|
Puraply 1 sq cm
|
$9,065.00 |
$9,065.00 |
$9,065.00 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$143.00 |
$143.00 |
$143.00 |
$43.24
|
|
Pyruvate
|
$92.00 |
$92.00 |
$92.00 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$8,571.00 |
$8,571.00 |
$8,571.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,209.44
|
|
Quest t3 uptake
|
$56.00 |
$56.00 |
$56.00 |
$56.10
|
|
Radiation therapy dose plan
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$530.53
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$12,102.00 |
$12,102.00 |
$12,102.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$6,367.00 |
$6,367.00 |
$6,367.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$5,846.00 |
$5,846.00 |
$5,846.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,343.00 |
$4,343.00 |
$4,343.00 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$505.00 |
$505.00 |
$505.00 |
$16,029.45
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,345.00 |
$9,345.00 |
$9,345.00 |
$3,184.20
|
|
Rbc count only automated
|
$508.00 |
$508.00 |
$508.00 |
$20.00
|
|
Refill/maint pump/resvr syst
|
$662.00 |
$662.00 |
$662.00 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,802.00 |
$2,802.00 |
$2,802.00 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,864.71
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$178.00 |
$178.00 |
$178.00 |
$78.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$615.00 |
$615.00 |
$615.00 |
$153.27
|
|
Remove cva lumen obstruct
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$494.00
|
|
Remove esophagus obstruction
|
$1,927.00 |
$1,927.00 |
$1,927.00 |
$351.20
|
|
Renal cyst study s&i
|
$744.00 |
$744.00 |
$744.00 |
$648.84
|
|
Renal venogram bil s&i
|
$6,178.00 |
$6,178.00 |
$6,178.00 |
$3,615.28
|
|
Reptilase test
|
$148.00 |
$148.00 |
$148.00 |
$65.65
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$270.46 |
$270.46 |
$270.46 |
$255.26
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$628.00 |
$628.00 |
$628.00 |
$539.70
|
|
Right ventric recording
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$1,980.36
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$51,022.00 |
$51,022.00 |
$51,022.00 |
$10,693.54
|
|
Rp loclzj tum 2+area 1+d img
|
$5,806.00 |
$5,806.00 |
$5,806.00 |
$1,458.95
|
|
Russell viper venom diluted
|
$91.00 |
$91.00 |
$91.00 |
$70.16
|
|
Salivary gland function exam
|
$3,876.00 |
$3,876.00 |
$3,876.00 |
$549.70
|
|
Salivary glnd img serial img
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$585.00
|
|
Salmonella antibody
|
$234.00 |
$234.00 |
$234.00 |
$37.58
|
|
Screening Mammogram
|
$652.00 |
$652.00 |
$652.00 |
$303.55
|
|
Semen analysis w/count
|
$609.00 |
$609.00 |
$609.00 |
$56.44
|
|
Sialography s&i
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$462.40
|
|
Sincalide 5 mcg solution for injection
|
$448.00 |
$448.00 |
$448.00 |
$409.96
|
|
Sinus/juglr venogram s&i
|
$12,046.00 |
$12,046.00 |
$12,046.00 |
$2,489.25
|
|
Sirolimus, oral
|
$81.00 |
$81.00 |
$81.00 |
$31.60
|
|
Sleep Study (Polysomnography)
|
$11,343.00 |
$11,343.00 |
$11,343.00 |
$3,936.80
|
|
Sling arm deluxe w/pad xs
|
$77.00 |
$77.00 |
$77.00 |
$25.55
|
|
Sm-153 lexidron ther
|
$31,162.00 |
$31,162.00 |
$31,162.00 |
$11,563.30
|
|
Snrpn/ube3a gene
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$228.80
|
|
Sodium chloride 0.9 % intravenous solution
|
$784.00 |
$784.00 |
$784.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$752.00 |
$752.00 |
$752.00 |
$51.51
|
|
Sodium chloride 3 % ivpb
|
$65.83 |
$65.83 |
$65.83 |
$65.33
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$898.00 |
$898.00 |
$898.00 |
$223.86
|
|
Special physics consult
|
$3,281.00 |
$3,281.00 |
$3,281.00 |
$700.74
|
|
Specimen fat stain
