|
Smear wet mount
|
$55.50 |
$55.50 |
$55.50 |
$66.30
|
|
So airplane w/wo joint cf
|
$1,604.77 |
$1,604.77 |
$1,604.77 |
$1,276.80
|
|
So cap design without jnts cf
|
$1,223.30 |
$1,223.30 |
$1,223.30 |
$856.10
|
|
Socket insert without lock mech
|
$810.82 |
$810.82 |
$810.82 |
$1,192.50
|
|
Sock fracture or equal each
|
$45.37 |
$45.37 |
$45.37 |
$74.51
|
|
Sodium 24 hour urine
|
$105.60 |
$105.60 |
$105.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$84.00 |
$84.00 |
$84.00 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$84.00 |
$84.00 |
$84.00 |
$36.21
|
|
Sodium chloride 3 % ivpb
|
$84.00 |
$84.00 |
$84.00 |
$37.80
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$209.88 |
$209.88 |
$209.88 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$70.50 |
$70.50 |
$70.50 |
$45.50
|
|
Soft interface below knee se
|
$112.90 |
$112.90 |
$112.90 |
$179.08
|
|
So neo gsap dna/dna&rna
|
$2,242.20 |
$2,242.20 |
$2,242.20 |
$2,989.55
|
|
So vest canvas/web pre ots
|
$238.30 |
$238.30 |
$238.30 |
$256.54
|
|
Specific gravity body fluid
|
$5.10 |
$5.10 |
$5.10 |
$21.60
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$297.00 |
$297.00 |
$297.00 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$688.01 |
$688.01 |
$688.01 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$89.18 |
$89.18 |
$89.18 |
$77.51
|
|
Splint finger fold over sm
|
$131.14 |
$131.14 |
$131.14 |
$144.05
|
|
Splint finger frog med
|
$133.45 |
$133.45 |
$133.45 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$131.14 |
$131.14 |
$131.14 |
$100.75
|
|
Sputum specimen collection
|
$164.10 |
$164.10 |
$164.10 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$426.30 |
$426.30 |
$426.30 |
$295.10
|
|
Static or dynami afo pre ots
|
$413.62 |
$413.62 |
$413.62 |
$284.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$29,845.03 |
$29,845.03 |
$29,845.03 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$23,990.25 |
$23,990.25 |
$23,990.25 |
$2,301.33
|
|
Stent bili rx wallflx 10x80 uncvr
|
$26,058.37 |
$26,058.37 |
$26,058.37 |
$20,300.00
|
|
Stent bronch dumon sil 10x40mm
|
$579.07 |
$579.07 |
$579.07 |
$4,673.50
|
|
Sterile water/saline, 10 ml
|
$84.00 |
$84.00 |
$84.00 |
$13.32
|
|
Sternal pad
|
$149.68 |
$149.68 |
$149.68 |
$216.89
|
|
St evaluate speech sound production
|
$74.70 |
$74.70 |
$74.70 |
$289.20
|
|
St evaluate speech sound production comprehensive/expressive
|
$426.30 |
$426.30 |
$426.30 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$341.40 |
$341.40 |
$341.40 |
$370.20
|
|
St evaluation swallow function
|
$272.10 |
$272.10 |
$272.10 |
$309.60
|
|
Stocking sup grips 4 pre ots
|
$23.33 |
$23.33 |
$23.33 |
$31.58
|
|
Straight knee joint heavy du
|
$219.20 |
$219.20 |
$219.20 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$101.40 |
$101.40 |
$101.40 |
$217.70
|
|
Strapping of elbow or wrist 29260
|
$39.90 |
$39.90 |
$39.90 |
$152.00
|
|
Strapping of hand or finger
|
$39.90 |
$39.90 |
$39.90 |
$171.00
|
|
Strapping of knee
|
$81.00 |
$81.00 |
$81.00 |
$206.50
|
|
Stress test pulmonary
|
$143.70 |
$143.70 |
$143.70 |
$322.85
|
|
Stress tte complete
|
$1,714.20 |
$1,714.20 |
$1,714.20 |
$1,797.59
|
|
Str markers specimen anal
|
$366.90 |
$366.90 |
$366.90 |
$800.30
|
|
St treatment speech individual
|
$239.10 |
$239.10 |
$239.10 |
$249.00
|
|
St treatment swallow dysfunction/oral
|
$266.70 |
$266.70 |
$266.70 |
$240.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$53.40
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$9,527.02 |
$9,527.02 |
$9,527.02 |
$7,487.55
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$240.77 |
$240.77 |
$240.77 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$377.71 |
$377.71 |
$377.71 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$55.50 |
$55.50 |
