|
Stent bili dbl pgtl 10fx5cm
|
$7,098.79 |
$7,098.79 |
$7,098.79 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$75,864.83 |
$75,864.83 |
$75,864.83 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$10,449.84 |
$10,449.84 |
$10,449.84 |
$4,939.20
|
|
St evaluation swallow function
|
$250.58 |
$250.58 |
$250.58 |
$314.40
|
|
Strapping of chest
|
$160.74 |
$160.74 |
$160.74 |
$195.33
|
|
Strapping of toes 29550
|
$81.88 |
$81.88 |
$81.88 |
$164.70
|
|
Strep a ag ia
|
$38.30 |
$38.30 |
$38.30 |
$75.40
|
|
Strep b assay w/optic
|
$32.35 |
$32.35 |
$32.35 |
$80.16
|
|
Strep b dna amp probe
|
$66.97 |
$66.97 |
$66.97 |
$120.90
|
|
Streptomycin injection
|
$19.94 |
$19.94 |
$19.94 |
$138.30
|
|
Streptozocin injection
|
$12.14 |
$12.14 |
$12.14 |
$785.95
|
|
Stress test pulmonary
|
$266.36 |
$266.36 |
$266.36 |
$322.85
|
|
Stress tte complete
|
$835.01 |
$835.01 |
$835.01 |
$1,870.50
|
|
Str markers specimen anal
|
$434.79 |
$434.79 |
$434.79 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$40.88 |
$40.88 |
$40.88 |
$52.31
|
|
Sugars single quant
|
$164.25 |
$164.25 |
$164.25 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$4,492.70 |
$4,492.70 |
$4,492.70 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$280.03 |
$280.03 |
$280.03 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$14.88 |
$14.88 |
$14.88 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$68.57 |
$68.57 |
$68.57 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$110.77 |
$110.77 |
$110.77 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$149.45 |
$149.45 |
$149.45 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$175.82 |
$175.82 |
$175.82 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$293.61 |
$293.61 |
$293.61 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$365.69 |
$365.69 |
$365.69 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$39.28 |
$39.28 |
$39.28 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.00 |
$11.00 |
$11.00 |
$35.70
|
|
Susceptibility mic per plate
|
$58.90 |
$58.90 |
$58.90 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$33.93 |
$33.93 |
$33.93 |
$59.28
|
|
Svc venogram s&i
|
$2,472.72 |
$2,472.72 |
$2,472.72 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$29.47 |
$29.47 |
$29.47 |
$41.60
|
|
System cardiomems hosp electronics
|
$45,518.90 |
$45,518.90 |
$45,518.90 |
$39,037.95
|
|
System pacing micra av
|
$26,487.67 |
$26,487.67 |
$26,487.67 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$17,632.07 |
$17,632.07 |
$17,632.07 |
$12,003.00
|
|
System sealant biosentry tract
|
$756.55 |
$756.55 |
$756.55 |
$889.35
|
|
T3 (triiodothyronine) free
|
$73.44 |
$73.44 |
$73.44 |
$99.20
|
|
T3 (triiodothyronine) total
|
$65.34 |
$65.34 |
$65.34 |
$93.52
|
|
T4 (thyroxine) free
|
$49.08 |
$49.08 |
$49.08 |
$85.20
|
|
T4 (thyroxine) total
|
$31.45 |
$31.45 |
$31.45 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$107.41 |
$107.41 |
$107.41 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$295.85 |
$295.85 |
$295.85 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$77.70 |
$77.70 |
$77.70 |
$122.40
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$10,449.27 |
$10,449.27 |
$10,449.27 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$37,581.52 |
$37,581.52 |
$37,581.52 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$618.79 |
$618.79 |
$618.79 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,302.72 |
$2,302.72 |
$2,302.72 |
$3,746.70
|
|
Target gsa panel organ neop
|
$853.44 |
$853.44 |
$853.44 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$28,581.28 |
$28,581.28 |
$28,581.28 |
$24,217.20
|
|
Tavr perq femoral
|
$10,648.73 |
$10,648.73 |
$10,648.73 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,990.19 |
$1,990.19 |
