|
Sprchoroidal spc njx rx agt
|
$452.00 |
$452.00 |
$452.00 |
$454.19
|
|
Sputum specimen collection
|
$41.50 |
$41.50 |
$41.50 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$330.00 |
$330.00 |
$330.00 |
$297.60
|
|
Stent bili dbl pgtl 10fx5cm
|
$887.80 |
$887.80 |
$887.80 |
$2,520.08
|
|
Stent iliac/open or perc/uni/init 37221
|
$524.00 |
$524.00 |
$524.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$226.00 |
$226.00 |
$226.00 |
$9,008.54
|
|
St evaluate speech sound production
|
$148.00 |
$148.00 |
$148.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$278.50 |
$278.50 |
$278.50 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$220.00 |
$220.00 |
$220.00 |
$399.60
|
|
St evaluation swallow function
|
$157.50 |
$157.50 |
$157.50 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$18.00 |
$18.00 |
$18.00 |
$223.45
|
|
Strapping of knee
|
$18.50 |
$18.50 |
$18.50 |
$205.20
|
|
Strapping of toes 29550
|
$12.50 |
$12.50 |
$12.50 |
$164.70
|
|
Strep a ag ia
|
$93.00 |
$93.00 |
$93.00 |
$75.40
|
|
Stress test pulmonary
|
$193.50 |
$193.50 |
$193.50 |
$322.85
|
|
Stress tte complete
|
$83.00 |
$83.00 |
$83.00 |
$1,870.50
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$751.50 |
$751.50
|
|
St treatment speech individual
|
$133.50 |
$133.50 |
$133.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$133.50 |
$133.50 |
$133.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$192.00 |
$192.00 |
$192.00 |
$235.13
|
|
Subq njx fil matrl 5.1-10cc
|
$708.00 |
$708.00 |
$708.00 |
$988.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.78 |
$8.78 |
$8.78 |
$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
|
$236.50 |
$236.50 |
$236.50 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$8.50 |
$8.50 |
$8.50 |
$114.88
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$75,271.50 |
$80,935.72
|
|
Surg dx exam anorectal
|
$520.50 |
$520.50 |
$520.50 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$46.00 |
$46.00 |
$46.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$62.00 |
$62.00 |
$62.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$91.00 |
$91.00 |
$91.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$612.00 |
$612.00 |
$612.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$239.00 |
$239.00 |
$239.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$379.00 |
$379.00 |
$379.00 |
$718.00
|
|
Surgical repair stomach bleedin ulcer 43501
|
$1,449.50 |
$1,449.50 |
$1,449.50 |
$2,536.20
|
|
Surg tx anal fistula 2nd stage 46285
|
$459.50 |
$459.50 |
$459.50 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$65.00 |
$65.00 |
$65.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$11.00 |
$11.00 |
$11.00 |
$35.70
|
|
Susceptibility mic per plate
|
$462.00 |
$462.00 |
$462.00 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$29.00 |
$29.00 |
$29.00 |
$59.28
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,995.00
|
|
Synch audio-only est high 40
|
$130.50 |
$130.50 |
$130.50 |
$189.40
|
|
Synch audio-only est low 20
|
$59.50 |
$59.50 |
$59.50 |
$90.60
|
|
Synch audio-only est mod 30
|
$88.50 |
$88.50 |
$88.50 |
$136.64
|
|
Synch audio-only new high 60
|
$160.00 |
$160.00 |
$160.00 |
$200.30
|
|
Synch audio-only new low 30
|
$77.00 |
$77.00 |
$77.00 |
$117.00
|
|
Synch audio-only new mod 45
|
$122.00 |
$122.00 |
$122.00 |
$163.38
|
|
Synch audio-only new sf 15
|
$44.50 |
$44.50 |
$44.50 |
$67.80
|
|
Synvisc or synvisc-one
|
$1,274.94 |
$1,274.94 |
$1,274.94 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$26.50 |
$26.50 |
$26.50 |
$41.60
|
|
T3 (triiodothyronine) free
|
$142.00 |
$142.00 |
$142.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$74.50 |
$74.50 |
$74.50 |
$93.52
|
|
T4 (thyroxine) free
|
$83.00 |
$83.00 |
$83.00 |
$85.20
|
|
T4 (thyroxine) total
|
$51.50 |
$51.50 |
$51.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$2.50 |
$2.50 |
$2.50 |
$15.60
|
|
Tacrolimus therapeutic drug level
|
$198.50 |
$198.50 |
$198.50 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$139.00 |
$139.00 |
$139.00 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$139.00 |
$139.00 |
$139.00 |
$177.65
|
|
Tc-99m labeled rbc
|
$222.00 |
$222.00 |
$222.00 |
$302.40
|
|
Tc-99m maa
|
$245.50 |
$245.50 |
$245.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$93.50 |
$93.50 |
$93.50 |
$157.65
|
|
Tc-99m medronate
|
$64.50 |
$64.50 |
$64.50 |
$111.01
|
|
Tc-99m mertiatide
|
$855.50 |
$855.50 |
$855.50 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$82.50 |
$82.50 |
$82.50 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$393.50 |
$393.50 |
$393.50 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$740.00 |
$740.00 |
$740.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$64.50 |
$64.50 |
$64.50 |
$240.50
|
|
T cells absolute cd4/cd8 including ratio
|
$19.19 |
$19.19 |
$19.19 |
$176.40
|
|
T cells absolute cd 4 count
|
$32.00 |
$32.00 |
$32.00 |
$111.20
|
|
T cells total count
|
$19.19 |
$19.19 |
$19.19 |
$126.90
|
|
Teaec w/wo patch graft iliofemoral
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$5,163.60
|
|
Telehealth original site facility fee
|
$60.50 |
$60.50 |
$60.50 |
$51.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$11,434.04 |
$11,434.04 |
$11,434.04 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$656.00 |
$656.00 |
$656.00 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$642.00 |
$642.00 |
$642.00 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$546.50 |
$546.50 |
$546.50 |
$1,893.86
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$3,022.50 |
$3,022.50 |
$3,022.50 |
$2,139.67
|
|
Test stress cardiovascular tracing only
|
$466.00 |
$466.00 |
$466.00 |
$949.70
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$6,241.37 |
$6,241.37 |
$6,241.37 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$77.00 |
$77.00 |
$77.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$201.00 |
$201.00 |
$201.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$62.00 |
$62.00 |
$62.00 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$6.20 |
$6.20 |
$6.20 |
$25.54
|
|
Thorabd diaphr hern repair
|
$1,548.50 |
$1,548.50 |
$1,548.50 |
$3,542.40
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,655.50 |
$2,655.50 |
$2,655.50 |
$1,687.50
|
|
Thrombectomy/inf pq dialysis circuit
|
$383.50 |
$383.50 |
$383.50 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$460.00 |
$460.00 |
$460.00 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$531.00 |
$531.00 |
$531.00 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$5,520.00
|
|
Thrombin time
|
$69.00 |
$69.00 |
$69.00 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$869.00 |
$869.00 |
$869.00 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$968.00 |
$968.00 |
$968.00 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$1,376.50 |
$1,376.50 |
$1,376.50 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$1,192.50 |
$1,192.50 |
$1,192.50 |
$4,185.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$94.50 |
$94.50 |
$94.50 |
$61.52
|
