|
Sincalide 5 mcg solution for injection
|
$161.74 |
$161.74 |
$195.11 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,007.53 |
$1,007.53 |
$1,160.70 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$867.61 |
$867.61 |
$1,052.05 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$780.16 |
$858.60 |
$858.60 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,674.80 |
$1,691.23 |
$1,691.23 |
$2,489.25
|
|
Sipuleucel-t - su
|
$24,787.77 |
$24,787.77 |
$34,177.44 |
$95,750.46
|
|
Sirolimus, oral
|
$8.43 |
$8.43 |
$19.16 |
$42.11
|
|
Skeletal muscle relaxant 1/2
|
$101.23 |
$101.23 |
$101.23 |
$72.14
|
|
Skin Biopsy
|
$445.20 |
$460.57 |
$460.57 |
$382.80
|
|
Sleep study attended
|
$3,133.36 |
$3,264.80 |
$3,264.80 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$4,357.66 |
$4,539.98 |
$4,539.98 |
$3,936.80
|
|
Sleep study unattended
|
$2,006.58 |
$2,006.58 |
$2,006.58 |
$595.50
|
|
Sleeve fing rolyan med
|
$496.08 |
$496.08 |
$496.08 |
$191.10
|
|
Sling pelv split sam med
|
$134.09 |
$134.09 |
$134.09 |
$115.20
|
|
Smear fluorescent and/or acid fast stain
|
$33.92 |
$33.92 |
$57.77 |
$64.20
|
|
Smear gram stain
|
$24.91 |
$24.91 |
$45.05 |
$57.85
|
|
Smear nasal eosinophil
|
$25.44 |
$25.44 |
$40.81 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$35.51 |
$35.51 |
$63.60 |
$64.35
|
|
Smear wet mount
|
$25.97 |
$25.97 |
$48.23 |
$68.63
|
|
Snrpn/ube3a gene
|
$282.49 |
$282.49 |
$282.49 |
$228.80
|
|
So airplane w/wo joint cf
|
$2,748.05 |
$2,748.05 |
$2,748.05 |
$1,064.70
|
|
So cap design without jnts cf
|
$2,094.56 |
$2,094.56 |
$2,094.56 |
$230.40
|
|
Sodium 24 hour urine
|
$22.79 |
$22.79 |
$36.04 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$2.65 |
$2.65 |
$2.87 |
$46.43
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$11.69 |
$11.69 |
$11.78 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$15.90 |
$15.90 |
$36.04 |
$42.70
|
|
Special physics consult
|
$732.46 |
$805.60 |
$805.60 |
$700.74
|
|
Special radiation dosimetry
|
$392.73 |
$552.26 |
$552.26 |
$445.50
|
|
Special radiation treatment
|
$1,138.44 |
$1,138.44 |
$1,849.17 |
$1,934.03
|
|
Special teletx port plan
|
$884.04 |
$884.04 |
$884.04 |
$1,046.65
|
|
Specific gravity body fluid
|
$16.43 |
$29.15 |
$29.15 |
$23.63
|
|
Sperm antibody test
|
$45.05 |
$45.05 |
$45.05 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,098.16 |
$1,724.09 |
$1,724.09 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$457.92 |
$457.92 |
$915.31 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,178.19 |
$1,178.19 |
$1,178.19 |
$380.00
|
|
Splint finger frog med
|
$81.62 |
$81.62 |
$81.62 |
$27.95
|
|
Split blood or products
|
$92.22 |
$92.22 |
$101.23 |
$148.98
|
|
Srs linear based
|
$17,271.64 |
$18,998.91 |
$18,998.91 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$174.90 |
$174.90 |
$174.90 |
$300.00
|
|
Staph a dna amp probe
|
$145.22 |
$152.11 |
$152.11 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$248.57 |
$248.57 |
$248.57 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$33,081.54 |
$33,081.54 |
$33,081.54 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,087.91 |
$9,087.91 |
$26,420.50 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$13,210.25 |
$13,210.25 |
$13,210.25 |
$9,276.80
|
|
Stent placemt retro carotid
|
$7,103.06 |
$7,103.06 |
$7,103.06 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$31,546.66 |
$31,546.66 |
$31,546.66 |
$19,765.20
|
|
St evaluate speech sound production
|
$200.34 |
$200.34 |
$200.34 |
$300.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$214.12 |
$214.12 |
$214.12 |
$406.40
|
|
St evaluation swallow function
|
$179.14 |
$179.14 |
$179.14 |
$336.60
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$2,607.60 |
$2,607.60 |
$2,607.60 |