|
$65.00 |
$65.00 |
$65.00 |
$32.76
|
|
Speech evaluation complex
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$527.06
|
|
Sperm antibody test
|
$467.00 |
$467.00 |
$467.00 |
$56.44
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$559.96
|
|
Spleen imaging
|
$1,894.00 |
$1,894.00 |
$1,894.00 |
$539.70
|
|
Sputum specimen collection
|
$585.00 |
$585.00 |
$585.00 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$17,069.00 |
$17,069.00 |
$17,069.00 |
$4,588.65
|
|
St analysis behavior qualitative voice/resonance
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$622.00 |
$622.00 |
$622.00 |
$313.96
|
|
St evaluate speech sound production
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$406.40
|
|
St evaluation swallow function
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$336.60
|
|
Strapping of hand or finger
|
$880.00 |
$880.00 |
$880.00 |
$194.40
|
|
Strep b assay w/optic
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$32.00
|
|
Streptokinase antibody
|
$318.00 |
$318.00 |
$318.00 |
$13.93
|
|
Stress test pulmonary
|
$585.00 |
$585.00 |
$585.00 |
$327.20
|
|
St treatment speech individual
|
$561.00 |
$561.00 |
$561.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$507.00 |
$507.00 |
$507.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$14.00 |
$14.00 |
$14.00 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$549.00 |
$549.00 |
$549.00 |
$91.67
|
|
Surgical pathology level 2 gross & microscopic examination
|
$199.00 |
$199.00 |
$199.00 |
$149.76
|
|
Surgical pathology level 6 gross & microscopic examination
|
$922.00 |
$922.00 |
$922.00 |
$790.00
|
|
Svc venogram s&i
|
$6,680.00 |
$6,680.00 |
$6,680.00 |
$1,908.00
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$2,134.00 |
$2,134.00 |
$2,134.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$211.00 |
$211.00 |
$211.00 |
$122.40
|
|
Tc-99m apcitide diag
|
$204.00 |
$204.00 |
$204.00 |
$1,765.30
|
|
Tc-99m arcitumomab
|
$14,028.00 |
$14,028.00 |
$14,028.00 |
$2,159.40
|
|
Tc-99m bicisate
|
$7,922.00 |
$7,922.00 |
$7,922.00 |
$1,969.45
|
|
Tc-99m disofenin
|
$832.00 |
$832.00 |
$832.00 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$25,259.00 |
$25,259.00 |
$25,259.00 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$21,510.00 |
$21,510.00 |
$21,510.00 |
$2,166.26
|
|
Tc-99m maa
|
$7,532.00 |
$7,532.00 |
$7,532.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$679.00 |
$679.00 |
$679.00 |
$169.53
|
|
Tc-99m medronate
|
$495.00 |
$495.00 |
$495.00 |
$122.46
|
|
Tc-99m mertiatide
|
$4,492.00 |
$4,492.00 |
$4,492.00 |
$757.25
|
|
Tc-99m oxidronate
|
$353.00 |
$353.00 |
$353.00 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$343.00 |
$343.00 |
$343.00 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$218.00 |
$218.00 |
$218.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$5,683.00 |
$5,683.00 |
$5,683.00 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$9,911.00 |
$9,911.00 |
$9,911.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$279.00 |
$279.00 |
$279.00 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$353.00 |
$353.00 |
$353.00 |
$186.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$35,600.00 |
$35,600.00 |
$35,600.00 |
$17,652.73
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$507.00 |
$507.00 |
$507.00 |
$44.49
|
|
Test for chlorohydrocarbons
|
$189.00 |
$189.00 |
$189.00 |
$71.04
|
|
Testicular imaging w/vasc flow
|
$5,877.00 |
$5,877.00 |
$5,877.00 |
$780.48
|
|
Test stress cardiovascular tracing only
|
$10,368.00 |
$10,368.00 |
$10,368.00 |
$1,001.55
|
|
Test urine for porphyrins
|
$185.00 |
$185.00 |
$185.00 |
$27.30
|
|
Tetanus immune globulin inj
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,395.20
|
