|
Rbc serum pretx incubj drugs
|
$723.80 |
$723.80 |
$723.80 |
$223.08
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,566.85 |
$2,566.85 |
$2,566.85 |
$489.60
|
|
Red cell mass single
|
$8,803.50 |
$8,803.50 |
$8,803.50 |
$475.51
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$5,813.36 |
$5,813.36 |
$5,813.36 |
$656.83
|
|
Remove cva lumen obstruct
|
$2,162.05 |
$2,162.05 |
$2,162.05 |
$494.00
|
|
Remove ureter stent percut
|
$8,226.88 |
$8,226.88 |
$8,226.88 |
$3,525.30
|
|
Renal function panel
|
$1,714.30 |
$1,714.30 |
$1,714.30 |
$110.10
|
|
Reslizumab 10 mg/ml intravenous solution
|
$7,652.40 |
$7,652.40 |
$7,652.40 |
$984.61
|
|
Respirator motion mgmt simul
|
$11,541.75 |
$11,541.75 |
$11,541.75 |
$1,200.53
|
|
Resuscitation delivery/birthing room
|
$4,803.70 |
$4,803.70 |
$4,803.70 |
$797.29
|
|
Reticulocyte automated
|
$1,073.07 |
$1,073.07 |
$1,073.07 |
$54.60
|
|
Rheumatoid factor qualitative
|
$878.31 |
$878.31 |
$878.31 |
$54.60
|
|
Rheumatoid factor quantitative
|
$964.02 |
$964.02 |
$964.02 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$7,126.56 |
$7,126.56 |
$7,126.56 |
$255.26
|
|
Rho d immune globulin inj
|
$1,598.24 |
$1,598.24 |
$1,598.24 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$5,314.96 |
$5,314.96 |
$5,314.96 |
$539.70
|
|
Ring barrier skin cx 1 9/16 adapt
|
$98.00 |
$98.00 |
$98.00 |
$10.02
|
|
Ring ostmy barr adapt 48mm
|
$24.00 |
$24.00 |
$24.00 |
$5.97
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$7,269.05
|
|
Rp loclzj tum 2+area 1+d img
|
$8,998.50 |
$8,998.50 |
$8,998.50 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$7,460.50 |
$7,460.50 |
$7,460.50 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$7,460.50 |
$7,460.50 |
$7,460.50 |
$3,074.50
|
|
Russell viper venom diluted
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$70.16
|
|
Salmonella antibody
|
$2,257.34 |
$2,257.34 |
$2,257.34 |
$37.58
|
|
Sargramostim injection
|
$7,652.96 |
$7,652.96 |
$7,652.96 |
$451.34
|
|
Sarscov & inf vir a&b ag ia
|
$177.94 |
$177.94 |
$177.94 |
$91.14
|
|
Screening prostate cancer PSA
|
$1,176.68 |
$1,176.68 |
$1,176.68 |
$81.31
|
|
Serpina1 gene
|
$1,609.06 |
$1,609.06 |
$1,609.06 |
$191.73
|
|
Set radiation therapy field
|
$6,233.15 |
$6,233.15 |
$6,233.15 |
$731.50
|
|
Set radiation therapy field
|
$12,242.45 |
$12,242.45 |
$12,242.45 |
$1,102.40
|
|
Shrinker prosth above knee
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$157.49
|
|
Sickling rbc
|
$827.86 |
$827.86 |
$827.86 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$2,470.60 |
$2,470.60 |
$2,470.60 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$3,353.28 |
$3,353.28 |
$3,353.28 |
$409.96
|
|
Sleep Study (Polysomnography)
|
$24,070.20 |
$24,070.20 |
$24,070.20 |
$3,936.80
|
|
Smear nasal eosinophil
|
$455.16 |
$455.16 |
$455.16 |
$49.50
|
|
Snrpn/ube3a gene
|
$2,812.86 |
$2,812.86 |
$2,812.86 |
$228.80
|
|
Sodium 24 hour urine
|
$701.45 |
$701.45 |
$701.45 |
$48.50
|
|
Sodium chloride 0.9 % IV bolus
|
$865.76 |
$865.76 |
$865.76 |
$51.51
|
|
Sodium chloride 3 % ivpb
|
$623.28 |
$623.28 |
$623.28 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$59.92 |
$59.92 |
$59.92 |
$104.00
|
|
Special radiation dosimetry
|
$9,447.90 |
$9,447.90 |
$9,447.90 |
$445.50
|
|
Special radiation treatment
|
$83,727.05 |
$83,727.05 |
$83,727.05 |
$1,934.03
|
|
Special teletx port plan
|
$17,644.00 |
$17,644.00 |
$17,644.00 |
$1,046.65
|
|
Specific gravity body fluid
|
$275.59 |
$275.59 |
$275.59 |
$23.63
|
|
Specimen fat stain
|
$410.67 |
$410.67 |
$410.67 |
$32.76
|
|
Speech evaluation complex
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,510.65 |
$3,510.65 |
$3,510.65 |
$559.96
|
|
Split blood or products
|
