|
Radphm lcl tumor plr sgl day
|
$3,762.48 |
$3,762.48 |
$3,762.48 |
$1,139.40
|
|
Rapid Strep Test
|
$1,094.45 |
$1,094.45 |
$1,094.45 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$3,373.56 |
$3,373.56 |
$3,373.56 |
$3,184.20
|
|
Rbc serum pretx incubj drugs
|
$81.00 |
$81.00 |
$81.00 |
$223.08
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,265.19 |
$1,265.19 |
$1,265.19 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,864.71
|
|
Remove esophagus obstruction
|
$11,102.10 |
$11,102.10 |
$11,102.10 |
$351.20
|
|
Renal cyst study s&i
|
$5,026.66 |
$5,026.66 |
$5,026.66 |
$648.84
|
|
Renal function panel
|
$953.57 |
$953.57 |
$953.57 |
$110.10
|
|
Renal venogram bil s&i
|
$13,777.29 |
$13,777.29 |
$13,777.29 |
$3,615.28
|
|
Reptilase test
|
$91.80 |
$91.80 |
$91.80 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$322.60 |
$322.60 |
$322.60 |
$48.00
|
|
Reticulocyte automated
|
$405.26 |
$405.26 |
$405.26 |
$54.60
|
|
Rheumatoid factor qualitative
|
$74.09 |
$74.09 |
$74.09 |
$54.60
|
|
Rheumatoid factor quantitative
|
$19.00 |
$19.00 |
$19.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$416.78 |
$416.78 |
$416.78 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$1,069.39 |
$1,069.39 |
$1,069.39 |
$2,034.31
|
|
Rho d immune globulin inj
|
$319.46 |
$319.46 |
$319.46 |
$334.53
|
|
Ring barrier skin cx 1 9/16 adapt
|
$10.75 |
$10.75 |
$10.75 |
$10.02
|
|
Rp loclzj tum 2+area 1+d img
|
$11,422.16 |
$11,422.16 |
$11,422.16 |
$1,458.95
|
|
Rubeola antibody igg
|
$139.80 |
$139.80 |
$139.80 |
$79.68
|
|
Russell viper venom diluted
|
$5.00 |
$5.00 |
$5.00 |
$70.16
|
|
Sarscov coronavirus ag ia
|
$53.24 |
$53.24 |
$53.24 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,460.90 |
$1,460.90 |
$1,460.90 |
$670.00
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,918.01 |
$3,918.01 |
$3,918.01 |
$1,006.85
|
|
Screening Mammogram
|
$1,484.10 |
$1,484.10 |
$1,484.10 |
$303.55
|
|
Screening prostate cancer PSA
|
$190.09 |
$190.09 |
$190.09 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$2,905.40 |
$2,905.40 |
$2,905.40 |
$44.20
|
|
Set radiation therapy field
|
$701.01 |
$701.01 |
$701.01 |
$731.50
|
|
Set radiation therapy field
|
$701.01 |
$701.01 |
$701.01 |
$1,102.40
|
|
Set radiation therapy field
|
$701.01 |
$701.01 |
$701.01 |
$1,636.36
|
|
Shuntogram nonvascular supervision & interpretation
|
$804.49 |
$804.49 |
$804.49 |
$345.00
|
|
Sialography s&i
|
$3,907.85 |
$3,907.85 |
$3,907.85 |
$462.40
|
|
Sickling rbc
|
$3.00 |
$3.00 |
$3.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$670.93 |
$670.93 |
$670.93 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$26,544.03 |
$26,544.03 |
$26,544.03 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$24,453.70 |
$24,453.70 |
$24,453.70 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$19,172.54 |
$19,172.54 |
$19,172.54 |
$1,279.50
|
|
Sirolimus, oral
|
$44.55 |
$44.55 |
$44.55 |
$31.60
|
|
Smear nasal eosinophil
|
$414.23 |
$414.23 |
$414.23 |
$49.50
|
|
Sodium 24 hour urine
|
$910.21 |
$910.21 |
$910.21 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$129.59 |
$129.59 |
$129.59 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$129.59 |
$129.59 |
$129.59 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$529.18 |
$529.18 |
$529.18 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$920.80 |
$920.80 |
$920.80 |
$42.70
|
|
Special physics consult
|
$657.85 |
$657.85 |
$657.85 |
$700.74
|
|
Special radiation dosimetry
|
$949.45 |
$949.45 |
$949.45 |
$445.50
|
|
Specific gravity body fluid
|
$441.56 |
$441.56 |
$441.56 |
$23.63
|
|
Specimen fat stain
|
$2.89 |
$2.89 |
$2.89 |
$32.76
|
|
Speech evaluation complex
|
$6,088.42 |
$6,088.42 |
$6,088.42 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,563.18 |
$2,563.18 |
