|
Stent/tib/peroneal/unilat/initial 37230
|
$40,476.27 |
$40,476.27 |
$40,476.27 |
$19,765.20
|
|
St evaluate speech sound production
|
$180.69 |
$180.69 |
$180.69 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$320.34 |
$320.34 |
$320.34 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$198.36 |
$198.36 |
$198.36 |
$406.40
|
|
St evaluation swallow function
|
$132.24 |
$132.24 |
$132.24 |
$336.60
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,112.64 |
$1,112.64 |
$1,112.64 |
$1,170.40
|
|
Strep b dna amp probe
|
$80.37 |
$80.37 |
$80.37 |
$139.20
|
|
Stress test pulmonary
|
$141.36 |
$141.36 |
$141.36 |
$327.20
|
|
Stress tte complete
|
$940.50 |
$940.50 |
$940.50 |
$1,964.95
|
|
St treatment speech individual
|
$156.18 |
$156.18 |
$156.18 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$178.98 |
$178.98 |
$178.98 |
$261.60
|
|
Subsequent intensive care infant 1500-2500 grams 99479
|
$357.39 |
$357.39 |
$357.39 |
$224.80
|
|
Subsequent intensive care infant 2501-5000 grams 99480
|
$334.02 |
$334.02 |
$334.02 |
$216.00
|
|
Sugars single quant
|
$85.50 |
$85.50 |
$85.50 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$86.64 |
$86.64 |
$86.64 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$39.90 |
$39.90 |
$39.90 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$55.29 |
$55.29 |
$55.29 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$83.22 |
$83.22 |
$83.22 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$385.32 |
$385.32 |
$385.32 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$155.61 |
$155.61 |
$155.61 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$466.26 |
$466.26 |
$466.26 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$12.54 |
$12.54 |
$12.54 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$12.54 |
$12.54 |
$12.54 |
$34.48
|
|
Susceptibility mic per plate
|
$35.34 |
$35.34 |
$35.34 |
$94.38
|
|
Svc venogram s&i
|
$913.14 |
$913.14 |
$913.14 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.69 |
$9.69 |
$9.69 |
$44.85
|
|
T3 (triiodothyronine) free
|
$34.20 |
$34.20 |
$34.20 |
$89.82
|
|
T3 (triiodothyronine) total
|
$35.34 |
$35.34 |
$35.34 |
$94.90
|
|
T4 (thyroxine) free
|
$34.20 |
$34.20 |
$34.20 |
$81.60
|
|
T4 (thyroxine) total
|
$25.65 |
$25.65 |
$25.65 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.68 |
$2.68 |
$2.68 |
$9.99
|
|
Tacrolimus therapeutic drug level
|
$27.36 |
$27.36 |
$27.36 |
$122.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.73 |
$1.73 |
$1.73 |
$959.55
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$144.21 |
$144.21 |
$144.21 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$71.82 |
$71.82 |
$71.82 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$2,625.99 |
$2,625.99 |
$2,625.99 |
$2,393.40
|
|
Tc-99m labeled rbc
|
$220.02 |
$220.02 |
$220.02 |
$323.01
|
|
Tc-99m maa
|
$313.50 |
$313.50 |
$313.50 |
$312.06
|
|
Tc-99m mebrofenin
|
$112.86 |
$112.86 |
$112.86 |
$169.53
|
|
Tc-99m medronate
|
$262.20 |
$262.20 |
$262.20 |
$122.46
|
|
Tc-99m pentetate dtpa
|
$171.00 |
$171.00 |
$171.00 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$232.56 |
$232.56 |
$232.56 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$2.28 |
$2.28 |
$2.28 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$71.82 |
$71.82 |
$71.82 |
$147.24
|
|
Tc-99m tetrofosmin p study dose
|
$199.50 |
$199.50 |
$199.50 |
$198.05
|
|
Tc-99m tilmanocept diag
|
$645.24 |
$645.24 |
$645.24 |
$930.54
|
|
T cells absolute cd4/cd8 including ratio
|
$108.87 |
$108.87 |
$108.87 |
$186.00
|
|
T cells absolute cd 4 count
|
$64.41 |
$64.41 |
$64.41 |
$120.25
|
|
T cells total count
|
$86.64 |
$86.64 |
$86.64 |
$124.11
|
|
Tcranial magn stim tx deli
|
$507.87 |
$507.87 |
$507.87 |
$368.50
|
|
