|
Stent axios caut enh 15x10mm electrocaut
|
$4,496.65 |
$11,607.84 |
$43,584.98 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,891.30 |
$3,891.30 |
$9,218.67 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,697.95 |
$8,990.07 |
$34,868.78 |
|
|
Stent bronch dumon sil 10x40mm
|
$9,218.67 |
$9,218.67 |
$9,218.67 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$16,618.98 |
$16,618.98 |
$16,618.98 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,624.20 |
$4,624.20 |
$4,624.20 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,514.34 |
$13,514.34 |
$13,514.34 |
|
|
St evaluate speech sound production
|
$112.14 |
$112.14 |
$182.19 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$162.54 |
$162.54 |
$234.36 |
|
|
Stimulants synthetic
|
$67.20 |
$98.40 |
$106.40 |
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$956.34 |
$1,363.98 |
$1,570.19 |
|
|
Strapping of ankle and/or ft 29540
|
$250.97 |
$250.97 |
$250.97 |
|
|
Strapping of elbow or wrist 29260
|
$310.02 |
$310.02 |
$310.02 |
|
|
Strapping of hand or finger
|
$267.14 |
$267.14 |
$267.14 |
|
|
Strapping of hip
|
$302.99 |
$302.99 |
$302.99 |
|
|
Strapping of knee
|
$296.67 |
$296.67 |
$296.67 |
|
|
Strep a ag ia
|
$21.42 |
$32.08 |
$35.80 |
|
|
Strep b dna amp probe
|
$44.52 |
$66.67 |
$75.05 |
|
|
Stress test pulmonary
|
$282.06 |
$375.70 |
$441.42 |
|
|
Stress tte complete
|
$1,026.54 |
$1,026.54 |
$1,090.30 |
|
|
Str markers specimen anal
|
$599.34 |
$860.48 |
$1,532.60 |
|
|
Sulfonylurea screen qn-sendout
|
$74.76 |
$109.47 |
$118.37 |
|
|
Surgical pathology level 1 gross examination only
|
$20.58 |
$28.35 |
$39.95 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$33.18 |
$44.79 |
$63.12 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$44.94 |
$61.24 |
$86.29 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$44.94 |
$61.24 |
$86.29 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$300.30 |
$407.11 |
$573.68 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$674.52 |
$915.14 |
$1,289.59 |
|
|
Susceptibility agar dilution per agent
|
$46.73 |
$107.10 |
$179.01 |
|
|
Susceptibility enzyme detection per enzyme
|
$23.52 |
$35.22 |
$39.65 |
|
|
Susceptibility mic per plate
|
$84.00 |
$130.60 |
$153.60 |
|
|
Suscept studies macrobroth dilution ea
|
$36.48 |
$40.72 |
$48.30 |
|
|
Svc venogram s&i
|
$995.40 |
$995.40 |
$995.40 |
|
|
Swallowing Evaluation (Bedside)
|
$120.23 |
$123.48 |
$139.57 |
|
|
Swallowing Therapy Session
|
$101.22 |
$101.22 |
$139.09 |
|
|
Sweat collection by iontophoresis
|
$44.94 |
$44.94 |
$44.94 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$21.84 |
$36.19 |
$61.52 |
|
|
System pacing micra av
|
$14,718.48 |
$14,718.48 |
$14,718.48 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$45,991.68 |
$45,991.68 |
$45,991.68 |
|
|
System sealant biosentry tract
|
$1,131.90 |
$1,131.90 |
$1,131.90 |
|
|
T3 (triiodothyronine) free
|
$29.82 |
$43.66 |
$47.22 |
|
|
T3 (triiodothyronine) total
|
$18.06 |
$26.44 |
$28.60 |
|
|
T4 (thyroxine) free
|
$27.72 |
$40.59 |
$43.89 |
|
|
T4 (thyroxine) total
|
$23.52 |
$34.44 |
$37.24 |
|
|
Tacrolimus therapeutic drug level
|
$26.88 |
$39.36 |
$42.56 |
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$78.96 |
$223.87 |
$243.59 |
|
|
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection
|
$18.10 |
$18.10 |
$18.10 |
|
|
Target gsa panel hmtlmph neop
|
$1,005.90 |
$1,444.18 |
$2,572.23 |
|
|
Target gsa panel organ/hmtlmph neop
