|
Sterile water/saline, 10 ml
|
$513.00 |
$513.00 |
$513.00 |
$13.32
|
|
Sternal pad
|
$470.35 |
$470.35 |
$470.35 |
$216.89
|
|
St evaluate speech sound production
|
$255.60 |
$255.60 |
$255.60 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$275.40 |
$275.40 |
$275.40 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$558.00 |
$558.00 |
$558.00 |
$399.60
|
|
St evaluation swallow function
|
$275.40 |
$275.40 |
$275.40 |
$314.40
|
|
Stocking sup grips 4 pre ots
|
$73.31 |
$73.31 |
$73.31 |
$31.58
|
|
Straight knee joint heavy du
|
$688.82 |
$688.82 |
$688.82 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$121.80 |
$121.80 |
$121.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$48.00 |
$48.00 |
$48.00 |
$154.70
|
|
Strapping of hand or finger
|
$48.00 |
$48.00 |
$48.00 |
$174.82
|
|
Strapping of knee
|
$97.20 |
$97.20 |
$97.20 |
$205.20
|
|
Strep a ag ia
|
$55.20 |
$55.20 |
$55.20 |
$75.40
|
|
Stress test pulmonary
|
$311.40 |
$311.40 |
$311.40 |
$322.85
|
|
Stress tte complete
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$1,870.50
|
|
Str markers specimen anal
|
$733.80 |
$733.80 |
$733.80 |
$751.50
|
|
St treatment speech individual
|
$231.60 |
$231.60 |
$231.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$259.20 |
$259.20 |
$259.20 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$52.31
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$118.51 |
$118.51 |
$118.51 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$1,186.88 |
$1,186.88 |
$1,186.88 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.60 |
$87.60 |
$87.60 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$154.80 |
$154.80 |
$154.80 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$172.80 |
$172.80 |
$172.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$259.80 |
$259.80 |
$259.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$337.20 |
$337.20 |
$337.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$811.20 |
$811.20 |
$811.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$43.20 |
$43.20 |
$43.20 |
$45.45
|
|
Susceptibility mic per plate
|
$202.80 |
$202.80 |
$202.80 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$360.60 |
$360.60 |
$360.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$498.01 |
$498.01 |
$498.01 |
$251.38
|
|
Svc venogram s&i
|
$4,217.40 |
$4,217.40 |
$4,217.40 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$27.60 |
$27.60 |
$27.60 |
$41.60
|
|
System cardiomems hosp electronics
|
$98,781.00 |
$98,781.00 |
$98,781.00 |
$39,037.95
|
|
System pacing micra av
|
$86,823.30 |
$86,823.30 |
$86,823.30 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$41,950.73 |
$41,950.73 |
$41,950.73 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$35,743.13 |
$35,743.13 |
$35,743.13 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$205.20 |
$205.20 |
$205.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$99.60 |
$99.60 |
$99.60 |
$93.52
|
|
T4 (thyroxine) free
|
$85.20 |
$85.20 |
$85.20 |
$85.20
|
|
T4 (thyroxine) total
|
$42.00 |
$42.00 |
$42.00 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$65.27 |
$65.27 |
$65.27 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,410.02 |
$2,410.02 |
$2,410.02 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$301.20 |
$301.20 |
$301.20 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$8,123.96 |
$8,123.96 |
$8,123.96 |
$2,762.00
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$40,657.30 |
$40,657.30 |
$40,657.30 |
$2,369.70
|
|
Talymed
|
$6,758.70 |
$6,758.70 |
$6,758.70 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$756.00 |
$756.00 |
$756.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$4,625.40 |
$4,625.40 |
$4,625.40 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$9,196.80 |
$9,196.80 |
$9,196.80 |
$3,746.70
|
|
Tavr perq femoral
|
$22,311.60 |
$22,311.60 |
$22,311.60 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,748.10 |
$2,748.10 |
$2,748.10 |
$937.50
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$322.20 |
$322.20 |
$322.20 |
$177.65
|
|
Tc-99m bicisate
|
$726.00 |
$726.00 |
$726.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$276.60 |
$276.60 |
$276.60 |
$302.40
|
|
Tc-99m maa
|
$822.00 |
$822.00 |
$822.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$121.20 |
$121.20 |
$121.20 |
$157.65
|
|
Tc-99m medronate
|
$60.60 |
$60.60 |
$60.60 |
$111.01
|
|
Tc-99m mertiatide
|
$438.01 |
$438.01 |
$438.01 |
$756.00
|
|
Tc-99m oxidronate
|
$1,031.10 |
$1,031.10 |
$1,031.10 |
$105.60
|
|
Tc-99m pertechnetate per mci
|
$35.70 |
$35.70 |
$35.70 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$36.00 |
$36.00 |
$36.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$209.40 |
$209.40 |
$209.40 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$358.20 |
$358.20 |
$358.20 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$52.80 |
$52.80 |
$52.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$155.40 |
$155.40 |
$155.40 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$160.20 |
$160.20 |
$160.20 |
$176.40
|
|
T cells absolute cd 4 count
|
$126.60 |
$126.60 |
$126.60 |
$111.20
|
|
T cells total count
|
$158.40 |
$158.40 |
$158.40 |
$126.90
|
|
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution
|
$62,970.00 |
$62,970.00 |
$62,970.00 |
$40,114.80
|
|
Telethx isodose plan cplx
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$1,526.85
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$47,792.22 |
$47,792.22 |
$47,792.22 |
$15,245.38
|
|
Tension based scoliosis orth
|
$15,003.38 |
$15,003.38 |
$15,003.38 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$48.00 |
$48.00 |
$48.00 |
$39.33
|
|
Test pathogen(s) for platelets reference
|
$199.20 |
$199.20 |
$199.20 |
$70.00
|
|
Test socket below knee
|
$1,209.91 |
$1,209.91 |
$1,209.91 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$3,739.22 |
$3,739.22 |
$3,739.22 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$108.00
|
|
Therapeutic procd strg endur
|
$116.40 |
$116.40 |
$116.40 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$126.60 |
$126.60 |
$126.60 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$140.40 |
$140.40 |
$140.40 |
$50.00
|
|
Ther/proph/diag inj ia
|
$468.00 |
$468.00 |
$468.00 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,594.95 |
$1,594.95 |
$1,594.95 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$2,127.28 |
$2,127.28 |
$2,127.28 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$1,124.18 |
$1,124.18 |
$1,124.18 |
$464.92
|
|
Thi/glut/ischia wgt bearing
|
$1,466.90 |
$1,466.90 |
$1,466.90 |
$657.72
|
|
Thorac cont lat support upri
|
$685.90 |
$685.90 |
$685.90 |
$277.16
|
|
Thorac cont paraspinal uprig
|
$747.67 |
$747.67 |
$747.67 |
$344.85
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,321.80 |
$1,321.80 |
$1,321.80 |
$1,687.50
|
|
Thoracic control thoracic ba
|
$839.90 |
$839.90 |
$839.90 |
$387.41
|
|
Thoracic pad
|
$507.68 |
$507.68 |
$507.68 |
$234.19
|
|
Thor rib belt custom fabrica
|
$5,389.07 |
$5,389.07 |
$5,389.07 |
$225.50
|
|
Thrombectmy crnry perq mechanical
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$21,516.00 |
$21,516.00 |
$21,516.00 |
$21,413.60
|
|
Thrombin time
|
$58.20 |
$58.20 |
$58.20 |
$53.76
|