Telethx isodose plan cplx
|
$864.69 |
$864.69 |
$864.69 |
$1,617.00
|
|
Telethx isodose plan simple
|
$441.75 |
$441.75 |
$441.75 |
$848.72
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$296.65 |
$296.65 |
$296.65 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$39.18 |
$39.18 |
$39.18 |
$44.49
|
|
Test for urine cystines
|
$11.40 |
$11.40 |
$11.40 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$501.60 |
$501.60 |
$501.60 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$1,095.18 |
$1,095.18 |
$1,095.18 |
$1,395.20
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$33.21 |
$33.21 |
$33.21 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$34.77 |
$34.77 |
$34.77 |
$108.00
|
|
Therapeutic procd strg endur
|
$64.41 |
$64.41 |
$64.41 |
$81.36
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$51.30 |
$51.30 |
$51.30 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$43.89 |
$43.89 |
$43.89 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.20 |
$12.20 |
$12.20 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$7,717.23 |
$7,717.23 |
$7,717.23 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$12,598.14 |
$12,598.14 |
$12,598.14 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$28,659.03 |
$28,659.03 |
$28,659.03 |
$24,605.30
|
|
Thrombin time
|
$27.36 |
$27.36 |
$27.36 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$14.25 |
$14.25 |
$14.25 |
$56.93
|
|
Thyroglobulin antibody
|
$31.92 |
$31.92 |
$31.92 |
$84.00
|
|
Thyroid imaging
|
$448.59 |
$448.59 |
$448.59 |
$670.80
|
|
Thyroid mets imag whole body
|
$859.56 |
$859.56 |
$859.56 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$59.28 |
$59.28 |
$59.28 |
$120.00
|
|
Thyroid Ultrasound
|
$410.97 |
$410.97 |
$410.97 |
$589.96
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,405.49 |
$3,405.49 |
$3,405.49 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$29.07 |
$29.07 |
$29.07 |
$63.60
|
|
Tib/per revasc stent & ather 37231
|
$65,014.77 |
$65,014.77 |
$65,014.77 |
$21,900.00
|
|
Tib/per revasc stnt & ather
|
$19,700.91 |
$19,700.91 |
$19,700.91 |
$11,121.63
|
|
Tib/per revasc w/ather add-on 37233
|
$25,764.57 |
$25,764.57 |
$25,764.57 |
$10,406.14
|
|
Tigecycline injection
|
$4.07 |
$4.07 |
$4.07 |
$308.75
|
|
Tilt table study
|
$1,370.28 |
$1,370.28 |
$1,370.28 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$180.69 |
$180.69 |
$180.69 |
$558.87
|
|
Tissue exam koh skin/hair/nails
|
$11.40 |
$11.40 |
$11.40 |
$47.40
|
|
Tissue transglutaminase iga
|
$50.73 |
$50.73 |
$50.73 |
$48.57
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$19.46 |
$19.46 |
$19.46 |
$125.87
|
|
Tobramycin peak therapeutic drug level
|
$38.76 |
$38.76 |
$38.76 |
$121.55
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$12.11 |
$12.11 |
$12.11 |
$5,790.85
|
|
Toxoplasma antibody igg
|
$35.34 |
$35.34 |
$35.34 |
$84.35
|
|
Toxoplasma antibody igm
|
$31.92 |
$31.92 |
$31.92 |
$83.20
|
|
Trabectedin 1 mg intravenous solution
|
$595.34 |
$595.34 |
$595.34 |
$6,133.80
|
|
Transcath biopsy
|
$3,342.48 |
$3,342.48 |
$3,342.48 |
$4,298.05
|
|
Transcath closure of asd
|
$32,286.51 |
$32,286.51 |
$32,286.51 |
$18,772.00
|
|
Transcatheter bx s&i
|
$914.28 |
$914.28 |
$914.28 |
$1,875.96
|
|
Transcath occlusion cns
|
$30,209.43 |
$30,209.43 |
$30,209.43 |
$8,944.39
|
|
Transcath occlusion non-cns
|
$26,009.67 |
$26,009.67 |
$26,009.67 |
$12,427.79
|
|
Transcath rmvl perm ldss pmkr rv
|
$4,468.80 |
$4,468.80 |
$4,468.80 |
$4,627.00
|
|
Transcutaneous hgb 88738
|
$7.98 |
$7.98 |
$7.98 |
$11.40
|
|
Transferrin
|
$31.92 |
$31.92 |
$31.92 |
$87.30
|
|
Transfusion blood/blood component(s)
|
$387.60 |
$387.60 |
$387.60 |
$988.24
|
|
Transperi needle place pros
|
$9,121.71 |
$9,121.71 |
$9,121.71 |
$6,203.00
|
