|
Stent bili dbl pgtl 10fx5cm
|
$8,214.87 |
$8,214.87 |
$8,214.87 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$87,792.50 |
$87,792.50 |
$87,792.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$12,092.79 |
$12,092.79 |
$12,092.79 |
$4,939.20
|
|
St evaluation swallow function
|
$289.97 |
$289.97 |
$289.97 |
$314.40
|
|
Strapping of chest
|
$186.02 |
$186.02 |
$186.02 |
$195.33
|
|
Strapping of toes 29550
|
$94.76 |
$94.76 |
$94.76 |
$164.70
|
|
Strep a ag ia
|
$44.32 |
$44.32 |
$44.32 |
$75.40
|
|
Strep b assay w/optic
|
$37.44 |
$37.44 |
$37.44 |
$80.16
|
|
Strep b dna amp probe
|
$77.50 |
$77.50 |
$77.50 |
$120.90
|
|
Streptomycin injection
|
$23.08 |
$23.08 |
$23.08 |
$138.30
|
|
Streptozocin injection
|
$14.05 |
$14.05 |
$14.05 |
$785.95
|
|
Stress test pulmonary
|
$308.24 |
$308.24 |
$308.24 |
$322.85
|
|
Stress tte complete
|
$966.30 |
$966.30 |
$966.30 |
$1,870.50
|
|
Str markers specimen anal
|
$503.15 |
$503.15 |
$503.15 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$47.30 |
$47.30 |
$47.30 |
$52.31
|
|
Sugars single quant
|
$190.07 |
$190.07 |
$190.07 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$5,199.05 |
$5,199.05 |
$5,199.05 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$324.06 |
$324.06 |
$324.06 |
$82.43
|
|
Support clav 29.6-40.5in med
|
$17.21 |
$17.21 |
$17.21 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$79.35 |
$79.35 |
$79.35 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$128.18 |
$128.18 |
$128.18 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$172.94 |
$172.94 |
$172.94 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$203.46 |
$203.46 |
$203.46 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$339.77 |
$339.77 |
$339.77 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$423.19 |
$423.19 |
$423.19 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$45.45 |
$45.45 |
$45.45 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$12.73 |
$12.73 |
$12.73 |
$35.70
|
|
Susceptibility mic per plate
|
$68.16 |
$68.16 |
$68.16 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$39.27 |
$39.27 |
$39.27 |
$59.28
|
|
Svc venogram s&i
|
$2,861.49 |
$2,861.49 |
$2,861.49 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$34.11 |
$34.11 |
$34.11 |
$41.60
|
|
System cardiomems hosp electronics
|
$52,675.50 |
$52,675.50 |
$52,675.50 |
$39,037.95
|
|
System pacing micra av
|
$30,652.13 |
$30,652.13 |
$30,652.13 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$20,404.23 |
$20,404.23 |
$20,404.23 |
$12,003.00
|
|
System sealant biosentry tract
|
$875.50 |
$875.50 |
$875.50 |
$889.35
|
|
T3 (triiodothyronine) free
|
$84.99 |
$84.99 |
$84.99 |
$99.20
|
|
T3 (triiodothyronine) total
|
$75.61 |
$75.61 |
$75.61 |
$93.52
|
|
T4 (thyroxine) free
|
$56.79 |
$56.79 |
$56.79 |
$85.20
|
|
T4 (thyroxine) total
|
$36.39 |
$36.39 |
$36.39 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$124.30 |
$124.30 |
$124.30 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$342.36 |
$342.36 |
$342.36 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$89.92 |
$89.92 |
$89.92 |
$122.40
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$12,092.13 |
$12,092.13 |
$12,092.13 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$43,490.18 |
$43,490.18 |
$43,490.18 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$716.07 |
$716.07 |
$716.07 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,664.76 |
$2,664.76 |
$2,664.76 |
$3,746.70
|
|
Target gsa panel organ neop
|
$987.62 |
$987.62 |
$987.62 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$33,074.91 |
$33,074.91 |
$33,074.91 |
$24,217.20
|
|
Tavr perq femoral
|
$12,322.95 |
$12,322.95 |
$12,322.95 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,303.09 |
$2,303.09 |
$2,303.09 |
$937.50
|
|
Tbs dxa cal w/i&r fx risk
