|
Rsv assay w/optic
|
$119.80 |
$119.80 |
$119.80 |
$79.38
|
|
Rubella antibody igg
|
$52.00 |
$52.00 |
$52.00 |
$77.03
|
|
Rubeola antibody igg
|
$52.00 |
$52.00 |
$52.00 |
$80.00
|
|
Russell viper venom diluted
|
$7.00 |
$7.00 |
$7.00 |
$72.54
|
|
Salivary gland imaging
|
$130.60 |
$130.60 |
$130.60 |
$585.00
|
|
Salmonella antibody
|
$2.34 |
$2.34 |
$2.34 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$98.00 |
$98.00 |
$98.00 |
$56.57
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$785.80 |
$785.80 |
$785.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$523.80 |
$523.80 |
$523.80 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$172.60 |
$172.60 |
$172.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$94.60 |
$94.60 |
$94.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$398.20 |
$398.20 |
$398.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$548.40 |
$548.40 |
$548.40 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$750.40 |
$750.40 |
$750.40 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$523.80 |
$523.80 |
$523.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$520.20 |
$520.20 |
$520.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$3,786.60 |
$3,786.60 |
$3,786.60 |
$2,114.45
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$53.60 |
$53.60 |
$53.60 |
$57.60
|
|
Screening Mammogram
|
$120.20 |
$120.20 |
$120.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$139.60 |
$139.60 |
$139.60 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$11.60 |
$11.60 |
$11.60 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$7,339.80 |
$7,339.80 |
$7,339.80 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$67.80 |
$67.80 |
$67.80 |
$42.00
|
|
Semen analysis presence/motility
|
$88.60 |
$88.60 |
$88.60 |
$71.05
|
|
Serial casting application 97139app
|
$14.20 |
$14.20 |
$14.20 |
$78.39
|
|
Serpina1 gene
|
$8.73 |
$8.73 |
$8.73 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$40.00 |
$40.00 |
$40.00 |
$126.43
|
|
Set radiation therapy field
|
$1,154.80 |
$1,154.80 |
$1,154.80 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$11.70 |
$11.70 |
$11.70 |
$21.96
|
|
Sheath gldlight lasr 12fx50cm
|
$84.80 |
$84.80 |
$84.80 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$2,247.20 |
$2,247.20 |
$2,247.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,185.60 |
$2,185.60 |
$2,185.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,701.00 |
$2,701.00 |
$2,701.00 |
$2,065.05
|
|
Shoulder X-ray
|
$420.00 |
$420.00 |
$420.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$92.00 |
$92.00 |
$92.00 |
$349.20
|
|
Sialography s&i
|
$106.80 |
$106.80 |
$106.80 |
$499.20
|
|
Sickling rbc
|
$0.90 |
$0.90 |
$0.90 |
$57.92
|
|
Sinus CT scan (with and without contrast)
|
$2,137.60 |
$2,137.60 |
$2,137.60 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,292.04
|
|
Skeletal muscle relaxant 1/2
|
$37.00 |
$37.00 |
$37.00 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$1.20 |
$1.20 |
$1.20 |
$16.12
|
|
Skin Biopsy
|
$124.80 |
$124.80 |
$124.80 |
$360.34
|
|
Sling arm deluxe w/pad xs
|
$6.00 |
$6.00 |
$6.00 |
$30.35
|
|
Sling suprapubic suburetheral
|
$1,714.40 |
$1,714.40 |
$1,714.40 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$45.60 |
$45.60 |
$45.60 |
$285.09
|
|
Slp pure tone screening
|
$16.60 |
$16.60 |
$16.60 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$102.60 |
$102.60 |
$102.60 |
$64.20
|
|
Smear gram stain
|
$95.20 |
$95.20 |
$95.20 |
$55.25
|
|
Smear nasal eosinophil
|
$94.80 |
$94.80 |
$94.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$116.40 |
