$720.75
|
|
Surg tx anal fistula 2nd stage 46285
|
$3,978.37 |
$3,978.37 |
$3,978.37 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$23.41 |
$23.41 |
$23.41 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$88.04 |
$88.04 |
$88.04 |
$35.70
|
|
Susceptibility mic per plate
|
$57.33 |
$57.33 |
$112.52 |
$104.65
|
|
Suscept studies macrobroth dilution ea
|
$68.89 |
$68.89 |
$68.89 |
$59.28
|
|
Suspension of testis
|
$3,538.08 |
$3,538.08 |
$3,538.08 |
$4,055.01
|
|
Svc venogram s&i
|
$655.65 |
$655.65 |
$2,040.37 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$49.59 |
$49.59 |
$420.71 |
$314.40
|
|
Swallowing Therapy Session
|
$171.09 |
$171.09 |
$268.12 |
$240.50
|
|
Sweat collection by iontophoresis
|
$232.83 |
$232.83 |
$232.83 |
$121.55
|
|
Sympathectomy digital artery
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$2,310.83
|
|
Sympathectomy lumbar
|
$2,919.88 |
$2,919.88 |
$2,919.88 |
$1,147.85
|
|
Sympathectomy supfc palmar
|
$3,127.67 |
$3,127.67 |
$3,127.67 |
$3,839.54
|
|
Synthetic sentence id test
|
$147.25 |
$147.25 |
$147.25 |
$99.32
|
|
Synvisc or synvisc-one
|
$1,232.66 |
$1,232.66 |
$1,232.66 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$37.98 |
$37.98 |
$79.78 |
$42.24
|
|
System cardiomems hosp electronics
|
$45,886.50 |
$45,886.50 |
$45,886.50 |
$38,234.70
|
|
System pacing micra av
|
$32,426.46 |
$32,426.46 |
$32,426.46 |
$24,293.25
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$17,621.40 |
$17,621.40 |
$17,621.40 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$14,020.88 |
$14,020.88 |
$14,020.88 |
$11,183.00
|
|
System sealant biosentry tract
|
$1,023.33 |
$1,023.33 |
$1,023.33 |
$890.03
|
|
T3 (triiodothyronine) free
|
$175.14 |
$175.14 |
$202.48 |
$100.00
|
|
T3 (triiodothyronine) total
|
$52.20 |
$52.20 |
$125.89 |
$93.52
|
|
T4 (thyroxine) free
|
$50.94 |
$50.94 |
$132.83 |
$87.30
|
|
T4 (thyroxine) total
|
$66.15 |
$66.15 |
$73.64 |
$68.40
|
|
Tacrol envarsus ex rel oral
|
$32.80 |
$32.80 |
$32.80 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$15.93 |
$15.93 |
$43.10 |
$9.93
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$668.52 |
$668.52 |
$668.52 |
$596.76
|
|
Tacrolimus therapeutic drug level
|
$74.16 |
$74.16 |
$166.12 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$2,456.76 |
$2,456.76 |
$2,456.76 |
$2,762.00
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$110.16 |
$110.16 |
$278.57 |
$288.60
|
|
Tap block bilat cont infusion 64489
|
$5,074.87 |
$5,074.87 |
$5,074.87 |
$1,541.40
|
|
Tap block uni by cont infusion 64487
|
$1,427.09 |
$1,427.09 |
$1,427.09 |
$868.40
|
|
Tape plstc 1inx5yd hosp tb pk
|
$31.41 |
$31.41 |
$31.41 |
$2.06
|
|
Target gsa panel hmtlmph neop
|
$8,967.00 |
$8,967.00 |
$8,967.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$7,208.55 |
$7,208.55 |
$7,208.55 |
$3,762.00
|
|
Target gsa panel organ neop
|
$5,238.75 |
$5,238.75 |
$5,238.75 |
$1,749.44
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$27,030.00 |
$27,030.00 |
$27,030.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$6,003.27
|
|
Tattooing/intraderm 6.1-20.0 sq cm 11921
|
$1,057.02 |
$1,057.02 |
$1,057.02 |
$931.50
|
|
Tavr perq femoral
|
$28,637.81 |
$28,637.81 |
