|
St analysis behavior qualitative voice/resonance
|
$227.50 |
$227.50 |
$227.50 |
$296.00
|
|
Staph a dna amp probe
|
$125.00 |
$125.00 |
$125.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$230.00 |
$230.00 |
$230.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$24,835.00 |
$24,835.00 |
$24,835.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,885.00 |
$4,885.00 |
$4,885.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$525.00 |
$525.00 |
$525.00 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$5,070.00 |
$5,070.00 |
$5,070.00 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,655.00 |
$5,655.00 |
$5,655.00 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$23,545.00 |
$23,545.00 |
$23,545.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$15,280.00 |
$15,280.00 |
$15,280.00 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$19,195.00 |
$19,195.00 |
$19,195.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$227.50 |
$227.50 |
$227.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$340.00 |
$340.00 |
$340.00 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$337.50 |
$337.50 |
$337.50 |
$395.28
|
|
St evaluation swallow function
|
$337.50 |
$337.50 |
$337.50 |
$310.50
|
|
Strapping of ankle and/or ft 29540
|
$110.00 |
$110.00 |
$110.00 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$110.00 |
$110.00 |
$110.00 |
$154.50
|
|
Strapping of knee
|
$110.00 |
$110.00 |
$110.00 |
$205.20
|
|
Strep a ag ia
|
$20.00 |
$20.00 |
$20.00 |
$75.40
|
|
Strep b dna amp probe
|
$90.00 |
$90.00 |
$90.00 |
$120.90
|
|
Stress test pulmonary
|
$217.50 |
$217.50 |
$217.50 |
$322.85
|
|
Stress tte complete
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$1,862.10
|
|
Str markers specimen anal
|
$380.00 |
$380.00 |
$380.00 |
$751.50
|
|
St treatment speech individual
|
$255.00 |
$255.00 |
$255.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$270.00 |
$270.00 |
$270.00 |
$232.20
|
|
Sulfonylurea screen qn-sendout
|
$230.00 |
$230.00 |
$230.00 |
$156.16
|
|
Support clav 29.6-40.5in med
|
$70.00 |
$70.00 |
$70.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.50 |
$87.50 |
$87.50 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$147.50 |
$147.50 |
$147.50 |
$141.33
|
|
Surgical pathology level 3 gross & microscopic examination
|
$190.00 |
$190.00 |
$190.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$307.50 |
$307.50 |
$307.50 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$480.00 |
$480.00 |
$480.00 |
$477.24
|
|
Surgical pathology level 6 gross & microscopic examination
|
$680.00 |
$680.00 |
$680.00 |
$716.00
|
|
Susceptibility agar dilution per agent
|
$20.00 |
$20.00 |
$20.00 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$20.00 |
$20.00 |
$20.00 |
$35.70
|
|
Susceptibility mic per plate
|
$40.00 |
$40.00 |
$40.00 |
$106.20
|
|
Svc venogram s&i
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.50 |
$17.50 |
$17.50 |
$41.60
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$4,357.50 |
$4,357.50 |
$4,357.50 |
$12,003.00
|
|
T3 (triiodothyronine) free
|
$95.00 |
$95.00 |
$95.00 |
$98.80
|
|
T3 (triiodothyronine) total
|
$105.00 |
$105.00 |
$105.00 |
$93.52
|
|
T4 (thyroxine) free
|
$90.00 |
$90.00 |
$90.00 |
$85.20
|
|
T4 (thyroxine) total
|
$72.50 |
$72.50 |
$72.50 |
$68.40
|
|
Tacrolimus therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$121.50
|
|
Target gsa panel hmtlmph neop
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$3,746.70
|
|
Target gsa panel organ neop
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$212.50 |
$212.50 |
$212.50 |
$191.75
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$175.00 |
$175.00 |
$175.00 |
$176.92
|
|
Tc-99m disofenin
