|
Spine X-ray (single view, one level)
|
$252.78 |
$252.78 |
$252.78 |
$251.00
|
|
Sputum specimen collection
|
$229.45 |
$229.45 |
$229.45 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$248.14 |
$248.14 |
$248.14 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$167.17 |
$167.17 |
$167.17 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$11,607.84 |
$11,607.84 |
$11,607.84 |
$32,403.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,697.95 |
$3,697.95 |
$3,697.95 |
$20,962.50
|
|
St evaluate speech sound production
|
$182.19 |
$182.19 |
$182.19 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$162.54 |
$162.54 |
$162.54 |
$400.00
|
|
Stimulants synthetic
|
$102.72 |
$102.72 |
$102.72 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,570.19 |
$1,570.19 |
$1,570.19 |
$1,345.40
|
|
Strep b dna amp probe
|
$75.05 |
$75.05 |
$75.05 |
$124.15
|
|
Stress test pulmonary
|
$282.06 |
$282.06 |
$282.06 |
$324.00
|
|
Str markers specimen anal
|
$1,026.01 |
$1,026.01 |
$1,026.01 |
$756.60
|
|
Sulfonylurea screen qn-sendout
|
$114.28 |
$114.28 |
$114.28 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$28.35 |
$28.35 |
$28.35 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$44.79 |
$44.79 |
$44.79 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$61.24 |
$61.24 |
$61.24 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$61.24 |
$61.24 |
$61.24 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$407.11 |
$407.11 |
$407.11 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$915.14 |
$915.14 |
$915.14 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$46.73 |
$46.73 |
$46.73 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$39.65 |
$39.65 |
$39.65 |
$35.89
|
|
Susceptibility mic per plate
|
$133.40 |
$133.40 |
$133.40 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$41.06 |
$41.06 |
$41.06 |
$59.28
|
|
Swallowing Evaluation (Bedside)
|
$120.23 |
$120.23 |
$120.23 |
$316.80
|
|
Swallowing Therapy Session
|
$139.09 |
$139.09 |
$139.09 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$61.52 |
$61.52 |
$61.52 |
$42.24
|
|
T3 (triiodothyronine) free
|
$45.58 |
$45.58 |
$45.58 |
$100.32
|
|
T3 (triiodothyronine) total
|
$27.61 |
$27.61 |
$27.61 |
$93.52
|
|
T4 (thyroxine) free
|
$42.37 |
$42.37 |
$42.37 |
$89.60
|
|
T4 (thyroxine) total
|
$35.95 |
$35.95 |
$35.95 |
$70.20
|
|
Tacrolimus therapeutic drug level
|
$41.09 |
$41.09 |
$41.09 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$243.59 |
$243.59 |
$243.59 |
$289.20
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$18.10 |
$18.10 |
$18.10 |
$1,223.36
|
|
Target gsa panel hmtlmph neop
|
$1,722.00 |
$1,722.00 |
$1,722.00 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$6,297.72 |
$6,297.72 |
$6,297.72 |
$3,746.70
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$354.90 |
$354.90 |
$354.90 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$220.04 |
$220.04 |
$220.04 |
$179.95
|
|
Tc-99m maa
|
$130.13 |
$130.13 |
$130.13 |
$312.06
|
|
Tc-99m mebrofenin
|
$142.96 |
$142.96 |
$142.96 |
$157.65
|
|
Tc-99m medronate
|
$258.28 |
$258.28 |
$258.28 |
$111.01
|
|
Tc-99m mertiatide
|
$463.13 |
$463.13 |
$463.13 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$281.69 |
$281.69 |
$281.69 |
$222.60
|
|
Tc-99m sestamibi p study dose
|
$202.59 |
$202.59 |
$202.59 |
$287.20
|
|
Tc-99m sulfur colloid
|
$185.02 |
$185.02 |
$185.02 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$166.80 |
$166.80 |
$166.80 |
$184.00
|
|
T cells absolute cd 4 count
|
$131.31 |
$131.31 |
$131.31 |
$111.20
|
|
T cells total count
|
$134.86 |
$134.86 |
$134.86 |
$130.20
|
|
Team conf without pat by hc pro
|
$102.05 |
$102.05 |
$102.05 |
$112.86
|
|
Team conf without pat by phys
|
$131.88 |
$131.88 |
$131.88 |
