|
Rpr aa hrn 1st < 3 cm rdc
|
$13,261.96 |
$13,261.96 |
$13,261.96 |
$4,000.83
|
|
Rsv assay w/optic
|
$61.10 |
$61.10 |
$61.10 |
$64.13
|
|
Rtm 1st set-up&pt educaj eqp
|
$211.25 |
$211.25 |
$211.25 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$65.65 |
$65.65 |
$65.65 |
$78.65
|
|
Rubella antibody igg
|
$81.25 |
$81.25 |
$81.25 |
$73.05
|
|
Rubeola antibody igg
|
$70.20 |
$70.20 |
$70.20 |
$80.00
|
|
Russell viper venom diluted
|
$104.65 |
$104.65 |
$104.65 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$70.20 |
$70.20 |
$70.20 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$104.00 |
$104.00 |
$104.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$191.10 |
$191.10 |
$191.10 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$92.30 |
$92.30 |
$92.30 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$133.25 |
$133.25 |
$133.25 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$67.60 |
$67.60 |
$67.60 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$867.75 |
$867.75 |
$867.75 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$564.20 |
$564.20 |
$564.20 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$749.45 |
$749.45 |
$749.45 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$588.90 |
$588.90 |
$588.90 |
$507.18
|
|
Scan duplex extremity veins unilateral/limited study
|
$595.40 |
$595.40 |
$595.40 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$872.95 |
$872.95 |
$872.95 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$611.00 |
$611.00 |
$611.00 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$611.00 |
$611.00 |
$611.00 |
$527.80
|
|
Scr c/v cyto,thinlayer,rescr
|
$66.30 |
$66.30 |
$66.30 |
$76.70
|
|
Screening Mammogram
|
$198.90 |
$198.90 |
$198.90 |
$287.12
|
|
Screening prostate cancer PSA
|
$99.45 |
$99.45 |
$99.45 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$159.90 |
$159.90 |
$159.90 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$40.95 |
$40.95 |
$40.95 |
$37.80
|
|
Semen analysis presence/motility
|
$107.90 |
$107.90 |
$107.90 |
$79.92
|
|
Sertraline (zoloft) - sendout
|
$247.00 |
$247.00 |
$247.00 |
$178.33
|
|
Shoulder MRI (with and without contrast)
|
$2,574.65 |
$2,574.65 |
$2,574.65 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,210.65 |
$2,210.65 |
$2,210.65 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,938.28
|
|
Shoulder X-ray
|
$415.35 |
$415.35 |
$415.35 |
$307.20
|
|
Sickling rbc
|
$44.20 |
$44.20 |
$44.20 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$2,700.33 |
$2,700.33 |
$2,700.33 |
$1,351.63
|
|
Sincalide 5 mcg solution for injection
|
$412.96 |
$412.96 |
$412.96 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,840.15 |
$1,840.15 |
$1,840.15 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,567.80 |
$1,567.80 |
$1,567.80 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,151.00
|
|
Skin Biopsy
|
$457.60 |
$457.60 |
$457.60 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$2,759.90 |
$2,759.90 |
$2,759.90 |
$4,043.20
|
|
Sleep study unattended
|
$625.30 |
$625.30 |
$625.30 |
$631.55
|
|
Slp ther svc non-spch gen
|
$178.75 |
$178.75 |
$178.75 |
$172.50
|
|
Smear fluorescent and/or acid fast stain
|
$78.65 |
$78.65 |
$78.65 |
$50.70
|
|
Smear gram stain
|
$57.85 |
$57.85 |
$57.85 |
$48.00
|
|
Smear nasal eosinophil
|
$42.25 |
$42.25 |
$42.25 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$61.10 |
$61.10 |
$61.10 |
$60.00
|
|
Smear wet mount
|
$45.50 |
$45.50 |
$45.50 |
$56.13
|
|
Snrpn/ube3a gene
|
$337.35 |
$337.35 |
$337.35 |
$228.80
|
|
Sodium 24 hour urine
|
$60.45 |
$60.45 |
