|
Snrpn/ube3a gene
|
$96.40 |
$96.40 |
$96.40 |
$231.85
|
|
So airplane w/wo joint cf
|
$658.00 |
$658.00 |
$658.00 |
$1,276.80
|
|
So cap design without jnts cf
|
$489.60 |
$489.60 |
$489.60 |
$606.35
|
|
Socket insert below knee
|
$216.80 |
$216.80 |
$216.80 |
$397.60
|
|
Socket insert without lock mech
|
$372.40 |
$372.40 |
$372.40 |
$1,192.50
|
|
Socket insert w lock mech
|
$447.20 |
$447.20 |
$447.20 |
$1,544.50
|
|
Sock fracture or equal each
|
$20.40 |
$20.40 |
$20.40 |
$74.51
|
|
Sodium 24 hour urine
|
$12.00 |
$12.00 |
$12.00 |
$48.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$4.95 |
$4.95 |
$4.95 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$12.00 |
$12.00 |
$12.00 |
$45.60
|
|
Soft interface below knee se
|
$50.80 |
$50.80 |
$50.80 |
$179.08
|
|
So vest canvas/web pre ots
|
$97.60 |
$97.60 |
$97.60 |
$256.54
|
|
Special physics consult
|
$466.00 |
$466.00 |
$466.00 |
$725.00
|
|
Special radiation dosimetry
|
$386.40 |
$386.40 |
$386.40 |
$392.50
|
|
Special radiation treatment
|
$1,454.40 |
$1,454.40 |
$1,454.40 |
$1,986.00
|
|
Special teletx port plan
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$1,086.99
|
|
Specific gravity body fluid
|
$4.40 |
$4.40 |
$4.40 |
$22.00
|
|
Specimen fat stain
|
$12.00 |
$12.00 |
$12.00 |
$35.10
|
|
Speech audiometry complete
|
$124.00 |
$124.00 |
$124.00 |
$109.20
|
|
Speech recep thresh
|
$112.40 |
$112.40 |
$112.40 |
$82.88
|
|
Sperm antibody test
|
$27.20 |
$27.20 |
$27.20 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,027.60 |
$2,027.60 |
$2,027.60 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$497.20 |
$497.20 |
$497.20 |
$543.26
|
|
Splint arm vnyl coated padded lft med
|
$225.20 |
$225.20 |
$225.20 |
$45.60
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$237.60 |
$237.60 |
$237.60 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$549.20 |
$549.20 |
$549.20 |
$68.25
|
|
Splint finger 4 prong foam sm
|
$18.40 |
$18.40 |
$18.40 |
$34.00
|
|
Splint finger frog med
|
$35.20 |
$35.20 |
$35.20 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$3.60 |
$3.60 |
$3.60 |
$5.60
|
|
Splint func pos polyflex ii med
|
$160.00 |
$160.00 |
$160.00 |
$58.65
|
|
Splint rstrc wrst/cmc right med
|
$253.60 |
$253.60 |
$253.60 |
$99.04
|
|
Split blood or products
|
$41.20 |
$41.20 |
$41.20 |
$127.48
|
|
Split flat caliper stirr & p
|
$54.00 |
$54.00 |
$54.00 |
$109.20
|
|
Srs linear based
|
$12,774.40 |
$12,774.40 |
$12,774.40 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$118.00 |
$118.00 |
$118.00 |
$297.60
|
|
Static or dynami afo pre ots
|
$420.80 |
$420.80 |
$420.80 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$189.20 |
$189.20 |
$189.20 |
$286.00
|
|
Stem cells total count
|
$95.60 |
$95.60 |
$95.60 |
$179.64
|
|
Stent axios caut enh 15x10mm electrocaut
|
$35,611.60 |
$35,611.60 |
$35,611.60 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,760.00 |
$3,760.00 |
$3,760.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$50,120.00 |
$50,120.00 |
$50,120.00 |
$20,962.50
|
|
Sterile needle
|
$648.00 |
$648.00 |
$648.00 |
$190.13
|
|
St evaluate speech sound production
|
$124.80 |
$124.80 |
$124.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$482.00 |
$482.00 |
$482.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$200.80 |
$200.80 |
$200.80 |
$399.60
|
|
St evaluation swallow function
|
$158.40 |
$158.40 |
$158.40 |
$314.40
|
|
Stimulants synthetic
|
$20.00 |
$20.00 |
$20.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$154.80 |
$154.80 |
$154.80 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$130.40 |
$130.40 |
$130.40 |
$154.70
|
|
Strapping of hip
|
$172.80 |
$172.80 |
$172.80 |
$164.70