$116.40 |
$116.40 |
$73.15
|
|
Smear wet mount
|
$113.20 |
$113.20 |
$113.20 |
$67.49
|
|
Smpd1 gene common variants
|
$63.50 |
$63.50 |
$63.50 |
$133.84
|
|
Snrpn/ube3a gene
|
$67.00 |
$67.00 |
$67.00 |
$231.85
|
|
Sodium 24 hour urine
|
$141.60 |
$141.60 |
$141.60 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$17.60 |
$17.60 |
$17.60 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$14.80 |
$14.80 |
$14.80 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$14.80 |
$14.80 |
$14.80 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$11.60 |
$11.60 |
$11.60 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$116.40 |
$116.40 |
$116.40 |
$45.60
|
|
Special supplies phys/qhp
|
$405.20 |
$405.20 |
$405.20 |
$60.00
|
|
Specific gravity body fluid
|
$64.40 |
$64.40 |
$64.40 |
$22.00
|
|
Speech evaluation complex
|
$768.60 |
$768.60 |
$768.60 |
$527.06
|
|
Sperm antibody test
|
$9.65 |
$9.65 |
$9.65 |
$57.85
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,578.40 |
$1,578.40 |
$1,578.40 |
$1,439.40
|
|
Spleen imaging
|
$199.20 |
$199.20 |
$199.20 |
$679.00
|
|
St analysis behavior qualitative voice/resonance
|
$33.40 |
$33.40 |
$33.40 |
$297.60
|
|
Staph a dna amp probe
|
$99.20 |
$99.20 |
$99.20 |
$125.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$5,608.80 |
$5,608.80 |
$5,608.80 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,121.20 |
$4,121.20 |
$4,121.20 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,217.60 |
$4,217.60 |
$4,217.60 |
$20,962.50
|
|
Sterile water/saline, 10 ml
|
$5.98 |
$5.98 |
$5.98 |
$13.32
|
|
St evaluate speech sound production
|
$71.80 |
$71.80 |
$71.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$313.60 |
$313.60 |
$313.60 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$118.40 |
$118.40 |
$118.40 |
$399.60
|
|
St evaluation swallow function
|
$148.20 |
$148.20 |
$148.20 |
$314.40
|
|
Stimulants synthetic
|
$31.20 |
$31.20 |
$31.20 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$50.20 |
$50.20 |
$50.20 |
$223.45
|
|
Strapping of chest
|
$33.00 |
$33.00 |
$33.00 |
$195.33
|
|
Strapping of elbow or wrist 29260
|
$28.40 |
$28.40 |
$28.40 |
$154.70
|
|
Strapping of hand or finger
|
$24.80 |
$24.80 |
$24.80 |
$174.82
|
|
Strapping of hip
|
$48.40 |
$48.40 |
$48.40 |
$164.70
|
|
Strapping of knee
|
$46.00 |
$46.00 |
$46.00 |
$205.20
|
|
Strapping of toes 29550
|
$23.40 |
$23.40 |
$23.40 |
$164.70
|
|
Strep b assay w/optic
|
$17.00 |
$17.00 |
$17.00 |
$80.16
|
|
Strep b dna amp probe
|
$98.40 |
$98.40 |
$98.40 |
$120.90
|
|
Str markers specimen anal
|
$46.80 |
$46.80 |
$46.80 |
$751.50
|
|
St treatment speech individual
|
$41.00 |
$41.00 |
$41.00 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$89.60 |
$89.60 |
$89.60 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.98 |
$4.98 |
$4.98 |
$52.31
|
|
Sugars single quant
|
$2.05 |
$2.05 |
$2.05 |
$64.28
|
|
Sulfonylurea screen qn-sendout
|
$25.60 |
$25.60 |
$25.60 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$10.97 |
$10.97 |
$10.97 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$8.20 |
$8.20 |
$8.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$12.40 |
$12.40 |
$12.40 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$17.00 |
$17.00 |
$17.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$19.20 |
$19.20 |
$19.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$114.20 |
$114.20 |
$114.20 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$259.40 |
$259.40 |
$259.40 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$0.95 |
$0.95 |
$0.95 |
$45.45
|
