|
#resp virpnl dfa-adenovirus
|
$24.64 |
$24.64 |
$24.64 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$28.00 |
$28.00 |
$28.00 |
$35.20
|
|
Resp virus 6-11 targets
|
$366.80 |
$366.80 |
$366.80 |
$479.20
|
|
Resuscitation delivery/birthing room
|
$186.87 |
$186.87 |
$186.87 |
$802.00
|
|
Reticulated platelet assay
|
$59.18 |
$59.18 |
$59.18 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$31.24 |
$31.24 |
$31.24 |
$36.57
|
|
Revision of scrotum
|
$850.16 |
$850.16 |
$850.16 |
$5,631.74
|
|
Rheumatoid factor quantitative
|
$29.15 |
$29.15 |
$29.15 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$417.96 |
$417.96 |
$417.96 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$526.15 |
$526.15 |
$526.15 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$365.15 |
$365.15 |
$365.15 |
$397.60
|
|
Rmvl fb upr arm/elbow deep
|
$666.46 |
$666.46 |
$666.46 |
$3,650.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$172.39 |
$172.39 |
$172.39 |
$1,876.00
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$486.79 |
$486.79 |
$486.79 |
$538.85
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,296.19 |
$1,296.19 |
$1,296.19 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$976.38 |
$976.38 |
$976.38 |
$6,311.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$945.77 |
$945.77 |
$945.77 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$726.28 |
$726.28 |
$726.28 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$433.79 |
$433.79 |
$433.79 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$603.35 |
$603.35 |
$603.35 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,570.78 |
$1,570.78 |
$1,570.78 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,121.45 |
$1,121.45 |
$1,121.45 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,088.48 |
$1,088.48 |
$1,088.48 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$810.59 |
$810.59 |
$810.59 |
$6,905.60
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$724.40 |
$724.40 |
$724.40 |
$6,870.89
|
|
Rpr aa hrn rcr < 3 rdc
|
$534.58 |
$534.58 |
$534.58 |
$4,500.75
|
|
Rpr diaphragm lac/any approach 39501
|
$1,509.66 |
$1,509.66 |
$1,509.66 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$1,171.85 |
$1,171.85 |
$1,171.85 |
$4,176.15
|
|
Rpr ing hernia baby blocked
|
$1,139.82 |
$1,139.82 |
$1,139.82 |
$4,176.15
|
|
Rpr rem hernia init reduce
|
$1,069.64 |
$1,069.64 |
$1,069.64 |
$3,909.56
|
|
Rsv assay w/optic
|
$22.40 |
$22.40 |
$22.40 |
$76.32
|
|
Rubella antibody igg
|
$29.68 |
$29.68 |
$29.68 |
$77.40
|
|
Rubeola antibody igg
|
$31.80 |
$31.80 |
$31.80 |
$80.00
|
|
Russell viper venom diluted
|
$32.88 |
$32.88 |
$32.88 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$3,189.57 |
$3,189.57 |
$3,189.57 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$394.77 |
$394.77 |
$394.77 |
$314.26
|
|
Salmonella antibody
|
$38.69 |
$38.69 |
$38.69 |
$37.58
|
|
Same day nb discharge 99463
|
$141.28 |
$141.28 |
$141.28 |
$183.07
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$628.49 |
$628.49 |
$628.49 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$311.23 |
$311.23 |
$311.23 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$464.74 |
$464.74 |
$464.74 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$709.76 |
$709.76 |
$709.76 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$662.20 |
$662.20 |
$662.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$695.31 |
$695.31 |
$695.31 |
$597.35
|
|
Screening Colonoscopy (average risk)
|
$227.96 |
$227.96 |
$227.96 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$227.02 |
$227.02 |
$227.02 |
$2,249.00
|
|
Screening Mammogram
|
$233.00 |
$233.00 |
$233.00 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$72,272.20 |
$72,272.20 |
$72,272.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$708.83 |
$708.83 |
$708.83 |
$611.91
