|
Surgery to stop leg growth
|
$4,954.40 |
$4,954.40 |
$4,954.40 |
|
|
Surgical opening of throat
|
$995.20 |
$995.20 |
$995.20 |
|
|
Surgical pathology level 1 gross examination only
|
$30.21 |
$87.50 |
$370.29 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$51.41 |
$147.50 |
$198.66 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$83.22 |
$190.00 |
$720.64 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$139.39 |
$307.50 |
$1,058.75 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$155.61 |
$480.00 |
$1,648.97 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$352.45 |
$680.00 |
$1,391.94 |
|
|
Surgical repair stomach bleedin ulcer 43501
|
$6,396.80 |
$6,396.80 |
$6,396.80 |
|
|
Surgical trays
|
$41.34 |
$41.34 |
$61.60 |
|
|
Surgigraft, 1 sq cm
|
$1,068.75 |
$2,107.28 |
$2,107.28 |
|
|
Surg tx anal fistula 2nd stage 46285
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
|
|
Susceptibility agar dilution per agent
|
$12.54 |
$24.38 |
$198.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$11.13 |
$20.00 |
$102.76 |
|
|
Susceptibility mic per plate
|
$35.34 |
$40.00 |
$525.25 |
|
|
Suscept studies macrobroth dilution ea
|
$35.51 |
$100.00 |
$267.45 |
|
|
Sutr lg intestine 1/mult perf without colostomy 44604
|
$4,651.20 |
$4,651.20 |
$4,651.20 |
|
|
Svc venogram s&i
|
$849.06 |
$2,095.00 |
$3,434.75 |
|
|
Swallowing Evaluation (Bedside)
|
$132.24 |
$337.50 |
$575.30 |
|
|
Swallowing Therapy Session
|
$158.40 |
$270.00 |
$405.72 |
|
|
Sweat collection by iontophoresis
|
$155.76 |
$155.76 |
$155.76 |
|
|
Sympathectomy lumbar
|
$1,147.85 |
$1,147.85 |
$1,147.85 |
|
|
Synch audio-only est high 40
|
$368.80 |
$368.80 |
$368.80 |
|
|
Synch audio-only est low 20
|
$191.20 |
$191.20 |
$191.20 |
|
|
Synch audio-only est mod 30
|
$264.80 |
$264.80 |
$264.80 |
|
|
Synch audio-only est sf 10
|
$166.40 |
$166.40 |
$166.40 |
|
|
Synch audio-only new high 60
|
$497.60 |
$497.60 |
$497.60 |
|
|
Synch audio-only new low 30
|
$256.80 |
$256.80 |
$256.80 |
|
|
Synch audio-only new mod 45
|
$381.60 |
$381.60 |
$381.60 |
|
|
Synch audio-only new sf 15
|
$183.20 |
$183.20 |
$183.20 |
|
|
Synthetic sentence id test
|
$57.24 |
$57.24 |
$115.20 |
|
|
Synvisc or synvisc-one
|
$11.66 |
$32.73 |
$461.77 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.69 |
$23.85 |
$234.34 |
|
|
System cardiomems hosp electronics
|
$31,779.69 |
$37,905.11 |
$53,141.25 |
|
|
System pacing micra av
|
$3,806.53 |
$7,050.29 |
$35,797.50 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$1,733.54 |
$4,341.60 |
$32,518.75 |
|
|
System recell skin grafting/harvesting
|
$11,137.50 |
$11,137.50 |
$11,137.50 |
|
|
System sealant biosentry tract
|
$435.24 |
$743.20 |
$1,082.29 |
|
|
T3 (triiodothyronine) free
|
$34.20 |
$95.00 |
$297.73 |
|
|
T3 (triiodothyronine) total
|
$7.15 |
$105.00 |
$187.68 |
|
|
T4 (thyroxine) free
|
$34.20 |
$90.00 |
$251.77 |
|
|
T4 (thyroxine) total
|
$7.70 |
$67.10 |
$145.37 |
|
|
Tacrol envarsus ex rel oral
|
$1.81 |
$1.81 |
$1.81 |
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.96 |
$3.11 |
$10.03 |
|
|
Tacrolimus therapeutic drug level
|
$20.15 |
$77.50 |
$303.45 |
|
|
Tafasitamab-cxix 200 mg intravenous solution
|
$30.12 |
$30.12 |
$30.12 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$76.95 |
$330.00 |
$601.04 |
|
|
Talquetamab-tgvs 2 mg/ml subcutaneous solution
|
$153.07 |
$153.07 |