$1,990.19 |
$937.50
|
|
Tbs dxa cal w/i&r fx risk
|
$163.21 |
$163.21 |
$163.21 |
$127.12
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$177.73 |
$177.73 |
$177.73 |
$177.65
|
|
Tc-99m bicisate
|
$1,029.62 |
$1,029.62 |
$1,029.62 |
$1,969.45
|
|
Tc-99m disofenin
|
$35.06 |
$35.06 |
$35.06 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,611.84 |
$1,611.84 |
$1,611.84 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$960.09 |
$960.09 |
$960.09 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$243.65 |
$243.65 |
$243.65 |
$302.40
|
|
Tc-99m maa
|
$69.21 |
$69.21 |
$69.21 |
$292.80
|
|
Tc-99m mebrofenin
|
$38.27 |
$38.27 |
$38.27 |
$157.65
|
|
Tc-99m medronate
|
$26.49 |
$26.49 |
$26.49 |
$111.01
|
|
Tc-99m mertiatide
|
$444.14 |
$444.14 |
$444.14 |
$756.00
|
|
Tc-99m oxidronate
|
$46.05 |
$46.05 |
$46.05 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$39.70 |
$39.70 |
$39.70 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$104.48 |
$104.48 |
$104.48 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$32.53 |
$32.53 |
$32.53 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$61.85 |
$61.85 |
$61.85 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$193.28 |
$193.28 |
$193.28 |
$274.45
|
|
Tc-99m sulfur colloid
|
$10.49 |
$10.49 |
$10.49 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$193.28 |
$193.28 |
$193.28 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$224.88 |
$224.88 |
$224.88 |
$955.60
|
|
Tcd emboli detect w/inj
|
$464.60 |
$464.60 |
$464.60 |
$475.80
|
|
Tcd emboli detect without inj
|
$464.60 |
$464.60 |
$464.60 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$109.76 |
$109.76 |
$109.76 |
$176.40
|
|
T cells absolute cd 4 count
|
$141.72 |
$141.72 |
$141.72 |
$111.20
|
|
T cells total count
|
$111.37 |
$111.37 |
$111.37 |
$126.90
|
|
Team conf w/pat by hc prof
|
$52.82 |
$52.82 |
$52.82 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$1,163.16 |
$1,163.16 |
$1,163.16 |
$2,101.65
|
|
Telehealth original site facility fee
|
$24.15 |
$24.15 |
$24.15 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,182.59 |
$1,182.59 |
$1,182.59 |
$1,526.85
|
|
Telethx isodose plan simple
|
$877.09 |
$877.09 |
$877.09 |
$873.62
|
|
Temozolomide
|
$542.55 |
$542.55 |
$542.55 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$1,901.35 |
$1,901.35 |
$1,901.35 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,008.48 |
$2,008.48 |
$2,008.48 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,846.79 |
$11,846.79 |
$11,846.79 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,108.48 |
$1,108.48 |
$1,108.48 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$117.49 |
$117.49 |
$117.49 |
$39.33
|
|
Test for chlorohydrocarbons
|
$83.84 |
$83.84 |
$83.84 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$635.75 |
$635.75 |
$635.75 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$565.14 |
$565.14 |
$565.14 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,226.05 |
$2,226.05 |
$2,226.05 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,920.89 |
$6,920.89 |
$6,920.89 |
$8,737.05
|
|
Thaw preserved stem cells
|
$487.02 |
$487.02 |
$487.02 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$61.64 |
$61.64 |
$61.64 |
$108.00
|
|
Therapeutic procd strg endur
|
$50.00 |
$50.00 |
$50.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$57.31 |
$57.31 |
$57.31 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$57.31 |
$57.31 |
$57.31 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$243.17 |
$243.17 |
$243.17 |
$529.08
|
|
Ther/proph/diag inj ia
|
$152.56 |
$152.56 |
$152.56 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$8.23 |
$8.23 |
$8.23 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$784.33 |
$784.33 |
$784.33 |
$1,687.50
|