$140.25
|
|
Team conf w/pat by hc prof
|
$135.80 |
$135.80 |
$135.80 |
$107.10
|
|
Testicular imaging w/vasc flow
|
$672.52 |
$672.52 |
$672.52 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$1,207.83 |
$1,207.83 |
$1,207.83 |
$953.40
|
|
Theophylline therapeutic drug level
|
$27.61 |
$27.61 |
$27.61 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$74.58 |
$74.58 |
$74.58 |
$101.38
|
|
Therapy Exercise Session (each 15 minutes)
|
$99.70 |
$99.70 |
$99.70 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$27.34 |
$27.34 |
$27.34 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$25.67 |
$25.67 |
$25.67 |
$50.40
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$211.42 |
$211.42 |
$211.42 |
$313.60
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,293.31 |
$1,293.31 |
$1,293.31 |
$1,724.25
|
|
Thoracotomy w/expl
|
$1,011.71 |
$1,011.71 |
$1,011.71 |
$2,045.17
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$2,027.06 |
$2,027.06 |
$2,027.06 |
$1,703.45
|
|
Thrombin time
|
$35.67 |
$35.67 |
$35.67 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$65.61 |
$65.61 |
$65.61 |
$62.01
|
|
Thyroglobulin antibody
|
$113.57 |
$113.57 |
$113.57 |
$82.50
|
|
Thyroid imaging
|
$710.53 |
$710.53 |
$710.53 |
$695.60
|
|
Thyroid (TSH) Test
|
$71.26 |
$71.26 |
$71.26 |
$112.70
|
|
Thyroid Ultrasound
|
$839.76 |
$839.76 |
$839.76 |
$588.50
|
|
Tissue exam koh skin/hair/nails
|
$152.22 |
$152.22 |
$152.22 |
$47.40
|
|
Tissue transglutaminase iga
|
$69.80 |
$69.80 |
$69.80 |
$44.80
|
|
Tobramycin peak therapeutic drug level
|
$31.46 |
$31.46 |
$31.46 |
$120.60
|
|
Toe X-ray (both feet)
|
$196.86 |
$196.86 |
$196.86 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$45.82 |
$45.82 |
$45.82 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$45.82 |
$45.82 |
$45.82 |
$74.10
|
|
Total tau
|
$289.54 |
$289.54 |
$289.54 |
$312.50
|
|
Toxoplasma antibody igg
|
$74.53 |
$74.53 |
$74.53 |
$91.65
|
|
Toxoplasma antibody igm
|
$70.98 |
$70.98 |
$70.98 |
$87.75
|
|
Tpmt gene com vrnts
|
$377.47 |
$377.47 |
$377.47 |
$371.80
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$75.89 |
$75.89 |
$75.89 |
$102.27
|
|
Transferrin
|
$25.04 |
$25.04 |
$25.04 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$736.93 |
$736.93 |
$736.93 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$621.48 |
$621.48 |
$621.48 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$2,355.21 |
$2,355.21 |
$2,355.21 |
$4,523.04
|
|
Treat elbow dislocation
|
$884.72 |
$884.72 |
$884.72 |
$2,272.50
|
|
Treat finger fracture each
|
$416.90 |
$416.90 |
$416.90 |
$1,592.00
|
|
Treat foot dislocation
|
$229.42 |
$229.42 |
$229.42 |
$445.80
|
|
Treat fracture of radius
|
$857.17 |
$857.17 |
$857.17 |
$1,790.00
|
|
Treat fracture of ulna
|
$845.79 |
$845.79 |
$845.79 |
$731.04
|
|
Treat hip dislocation
|
$1,415.44 |
$1,415.44 |
$1,415.44 |
$2,211.05
|
|
Treat hip socket fracture
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$1,392.00
|
|
Treat humerus fracture
|
$1,060.23 |
$1,060.23 |
$1,060.23 |
$1,790.00
|
|
Treat kneecap dislocation
|
$908.68 |
$908.68 |
$908.68 |
$1,068.06
|
|
Treat knee dislocation
|
$1,176.44 |
$1,176.44 |
$1,176.44 |
$2,220.89
|
|
Treat knee fracture 27530
|
$528.92 |
$528.92 |
$528.92 |
$550.73
|
|
Treat lower leg dislocation
|
$667.29 |
$667.29 |
$667.29 |
$532.60
|
|
Treat lower leg dislocation
|
$754.74 |
$754.74 |
$754.74 |
$3,908.80
|
|
Treatment incomplete abortion completed surgically any trimester
|
$380.36 |
$380.36 |
$380.36 |
$3,928.20
|
|
Treatment of ankle fracture 27786
|
$535.51 |
$535.51 |
$535.51 |
$523.20
|
|
Treatment of fibula fracture 27780
|
$524.12 |
$524.12 |
$524.12 |
$501.20
|
|
Treatment of heel fracture 28400
|
$425.29 |
$425.29 |
$425.29 |
$473.00
|