|
Stent axios caut enh 15x10mm electrocaut
|
$35,611.60 |
$35,611.60 |
$41,707.90 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,760.00 |
$3,760.00 |
$7,699.55 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$50,120.00 |
$50,120.00 |
$82,285.20 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$11,334.20 |
$11,334.20 |
$11,334.20 |
$4,939.20
|
|
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 |
$271.78 |
$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 chest
|
$174.35 |
$174.35 |
$174.35 |
$195.33
|
|
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
|
|
Strapping of toes 29550
|
$88.81 |
$88.81 |
$88.81 |
$164.70
|
|
Strep a ag ia
|
$33.20 |
$33.20 |
$41.54 |
$75.40
|
|
Strep b assay w/optic
|
$35.09 |
$35.09 |
$35.09 |
$80.16
|
|
Strep b dna amp probe
|
$72.64 |
$72.64 |
$72.64 |
$120.90
|
|
Streptomycin injection
|
$21.63 |
$21.63 |
$21.63 |
$138.30
|
|
Streptozocin injection
|
$13.17 |
$13.17 |
$13.17 |
$785.95
|
|
Stress test pulmonary
|
$288.91 |
$371.60 |
$371.60 |
$322.85
|
|
Stress tte complete
|
$377.20 |
$377.20 |
$905.68 |
$1,870.50
|
|
Str markers specimen anal
|
$471.59 |
$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)
|
$44.34 |
$44.34 |
$80.00 |
$52.31
|
|
Sugars multiple quant
|
$29.60 |
$29.60 |
$29.60 |
$44.19
|
|
Sugars single quant
|
$29.60 |
$29.60 |
$178.15 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$3,139.96 |
$4,872.91 |
$27,179.20 |
$7,345.98
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$0.26 |
$0.61 |
$303.73 |
$82.43
|
|
Sulfonylurea screen qn-sendout
|
$170.00 |
$170.00 |
$170.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$65.78 |
$65.78 |
$65.78 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$16.13 |
$36.40 |
$36.40 |
$94.19
|
|
Supprelin la implant
|
$98,391.38 |
$98,391.38 |
$98,391.38 |
$80,935.72
|
|
Surg dx exam anorectal
|
$5,546.80 |
$5,546.80 |
$5,546.80 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$74.38 |
$78.00 |
$78.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$84.00 |
$84.00 |
$120.14 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$158.00 |
$158.00 |
$162.09 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$167.60 |
$167.60 |
$190.70 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$318.46 |
$394.40 |
$394.40 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$396.64 |
$518.00 |
$518.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$12.40 |
$12.40 |
$42.60 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.93 |
$12.00 |
$12.00 |
$35.70
|
|
Susceptibility mic per plate
|
$22.00 |
$22.00 |
$63.88 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$17.60 |
$17.60 |
$36.80 |
$59.28
|
|
Suspension sleeve lower ext
|
$75.60 |
$75.60 |
$75.60 |
$251.38
|
|
Svc venogram s&i
|
$2,681.98 |
$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 |
$31.97 |
$41.60
|
|
System cardiomems hosp electronics
|
$49,371.12 |
$165,516.80 |
$165,516.80 |
$39,037.95
|
|
System pacing micra av
|
$21,574.40 |
$21,574.40 |
$28,729.29 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$8,168.00 |
$8,168.00 |
$19,124.26 |
$12,003.00
|
|
System sealant biosentry tract
|
$820.58 |
$991.60 |
$991.60 |
$889.35
|
|
T3 (triiodothyronine) free
|
$22.40 |
$22.40 |
$79.65 |
$99.20
|
|
T3 (triiodothyronine) total
|
$35.20 |
$35.20 |
$70.87 |
$93.52
|
|
T4 (thyroxine) free
|
$22.00 |
$22.00 |
$53.23 |
$85.20
|
|
T4 (thyroxine) total
|
$17.20 |
$17.20 |
$34.11 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$9.80 |
$11.54 |
$116.50 |
$9.84
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$320.89 |
$320.89 |
$320.89 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$34.00 |
$34.00 |
$84.27 |
$122.40
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$11,333.58 |
$11,333.58 |
$11,333.58 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$98.73 |
$98.73 |
$40,762.00 |
$21,745.13
|
|
Target gsa panel hmtlmph neop
|
$671.15 |
$928.00 |
$928.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$2,497.60 |
$3,518.00 |
$3,518.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$823.20 |
$823.20 |
$925.67 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,824.93 |
$2,824.93 |
$31,000.09 |
$24,217.20
|
|
Tavr perq femoral
|
$11,549.92 |
$16,124.80 |
$16,124.80 |
$15,454.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2.95 |
$2.95 |
$2,158.62 |
$937.50
|
|
Tbp gene detc abnor alleles
|
$309.60 |
$309.60 |
$309.60 |
$225.42
|
|
Tbs dxa cal w/i&r fx risk
|
$177.02 |
$177.02 |
$177.02 |
$127.12
|
|
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 |
$192.78 |
$177.65
|
|
Tc-99m bicisate
|
$1,116.75 |
$3,801.60 |
$3,801.60 |
$1,969.45
|
|
Tc-99m disofenin
|
$38.03 |
$38.03 |
$38.03 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,748.25 |
$4,648.40 |
$4,648.40 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$1,041.34 |
$3,463.20 |
$3,570.40 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$264.27 |
$446.80 |
$446.80 |
$302.40
|
|
Tc-99m maa
|
$75.07 |
$417.60 |
$417.60 |
$292.80
|
|
Tc-99m mebrofenin
|
$41.50 |
$90.80 |
$90.80 |
$157.65
|
|
Tc-99m medronate
|
$28.74 |
$126.00 |
$126.00 |
$111.01
|
|
Tc-99m mertiatide
|
$481.73 |
$870.00 |
$870.00 |
$756.00
|
|
Tc-99m oxidronate
|
$49.95 |
$49.95 |
$49.95 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$43.06 |
$408.80 |
$408.80 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$113.32 |
$488.40 |
$488.40 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$2.00 |
$2.00 |
$35.28 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$67.09 |
$196.80 |
$196.80 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$104.40 |
$104.40 |
$209.64 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$4,064.80 |
$4,064.80 |
$4,064.80 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$11.38 |
$652.80 |
$652.80 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$125.60 |
$125.60 |
$209.64 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$243.92 |
$1,669.60 |
$1,669.60 |
$955.60
|
|
Tcd emboli detect w/inj
|
$503.92 |
$503.92 |
$503.92 |
$475.80
|
|
Tcd emboli detect without inj
|
$322.00 |
$322.00 |
$503.92 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$109.20 |
$109.20 |
$119.05 |
$176.40
|
|
T cells absolute cd 4 count
|
$49.20 |
$49.20 |
$153.71 |
$111.20
|
|
T cells total count
|
$87.60 |
$87.60 |
$120.80 |
$126.90
|
|
Team conf w/pat by hc prof
|
$57.29 |
$57.29 |
$57.29 |
$107.10
|
|
Tee w or without fol w/cont,cong
|
$1,261.60 |
$1,261.60 |
$1,261.60 |
$2,101.65
|
