|
Protein electrophoretic fractionation & quantitation serum
|
$26.79 |
$26.79 |
$26.79 |
$84.00
|
|
Protein s total
|
$31.62 |
$31.62 |
$31.62 |
$85.10
|
|
Protein total 24 hour urine
|
$26.32 |
$26.32 |
$26.32 |
$52.50
|
|
Protein total body fluid
|
$26.32 |
$26.32 |
$26.32 |
$49.80
|
|
Protein total serum plasma whole blood
|
$26.32 |
$26.32 |
$26.32 |
$43.00
|
|
Prothrombin time substitution plasma fractions each
|
$28.65 |
$28.65 |
$28.65 |
$42.00
|
|
Pr removal intrauterine device
|
$171.82 |
$171.82 |
$171.82 |
$367.80
|
|
PSA (Prostate) Test
|
$26.32 |
$26.32 |
$26.32 |
$107.50
|
|
Psychotherapy group therapy
|
$205.76 |
$205.76 |
$205.76 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$96.35 |
$96.35 |
$96.35 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$109.80 |
$109.80 |
$109.80 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$124.12 |
$124.12 |
$124.12 |
$287.95
|
|
Pt application of modality >=1 area hot/cold packs
|
$6.76 |
$6.76 |
$6.76 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$17.71 |
$17.71 |
$17.71 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$17.01 |
$17.01 |
$17.01 |
$81.48
|
|
Pt application of modality traction mechanical
|
$18.17 |
$18.17 |
$18.17 |
$91.80
|
|
Pten gene full sequence
|
$806.40 |
$806.40 |
$806.40 |
$826.00
|
|
Pt repositioning canalith procedure(s) per day
|
$38.91 |
$38.91 |
$38.91 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$15.61 |
$15.61 |
$15.61 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$16.78 |
$16.78 |
$16.78 |
$88.00
|
|
Punc of shunt for asp or inj
|
$190.00 |
$190.00 |
$190.00 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$38.93 |
$38.93 |
$38.93 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$114.48 |
$114.48 |
$114.48 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$287.78 |
$287.78 |
$287.78 |
$1,060.47
|
|
Pyruvate
|
$20.68 |
$20.68 |
$20.68 |
$66.00
|
|
Pyruvate kinase
|
$87.89 |
$87.89 |
$87.89 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$393.36 |
$393.36 |
$393.36 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$347.95 |
$347.95 |
$347.95 |
$1,199.16
|
|
Quest t3 uptake
|
$26.32 |
$26.32 |
$26.32 |
$53.20
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$351.12 |
$351.12 |
$351.12 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$578.69 |
$578.69 |
$578.69 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$553.87 |
$553.87 |
$553.87 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$553.87 |
$553.87 |
$553.87 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$299.38 |
$299.38 |
$299.38 |
$1,126.32
|
|
Range of motion measurements
|
$15.84 |
$15.84 |
$15.84 |
$64.50
|
|
Rapid Strep Test
|
$23.65 |
$23.65 |
$23.65 |
$76.00
|
|
Rbc count only automated
|
$4.94 |
$4.94 |
$4.94 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$310.37 |
$310.37 |
$310.37 |
$231.12
|
|
Recon, cta for surg plan
|
$330.38 |
$330.38 |
$330.38 |
$713.50
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$334.60 |
$334.60 |
$334.60 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$341.29 |
$341.29 |
$341.29 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$167.30 |
$167.30 |
$167.30 |
$534.15
|
|
Red blood cells washed each unit
|
$237.57 |
$237.57 |
$237.57 |
$583.68
|
|
Refill/maint pump/resvr syst
|
$65.02 |
$65.02 |
$65.02 |
$402.48
|
|
Removal biliary drg cath
|
$419.43 |
$419.43 |
$419.43 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$153.44 |
$153.44 |
$153.44 |
$1,588.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$56.53 |
$56.53 |
$56.53 |
$255.97
|
|
Removal duct glbldr calculi
|
$675.32 |
$675.32 |
$675.32 |
$2,771.60
|
|
Removal sutr and stapl no anes
|
$73.66 |
$73.66 |
$73.66 |
$82.05
|
|
Removal sutr or stapl no anes
|
$73.66 |
