|
Strep b dna amp probe
|
$68.00 |
$68.00 |
$68.00 |
$120.90
|
|
Stress test pulmonary
|
$259.20 |
$259.20 |
$259.20 |
$322.85
|
|
Stress tte complete
|
$144.80 |
$144.80 |
$144.80 |
$1,870.50
|
|
Str markers specimen anal
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$751.50
|
|
St treatment speech individual
|
$154.40 |
$154.40 |
$154.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$168.80 |
$168.80 |
$168.80 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$82.40 |
$82.40 |
$82.40 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$3.46 |
$3.46 |
$3.46 |
$52.31
|
|
Sugars single quant
|
$832.00 |
$832.00 |
$832.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$378.40 |
$378.40 |
$378.40 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$13.60 |
$13.60 |
$13.60 |
$114.88
|
|
Supprelin la implant
|
$120,434.40 |
$120,434.40 |
$120,434.40 |
$80,935.72
|
|
Surg dx exam anorectal
|
$184.80 |
$184.80 |
$184.80 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$38.40 |
$38.40 |
$38.40 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$64.00 |
$64.00 |
$64.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$116.80 |
$116.80 |
$116.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$504.00 |
$504.00 |
$504.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$135.20 |
$135.20 |
$135.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$290.40 |
$290.40 |
$290.40 |
$718.00
|
|
Surgical repair stomach bleedin ulcer 43501
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$2,536.20
|
|
Surg tx anal fistula 2nd stage 46285
|
$756.00 |
$756.00 |
$756.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$4.80 |
$4.80 |
$4.80 |
$45.45
|
|
Susceptibility mic per plate
|
$739.20 |
$739.20 |
$739.20 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$112.00 |
$112.00 |
$112.00 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$1,995.00
|
|
Synch audio-only est high 40
|
$203.20 |
$203.20 |
$203.20 |
$189.40
|
|
Synch audio-only est low 20
|
$93.60 |
$93.60 |
$93.60 |
$90.60
|
|
Synch audio-only est mod 30
|
$136.80 |
$136.80 |
$136.80 |
$136.64
|
|
Synch audio-only est sf 10
|
$50.40 |
$50.40 |
$50.40 |
$53.20
|
|
Synch audio-only new high 60
|
$250.40 |
$250.40 |
$250.40 |
$200.30
|
|
Synch audio-only new low 30
|
$120.80 |
$120.80 |
$120.80 |
$117.00
|
|
Synch audio-only new mod 45
|
$189.60 |
$189.60 |
$189.60 |
$163.38
|
|
Synch audio-only new sf 15
|
$71.20 |
$71.20 |
$71.20 |
$67.80
|
|
Synvisc or synvisc-one
|
$32.00 |
$32.00 |
$32.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$20.80 |
$20.80 |
$20.80 |
$41.60
|
|
T3 (triiodothyronine) free
|
$47.20 |
$47.20 |
$47.20 |
$99.20
|
|
T3 (triiodothyronine) total
|
$24.80 |
$24.80 |
$24.80 |
$93.52
|
|
T4 (thyroxine) free
|
$103.20 |
$103.20 |
$103.20 |
$85.20
|
|
T4 (thyroxine) total
|
$12.00 |
$12.00 |
$12.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$4.00 |
$4.00 |
$4.00 |
$15.60
|
|
Tacrolimus therapeutic drug level
|
$58.40 |
$58.40 |
$58.40 |
$122.40
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$14,807.39 |
$14,807.39 |
$14,807.39 |
$2,762.00
|
|
Tap block bilat cont infusion 64489
|
$131.20 |
$131.20 |
$131.20 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$104.00 |
$104.00 |
$104.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$200.00 |
$200.00 |
$200.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$120.00 |
$120.00 |
$120.00 |
$177.65
|
|
Tc-99m disofenin
|
$142.40 |
$142.40 |
$142.40 |
$124.32
|
|
Tc-99m labeled rbc
|
$790.40 |
$790.40 |
$790.40 |
$302.40
|
|
Tc-99m maa
|
$98.40 |
$98.40 |
$98.40 |
$292.80
|
|
Tc-99m mebrofenin
|
$96.80 |
$96.80 |
$96.80 |
$157.65
|
|
Tc-99m medronate
|
$98.40 |
$98.40 |
$98.40 |
$111.01
|
|
Tc-99m mertiatide
|
$420.00 |
$420.00 |
$420.00 |
$756.00
|
|
Tc-99m oxidronate
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$132.00 |
$132.00 |
$132.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$313.60 |
$313.60 |
$313.60 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$684.80 |
$684.80 |
$684.80 |
$274.45
|
|
Tc-99m sulfur colloid
|
$91.20 |
$91.20 |
$91.20 |
$240.50
|
|
T cells absolute cd 4 count
|
$51.20 |
$51.20 |
$51.20 |
$111.20
|
|
Teaec w/wo patch graft iliofemoral
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$5,163.60
|
|
Telehealth original site facility fee
|
$92.80 |
$92.80 |
$92.80 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$18,294.46 |
$18,294.46 |
$18,294.46 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$868.00 |
$868.00 |
$868.00 |
$1,893.86
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$1.20 |
$1.20 |
$1.20 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$584.80 |
$584.80 |
$584.80 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,290.89 |
$1,290.89 |
$1,290.89 |
$1,285.36
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$53.60 |
$53.60 |
$53.60 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$25.60 |
$25.60 |
$25.60 |
$108.00
|
|
Therapeutic procd strg endur
|
$54.40 |
$54.40 |
$54.40 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$50.40 |
$50.40 |
$50.40 |
$57.31
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$7.94 |
$7.94 |
$7.94 |
$25.54
|
|
Thorabd diaphr hern repair
|
$2,591.20 |
$2,591.20 |
$2,591.20 |
$3,542.40
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$1,687.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$608.00 |
$608.00 |
$608.00 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$728.80 |
$728.80 |
$728.80 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$841.60 |
$841.60 |
$841.60 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$5,520.00
|
|
Thrombin time
|
$63.20 |
$63.20 |
$63.20 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$4,185.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$244.00 |
$244.00 |
$244.00 |
$61.52
|
|
Thromboxane urine
|
$125.60 |
$125.60 |
$125.60 |
$95.00
|
|
Thyroglobulin antibody
|
$79.20 |
$79.20 |
$79.20 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$2,298.40 |
$2,298.40 |
$2,298.40 |
$2,616.00
|
|
Thyroid (TSH) Test
|
$28.00 |
$28.00 |
$28.00 |
$111.00
|
|
Thyroid Ultrasound
|
$260.00 |
$260.00 |
$260.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,853.60 |
$4,853.60 |
$4,853.60 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$54.40 |
$54.40 |
$54.40 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$5,801.60
|
|
Tissue culture skin/biopsy
|
$376.80 |
$376.80 |
$376.80 |
$484.00
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$191.20 |
$191.20 |
$191.20 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$238.40 |
$238.40 |
$238.40 |
$44.16
|
|
Tlh uterus 250 g or less
|
$1,347.20 |
$1,347.20 |
$1,347.20 |
$11,533.76
|
|
Tlh w/t/o 250 g or less
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$12,320.22
|
