|
Pyruvate kinase
|
$3.02 |
$3.02 |
$3.02 |
$80.64
|
|
Quest t3 uptake
|
$48.60 |
$48.60 |
$48.60 |
$54.12
|
|
Rabies ig ht&sol human im/sc
|
$738.17 |
$738.17 |
$738.17 |
$2,997.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$945.44 |
$945.44 |
$945.44 |
$3,792.40
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,659.24 |
$1,659.24 |
$1,659.24 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,991.16 |
$1,991.16 |
$1,991.16 |
$2,787.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,659.24 |
$1,659.24 |
$1,659.24 |
$2,227.55
|
|
Rapid Strep Test
|
$84.60 |
$84.60 |
$84.60 |
$74.10
|
|
Rbc count only automated
|
$0.96 |
$0.96 |
$0.96 |
$20.00
|
|
Rbc osmotic fragility
|
$26.18 |
$26.18 |
$26.18 |
$72.50
|
|
Red blood cells each unit
|
$104.81 |
$104.81 |
$104.81 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$97.53 |
$97.53 |
$97.53 |
$438.23
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$116.45 |
$116.45 |
$116.45 |
$523.83
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$202.68 |
$202.68 |
$202.68 |
$357.91
|
|
Rem/biv cast full arm/leg
|
$312.12 |
$312.12 |
$312.12 |
$336.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$997.94 |
$997.94 |
$997.94 |
$1,524.70
|
|
Removal cerclage without anes
|
$230.40 |
$230.40 |
$230.40 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$96.12 |
$96.12 |
$96.12 |
$166.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$284.76 |
$284.76 |
$284.76 |
$245.28
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$81.00 |
$81.00 |
$81.00 |
$292.50
|
|
Renal function panel
|
$97.56 |
$97.56 |
$97.56 |
$113.52
|
|
Reptilase test
|
$3.15 |
$3.15 |
$3.15 |
$74.00
|
|
#resp virpnl dfa-adenovirus
|
$3.64 |
$3.64 |
$3.64 |
$46.80
|
|
#resp virpnl dfa-parainfluenza
|
$3.64 |
$3.64 |
$3.64 |
$35.20
|
|
Resp virus 6-11 targets
|
$415.80 |
$415.80 |
$415.80 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$532.44 |
$532.44 |
$532.44 |
$751.33
|
|
Resuscitation delivery/birthing room
|
$1,034.64 |
$1,034.64 |
$1,034.64 |
$774.37
|
|
Reticulated platelet assay
|
$10.29 |
$10.29 |
$10.29 |
$73.20
|
|
Reticulocyte automated
|
$43.92 |
$43.92 |
$43.92 |
$51.37
|
|
Reticulocyte direct measurement automated
|
$1.66 |
$1.66 |
$1.66 |
$35.84
|
|
Revision of iris
|
$493.92 |
$493.92 |
$493.92 |
$1,388.40
|
|
Rheumatoid factor qualitative
|
$38.88 |
$38.88 |
$38.88 |
$57.07
|
|
Rheumatoid factor quantitative
|
$25.92 |
$25.92 |
$25.92 |
$56.24
|
|
Rho(d) immune globulin h, sd
|
$24.48 |
$24.48 |
$24.48 |
$3,710.00
|
|
Rho d immune globulin inj
|
$201.60 |
$201.60 |
$201.60 |
$217.71
|
|
Ring fx reform 11-13x17mm
|
$644.76 |
$644.76 |
$644.76 |
$1,509.75
|
|
Rmvl subq card rhythm mntr
|
$3,130.20 |
$3,130.20 |
$3,130.20 |
$1,758.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$26.46 |
$26.46 |
$26.46 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$515.52 |
$515.52 |
$515.52 |
$1,336.30
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$356.40 |
$356.40 |
$356.40 |
$6,870.89
|
|
Rsv assay w/optic
|
$75.96 |
$75.96 |
$75.96 |
$81.90
|
|
Rubella antibody igg
|
$66.96 |
$66.96 |
$66.96 |
$76.70
|
|
Rubeola antibody igg
|
$59.04 |
$59.04 |
$59.04 |
$80.00
|
|
Russell viper venom diluted
|
$12.60 |
$12.60 |
$12.60 |
$71.82
|
|
Salivary gland imaging
|
$1,007.28 |
$1,007.28 |
$1,007.28 |
$585.00
|
|
Salmonella antibody
|
$4.22 |
$4.22 |
$4.22 |
$39.60
|
|
Sars-cov-2 antb quantitative
|
$97.92 |
$97.92 |
$97.92 |
$54.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$936.36 |
$936.36 |
$936.36 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$591.12 |
$591.12 |
$591.12 |
$661.20
