|
Sputum specimen collection
|
$122.00 |
$122.00 |
$122.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$296.00 |
$296.00 |
$296.00 |
$297.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$792.50 |
$792.50 |
$792.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$226.50 |
$226.50 |
$226.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,418.00 |
$1,418.00 |
$1,418.00 |
$20,962.50
|
|
Sterile needle
|
$289.50 |
$289.50 |
$289.50 |
$190.13
|
|
St evaluate speech sound production
|
$303.00 |
$303.00 |
$303.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$564.50 |
$564.50 |
$564.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$285.50 |
$285.50 |
$285.50 |
$399.60
|
|
St evaluation swallow function
|
$242.00 |
$242.00 |
$242.00 |
$314.40
|
|
Strep a ag ia
|
$27.00 |
$27.00 |
$27.00 |
$75.40
|
|
Strep b dna amp probe
|
$110.50 |
$110.50 |
$110.50 |
$120.90
|
|
Stress test pulmonary
|
$337.00 |
$337.00 |
$337.00 |
$322.85
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$259.00 |
$259.00 |
$259.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$281.00 |
$281.00 |
$281.00 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$18.57 |
$18.57 |
$18.57 |
$52.31
|
|
Sugars single quant
|
$520.00 |
$520.00 |
$520.00 |
$64.28
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$460.02 |
$460.02 |
$460.02 |
$7,345.98
|
|
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
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surg dx exam anorectal
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$71.00 |
$71.00 |
$71.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$142.00 |
$142.00 |
$142.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$141.00 |
$141.00 |
$141.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$219.50 |
$219.50 |
$219.50 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$641.00 |
$641.00 |
$641.00 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$88.00 |
$88.00 |
$88.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.00 |
$11.00 |
$11.00 |
$35.70
|
|
Susceptibility mic per plate
|
$496.50 |
$496.50 |
$496.50 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$181.50 |
$181.50 |
$181.50 |
$59.28
|
|
Synch audio-only est low 20
|
$58.50 |
$58.50 |
$58.50 |
$90.60
|
|
Synch audio-only est mod 30
|
$85.50 |
$85.50 |
$85.50 |
$136.64
|
|
Synch audio-only est sf 10
|
$31.50 |
$31.50 |
$31.50 |
$53.20
|
|
Synch audio-only new high 60
|
$156.50 |
$156.50 |
$156.50 |
$200.30
|
|
Synch audio-only new mod 45
|
$118.50 |
$118.50 |
$118.50 |
$163.38
|
|
Synvisc or synvisc-one
|
$30.00 |
$30.00 |
$30.00 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$14.00 |
$14.00 |
$14.00 |
$41.60
|
|
System pacing micra av
|
$5,103.00 |
$5,103.00 |
$5,103.00 |
$24,577.07
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,658.00 |
$6,658.00 |
$6,658.00 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$86.00 |
$86.00 |
$86.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$72.00 |
$72.00 |
$72.00 |
$93.52
|
|
T4 (thyroxine) free
|
$48.50 |
$48.50 |
$48.50 |
$85.20
|
|
T4 (thyroxine) total
|
$35.00 |
$35.00 |
$35.00 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$3.50 |
$3.50 |
$3.50 |
$15.60
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.21 |
$6.21 |
$6.21 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$3,794.00 |
$3,794.00 |
$3,794.00 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,383.50 |
$1,383.50 |
$1,383.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,719.00 |
$2,719.00 |
$2,719.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$149.50 |
$149.50 |
$149.50 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$358.00 |
$358.00 |
$358.00 |
$177.65
|
|
Tc-99m exame autol wbc diag per dose
|
$3,245.00 |
$3,245.00 |
$3,245.00 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$3,245.00 |
$3,245.00 |
$3,245.00 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$214.00 |
$214.00 |
$214.00 |
$302.40
|
|
Tc-99m maa
|
$253.00 |
$253.00 |
$253.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$142.50 |
$142.50 |
$142.50 |
$157.65
|
|
Tc-99m medronate
|
$71.00 |
$71.00 |
$71.00 |
$111.01
|
|
Tc-99m mertiatide
|
$973.50 |
$973.50 |
$973.50 |
$756.00
|
|
Tc-99m oxidronate
|
$138.50 |
$138.50 |
$138.50 |
$105.60
|
|
Tc-99m pentetate dtpa
|
$236.50 |
$236.50 |
$236.50 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$328.00 |
$328.00 |
$328.00 |
$190.80
|
|
Tc-99m pertechnetate per mci
|
$2.50 |
$2.50 |
$2.50 |
$22.10
|
|
Tc-99m sestamibi p study dose
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$199.00 |
$199.00 |
$199.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$198.00 |
$198.00 |
$198.00 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$1,106.50 |
$1,106.50 |
$1,106.50 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$218.00 |
$218.00 |
$218.00 |
$176.40
|
|
T cells absolute cd 4 count
|
$32.00 |
$32.00 |
$32.00 |
$111.20
|
|
T cells total count
|
$174.01 |
$174.01 |
$174.01 |
$126.90
|
|
Telehealth original site facility fee
|
$81.50 |
$81.50 |
$81.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$384.00 |
$384.00 |
$384.00 |
$1,526.85
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$15,245.38 |
$15,245.38 |
$15,245.38 |
$15,245.38
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$1.40 |
$1.40 |
$1.40 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$773.50 |
$773.50 |
$773.50 |
$949.70
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$50.50 |
$50.50 |
$50.50 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$73.50 |
$73.50 |
$73.50 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$48.00 |
$48.00 |
$48.00 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$5,027.50 |
$5,027.50 |
$5,027.50 |
$3,786.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$25.49 |
$25.49 |
$25.49 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$1,687.50
|
|
Thrombectmy crnry perq mechanical
|
$7,191.00 |
$7,191.00 |
$7,191.00 |
$3,580.00
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$2,413.00 |
$2,413.00 |
$2,413.00 |
$5,520.00
|
|
Thrombin time
|
$23.00 |
$23.00 |
$23.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$34.00 |
$34.00 |
$34.00 |
$61.52
|
|
Thyroglobulin antibody
|
$50.00 |
$50.00 |
$50.00 |
$82.00
|
|
Thyroid mets imag whole body
|
$346.50 |
$346.50 |
$346.50 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$87.00 |
$87.00 |
$87.00 |
$111.00
|
|
Thyroid Ultrasound
|
$600.00 |
$600.00 |
$600.00 |
$588.50
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$4,550.00 |
$4,550.00 |
$4,550.00 |
$4,112.43
|
|
Thyroxine binding globulin (tbg)
|
$54.00 |
$54.00 |
$54.00 |
$64.35
|
|
Tirofiban 12.5 mg/50 ml
|
$110.25 |
$110.25 |
$110.25 |
$458.85
|
|
Tissue culture skin/biopsy
|
$110.00 |
$110.00 |
$110.00 |
$484.00
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$2,898.13 |
$2,898.13 |
$2,898.13 |
$1,134.00
|
|
Tissue transglutaminase iga
|
$41.50 |
$41.50 |
$41.50 |
$44.16
|
|
Tlh uterus 250 g or less
|
$14,073.00 |
$14,073.00 |
$14,073.00 |
$11,533.76
|
