|
Smear wet mount
|
$87.00 |
$87.00 |
$87.00 |
$67.49
|
|
Sodium 24 hour urine
|
$40.50 |
$40.50 |
$40.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$12.75 |
$12.75 |
$12.75 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$6.00 |
$6.00 |
$6.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$57.87 |
$57.87 |
$57.87 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$686.73 |
$686.73 |
$686.73 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$35.50 |
$35.50 |
$35.50 |
$45.60
|
|
Sp bone agrft morsel add-on
|
$181.00 |
$181.00 |
$181.00 |
$406.40
|
|
Speech audiometry complete
|
$78.50 |
$78.50 |
$78.50 |
$109.20
|
|
Speech recep thresh
|
$28.50 |
$28.50 |
$28.50 |
$82.88
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$697.50 |
$697.50 |
$697.50 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$367.50 |
$367.50 |
$367.50 |
$543.26
|
|
Splenectomy total open 38100
|
$9,196.00 |
$9,196.00 |
$9,196.00 |
$2,166.00
|
|
Splice spleen/kidney veins
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$3,256.92
|
|
Splint fing stax assort 1-7in
|
$5.00 |
$5.00 |
$5.00 |
$5.60
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$719.50 |
$719.50 |
$719.50 |
$4,619.65
|
|
Sprchoroidal spc njx rx agt
|
$341.50 |
$341.50 |
$341.50 |
$454.19
|
|
Sputum specimen collection
|
$168.00 |
$168.00 |
$168.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$120.50 |
$120.50 |
$120.50 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$113.00 |
$113.00 |
$113.00 |
$286.00
|
|
St evaluate speech sound production
|
$123.50 |
$123.50 |
$123.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$233.00 |
$233.00 |
$233.00 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$194.50 |
$194.50 |
$194.50 |
$399.60
|
|
St evaluation swallow function
|
$139.50 |
$139.50 |
$139.50 |
$314.40
|
|
Stimulants synthetic
|
$5.00 |
$5.00 |
$5.00 |
$80.08
|
|
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
|
$11.50 |
$11.50 |
$11.50 |
$164.70
|
|
Strep a ag ia
|
$27.00 |
$27.00 |
$27.00 |
$75.40
|
|
Stress test pulmonary
|
$246.50 |
$246.50 |
$246.50 |
$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
|
$112.50 |
$112.50 |
$112.50 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$112.50 |
$112.50 |
$112.50 |
$240.31
|
|
Subq njx filling matrl 1cc/<
|
$55.00 |
$55.00 |
$55.00 |
$235.13
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$8.16 |
$8.16 |
$8.16 |
$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
|
$234.50 |
$234.50 |
$234.50 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$26.00 |
$26.00 |
$26.00 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$62.00 |
$62.00 |
$62.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$65.00 |
$65.00 |
$65.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$820.00 |
$820.00 |
$820.00 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$650.50 |
$650.50 |
$650.50 |
$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
|
$444.00 |
$444.00 |
$444.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$84.00 |
$84.00 |
$84.00 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$22.60 |
$22.60 |
$22.60 |
$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
|
$1,250.50 |
$1,250.50 |
$1,250.50 |
$1,995.00
|
|
Synch audio-only est high 40
|
$130.50 |
$130.50 |
$130.50 |
$189.40
|
|
Synch audio-only est mod 30
|
$88.50 |
$88.50 |
$88.50 |
$136.64
|
|
Synch audio-only est sf 10
|
$33.00 |
$33.00 |
$33.00 |
$53.20
|
|
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
|
$951.62 |
$951.62 |
$951.62 |
$1,274.94
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.00 |
$21.00 |
$21.00 |
$41.60
|
|
T3 (triiodothyronine) free
|
$158.00 |
$158.00 |
$158.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$94.50 |
$94.50 |
$94.50 |
$93.52
|
|
T4 (thyroxine) free
|
$84.00 |
$84.00 |
$84.00 |
$85.20
|
|
T4 (thyroxine) total
|
$53.50 |
$53.50 |
$53.50 |
$69.00
|
|
Tacrol envarsus ex rel oral
|
$2.50 |
$2.50 |
$2.50 |
$15.60
|
|
Tacrolimus therapeutic drug level
|
$183.00 |
$183.00 |
$183.00 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$2,982.50 |
$2,982.50 |
$2,982.50 |
$1,407.60
|
|
Tap block uni by cont infusion 64487
|
$1,087.50 |
$1,087.50 |
$1,087.50 |
$869.40
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,246.30
|
|
Target gsa panel organ neop
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$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
|
$201.50 |
$201.50 |
$201.50 |
$177.65
|
|
Tc-99m labeled rbc
|
$160.00 |
$160.00 |
$160.00 |
$302.40
|
|
Tc-99m maa
|
$21.50 |
$21.50 |
$21.50 |
$292.80
|
|
Tc-99m mebrofenin
|
$93.50 |
$93.50 |
$93.50 |
$157.65
|
|
Tc-99m medronate
|
$160.00 |
$160.00 |
$160.00 |
$111.01
|
|
Tc-99m mertiatide
|
$855.50 |
$855.50 |
$855.50 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$160.00 |
$160.00 |
$160.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$121.50 |
$121.50 |
$121.50 |
$190.80
|
|
Tc-99m sestamibi p study dose
|
$740.00 |
$740.00 |
$740.00 |
$274.45
|
|
Tc-99m sulfur colloid
|
$252.00 |
$252.00 |
$252.00 |
$240.50
|
|
T cells absolute cd 4 count
|
$32.00 |
$32.00 |
$32.00 |
$111.20
|
|
Teaec w/wo patch graft iliofemoral
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$5,163.60
|
|
Telehealth original site facility fee
|
$54.00 |
$54.00 |
$54.00 |
$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
|
$641.00 |
$641.00 |
$641.00 |
$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
|
$248.50 |
$248.50 |
$248.50 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$0.47 |
$0.47 |
$0.47 |
$39.33
|
|
Test stress cardiovascular tracing only
|
$625.50 |
$625.50 |
$625.50 |
$949.70
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$33.50 |
$33.50 |
$33.50 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$46.00 |
$46.00 |
$46.00 |
$108.00
|
|
Therapeutic procd strg endur
|
$30.50 |
$30.50 |
$30.50 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$79.50 |
$79.50 |
$79.50 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$38.50 |
$38.50 |
$38.50 |
$50.00
|