|
$188.86 |
$188.86 |
$188.86 |
$127.12
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$205.68 |
$205.68 |
$205.68 |
$177.65
|
|
Tc-99m bicisate
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
$1,969.45
|
|
Tc-99m disofenin
|
$40.57 |
$40.57 |
$40.57 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,865.26 |
$1,865.26 |
$1,865.26 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$1,111.04 |
$1,111.04 |
$1,111.04 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$281.95 |
$281.95 |
$281.95 |
$302.40
|
|
Tc-99m maa
|
$80.10 |
$80.10 |
$80.10 |
$292.80
|
|
Tc-99m mebrofenin
|
$44.28 |
$44.28 |
$44.28 |
$157.65
|
|
Tc-99m medronate
|
$30.66 |
$30.66 |
$30.66 |
$111.01
|
|
Tc-99m mertiatide
|
$513.97 |
$513.97 |
$513.97 |
$756.00
|
|
Tc-99m oxidronate
|
$53.29 |
$53.29 |
$53.29 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$45.94 |
$45.94 |
$45.94 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$120.91 |
$120.91 |
$120.91 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$37.64 |
$37.64 |
$37.64 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$71.58 |
$71.58 |
$71.58 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$223.67 |
$223.67 |
$223.67 |
$274.45
|
|
Tc-99m sulfur colloid
|
$12.14 |
$12.14 |
$12.14 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$223.67 |
$223.67 |
$223.67 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$260.24 |
$260.24 |
$260.24 |
$955.60
|
|
Tcd emboli detect w/inj
|
$537.65 |
$537.65 |
$537.65 |
$475.80
|
|
Tcd emboli detect without inj
|
$537.65 |
$537.65 |
$537.65 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$127.02 |
$127.02 |
$127.02 |
$176.40
|
|
T cells absolute cd 4 count
|
$164.00 |
$164.00 |
$164.00 |
$111.20
|
|
T cells total count
|
$128.88 |
$128.88 |
$128.88 |
$126.90
|
|
Team conf w/pat by hc prof
|
$61.13 |
$61.13 |
$61.13 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$1,346.03 |
$1,346.03 |
$1,346.03 |
$2,101.65
|
|
Telehealth original site facility fee
|
$27.95 |
$27.95 |
$27.95 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,368.52 |
$1,368.52 |
$1,368.52 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,014.99 |
$1,014.99 |
$1,014.99 |
$873.62
|
|
Temozolomide
|
$627.85 |
$627.85 |
$627.85 |
$588.46
|
|
Temozolomide 100 mg intravenous solution
|
$2,200.28 |
$2,200.28 |
$2,200.28 |
$1,867.28
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$2,324.26 |
$2,324.26 |
$2,324.26 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$13,709.38 |
$13,709.38 |
$13,709.38 |
$15,245.38
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$1,282.76 |
$1,282.76 |
$1,282.76 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$135.96 |
$135.96 |
$135.96 |
$39.33
|
|
Test for chlorohydrocarbons
|
$97.02 |
$97.02 |
$97.02 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$735.71 |
$735.71 |
$735.71 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$653.99 |
$653.99 |
$653.99 |
$949.70
|
|
Tetanus immune globulin inj
|
$2,576.03 |
$2,576.03 |
$2,576.03 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$8,009.01 |
$8,009.01 |
$8,009.01 |
$8,737.05
|
|
Thaw preserved stem cells
|
$563.59 |
$563.59 |
$563.59 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$71.34 |
$71.34 |
$71.34 |
$108.00
|
|
Therapeutic procd strg endur
|
$57.86 |
$57.86 |
$57.86 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$66.32 |
$66.32 |
$66.32 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$66.32 |
$66.32 |
$66.32 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$281.40 |
$281.40 |
$281.40 |
$529.08
|
|
Ther/proph/diag inj ia
|
$176.54 |
$176.54 |
$176.54 |
$240.35
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.53 |
$9.53 |
$9.53 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$907.65 |
$907.65 |
$907.65 |
$1,687.50
|
