|
Srs multisource
|
$8,973.50 |
$8,973.50 |
$20,353.00 |
|
|
St analysis behavior qualitative voice/resonance
|
$120.50 |
$330.00 |
$439.50 |
|
|
Staph a dna amp probe
|
$65.50 |
$65.50 |
$118.50 |
|
|
St cognitve performance testing healthcare professional each hour
|
$113.00 |
$219.00 |
$638.50 |
|
|
Stem cells total count
|
$184.00 |
$184.00 |
$410.00 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$48,131.00 |
$48,131.00 |
$49,293.50 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$792.50 |
$7,713.97 |
$21,994.00 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$226.50 |
$443.90 |
$5,024.50 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$1,121.00 |
$4,500.00 |
$8,227.50 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$524.00 |
$15,923.00 |
$37,412.00 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$226.00 |
$3,232.83 |
$8,985.00 |
|
|
Stent placemt retro carotid
|
$4,367.50 |
$4,367.50 |
$6,973.00 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,942.50 |
$12,348.00 |
$13,873.00 |
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$15,393.50 |
$15,393.50 |
$15,393.50 |
|
|
Sterile needle
|
$281.50 |
$320.50 |
$1,021.84 |
|
|
St evaluate speech sound production
|
$86.50 |
$185.00 |
$450.00 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$162.00 |
$299.50 |
$622.50 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$100.00 |
$272.00 |
$775.80 |
|
|
St evaluation swallow function
|
$126.00 |
$190.00 |
$592.20 |
|
|
Stimulants synthetic
|
$5.00 |
$85.00 |
$85.00 |
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$3,335.50 |
$3,335.50 |
$3,335.50 |
|
|
Strapping of ankle and/or ft 29540
|
$18.00 |
$127.00 |
$494.40 |
|
|
Strapping of elbow or wrist 29260
|
$46.00 |
$133.00 |
$225.00 |
|
|
Strapping of hand or finger
|
$120.50 |
$123.00 |
$123.00 |
|
|
Strapping of knee
|
$17.50 |
$18.50 |
$279.00 |
|
|
Strapping of toes 29550
|
$11.50 |
$12.50 |
$129.00 |
|
|
Strep a ag ia
|
$8.50 |
$33.50 |
$93.00 |
|
|
Strep b dna amp probe
|
$18.00 |
$85.00 |
$174.50 |
|
|
Stress test pulmonary
|
$193.50 |
$247.50 |
$460.00 |
|
|
Stress tte complete
|
$83.00 |
$90.50 |
$1,870.50 |
|
|
Str markers specimen anal
|
$751.50 |
$751.50 |
$1,202.40 |
|
|
St treatment speech individual
|
$58.00 |
$162.50 |
$429.00 |
|
|
St treatment swallow dysfunction/oral
|
$61.50 |
$168.80 |
$281.00 |
|
|
Subq njx filling matrl 1cc/<
|
$51.50 |
$192.00 |
$341.00 |
|
|
Subq njx fil matrl 5.1-10cc
|
$708.00 |
$708.00 |
$944.00 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$2.42 |
$8.78 |
$64.80 |
|
|
Suction lipectomy head&neck
|
$5,044.50 |
$5,044.50 |
$5,044.50 |
|
|
Suction lipectomy lwr extrem
|
$13,237.50 |
$13,237.50 |
$33,812.50 |
|
|
Suction lipectomy trunk
|
$4,385.50 |
$4,385.50 |
$4,385.50 |
|
|
Sugars single quant
|
$107.00 |
$520.00 |
$832.00 |
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$236.50 |
$354.50 |
$24,062.73 |
|
|
Sulfonylurea screen qn-sendout
|
$110.00 |
$110.00 |
$110.00 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$8.50 |
$12.50 |
$247.20 |
|
|
Supprelin la implant
|
$75,271.50 |
$75,271.50 |
$120,434.40 |
|
|
Surg dx exam anorectal
|
$115.50 |
$863.50 |
$6,678.00 |
|
|
Surg ect salp-oophorectomy 59120
|
$8,636.50 |
$8,636.50 |
$8,636.50 |
|
|
Surg ect without salp-oophorectomy 59121
|
$1,073.08 |
$1,073.08 |
$1,073.08 |
|
|
Surgery to stop leg growth
|
$7,479.00 |
$7,479.00 |
$7,479.00 |
|
|
Surgery to stop leg growth
|
$14,474.50 |
$14,474.50 |
$14,474.50 |
|
|
Surgery to stop leg growth
|
$9,108.00 |
$9,108.00 |