$60.45 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$33.80 |
$33.80 |
$33.80 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$47.45 |
$47.45 |
$47.45 |
$42.43
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$8.71 |
$8.71 |
$8.71 |
$8.89
|
|
Specific gravity body fluid
|
$22.10 |
$22.10 |
$22.10 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$486.20 |
$486.20 |
$486.20 |
$526.80
|
|
Sputum specimen collection
|
$96.85 |
$96.85 |
$96.85 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$410.80 |
$410.80 |
$410.80 |
$295.10
|
|
Staph a dna amp probe
|
$93.60 |
$93.60 |
$93.60 |
$116.39
|
|
St evaluate speech sound production
|
$410.80 |
$410.80 |
$410.80 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$410.80 |
$410.80 |
$410.80 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$400.40 |
$400.40 |
$400.40 |
$336.00
|
|
St evaluation swallow function
|
$372.45 |
$372.45 |
$372.45 |
$323.72
|
|
Strapping of elbow or wrist 29260
|
$80.60 |
$80.60 |
$80.60 |
$176.31
|
|
Strep a ag ia
|
$94.25 |
$94.25 |
$94.25 |
$75.40
|
|
Strep b dna amp probe
|
$80.60 |
$80.60 |
$80.60 |
$124.20
|
|
Stress test pulmonary
|
$293.80 |
$293.80 |
$293.80 |
$330.63
|
|
Stress tte complete
|
$396.50 |
$396.50 |
$396.50 |
$1,989.60
|
|
Str markers specimen anal
|
$703.30 |
$703.30 |
$703.30 |
$978.25
|
|
St treatment speech individual
|
$205.40 |
$205.40 |
$205.40 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$198.25 |
$198.25 |
$198.25 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$37.91 |
$37.91 |
$37.91 |
$0.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$148.10 |
$148.10 |
$148.10 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$6,726.34 |
$6,726.34 |
$6,726.34 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$118.30 |
$118.30 |
$118.30 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$6,822.33 |
$6,822.33 |
$6,822.33 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,403.71 |
$3,403.71 |
$3,403.71 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$306.80 |
$306.80 |
$306.80 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$429.65 |
$429.65 |
$429.65 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$36.40 |
$36.40 |
$36.40 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$34.45 |
$34.45 |
$34.45 |
$31.85
|
|
Susceptibility mic per plate
|
$82.55 |
$82.55 |
$82.55 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$57.20 |
$57.20 |
$57.20 |
$45.70
|
|
T3 (triiodothyronine) free
|
$131.30 |
$131.30 |
$131.30 |
$91.20
|
|
T3 (triiodothyronine) total
|
$105.30 |
$105.30 |
$105.30 |
$88.00
|
|
T4 (thyroxine) free
|
$105.30 |
$105.30 |
$105.30 |
$65.00
|
|
T4 (thyroxine) total
|
$89.05 |
$89.05 |
$89.05 |
$62.40
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Tacrolimus therapeutic drug level
|
$167.05 |
$167.05 |
$167.05 |
$137.15
|
|
Tamoxifen 10 mg tabs 60 each bottle
|
$35.75 |
$35.75 |
$35.75 |
$35.75
|
|
Target gsa panel hmtlmph neop
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,252.25 |
$2,252.25 |
$2,252.25 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$782.39 |
$782.39 |
$782.39 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$167.05 |
$167.05 |
$167.05 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$183.30 |
$183.30 |
$183.30 |
$178.40
|
|
Tc-99m exame autol wbc diag per dose
|
$2,120.95 |
$2,120.95 |
$2,120.95 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$2,236.65
|
|
Tc-99m labeled rbc
|
$281.45 |
$281.45 |
$281.45 |
$312.70
|
|
Tc-99m maa
|
$159.90 |
$159.90 |
$159.90 |
$306.60
|
|
Tc-99m mebrofenin
|
$175.50 |
$175.50 |
$175.50 |
$169.53
|