$1,170.40
|
|
Strep b assay w/optic
|
$20.67 |
$20.67 |
$20.67 |
$32.00
|
|
Strep b dna amp probe
|
$122.43 |
$122.43 |
$219.95 |
$139.20
|
|
Stress test pulmonary
|
$165.36 |
$165.36 |
$394.32 |
$327.20
|
|
Stress tte complete
|
$3,136.01 |
$3,136.01 |
$4,861.69 |
$1,964.95
|
|
Str markers specimen anal
|
$800.30 |
$800.30 |
$835.28 |
$835.28
|
|
St treatment speech individual
|
$487.60 |
$487.60 |
$487.60 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$169.07 |
$169.07 |
$169.07 |
$261.60
|
|
Sugars single quant
|
$52.47 |
$52.47 |
$118.72 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$39.22 |
$39.22 |
$47.17 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$42.40 |
$42.40 |
$42.40 |
$151.29
|
|
Surgical pathology level 1 gross examination only
|
$42.40 |
$42.40 |
$78.44 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$75.26 |
$75.26 |
$164.30 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$96.99 |
$96.99 |
$246.45 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$503.50 |
$503.50 |
$525.76 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$193.45 |
$193.45 |
$693.77 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$434.60 |
$434.60 |
$763.20 |
$790.00
|
|
Surgigraft, 1 sq cm
|
$2,107.28 |
$2,107.28 |
$2,107.28 |
$171.12
|
|
Susceptibility agar dilution per agent
|
$24.38 |
$24.38 |
$25.97 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$14.84 |
$14.84 |
$30.21 |
$34.48
|
|
Susceptibility mic per plate
|
$39.75 |
$39.75 |
$64.13 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$35.51 |
$35.51 |
$47.17 |
$48.30
|
|
Svc venogram s&i
|
$849.06 |
$849.06 |
$951.88 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$11.97 |
$44.92 |
$46.96 |
$1,232.66
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$23.85 |
$23.85 |
$34.45 |
$44.85
|
|
T3 (triiodothyronine) free
|
$57.77 |
$57.77 |
$102.29 |
$89.82
|
|
T3 (triiodothyronine) total
|
$56.71 |
$56.71 |
$121.37 |
$94.90
|
|
T4 (thyroxine) free
|
$45.05 |
$45.05 |
$91.69 |
$81.60
|
|
T4 (thyroxine) total
|
$34.45 |
$34.45 |
$71.02 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$2.46 |
$3.05 |
$6.06 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$93.81 |
$93.81 |
$113.95 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$885.10 |
$885.10 |
$885.10 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$638.65 |
$638.65 |
$638.65 |
$638.65
|
|
Target gsa panel hmtlmph neop
|
$4,211.91 |
$4,211.91 |
$4,396.88 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,567.96 |
$3,567.96 |
$3,725.37 |
$3,385.00
|
|
Target gsa panel organ neop
|
$1,134.73 |
$2,655.83 |
$2,655.83 |
$1,913.00
|
|
Tavr perq femoral
|
$56,327.34 |
$56,327.34 |
$56,327.34 |
$16,357.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.58 |
$1.58 |
$1.58 |
$959.55
|
|
Tbs techl calculation only
|
$112.36 |
$112.36 |
$115.54 |
$123.30
|
|
Tbs techl prep&transmis data
|
$112.36 |
$112.36 |
$115.54 |
$104.19
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$120.31 |
$200.87 |
$200.87 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$119.25 |
$200.87 |
$200.87 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$2,608.66 |
$2,608.66 |
$2,608.66 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$3,200.67 |
$3,200.67 |
$3,733.85 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$238.50 |
$312.70 |
$312.70 |
$323.01
|
|
Tc-99m maa
|
$368.35 |
$368.35 |
$429.30 |
$312.06
|
|
Tc-99m mebrofenin
|
$207.76 |
$207.76 |
$219.42 |
$169.53
|
|
Tc-99m medronate
|
$131.44 |
$131.44 |
$153.70 |
$122.46
|
|
Tc-99m mertiatide
|
$1,049.93 |
$1,049.93 |
$1,225.36 |
$757.25
|
|
Tc-99m oxidronate
|
$1,202.57 |
$1,202.57 |
$1,202.57 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$316.94 |
$316.94 |
$369.41 |
$245.85
|