|
$382.50 |
$382.50 |
$382.50 |
$124.32
|
|
Tc-99m exametazime diag
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$2,033.20
|
|
Tc-99m fanolesomab diag
|
$5,145.00 |
$5,145.00 |
$5,145.00 |
$2,115.12
|
|
Tc-99m labeled rbc
|
$232.50 |
$232.50 |
$232.50 |
$302.40
|
|
Tc-99m maa
|
$265.00 |
$265.00 |
$265.00 |
$292.80
|
|
Tc-99m mebrofenin
|
$157.50 |
$157.50 |
$157.50 |
$157.50
|
|
Tc-99m medronate
|
$95.00 |
$95.00 |
$95.00 |
$111.00
|
|
Tc-99m mertiatide
|
$407.50 |
$407.50 |
$407.50 |
$756.00
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$5.00 |
$6.60
|
|
Tc-99m pentetate dtpa
|
$175.00 |
$175.00 |
$175.00 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$115.00 |
$115.00 |
$115.00 |
$181.37
|
|
Tc-99m pertechnetate per mci
|
$4.00 |
$4.00 |
$4.00 |
$22.10
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$110.00 |
$110.00 |
$110.00 |
$136.40
|
|
Tc-99m sestamibi p study dose
|
$310.00 |
$310.00 |
$310.00 |
$274.45
|
|
Tc-99m succimer (dmsa)
|
$645.00 |
$645.00 |
$645.00 |
$1,128.40
|
|
Tc-99m sulfur colloid
|
$250.00 |
$250.00 |
$250.00 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$357.50 |
$357.50 |
$357.50 |
$188.50
|
|
Tc-99m tilmanocept diag
|
$800.00 |
$800.00 |
$800.00 |
$955.60
|
|
T cells absolute cd4/cd8 including ratio
|
$175.00 |
$175.00 |
$175.00 |
$176.00
|
|
T cells absolute cd 4 count
|
$95.00 |
$95.00 |
$95.00 |
$111.20
|
|
T cells total count
|
$135.00 |
$135.00 |
$135.00 |
$126.90
|
|
Telehealth original site facility fee
|
$27.50 |
$27.50 |
$27.50 |
$51.00
|
|
Telethx isodose plan cplx
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$1,526.85
|
|
Telethx isodose plan simple
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$873.62
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$465.56 |
$465.56 |
$465.56 |
$15,245.38
|
|
Test stress cardiovascular tracing only
|
$995.00 |
$995.00 |
$995.00 |
$949.70
|
|
Tgsap so/hl 51/< rna alys
|
$3,505.00 |
$3,505.00 |
$3,505.00 |
$4,347.00
|
|
Theophylline therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$107.94
|
|
Therapeutic procd strg endur
|
$65.00 |
$65.00 |
$65.00 |
$85.68
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$57.50 |
$57.50 |
$57.50 |
$57.08
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Ther nma rdctj intus/obstrcj
|
$322.50 |
$322.50 |
$322.50 |
$529.08
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,687.50
|
|
Thrombin time
|
$50.00 |
$50.00 |
$50.00 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$50.00 |
$50.00 |
$50.00 |
$61.50
|
|
Thyroglobulin antibody
|
$90.00 |
$90.00 |
$90.00 |
$81.90
|
|
Thyroid imaging
|
$715.00 |
$715.00 |
$715.00 |
$695.02
|
|
Thyroid met imaging
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$838.25
|
|
Thyroid mets imag whole body
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,520.70
|
|
Thyroid met uptake
|
$495.00 |
$495.00 |
$495.00 |
$398.40
|
|
Thyroid (TSH) Test
|
$105.00 |
$105.00 |
$105.00 |
$111.00
|
|
Thyroid Ultrasound
|
$650.00 |
$650.00 |
$650.00 |
$586.95
|
|
Thyroid uptake measurement
|
$715.00 |
$715.00 |
$715.00 |
$589.22
|
|
Thyroxine binding globulin (tbg)
|
$92.50 |
$92.50 |
$92.50 |
$63.90
|
|
Tib/per revasc stent & ather 37231
|
$26,360.00 |
$26,360.00 |
$26,360.00 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$21,840.00 |
$21,840.00 |
$21,840.00 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$13,475.00 |
$13,475.00 |
$13,475.00 |
$9,769.65
|
|
Tilt table study
|
$905.00 |
$905.00 |
$905.00 |
$1,495.00
|
|
Tissue culture skin/biopsy
|
$575.00 |
$575.00 |
$575.00 |
$472.50
|
|
Tissue culture tumor
|
$372.50 |
$372.50 |
$372.50 |
$470.40
|
|
Tissue exam koh skin/hair/nails
|
$30.00 |
$30.00 |
$30.00 |
$47.20
|