$9,108.00 |
|
|
Surgery to stop leg growth
|
$14,114.50 |
$14,114.50 |
$14,114.50 |
|
|
Surgical opening of stomach 43500
|
$14,386.00 |
$14,386.00 |
$14,386.00 |
|
|
Surgical pathology level 1 gross examination only
|
$24.00 |
$71.00 |
$203.40 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$53.50 |
$79.50 |
$358.20 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$61.00 |
$123.50 |
$467.00 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$79.50 |
$525.00 |
$2,405.00 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$127.00 |
$529.50 |
$2,001.00 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$261.50 |
$641.00 |
$4,461.60 |
|
|
Surgical repair stomach bleedin ulcer 43501
|
$1,449.50 |
$1,498.50 |
$2,397.60 |
|
|
Surgical trays
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$444.00 |
$472.50 |
$5,845.50 |
|
|
Susceptibility agar dilution per agent
|
$3.00 |
$51.00 |
$107.50 |
|
|
Susceptibility enzyme detection per enzyme
|
$4.50 |
$12.50 |
$22.60 |
|
|
Susceptibility mic per plate
|
$71.50 |
$462.00 |
$1,488.60 |
|
|
Suscept studies macrobroth dilution ea
|
$10.00 |
$169.00 |
$350.00 |
|
|
Suspension of testis
|
$13,928.00 |
$13,928.00 |
$13,928.00 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$1,130.00 |
$1,150.50 |
$1,840.80 |
|
|
Svc venogram s&i
|
$1,780.50 |
$2,840.50 |
$3,492.00 |
|
|
Sweat collection by iontophoresis
|
$77.00 |
$125.50 |
$125.50 |
|
|
Synch audio-only est high 40
|
$127.00 |
$130.50 |
$203.20 |
|
|
Synch audio-only est low 20
|
$58.50 |
$59.50 |
$93.60 |
|
|
Synch audio-only est mod 30
|
$85.50 |
$88.50 |
$136.80 |
|
|
Synch audio-only est sf 10
|
$31.50 |
$33.00 |
$50.40 |
|
|
Synch audio-only new high 60
|
$156.50 |
$156.50 |
$250.40 |
|
|
Synch audio-only new low 30
|
$75.50 |
$77.00 |
$120.80 |
|
|
Synch audio-only new mod 45
|
$118.50 |
$118.50 |
$189.60 |
|
|
Synch audio-only new sf 15
|
$44.50 |
$44.50 |
$71.20 |
|
|
Synthetic sentence id test
|
$135.00 |
$135.00 |
$135.00 |
|
|
Synvisc or synvisc-one
|
$20.00 |
$951.62 |
$2,976.00 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$14.00 |
$27.50 |
$68.50 |
|
|
System cardiomems hosp electronics
|
$21,860.00 |
$21,860.00 |
$21,860.00 |
|
|
System pacing micra av
|
$3,231.00 |
$4,475.00 |
$16,334.64 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$3,408.50 |
$5,372.00 |
$9,933.08 |
|
|
System sealant biosentry tract
|
$724.00 |
$724.00 |
$726.50 |
|
|
T3 (triiodothyronine) free
|
$47.20 |
$86.00 |
$353.40 |
|
|
T3 (triiodothyronine) total
|
$17.50 |
$85.00 |
$202.80 |
|
|
T4 (thyroxine) free
|
$24.00 |
$67.50 |
$189.00 |
|
|
T4 (thyroxine) total
|
$12.00 |
$49.50 |
$189.00 |
|
|
Tacrol envarsus ex rel oral
|
$2.50 |
$3.50 |
$4.00 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$5.50 |
$8.68 |
$17.35 |
|
|
Tacrolimus therapeutic drug level
|
$36.50 |
$103.00 |
$322.50 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$4,698.00 |
$4,698.00 |
$14,807.39 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$46,567.22 |
$46,567.22 |
$46,567.22 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$16,189.38 |
$27,095.65 |
$31,415.24 |
|
|
Talymed
|
$318.50 |
$318.50 |
$318.50 |
|
|
Tap block bilat cont infusion 64489
|
$131.20 |
$3,494.50 |
$4,532.50 |
|
|
Tap block uni by cont infusion 64487
|
$104.00 |
$1,274.50 |
$1,653.00 |
|
|
Target gsa panel hmtlmph neop
|
$2,600.00 |
$2,600.00 |
$5,556.60 |
|
|
Target gsa panel organ/hmtlmph neop
|
$934.50 |
$1,350.00 |
$6,316.50 |
|
|
Target gsa panel organ neop
|
$1,100.00 |
$1,155.00 |
$2,375.00 |
|
