|
Pyridoxine hcl 100 mg
|
$104.00 |
$104.00 |
$104.00 |
$43.24
|
|
Pyruvate
|
$369.00 |
$369.00 |
$369.00 |
$65.00
|
|
Pyruvate kinase
|
$468.00 |
$468.00 |
$468.00 |
$65.00
|
|
Quest t3 uptake
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$56.10
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$8,425.00 |
$8,425.00 |
$8,425.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$6,766.00 |
$6,766.00 |
$6,766.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,666.00 |
$6,666.00 |
$6,666.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,555.00 |
$4,555.00 |
$4,555.00 |
$1,139.40
|
|
Rapid Strep Test
|
$100.00 |
$100.00 |
$100.00 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,300.00 |
$9,300.00 |
$9,300.00 |
$3,184.20
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Remove cva lumen obstruct
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$494.00
|
|
Renal function panel
|
$12,491.00 |
$12,491.00 |
$12,491.00 |
$110.10
|
|
Reptilase test
|
$874.00 |
$874.00 |
$874.00 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$737.00 |
$737.00 |
$737.00 |
$48.00
|
|
Reteplase injection
|
$24,338.00 |
$24,338.00 |
$24,338.00 |
$3,155.69
|
|
Reticulocyte automated
|
$39.00 |
$39.00 |
$39.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$393.00 |
$393.00 |
$393.00 |
$33.57
|
|
Rheumatoid factor qualitative
|
$813.00 |
$813.00 |
$813.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$316.00 |
$316.00 |
$316.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$944.00 |
$944.00 |
$944.00 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$3,709.00 |
$3,709.00 |
$3,709.00 |
$2,034.31
|
|
Rho d immune globulin inj
|
$538.00 |
$538.00 |
$538.00 |
$334.53
|
|
Right ventric recording
|
$3,616.00 |
$3,616.00 |
$3,616.00 |
$1,980.36
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
$2,233.44
|
|
Rp loclzj tum 2+area 1+d img
|
$6,666.00 |
$6,666.00 |
$6,666.00 |
$1,458.95
|
|
Rsv assay w/optic
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$73.80
|
|
Rubeola antibody igg
|
$729.00 |
$729.00 |
$729.00 |
$79.68
|
|
Russell viper venom diluted
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$70.16
|
|
Salmonella antibody
|
$556.00 |
$556.00 |
$556.00 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$4,453.00 |
$4,453.00 |
$4,453.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,827.00 |
$2,827.00 |
$2,827.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$3,968.00 |
$3,968.00 |
$3,968.00 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,705.00 |
$3,705.00 |
$3,705.00 |
$1,006.85
|
|
Screening Mammogram
|
$570.00 |
$570.00 |
$570.00 |
$303.55
|
|
Sc ther infusion reset pump
|
$175.00 |
$175.00 |
$175.00 |
$126.75
|
|
Sertraline (zoloft) - sendout
|
$75.00 |
$75.00 |
$75.00 |
$173.16
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$345.00
|
|
Sickling rbc
|
$907.00 |
$907.00 |
$907.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$14,594.00 |
$14,594.00 |
$14,594.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$13,681.00 |
$13,681.00 |
$13,681.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$10,287.00 |
$10,287.00 |
$10,287.00 |
$1,279.50
|
|
Smear nasal eosinophil
|
$393.00 |
$393.00 |
$393.00 |
$49.50
|
|
Sodium 24 hour urine
|
$479.00 |
$479.00 |
$479.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$720.00 |
$720.00 |
$720.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$720.00 |
$720.00 |
$720.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$406.00 |
$406.00 |
$406.00 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$391.00 |
$391.00 |
$391.00 |
$42.70
|
|
Specific gravity body fluid
|
$201.00 |
$201.00 |
$201.00 |
$23.63
|
|
Specimen fat stain
|
$567.00 |
$567.00 |
$567.00 |
$32.76
|
|
Sperm antibody test
|
$347.00 |
$347.00 |
$347.00 |
$56.44
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,202.00 |
$4,202.00 |
$4,202.00 |
$559.96
|
|
Split blood or products
|
$120.00 |
$120.00 |
$120.00 |
$148.98
|
|
Sputum specimen collection
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$300.00
|
|
St evaluate speech sound production
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$406.40
|
|
St evaluation swallow function
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$336.60
|
|
Streptozocin injection
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$954.71
|
|
St treatment speech individual
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$83.08 |
$83.08 |
$83.08 |
$71.09
|
|
Sulfonylurea screen qn-sendout
|
$201.00 |
$201.00 |
$201.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$889.00 |
$889.00 |
$889.00 |
$91.67
|
|
Supprelin la implant
|
$363,354.00 |
$363,354.00 |
$363,354.00 |
$45,560.39
|
|
Surgical pathology level 1 gross examination only
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$781.00 |
$781.00 |
$781.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$561.00 |
$561.00 |
$561.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$4,818.00 |
$4,818.00 |
$4,818.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$310.00 |
$310.00 |
$310.00 |
$40.30
|
|
Suscept studies macrobroth dilution ea
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$48.30
|
|
Svc venogram s&i
|
$9,484.00 |
$9,484.00 |
$9,484.00 |
$1,908.00
|
|
T3 (triiodothyronine) free
|
$708.00 |
$708.00 |
$708.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$499.00 |
$499.00 |
$499.00 |
$94.90
|
|
T4 (thyroxine) free
|
$792.00 |
$792.00 |
$792.00 |
$81.60
|
|
T4 (thyroxine) total
|
$1,453.00 |
$1,453.00 |
$1,453.00 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,037.00 |
$2,037.00 |
$2,037.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$78.00 |
$78.00 |
$78.00 |
$166.46
|
|
Tc-99m exametazime diag
|
$17,709.00 |
$17,709.00 |
$17,709.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$323.01
|
|
Tc-99m maa
|
$6,198.00 |
$6,198.00 |
$6,198.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$460.00 |
$460.00 |
$460.00 |
$169.53
|
|
Tc-99m medronate
|
$319.00 |
$319.00 |
$319.00 |
$122.46
|
|
Tc-99m mertiatide
|
$3,700.00 |
$3,700.00 |
$3,700.00 |
$757.25
|
|
Tc-99m pentetate dtpa aerosol
|
$556.00 |
$556.00 |
$556.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$410.00 |
$410.00 |
$410.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$865.00 |
$865.00 |
$865.00 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$7,757.00 |
$7,757.00 |
$7,757.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$298.00 |
$298.00 |
$298.00 |
$186.00
|