$153.07 |
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$2.48 |
$2.48 |
$2.48 |
|
|
Tap block bilat cont infusion 64489
|
$885.10 |
$885.10 |
$4,907.10 |
|
|
Tap block uni by cont infusion 64487
|
$638.65 |
$638.65 |
$638.65 |
|
|
Target gsa panel hmtlmph neop
|
$1,954.92 |
$2,710.00 |
$4,565.55 |
|
|
Target gsa panel organ/hmtlmph neop
|
$1,305.00 |
$3,567.96 |
$6,937.15 |
|
|
Target gsa panel organ neop
|
$1,037.30 |
$1,525.00 |
$7,056.50 |
|
|
Tarlatamab-dlle 10 mg intravenous solution
|
$2,862.29 |
$2,862.29 |
$3,791.56 |
|
|
Tavr perq femoral
|
$7,854.55 |
$16,500.00 |
$56,327.34 |
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.50 |
$1.65 |
$997.66 |
|
|
Tbs dxa cal w/i&r fx risk
|
$66.40 |
$66.40 |
$66.40 |
|
|
Tbs i&r fx rsk qhp
|
$40.80 |
$40.80 |
$40.80 |
|
|
Tbs techl calculation only
|
$112.36 |
$115.54 |
$388.39 |
|
|
Tbs techl prep&transmis data
|
$63.25 |
$115.54 |
$388.39 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$120.31 |
$212.50 |
$449.60 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$71.82 |
$175.00 |
$415.14 |
|
|
Tc-99m arcitumomab
|
$2,894.10 |
$2,894.10 |
$2,894.10 |
|
|
Tc-99m bicisate
|
$1,215.00 |
$1,215.00 |
$1,696.75 |
|
|
Tc-99m diag per dose
|
$50.00 |
$50.00 |
$2,120.00 |
|
|
Tc-99m disofenin
|
$231.00 |
$231.00 |
$382.50 |
|
|
Tc-99m exame autol wbc diag per dose
|
$784.85 |
$2,625.99 |
$4,150.00 |
|
|
Tc-99m exametazime diag
|
$717.20 |
$1,515.00 |
$3,733.85 |
|
|
Tc-99m fanolesomab diag
|
$5,145.00 |
$5,145.00 |
$5,145.00 |
|
|
Tc-99m gluceptate
|
$61.60 |
$61.60 |
$224.40 |
|
|
Tc-99m labeled rbc
|
$220.02 |
$232.50 |
$951.34 |
|
|
Tc-99m maa
|
$212.99 |
$265.00 |
$521.00 |
|
|
Tc-99m mebrofenin
|
$109.44 |
$157.50 |
$726.33 |
|
|
Tc-99m medronate
|
$66.55 |
$95.00 |
$562.76 |
|
|
Tc-99m mertiatide
|
$407.50 |
$407.50 |
$1,225.36 |
|
|
Tc-99m non-heu per study dose
|
$5.00 |
$5.00 |
$15.40 |
|
|
Tc-99m oxidronate
|
$91.90 |
$1,202.57 |
$1,202.57 |
|
|
Tc-99m pentetate dtpa
|
$1.91 |
$175.00 |
$770.01 |
|
|
Tc-99m pentetate dtpa aerosol
|
$114.98 |
$160.59 |
$389.11 |
|
|
Tc-99m pertechnetate per mci
|
$1.79 |
$4.00 |
$209.55 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1.79 |
$110.00 |
$242.33 |
|
|
Tc-99m sestamibi p study dose
|
$190.85 |
$310.00 |
$1,210.80 |
|
|
Tc-99m succimer (dmsa)
|
$371.25 |
$645.00 |
$645.00 |
|
|
Tc-99m sulfur colloid
|
$36.71 |
$250.00 |
$871.60 |
|
|
Tc-99m tetrofosmin p study dose
|
$177.65 |
$357.50 |
$438.31 |
|
|
Tc-99m tilmanocept diag
|
$238.15 |
$800.00 |
$1,136.58 |
|
|
Tca peel dermal 15789
|
$262.40 |
$262.40 |
$262.40 |
|
|
Tcd emboli detect w/inj
|
$745.00 |
$745.00 |
$745.00 |
|
|
Tcd emboli detect without inj
|
$745.00 |
$745.00 |
$745.00 |
|
|
T-cell depletion of harvest
|
$19,775.00 |
$19,775.00 |
$19,775.00 |
|
|
T cells absolute cd4/cd8 including ratio
|
$46.64 |
$175.00 |
$389.40 |
|
|
T cells absolute cd 4 count
|
$64.41 |
$95.00 |
$226.05 |
|
|
T cells total count
|
$52.25 |
$135.00 |
$312.95 |
|
|
Tcranial magn stim tx deli
|
$374.55 |
$507.87 |
$882.45 |
|
|
Tcranial magn stim tx plan
|
$411.40 |
$411.40 |
$912.13 |
|
|
Tcran magn stim redetemine
|
$275.55 |
$897.29 |
$2,344.80 |
|
|
Teaec w/wo patch graft iliofemoral
|
$15,284.00 |
$15,284.00 |
$15,284.00 |
|
|
Team conf without pat by hc pro
|
$87.50 |
$87.50 |
$112.86 |
|
|
Team conf without pat by phys
|
$160.80 |
$160.80 |
$160.80 |
|
