|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$12.50 |
$12.50 |
$12.50 |
$114.88
|
|
Supprelin la implant
|
$85,342.90 |
$85,342.90 |
$85,342.90 |
$80,935.72
|
|
Surg dx exam anorectal
|
$3,146.50 |
$3,146.50 |
$3,146.50 |
$3,245.23
|
|
Surg ect salp-oophorectomy 59120
|
$8,636.50 |
$8,636.50 |
$8,636.50 |
$1,632.60
|
|
Surgery to stop leg growth
|
$7,479.00 |
$7,479.00 |
$7,479.00 |
$7,913.97
|
|
Surgery to stop leg growth
|
$14,474.50 |
$14,474.50 |
$14,474.50 |
$8,412.89
|
|
Surgery to stop leg growth
|
$9,108.00 |
$9,108.00 |
$9,108.00 |
$7,907.11
|
|
Surgery to stop leg growth
|
$14,114.50 |
$14,114.50 |
$14,114.50 |
$8,453.60
|
|
Surgical opening of stomach 43500
|
$14,386.00 |
$14,386.00 |
$14,386.00 |
$1,477.80
|
|
Surgical pathology level 1 gross examination only
|
$187.00 |
$187.00 |
$187.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$249.00 |
$249.00 |
$249.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$164.00 |
$164.00 |
$164.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,405.00 |
$2,405.00 |
$2,405.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,427.50 |
$1,427.50 |
$1,427.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$655.00 |
$655.00 |
$655.00 |
$718.00
|
|
Surg tx anal fistula 2nd stage 46285
|
$5,845.50 |
$5,845.50 |
$5,845.50 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$82.00 |
$82.00 |
$82.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$19.60 |
$19.60 |
$19.60 |
$35.70
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$169.00 |
$169.00 |
$169.00 |
$59.28
|
|
Svc venogram s&i
|
$1,780.50 |
$1,780.50 |
$1,780.50 |
$1,934.62
|
|
Sweat collection by iontophoresis
|
$77.00 |
$77.00 |
$77.00 |
$125.40
|
|
Synthetic sentence id test
|
$135.00 |
$135.00 |
$135.00 |
$99.32
|
|
Synvisc or synvisc-one
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$68.50 |
$68.50 |
$68.50 |
$41.60
|
|
System cardiomems hosp electronics
|
$21,860.00 |
$21,860.00 |
$21,860.00 |
$39,037.95
|
|
System pacing micra av
|
$7,305.00 |
$7,305.00 |
$7,305.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,462.50 |
$6,462.50 |
$6,462.50 |
$12,003.00
|
|
System sealant biosentry tract
|
$726.50 |
$726.50 |
$726.50 |
$889.35
|
|
T3 (triiodothyronine) free
|
$61.00 |
$61.00 |
$61.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$85.00 |
$85.00 |
$85.00 |
$93.52
|
|
T4 (thyroxine) free
|
$111.50 |
$111.50 |
$111.50 |
$85.20
|
|
T4 (thyroxine) total
|
$74.00 |
$74.00 |
$74.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$14.36 |
$14.36 |
$14.36 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$184.50 |
$184.50 |
$184.50 |
$122.40
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$46,567.22 |
$46,567.22 |
$46,567.22 |
$2,369.70
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$31,415.24 |
$31,415.24 |
$31,415.24 |
$21,745.13
|
|
Tap block bilat cont infusion 64489
|
$4,532.50 |
$4,532.50 |
$4,532.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,653.00 |
$1,653.00 |
$1,653.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$934.50 |
$934.50 |
$934.50 |
$3,746.70
|
|
Target gsa panel organ neop
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$1,655.52
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$24,217.20
|
|
Tas congenital car anomal
|
$6,763.00 |
$6,763.00 |
$6,763.00 |
$6,003.27
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$173.50 |
$173.50 |
$173.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$145.50 |
$145.50 |
$145.50 |
$177.65
|
|
Tc-99m bicisate
|
$4,557.00 |
$4,557.00 |
$4,557.00 |
$1,969.45
|
|
Tc-99m diag per dose
|
$71.00 |
$71.00 |
$71.00 |
$470.40
|
|
Tc-99m exame autol wbc diag per dose
|