$55.50 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$184.80 |
$184.80 |
$184.80 |
$143.65
|
|
Surgical pathology level 3 gross & microscopic examination
|
$184.80 |
$184.80 |
$184.80 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$259.80 |
$259.80 |
$259.80 |
$252.60
|
|
Surgical pathology level 5 gross & microscopic examination
|
$225.00 |
$225.00 |
$225.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$216.60 |
$216.60 |
$216.60 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$14.10 |
$14.10 |
$14.10 |
$43.00
|
|
Susceptibility enzyme detection per enzyme
|
$20.40 |
$20.40 |
$20.40 |
$35.40
|
|
Susceptibility mic per plate
|
$92.10 |
$92.10 |
$92.10 |
$104.58
|
|
Suscept studies macrobroth dilution ea
|
$44.70 |
$44.70 |
$44.70 |
$59.28
|
|
Suspension sleeve lower ext
|
$158.48 |
$158.48 |
$158.48 |
$251.38
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$25.20 |
$25.20 |
$25.20 |
$40.00
|
|
System cardiomems hosp electronics
|
$31,435.50 |
$31,435.50 |
$31,435.50 |
$38,226.50
|
|
System pacing micra av
|
$27,630.15 |
$27,630.15 |
$27,630.15 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$13,350.16 |
$13,350.16 |
$13,350.16 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$11,374.69 |
$11,374.69 |
$11,374.69 |
$12,725.30
|
|
T3 (triiodothyronine) free
|
$120.60 |
$120.60 |
$120.60 |
$98.80
|
|
T4 (thyroxine) free
|
$46.20 |
$46.20 |
$46.20 |
$84.15
|
|
T4 (thyroxine) total
|
$51.00 |
$51.00 |
$51.00 |
$67.10
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.00 |
$9.00 |
$9.00 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$22.80 |
$22.80 |
$22.80 |
$120.42
|
|
Talymed
|
$2,150.85 |
$2,150.85 |
$2,150.85 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$555.00 |
$555.00 |
$555.00 |
$868.40
|
|
Target gsa panel hmtlmph neop
|
$1,527.30 |
$1,527.30 |
$1,527.30 |
$2,160.00
|
|
Target gsa panel organ/hmtlmph neop
|
$4,598.40 |
$4,598.40 |
$4,598.40 |
$3,746.70
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,251.80 |
$1,251.80 |
$1,251.80 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$200.70 |
$200.70 |
$200.70 |
$175.92
|
|
Tc-99m bicisate
|
$819.00 |
$819.00 |
$819.00 |
$1,984.80
|
|
Tc-99m exame autol wbc diag per dose
|
$5,046.00 |
$5,046.00 |
$5,046.00 |
$2,431.95
|
|
Tc-99m labeled rbc
|
$336.01 |
$336.01 |
$336.01 |
$302.40
|
|
Tc-99m maa
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$288.75
|
|
Tc-99m mebrofenin
|
$336.00 |
$336.00 |
$336.00 |
$157.65
|
|
Tc-99m medronate
|
$150.60 |
$150.60 |
$150.60 |
$111.01
|
|
Tc-99m mertiatide
|
$1,005.01 |
$1,005.01 |
$1,005.01 |
$756.00
|
|
Tc-99m oxidronate
|
$294.48 |
$294.48 |
$294.48 |
$105.30
|
|
Tc-99m pertechnetate per mci
|
$52.20 |
$52.20 |
$52.20 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$16.20 |
$16.20 |
$16.20 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$433.80 |
$433.80 |
$433.80 |
$288.90
|
|
Tc-99m succimer (dmsa)
|
$465.00 |
$465.00 |
$465.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$94.20 |
$94.20 |
$94.20 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$351.60 |
$351.60 |
$351.60 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$774.60 |
$774.60 |
$774.60 |
$946.50
|
|
T cells absolute cd4/cd8 including ratio
|
$148.20 |
$148.20 |
$148.20 |
$175.00
|
|
T cells absolute cd 4 count
|
$18.30 |
$18.30 |
$18.30 |
$110.72
|
|
T cells total count
|
$112.20 |
$112.20 |
$112.20 |
$123.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$41,569.28 |
$41,569.28 |
$41,569.28 |
$15,245.38
|
|
Tension based scoliosis orth
|
$4,774.59 |
$4,774.59 |
$4,774.59 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$32.51 |
$32.51 |
$32.51 |
$37.76
|
|
Test pathogen(s) for platelets reference
|
$33.00 |
$33.00 |
$33.00 |
$69.95
|
|
Test socket below knee
|
$385.03 |
$385.03 |
$385.03 |
$535.15
|