$2,563.18 |
$559.96
|
|
Split blood or products
|
$77.29 |
$77.29 |
$77.29 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$1,216.85 |
$1,216.85 |
$1,216.85 |
$300.00
|
|
St evaluate speech sound production
|
$1,216.85 |
$1,216.85 |
$1,216.85 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,216.85 |
$1,216.85 |
$1,216.85 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$2,035.24 |
$2,035.24 |
$2,035.24 |
$406.40
|
|
St evaluation swallow function
|
$358.40 |
$358.40 |
$358.40 |
$336.60
|
|
Streptomycin injection
|
$190.79 |
$190.79 |
$190.79 |
$100.00
|
|
Stress test pulmonary
|
$916.83 |
$916.83 |
$916.83 |
$327.20
|
|
Stress tte complete
|
$12,129.99 |
$12,129.99 |
$12,129.99 |
$1,964.95
|
|
St treatment speech individual
|
$355.69 |
$355.69 |
$355.69 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$390.46 |
$390.46 |
$390.46 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$75.31 |
$75.31 |
$75.31 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$707.58 |
$707.58 |
$707.58 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$1,140.50 |
$1,140.50 |
$1,140.50 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,638.96 |
$1,638.96 |
$1,638.96 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$2,364.97 |
$2,364.97 |
$2,364.97 |
$192.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$3,700.50 |
$3,700.50 |
$3,700.50 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$4,331.72 |
$4,331.72 |
$4,331.72 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$948.16 |
$948.16 |
$948.16 |
$40.30
|
|
Svc venogram s&i
|
$15,022.89 |
$15,022.89 |
$15,022.89 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$2.50 |
$2.50 |
$2.50 |
$44.85
|
|
T3 (triiodothyronine) free
|
$165.73 |
$165.73 |
$165.73 |
$89.82
|
|
T3 (triiodothyronine) total
|
$151.59 |
$151.59 |
$151.59 |
$94.90
|
|
T4 (thyroxine) free
|
$104.53 |
$104.53 |
$104.53 |
$81.60
|
|
T4 (thyroxine) total
|
$1,471.01 |
$1,471.01 |
$1,471.01 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$147.58 |
$147.58 |
$147.58 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$60.00 |
$60.00 |
$60.00 |
$166.46
|
|
Tc-99m bicisate
|
$3,924.36 |
$3,924.36 |
$3,924.36 |
$1,969.45
|
|
Tc-99m disofenin
|
$3,096.53 |
$3,096.53 |
$3,096.53 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$8,626.08 |
$8,626.08 |
$8,626.08 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$14,081.12 |
$14,081.12 |
$14,081.12 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,959.40 |
$1,959.40 |
$1,959.40 |
$323.01
|
|
Tc-99m maa
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$312.06
|
|
Tc-99m mebrofenin
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$169.53
|
|
Tc-99m medronate
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$122.46
|
|
Tc-99m mertiatide
|
$1,959.40 |
$1,959.40 |
$1,959.40 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,527.22 |
$1,527.22 |
$1,527.22 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$15.64 |
$15.64 |
$15.64 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$827.02 |
$827.02 |
$827.02 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$2,630.13 |
$2,630.13 |
$2,630.13 |
$221.60
|
|
Tc-99m sulfur colloid
|
$1,603.58 |
$1,603.58 |
$1,603.58 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$1,643.26 |
$1,643.26 |
$1,643.26 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$86.12 |
$86.12 |
$86.12 |
$186.00
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$7.58 |
$7.58 |
$7.58 |
$44.49
|
|
Test for urine cystines
|
$40.73 |
$40.73 |
$40.73 |
$26.00
|
|
Testicular imaging w/vasc flow
|
$5,142.48 |
$5,142.48 |
$5,142.48 |
$780.48
|
|
Tetanus immune globulin inj
|
$1,983.75 |
$1,983.75 |
$1,983.75 |
$1,395.20
|
|
Theophylline therapeutic drug level
|
$1,731.33 |
$1,731.33 |
$1,731.33 |
$108.00
|