$3,647.00 |
$3,647.00 |
$3,647.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$2,017.50 |
$2,017.50 |
$2,017.50 |
$2,033.20
|
|
Tc-99m graphite crucible
|
$411.00 |
$411.00 |
$411.00 |
$453.47
|
|
Tc-99m labeled rbc
|
$542.00 |
$542.00 |
$542.00 |
$302.40
|
|
Tc-99m maa
|
$542.50 |
$542.50 |
$542.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$143.50 |
$143.50 |
$143.50 |
$157.65
|
|
Tc-99m medronate
|
$98.50 |
$98.50 |
$98.50 |
$111.01
|
|
Tc-99m mertiatide
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$756.00
|
|
Tc-99m oxidronate
|
$82.50 |
$82.50 |
$82.50 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$371.50 |
$371.50 |
$371.50 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$421.50 |
$421.50 |
$421.50 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$675.50 |
$675.50 |
$675.50 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$343.50 |
$343.50 |
$343.50 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$390.00 |
$390.00 |
$390.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$420.00 |
$420.00 |
$420.00 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$877.50 |
$877.50 |
$877.50 |
$955.60
|
|
Tca peel dermal 15789
|
$944.00 |
$944.00 |
$944.00 |
$1,324.80
|
|
Tcd emboli detect w/inj
|
$368.00 |
$368.00 |
$368.00 |
$475.80
|
|
Tcd emboli detect without inj
|
$839.50 |
$839.50 |
$839.50 |
$475.28
|
|
T cells absolute cd4/cd8 including ratio
|
$208.50 |
$208.50 |
$208.50 |
$176.40
|
|
T cells absolute cd 4 count
|
$65.00 |
$65.00 |
$65.00 |
$111.20
|
|
T cells total count
|
$287.00 |
$287.00 |
$287.00 |
$126.90
|
|
Tcranial magn stim tx deli
|
$555.00 |
$555.00 |
$555.00 |
$389.22
|
|
Tcranial magn stim tx plan
|
$697.00 |
$697.00 |
$697.00 |
$437.22
|
|
Tcran magn stim redetemine
|
$685.00 |
$685.00 |
$685.00 |
$457.60
|
|
Tee w or without fol w/cont,cong
|
$1,599.50 |
$1,599.50 |
$1,599.50 |
$2,101.65
|
|
Telehealth original site facility fee
|
$60.50 |
$60.50 |
$60.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$1,526.85
|
|
Telethx isodose plan simple
|
$286.00 |
$286.00 |
$286.00 |
$873.62
|
|
Tendon lngth upr a/e ea tdn
|
$3,038.25 |
$3,038.25 |
$3,038.25 |
$3,545.97
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$15,245.38 |
$15,245.38 |
$15,245.38 |
$15,245.38
|
|
Tenolysis extensor tendon hand/finger each
|
$8,312.25 |
$8,312.25 |
$8,312.25 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$3,515.50 |
$3,515.50 |
$3,515.50 |
$1,893.86
|
|
Tenotomy length/rls abductor hallucis musc 28240
|
$2,835.08 |
$2,835.08 |
$2,835.08 |
$3,545.97
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$2,899.34 |
$2,899.34 |
$2,899.34 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$2.59 |
$2.59 |
$2.59 |
$39.33
|
|
Testicular imaging w/vasc flow
|
$921.50 |
$921.50 |
$921.50 |
$842.56
|
|
Testosterone pellet 75 mg
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$102.40
|
|
Test stress cardiovascular tracing only
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,210.21 |
$1,210.21 |
$1,210.21 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$9,829.17 |
$9,829.17 |
$9,829.17 |
$8,737.05
|
|
Tgsap so/hl 51/< rna alys
|
$3,481.50 |
$3,481.50 |
$3,481.50 |
$4,347.00
|
|
Thaw preserved stem cells
|
$1,889.51 |
$1,889.51 |
$1,889.51 |
$1,136.85
|
|
Theophylline therapeutic drug level
|
$72.00 |
$72.00 |
$72.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$77.00 |
$77.00 |
$77.00 |
$85.68
|
|
Therapy activation ipnss
|
$124.50 |
$124.50 |
$124.50 |
$226.24
|
|
Therapy activity per session >= 45 minutes
|
$121.50 |
$121.50 |
$121.50 |
$191.50
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$212.00 |
$212.00 |
$212.00 |
$57.31
|