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,446.87 |
$1,446.87 |
$1,446.87 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$4.93 |
$4.93 |
$4.93 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$55.01 |
$55.01 |
$55.01 |
$96.00
|
|
Semen analysis w/count
|
$15.83 |
$15.83 |
$15.83 |
$56.44
|
|
Serpina1 gene
|
$401.01 |
$401.01 |
$401.01 |
$197.00
|
|
Sheath gldlight lasr 12fx50cm
|
$9,087.33 |
$9,087.33 |
$9,087.33 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$74.05 |
$74.05 |
$74.05 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$208.01 |
$208.01 |
$208.01 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$202.86 |
$202.86 |
$202.86 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$1,908.37 |
$1,908.37 |
$1,908.37 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,590.51 |
$1,590.51 |
$1,590.51 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,272.04 |
$1,272.04 |
$1,272.04 |
$2,096.84
|
|
Shoulder X-ray
|
$381.25 |
$381.25 |
$381.25 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$144.90 |
$144.90 |
$144.90 |
$263.25
|
|
Sickling rbc
|
$30.69 |
$30.69 |
$30.69 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$87.61 |
$87.61 |
$87.61 |
$1,446.90
|
|
Sigmoidoscopy/submucosal injection 45335
|
$81.48 |
$81.48 |
$81.48 |
$1,820.00
|
|
Sigmoidoscopy w/tumr remove
|
$147.89 |
$147.89 |
$147.89 |
$1,645.43
|
|
Sinus CT scan (with and without contrast)
|
$1,260.94 |
$1,260.94 |
$1,260.94 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,050.68 |
$1,050.68 |
$1,050.68 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$840.42 |
$840.42 |
$840.42 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$325.22 |
$325.22 |
$325.22 |
$346.45
|
|
Sinus X-ray (limited)
|
$285.29 |
$285.29 |
$285.29 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$86.39 |
$86.39 |
$86.39 |
$83.85
|
|
Skull X-ray (1 to 3 views)
|
$195.13 |
$195.13 |
$195.13 |
$294.45
|
|
Skull X-ray (complete)
|
$291.73 |
$291.73 |
$291.73 |
$417.50
|
|
Slco1b1 gene com variants
|
$608.48 |
$608.48 |
$608.48 |
$241.24
|
|
Sleep study attended
|
$1,884.84 |
$1,884.84 |
$1,884.84 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,252.70 |
$4,252.70 |
$4,252.70 |
$3,734.50
|
|
Sleep study unattended
|
$580.87 |
$580.87 |
$580.87 |
$594.00
|
|
Sling suprapubic suburetheral
|
$12,047.20 |
$12,047.20 |
$12,047.20 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$308.48 |
$308.48 |
$308.48 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$38.08 |
$38.08 |
$38.08 |
$64.35
|
|
Smear gram stain
|
$55.42 |
$55.42 |
$55.42 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$35.84 |
$35.84 |
$35.84 |
$73.50
|
|
Smear wet mount
|
$29.68 |
$29.68 |
$29.68 |
$67.55
|
|
Snrpn/ube3a gene
|
$338.43 |
$338.43 |
$338.43 |
$230.63
|
|
Sodium 24 hour urine
|
$40.39 |
$40.39 |
$40.39 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$17.39 |
$17.39 |
$17.39 |
$46.26
|
|
Specific gravity body fluid
|
$5.61 |
$5.61 |
$5.61 |
$22.00
|
|
Specimen fat stain
|
$10.96 |
$10.96 |
$10.96 |
$37.40
|
|
Spine X-ray (single view, one level)
|
$247.94 |
$247.94 |
$247.94 |
$251.00
|
|
Splenectomy total open 38100
|
$2,046.41 |
$2,046.41 |
$2,046.41 |
$2,166.00
|
|
Split blood or products
|
$222.28 |
$222.28 |
$222.28 |
$127.80
|
|
Sputum specimen collection
|
$222.28 |
$222.28 |
$222.28 |
$180.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$28,910.20 |
$28,910.20 |
$28,910.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,095.75 |
$5,095.75 |
$5,095.75 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$19,274.20 |
$19,274.20 |
$19,274.20 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$5,095.75 |
$5,095.75 |
$5,095.75 |
$4,631.82
|
|
Stimulants synthetic
|
$89.76 |
$89.76 |
$89.76 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$67.52 |
$67.52 |
$67.52 |
$1,345.40
|