$422.95 |
$422.95 |
$422.95 |
$148.98
|
|
Srs linear based
|
$252,911.45 |
$252,911.45 |
$252,911.45 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$2,258.85 |
$2,258.85 |
$2,258.85 |
$300.00
|
|
St evaluate speech sound production
|
$2,258.85 |
$2,258.85 |
$2,258.85 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$2,258.85 |
$2,258.85 |
$2,258.85 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,365.65 |
$1,365.65 |
$1,365.65 |
$406.40
|
|
St evaluation swallow function
|
$2,554.20 |
$2,554.20 |
$2,554.20 |
$336.60
|
|
Strep a ag ia
|
$746.48 |
$746.48 |
$746.48 |
$75.40
|
|
Strep b assay w/optic
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$32.00
|
|
Strep b dna amp probe
|
$625.50 |
$625.50 |
$625.50 |
$139.20
|
|
Streptomycin injection
|
$611.52 |
$611.52 |
$611.52 |
$100.00
|
|
Stress tte complete
|
$11,050.60 |
$11,050.60 |
$11,050.60 |
$1,964.95
|
|
St treatment speech individual
|
$607.20 |
$607.20 |
$607.20 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$498.85 |
$498.85 |
$498.85 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$505.68 |
$505.68 |
$505.68 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$85.68 |
$85.68 |
$85.68 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$22.96 |
$22.96 |
$22.96 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$2,275.25 |
$2,275.25 |
$2,275.25 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$2,893.70 |
$2,893.70 |
$2,893.70 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,336.38 |
$3,336.38 |
$3,336.38 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,782.85 |
$3,782.85 |
$3,782.85 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$4,219.57 |
$4,219.57 |
$4,219.57 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$371.07 |
$371.07 |
$371.07 |
$34.48
|
|
Svc venogram s&i
|
$23,346.95 |
$23,346.95 |
$23,346.95 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$2,806.35 |
$2,806.35 |
$2,806.35 |
$105.21
|
|
T3 (triiodothyronine) free
|
$1,360.05 |
$1,360.05 |
$1,360.05 |
$89.82
|
|
T3 (triiodothyronine) total
|
$923.88 |
$923.88 |
$923.88 |
$94.90
|
|
T4 (thyroxine) free
|
$902.72 |
$902.72 |
$902.72 |
$81.60
|
|
T4 (thyroxine) total
|
$1,130.03 |
$1,130.03 |
$1,130.03 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$6,674.08 |
$6,674.08 |
$6,674.08 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$1,898.75 |
$1,898.75 |
$1,898.75 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$10,815.28 |
$10,815.28 |
$10,815.28 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$13,703.01 |
$13,703.01 |
$13,703.01 |
$3,385.00
|
|
Target gsa panel organ neop
|
$10,984.54 |
$10,984.54 |
$10,984.54 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$2,146.67 |
$2,146.67 |
$2,146.67 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$2,146.67 |
$2,146.67 |
$2,146.67 |
$166.46
|
|
Tc-99m bicisate
|
$7,695.00 |
$7,695.00 |
$7,695.00 |
$1,969.45
|
|
Tc-99m exametazime diag
|
$8,385.00 |
$8,385.00 |
$8,385.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$784.00 |
$784.00 |
$784.00 |
$323.01
|
|
Tc-99m maa
|
$647.50 |
$647.50 |
$647.50 |
$312.06
|
|
Tc-99m mebrofenin
|
$991.00 |
$991.00 |
$991.00 |
$169.53
|
|
Tc-99m medronate
|
$674.00 |
$674.00 |
$674.00 |
$122.46
|
|
Tc-99m mertiatide
|
$2,635.00 |
$2,635.00 |
$2,635.00 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$449.50 |
$449.50 |
$449.50 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$647.50 |
$647.50 |
$647.50 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$762.00 |
$762.00 |
$762.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,592.50 |
$2,592.50 |
$2,592.50 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$956.00 |
$956.00 |
$956.00 |
$198.05
|