|
|
Strapping of knee
|
$160.00 |
$160.00 |
$160.00 |
$205.20
|
|
Strep a ag ia
|
$33.20 |
$33.20 |
$33.20 |
$75.40
|
|
Stress test pulmonary
|
$371.60 |
$371.60 |
$371.60 |
$322.85
|
|
Stress tte complete
|
$377.20 |
$377.20 |
$377.20 |
$1,870.50
|
|
Str markers specimen anal
|
$676.00 |
$676.00 |
$676.00 |
$751.50
|
|
St treatment speech individual
|
$143.20 |
$143.20 |
$143.20 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$154.00 |
$154.00 |
$154.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$80.00 |
$80.00 |
$80.00 |
$52.31
|
|
Sugars multiple quant
|
$29.60 |
$29.60 |
$29.60 |
$44.19
|
|
Sugars single quant
|
$29.60 |
$29.60 |
$29.60 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$70.50 |
$70.50 |
$70.50 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$170.00 |
$170.00 |
$170.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$35.68 |
$35.68 |
$35.68 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$36.40 |
$36.40 |
$36.40 |
$94.19
|
|
Surg dx exam anorectal
|
$5,546.80 |
$5,546.80 |
$5,546.80 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$78.00 |
$78.00 |
$78.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$84.00 |
$84.00 |
$84.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$158.00 |
$158.00 |
$158.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$167.60 |
$167.60 |
$167.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$394.40 |
$394.40 |
$394.40 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$518.00 |
$518.00 |
$518.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$12.40 |
$12.40 |
$12.40 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$12.00 |
$12.00 |
$12.00 |
$35.70
|
|
Susceptibility mic per plate
|
$22.00 |
$22.00 |
$22.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$17.60 |
$17.60 |
$17.60 |
$59.28
|
|
Suspension sleeve lower ext
|
$75.60 |
$75.60 |
$75.60 |
$251.38
|
|
Svc venogram s&i
|
$2,773.20 |
$2,773.20 |
$2,773.20 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$94.40 |
$94.40 |
$94.40 |
$125.40
|
|
Synvisc or synvisc-one
|
$12.40 |
$12.40 |
$12.40 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$11.20 |
$11.20 |
$11.20 |
$41.60
|
|
System cardiomems hosp electronics
|
$165,516.80 |
$165,516.80 |
$165,516.80 |
$39,037.95
|
|
System pacing micra av
|
$21,574.40 |
$21,574.40 |
$21,574.40 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,168.00 |
$8,168.00 |
$8,168.00 |
$12,003.00
|
|
System sealant biosentry tract
|
$991.60 |
$991.60 |
$991.60 |
$889.35
|
|
T3 (triiodothyronine) free
|
$22.40 |
$22.40 |
$22.40 |
$99.20
|
|
T3 (triiodothyronine) total
|
$35.20 |
$35.20 |
$35.20 |
$93.52
|
|
T4 (thyroxine) free
|
$22.00 |
$22.00 |
$22.00 |
$85.20
|
|
T4 (thyroxine) total
|
$17.20 |
$17.20 |
$17.20 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.82 |
$3.82 |
$3.82 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$34.00 |
$34.00 |
$34.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$928.00 |
$928.00 |
$928.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,518.00 |
$3,518.00 |
$3,518.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$823.20 |
$823.20 |
$823.20 |
$1,655.52
|
|
Tavr perq femoral
|
$16,124.80 |
$16,124.80 |
$16,124.80 |
$15,454.40
|
|
Tbp gene detc abnor alleles
|
$309.60 |
$309.60 |
$309.60 |
$225.42
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$186.00 |
$186.00 |
$186.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$113.60 |
$113.60 |
$113.60 |
$177.65
|
|
Tc-99m bicisate
|
$3,801.60 |
$3,801.60 |
$3,801.60 |
$1,969.45
|
|
Tc-99m exame autol wbc diag per dose
|
$4,648.40 |
$4,648.40 |
$4,648.40 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,033.20
|