|
$3,678.78 |
$5,281.68 |
$9,407.17 |
|
|
Target gsa panel organ neop
|
$753.48 |
$753.48 |
$753.48 |
|
|
Tavr perq femoral
|
$3,499.44 |
$3,499.44 |
$3,499.44 |
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$126.00 |
$208.80 |
$354.90 |
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$78.12 |
$129.46 |
$220.04 |
|
|
Tc-99m bicisate
|
$1,425.90 |
$1,425.90 |
$1,425.90 |
|
|
Tc-99m disofenin
|
$106.26 |
$106.26 |
$106.26 |
|
|
Tc-99m exame autol wbc diag per dose
|
$2,702.28 |
$2,702.28 |
$2,702.28 |
|
|
Tc-99m exametazime diag
|
$761.46 |
$761.46 |
$761.46 |
|
|
Tc-99m labeled rbc
|
$257.88 |
$494.86 |
$562.19 |
|
|
Tc-99m maa
|
$130.13 |
$156.74 |
$215.46 |
|
|
Tc-99m mebrofenin
|
$142.96 |
$172.54 |
$196.01 |
|
|
Tc-99m medronate
|
$148.81 |
$223.92 |
$258.28 |
|
|
Tc-99m mertiatide
|
$238.90 |
$259.98 |
$463.13 |
|
|
Tc-99m oxidronate
|
$330.42 |
$330.42 |
$330.42 |
|
|
Tc-99m pentetate dtpa
|
$210.46 |
$239.09 |
$281.69 |
|
|
Tc-99m pentetate dtpa aerosol
|
$244.02 |
$244.02 |
$244.02 |
|
|
Tc-99m pertechnetate per mci
|
$5.46 |
$16.43 |
$18.67 |
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$69.30 |
$69.30 |
$69.30 |
|
|
Tc-99m sestamibi p study dose
|
$116.72 |
$175.63 |
$202.59 |
|
|
Tc-99m sulfur colloid
|
$185.02 |
$207.93 |
$255.36 |
|
|
Tc-99m tetrofosmin p study dose
|
$115.50 |
$115.50 |
$115.50 |
|
|
Tc-99m tilmanocept diag
|
$1,007.79 |
$1,007.79 |
$1,007.79 |
|
|
Tcd emboli detect without inj
|
$400.73 |
$400.73 |
$400.73 |
|
|
T cells absolute cd4/cd8 including ratio
|
$59.22 |
$98.14 |
$166.80 |
|
|
T cells absolute cd 4 count
|
$46.62 |
$46.62 |
$131.31 |
|
|
T cells total count
|
$47.88 |
$79.34 |
$134.86 |
|
|
Team conf without pat by hc pro
|
$47.88 |
$91.39 |
$102.05 |
|
|
Team conf without pat by phys
|
$68.46 |
$131.88 |
$156.81 |
|
|
Team conf w/pat by hc prof
|
$54.60 |
$121.62 |
$135.80 |
|
|
Tee w or without fol w/cont,cong
|
$438.48 |
$438.48 |
$438.48 |
|
|
Tee w or without fol w/cont, mon
|
$432.18 |
$432.18 |
$432.18 |
|
|
Telehealth original site facility fee
|
$63.15 |
$63.15 |
$63.15 |
|
|
Telethx isodose plan cplx
|
$667.80 |
$667.80 |
$667.80 |
|
|
Telethx isodose plan simple
|
$277.62 |
$277.62 |
$277.62 |
|
|
Testicular imaging w/vasc flow
|
$253.26 |
$584.20 |
$672.52 |
|
|
Test pathogen(s) for platelets reference
|
$100.80 |
$100.80 |
$100.80 |
|
|
Test stress cardiovascular tracing only
|
$434.28 |
$1,069.28 |
$1,207.83 |
|
|
Thaw preserved stem cells
|
$464.94 |
$464.94 |
$464.94 |
|
|
Theophylline therapeutic drug level
|
$18.06 |
$26.44 |
$28.60 |
|
|
Therapeutic procd strg endur
|
$45.78 |
$72.90 |
$74.93 |
|
|
Therapy Activity Training (each 15 minutes)
|
$64.68 |
$66.78 |
$74.58 |
|
|
Therapy Exercise Session (each 15 minutes)
|
$45.78 |
$89.28 |
$99.70 |
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$20.58 |
$27.34 |
$44.69 |
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$19.32 |
$25.67 |
$41.95 |
|
|
Ther nma rdctj intus/obstrcj
|
$172.20 |
$172.20 |
$172.20 |
|
|
Ther/proph/diag inj ia
|
$132.72 |
$132.72 |
$132.72 |
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$78.96 |
$194.30 |
$211.42 |
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,087.38 |
$1,176.53 |
$1,293.31 |
|
|
Thoracotomy w/expl
|
$1,011.71 |
$1,011.71 |
$1,011.71 |
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,307.04 |
$1,760.86 |
$2,027.06 |
|
|
Thrombectmy crnry perq mechanical
|
$4,186.56 |
$4,186.56 |
$4,186.56 |
|