$28,637.81 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$0.72 |
$0.72 |
$0.72 |
$937.50
|
|
Tbs techl calculation only
|
$73.71 |
$73.71 |
$99.13 |
$153.60
|
|
Tbs techl prep&transmis data
|
$73.71 |
$73.71 |
$99.13 |
$119.66
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$506.22 |
$506.22 |
$506.22 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$90.63 |
$90.63 |
$220.75 |
$181.80
|
|
Tc-99m bicisate
|
$559.17 |
$559.17 |
$559.17 |
$1,984.80
|
|
Tc-99m disofenin
|
$87.48 |
$87.48 |
$87.48 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,440.99 |
$1,440.99 |
$1,440.99 |
$2,486.31
|
|
Tc-99m exametazime diag
|
$1,440.99 |
$1,440.99 |
$1,440.99 |
$2,135.70
|
|
Tc-99m labeled rbc
|
$201.60 |
$201.60 |
$201.60 |
$306.00
|
|
Tc-99m maa
|
$283.41 |
$283.41 |
$283.41 |
$306.60
|
|
Tc-99m mebrofenin
|
$283.41 |
$283.41 |
$283.41 |
$157.50
|
|
Tc-99m medronate
|
$159.93 |
$159.93 |
$159.93 |
$111.01
|
|
Tc-99m pentetate dtpa
|
$210.06 |
$210.06 |
$210.06 |
$222.60
|
|
Tc-99m pertechnetate per mci
|
$223.83 |
$223.83 |
$223.83 |
$18.67
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$83.97 |
$83.97 |
$83.97 |
$141.00
|
|
Tc-99m sestamibi p study dose
|
$109.62 |
$109.62 |
$292.95 |
$287.20
|
|
Tc-99m succimer (dmsa)
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$205.55 |
$205.55 |
$283.41 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$120.96 |
$120.96 |
$120.96 |
$192.08
|
|
Tc-99m tilmanocept diag
|
$568.62 |
$568.62 |
$568.62 |
$958.31
|
|
Tca peel dermal 15789
|
$644.75 |
$644.75 |
$644.75 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$426.07 |
$426.07 |
$426.07 |
$475.80
|
|
Tcd emboli detect without inj
|
$430.89 |
$430.89 |
$430.89 |
$475.28
|
|
Tcd vasoreactivity study
|
$588.44 |
$588.44 |
$588.44 |
$566.88
|
|
T cells absolute cd4/cd8 including ratio
|
$159.75 |
$159.75 |
$216.72 |
$185.28
|
|
T cells absolute cd 4 count
|
$88.83 |
$88.83 |
$258.20 |
$111.20
|
|
T cells total count
|
$363.75 |
$363.75 |
$363.75 |
$132.63
|
|
Tcranial magn stim tx deli
|
$556.36 |
$556.36 |
$556.36 |
$389.22
|
|
Tcranial magn stim tx plan
|
$534.04 |
$534.04 |
$534.04 |
$437.22
|
|
Tcran magn stim redetemine
|
$573.09 |
$573.09 |
$573.09 |
$457.60
|
|
Team conf without pat by hc pro
|
$154.14 |
$154.14 |
$154.14 |
$110.62
|
|
Team conf w/pat by hc prof
|
$217.80 |
$217.80 |
$217.80 |
$105.70
|
|
Telehealth original site facility fee
|
$853.70 |
$853.70 |
$853.70 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$872.14 |
$872.14 |
$872.14 |
$889.80
|
|
Temozolomide
|
$64.37 |
$64.37 |
$64.37 |
$540.06
|
|
Temple bne implnt w/stimulat
|
$10,725.79 |
$10,725.79 |
$10,725.79 |
$10,725.79
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$9,031.44 |
$9,031.44 |
$9,031.44 |
$3,723.60
|
|
Tendon lngth upr a/e ea tdn
|
$3,671.74 |
$3,671.74 |
$3,671.74 |
$3,591.33
|
|
Tendon shortening
|
$2,047.48 |
$2,047.48 |
$2,047.48 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$150.30 |
$150.30 |
$14,951.87 |
$14,951.87
|
|
Tenodesis biceps tdn at elbw
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$6,653.00
|
|
Tenolysis extensor tendon hand/finger each
|
$2,596.30 |
$2,596.30 |
$2,596.30 |
$2,811.20
|
|
Tenoplasty elbow to sho 1
|
$5,487.32 |
$5,487.32 |
$5,487.32 |
$7,807.24
|