$73.66 |
$73.66 |
$93.88
|
|
Remove esophagus obstruction
|
$114.48 |
$114.48 |
$114.48 |
$560.00
|
|
Remove renal tube w/fluoro
|
$292.93 |
$292.93 |
$292.93 |
$1,172.80
|
|
Renal function panel
|
$21.62 |
$21.62 |
$21.62 |
$114.37
|
|
Reptilase test
|
$14.82 |
$14.82 |
$14.82 |
$72.15
|
|
#resp virpnl dfa-adenovirus
|
$20.81 |
$20.81 |
$20.81 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$23.65 |
$23.65 |
$23.65 |
$35.20
|
|
Resp virus 6-11 targets
|
$309.82 |
$309.82 |
$309.82 |
$479.20
|
|
Resuscitation delivery/birthing room
|
$290.77 |
$290.77 |
$290.77 |
$802.00
|
|
Reticulated platelet assay
|
$53.35 |
$53.35 |
$53.35 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$28.16 |
$28.16 |
$28.16 |
$36.57
|
|
Rheumatoid factor qualitative
|
$25.62 |
$25.62 |
$25.62 |
$57.20
|
|
Rheumatoid factor quantitative
|
$20.13 |
$20.13 |
$20.13 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$143.63 |
$143.63 |
$143.63 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$177.02 |
$177.02 |
$177.02 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$149.99 |
$149.99 |
$149.99 |
$397.60
|
|
Rp loclzj tum spect w/ct 1
|
$504.24 |
$504.24 |
$504.24 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$616.18 |
$616.18 |
$616.18 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$588.26 |
$588.26 |
$588.26 |
$2,173.60
|
|
Rsv assay w/optic
|
$18.92 |
$18.92 |
$18.92 |
$76.32
|
|
Rubella antibody igg
|
$20.50 |
$20.50 |
$20.50 |
$77.40
|
|
Rubeola antibody igg
|
$21.96 |
$21.96 |
$21.96 |
$80.00
|
|
Russell viper venom diluted
|
$29.64 |
$29.64 |
$29.64 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$1,232.90 |
$1,232.90 |
$1,232.90 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$135.15 |
$135.15 |
$135.15 |
$314.26
|
|
Salmonella antibody
|
$26.72 |
$26.72 |
$26.72 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$219.31 |
$219.31 |
$219.31 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$139.30 |
$139.30 |
$139.30 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$253.53 |
$253.53 |
$253.53 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$317.64 |
$317.64 |
$317.64 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$230.88 |
$230.88 |
$230.88 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$256.91 |
$256.91 |
$256.91 |
$597.35
|
|
Screening Mammogram
|
$165.57 |
$165.57 |
$165.57 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$66,359.02 |
$66,359.02 |
$66,359.02 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$292.60 |
$292.60 |
$292.60 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$4.45 |
$4.45 |
$4.45 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$19.34 |
$19.34 |
$19.34 |
$96.00
|
|
Semen analysis presence/motility
|
$16.95 |
$16.95 |
$16.95 |
$70.40
|
|
Semen analysis w/count
|
$11.91 |
$11.91 |
$11.91 |
$56.44
|
|
Serpina1 gene
|
$155.01 |
$155.01 |
$155.01 |
$197.00
|
|
Sheath gldlight lasr 12fx50cm
|
$5,460.74 |
$5,460.74 |
$5,460.74 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$38.70 |
$38.70 |
$38.70 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$103.35 |
$103.35 |
$103.35 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$116.07 |
$116.07 |
$116.07 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$896.65 |
$896.65 |
$896.65 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$747.49 |
$747.49 |
$747.49 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$597.77 |
$597.77 |
$597.77 |
$2,096.84
|
|
Shoulder X-ray
|
$131.44 |
$131.44 |
$131.44 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$94.87 |
$94.87 |
$94.87 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$2,466.93 |
$2,466.93 |
$2,466.93 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$180.73 |
$180.73 |
$180.73 |
$355.80
|