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$719.28 |
$719.28 |
$719.28 |
$757.02
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$511.20 |
$511.20 |
$511.20 |
$475.24
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$491.76 |
$491.76 |
$491.76 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$430.92 |
$430.92 |
$430.92 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$963.00 |
$963.00 |
$963.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$502.92 |
$502.92 |
$502.92 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$682.56 |
$682.56 |
$682.56 |
$570.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$72.72 |
$72.72 |
$72.72 |
$57.60
|
|
Screening Mammogram
|
$422.28 |
$422.28 |
$422.28 |
$313.35
|
|
Screening prostate cancer PSA
|
$181.44 |
$181.44 |
$181.44 |
$98.28
|
|
Screen/visual acuity/bilat/quant 99173
|
$79.20 |
$79.20 |
$79.20 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$13,386.60 |
$13,386.60 |
$13,386.60 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$82.08 |
$82.08 |
$82.08 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$14.40 |
$14.40 |
$14.40 |
$42.25
|
|
Semen analysis presence/motility
|
$58.68 |
$58.68 |
$58.68 |
$74.75
|
|
Serial casting application 97139app
|
$99.00 |
$99.00 |
$99.00 |
$78.39
|
|
Serpina1 gene
|
$15.71 |
$15.71 |
$15.71 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$72.00 |
$72.00 |
$72.00 |
$126.43
|
|
Shoe post-op mens m
|
$219.60 |
$219.60 |
$219.60 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$1,871.28 |
$1,871.28 |
$1,871.28 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,383.56 |
$2,383.56 |
$2,383.56 |
$2,088.20
|
|
Shoulder X-ray
|
$484.92 |
$484.92 |
$484.92 |
$340.10
|
|
Shunt glaucoma baerveldt 350mm
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$4,636.80
|
|
Sickling rbc
|
$19.80 |
$19.80 |
$19.80 |
$56.00
|
|
Sincalide 5 mcg solution for injection
|
$222.62 |
$222.62 |
$222.62 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,013.12 |
$2,013.12 |
$2,013.12 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,763.28 |
$1,763.28 |
$1,763.28 |
$1,292.04
|
|
Skeletal muscle relaxant 1/2
|
$64.08 |
$64.08 |
$64.08 |
$80.08
|
|
Skel musc relaxant 3 or more
|
$2.16 |
$2.16 |
$2.16 |
$16.12
|
|
Skin Biopsy
|
$115.56 |
$115.56 |
$115.56 |
$360.34
|
|
Skyla, 13.5 mg
|
$335.52 |
$335.52 |
$335.52 |
$1,643.47
|
|
Slco1b1 gene com variants
|
$58.95 |
$58.95 |
$58.95 |
$220.50
|
|
Sleep Study (Polysomnography)
|
$3,317.04 |
$3,317.04 |
$3,317.04 |
$3,598.50
|
|
Sleep study unattended
|
$540.00 |
$540.00 |
$540.00 |
$585.00
|
|
Sling arm deluxe w/pad xs
|
$4.32 |
$4.32 |
$4.32 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,363.92 |
$4,363.92 |
$4,363.92 |
$9,077.08
|
|
Slp pure tone screening
|
$5.40 |
$5.40 |
$5.40 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$666.00 |
$666.00 |
$666.00 |
$296.34
|
|
Smear fluorescent and/or acid fast stain
|
$3.62 |
$3.62 |
$3.62 |
$64.00
|
|
Smear gram stain
|
$87.48 |
$87.48 |
$87.48 |
$54.03
|
|
Smear nasal eosinophil
|
$27.36 |
$27.36 |
$27.36 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$17.64 |
$17.64 |
$17.64 |
$71.40
|
|
Smear wet mount
|
$73.80 |
$73.80 |
$73.80 |
$66.30
|
|
Smpd1 gene common variants
|
$16.92 |
$16.92 |
$16.92 |
$140.00
|
|
Snrpn/ube3a gene
|
$120.60 |
$120.60 |
$120.60 |
$228.80
|
|
Sodium 24 hour urine
|
$54.72 |
$54.72 |
$54.72 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.63 |
$37.63 |
$37.63 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$15.07 |
$15.07 |
$15.07 |
$43.45
|
|
Sodium chloride 0.9 % IV bolus
|
$16.07 |
$16.07 |
$16.07 |
$36.21
|
