|
Static or dynami afo pre ots
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$427.20 |
$427.20 |
$427.20 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$83,555.26 |
$83,555.26 |
$83,555.26 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$67,164.00 |
$67,164.00 |
$67,164.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$72,954.00 |
$72,954.00 |
$72,954.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$4,939.20
|
|
Sterile water/saline, 10 ml
|
$84.00 |
$84.00 |
$84.00 |
$13.32
|
|
Sternal pad
|
$419.06 |
$419.06 |
$419.06 |
$216.89
|
|
St evaluate speech sound production
|
$287.40 |
$287.40 |
$287.40 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$855.60 |
$855.60 |
$855.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$217.20 |
$217.20 |
$217.20 |
$399.60
|
|
St evaluation swallow function
|
$287.40 |
$287.40 |
$287.40 |
$314.40
|
|
Stocking sup grips 4 pre ots
|
$65.31 |
$65.31 |
$65.31 |
$31.58
|
|
Straight knee joint heavy du
|
$613.69 |
$613.69 |
$613.69 |
$317.69
|
|
Strapping of ankle and/or ft 29540
|
$202.80 |
$202.80 |
$202.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$79.80 |
$79.80 |
$79.80 |
$154.70
|
|
Strapping of hand or finger
|
$79.80 |
$79.80 |
$79.80 |
$174.82
|
|
Strapping of knee
|
$162.00 |
$162.00 |
$162.00 |
$205.20
|
|
Streptomycin injection
|
$537.75 |
$537.75 |
$537.75 |
$138.30
|
|
Stress test pulmonary
|
$287.40 |
$287.40 |
$287.40 |
$322.85
|
|
Stress tte complete
|
$1,467.00 |
$1,467.00 |
$1,467.00 |
$1,870.50
|
|
Str markers specimen anal
|
$733.80 |
$733.80 |
$733.80 |
$751.50
|
|
St treatment speech individual
|
$129.00 |
$129.00 |
$129.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$217.20 |
$217.20 |
$217.20 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$52.31
|
|
Suction lipectomy upr extrem
|
$41,761.16 |
$41,761.16 |
$41,761.16 |
$4,544.00
|
|
Sugars single quant
|
$32.40 |
$32.40 |
$32.40 |
$64.28
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$89.92 |
$89.92 |
$89.92 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$1,057.44 |
$1,057.44 |
$1,057.44 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$111.00 |
$111.00 |
$111.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$168.00 |
$168.00 |
$168.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$269.40 |
$269.40 |
$269.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$252.60 |
$252.60 |
$252.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$480.60 |
$480.60 |
$480.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$599.40 |
$599.40 |
$599.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$28.20 |
$28.20 |
$28.20 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$47.40 |
$47.40 |
$47.40 |
$35.70
|
|
Susceptibility mic per plate
|
$118.20 |
$118.20 |
$118.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$39.00 |
$39.00 |
$39.00 |
$59.28
|
|
Suspension sleeve lower ext
|
$443.70 |
$443.70 |
$443.70 |
$251.38
|
|
Svc venogram s&i
|
$1,916.40 |
$1,916.40 |
$1,916.40 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$71.40 |
$71.40 |
$71.40 |
$41.60
|
|
System cardiomems hosp electronics
|
$88,008.00 |
$88,008.00 |
$88,008.00 |
$39,037.95
|
|
System pacing micra av
|
$77,354.40 |
$77,354.40 |
$77,354.40 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$37,375.61 |
$37,375.61 |
$37,375.61 |
$12,003.00
|
|
System recell skin grafting/harvesting
|
$31,845.00 |
$31,845.00 |
$31,845.00 |
$11,183.00
|
|
T3 (triiodothyronine) free
|
$181.20 |
$181.20 |
$181.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$121.80 |
$121.80 |
$121.80 |
$93.52
|
|
T4 (thyroxine) free
|
$104.40 |
$104.40 |
$104.40 |
$85.20
|
|
T4 (thyroxine) total
|
$102.00 |
$102.00 |
$102.00 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$10.20 |
$10.20 |
$10.20 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,828.55 |
$1,828.55 |
$1,828.55 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$163.20 |
$163.20 |
$163.20 |
$122.40
|
|
Talymed
|
$6,021.60 |
$6,021.60 |
$6,021.60 |
$3,411.49
|
|
Tap block bilat cont infusion 64489
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$3,054.60 |
$3,054.60 |
$3,054.60 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$9,196.80 |
$9,196.80 |
$9,196.80 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,306.40 |
$2,306.40 |
$2,306.40 |
$1,655.52
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,161.85 |
$1,161.85 |
$1,161.85 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$95.40 |
$95.40 |
$95.40 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$378.60 |
$378.60 |
$378.60 |
$177.65
|
|
Tc-99m bicisate
|
$819.00 |
$819.00 |
$819.00 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$5,046.00 |
$5,046.00 |
$5,046.00 |
$2,435.36
|
|
Tc-99m labeled rbc
|
$666.00 |
$666.00 |
$666.00 |
$302.40
|
|
Tc-99m maa
|
$222.00 |
$222.00 |
$222.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$78.00 |
$78.00 |
$78.00 |
$157.65
|
|
Tc-99m medronate
|
$28.80 |
$28.80 |
$28.80 |
$111.01
|
|
Tc-99m mertiatide
|
$150.01 |
$150.01 |
$150.01 |
$756.00
|
|
Tc-99m oxidronate
|
$294.48 |
$294.48 |
$294.48 |
$105.60
|
|
Tc-99m pertechnetate per mci
|
$36.00 |
$36.00 |
$36.00 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$10.20 |
$10.20 |
$10.20 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$193.20 |
$193.20 |
$193.20 |
$274.45
|
|
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
|
$127.20 |
$127.20 |
$127.20 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$774.60 |
$774.60 |
$774.60 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$279.00 |
$279.00 |
$279.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$145.20 |
$145.20 |
$145.20 |
$111.20
|
|
T cells total count
|
$224.40 |
$224.40 |
$224.40 |
$126.90
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$8,281.33 |
$8,281.33 |
$8,281.33 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$38,582.26 |
$38,582.26 |
$38,582.26 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$63,243.71 |
$63,243.71 |
$63,243.71 |
$5,886.74
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$149,778.47 |
$149,778.47 |
$149,778.47 |
$2,139.67
|
|
Tension based scoliosis orth
|
$13,367.12 |
$13,367.12 |
$13,367.12 |
$3,528.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$35.32 |
$35.32 |
$35.32 |
$39.33
|
|
Test pathogen(s) for platelets reference
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Test socket below knee
|
$1,077.96 |
$1,077.96 |
$1,077.96 |
$535.15
|
|
Test stress cardiovascular tracing only
|
$732.00 |
$732.00 |
$732.00 |
$949.70
|
|
Tetanus immune globulin inj
|
$3,018.64 |
$3,018.64 |
$3,018.64 |
$1,285.36
|
|
Tgsap so neo 5-50 rna alys
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$1,019.60
|
|
Therapeutic procd strg endur
|
$102.00 |
$102.00 |
$102.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$19.20 |
$19.20 |
$19.20 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$20.40 |
$20.40 |
$20.40 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$44,942.98 |
$44,942.98 |
$44,942.98 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$708.60 |
$708.60 |
$708.60 |
$529.08
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$25.54
|
|
Thigh/wght bear high roll cu
|
$1,421.00 |
$1,421.00 |
$1,421.00 |
$715.23
|
|
Thigh/wght bear lacer molded
|
$1,895.27 |
$1,895.27 |
$1,895.27 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$1,001.58 |
$1,001.58 |
$1,001.58 |
$464.92
|
