|
Pt repositioning canalith procedure(s) per day
|
$84.70 |
$84.70 |
$84.70 |
$123.92
|
|
Pulmonary vent imaging
|
$9,431.87 |
$9,431.87 |
$9,431.87 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$169.72 |
$169.72 |
$169.72 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$15,303.22 |
$15,303.22 |
$15,303.22 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$10,507.24 |
$10,507.24 |
$10,507.24 |
$1,209.44
|
|
Rabies ig ht&sol human im/sc
|
$1,645.31 |
$1,645.31 |
$1,645.31 |
$5,401.91
|
|
Radiation physics consult
|
$215.65 |
$215.65 |
$215.65 |
$574.75
|
|
Radiation therapy dose plan
|
$98.28 |
$98.28 |
$98.28 |
$530.53
|
|
Radiation treatment aid(s)
|
$98.28 |
$98.28 |
$98.28 |
$541.45
|
|
Radiation treatment aid(s)
|
$140.83 |
$140.83 |
$140.83 |
$665.00
|
|
Radiation treatment aid(s)
|
$237.64 |
$237.64 |
$237.64 |
$1,103.09
|
|
Radiation treatment delivery
|
$1.48 |
$1.48 |
$1.48 |
$257.01
|
|
Radiation treatment delivery
|
$130.57 |
$130.57 |
$130.57 |
$552.40
|
|
Radiation treatment delivery
|
$173.10 |
$173.10 |
$173.10 |
$909.98
|
|
Radiology port images(s)
|
$44.00 |
$44.00 |
$44.00 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$3,096.85 |
$3,096.85 |
$3,096.85 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$13,146.88 |
$13,146.88 |
$13,146.88 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$22,804.35 |
$22,804.35 |
$22,804.35 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$17,513.05 |
$17,513.05 |
$17,513.05 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$17,513.05 |
$17,513.05 |
$17,513.05 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$10,489.09 |
$10,489.09 |
$10,489.09 |
$1,139.40
|
|
Rapid Strep Test
|
$98.24 |
$98.24 |
$98.24 |
$74.10
|
|
Refill maint impl spine pump
|
$1,523.74 |
$1,523.74 |
$1,523.74 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,864.71
|
|
Remove esophagus obstruction
|
$6,430.74 |
$6,430.74 |
$6,430.74 |
$351.20
|
|
Renal cyst study s&i
|
$9,867.30 |
$9,867.30 |
$9,867.30 |
$648.84
|
|
Renal function panel
|
$1,474.35 |
$1,474.35 |
$1,474.35 |
$110.10
|
|
Renal venogram bil s&i
|
$30,059.19 |
$30,059.19 |
$30,059.19 |
$3,615.28
|
|
Reptilase test
|
$89.60 |
$89.60 |
$89.60 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$132.74 |
$132.74 |
$132.74 |
$48.00
|
|
Reticulocyte automated
|
$1,117.89 |
$1,117.89 |
$1,117.89 |
$54.60
|
|
Rheumatoid factor qualitative
|
$42.76 |
$42.76 |
$42.76 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,294.72 |
$1,294.72 |
$1,294.72 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$7,450.25 |
$7,450.25 |
$7,450.25 |
$2,034.31
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$461.70 |
$461.70 |
$461.70 |
$539.70
|
|
Right ventric recording
|
$16,247.37 |
$16,247.37 |
$16,247.37 |
$1,980.36
|
|
Ring barrier skin cx 1 9/16 adapt
|
$10.76 |
$10.76 |
$10.76 |
$10.02
|
|
Rp loclzj tum 2+area 1+d img
|
$11,951.74 |
$11,951.74 |
$11,951.74 |
$1,458.95
|
|
Rsv assay w/optic
|
$250.22 |
$250.22 |
$250.22 |
$73.80
|
|
Russell viper venom diluted
|
$15.00 |
$15.00 |
$15.00 |
$70.16
|
|
Sarscov coronavirus ag ia
|
$37.04 |
$37.04 |
$37.04 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$7,107.75 |
$7,107.75 |
$7,107.75 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$3,001.20 |
$3,001.20 |
$3,001.20 |
$589.60
|
|
Screening Mammogram
|
$915.04 |
$915.04 |
$915.04 |
$303.55
|
|
Sc ther infusion reset pump
|
$1,802.38 |
$1,802.38 |
$1,802.38 |
$126.75
|
|
Sedimentation rate erythrocyte automated
|
$1,798.39 |
$1,798.39 |
$1,798.39 |
$44.20
|
|
Sertraline (zoloft) - sendout
|
$15.22 |
$15.22 |
$15.22 |
$173.16
|
|
Set radiation therapy field
|
$253.79 |
$253.79 |
$253.79 |
$731.50
|
|
Set radiation therapy field
|
$407.83 |
$407.83 |
$407.83 |
$1,102.40
|
|
Shrinker prosth below knee
|
$367.32 |
$367.32 |
$367.32 |
$153.13
|
|
Sialidase enzyme assay
|
$67.21 |
$67.21 |
$67.21 |
$49.44
|
|
Sialography s&i
|
$1,530.31 |
$1,530.31 |
$1,530.31 |
$462.40
|
|
Sickling rbc
|
$3.37 |
$3.37 |
$3.37 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$1,844.59 |
$1,844.59 |
$1,844.59 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$470.72 |
$470.72 |
$470.72 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$17,230.16 |
$17,230.16 |
$17,230.16 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$17,230.16 |
$17,230.16 |
$17,230.16 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$17,230.16 |
$17,230.16 |
$17,230.16 |
$1,279.50
|
|
Sleep Study (Polysomnography)
|
$16,079.20 |
$16,079.20 |
$16,079.20 |
$3,936.80
|
|
Sodium 24 hour urine
|
$730.00 |
$730.00 |
$730.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$127.49 |
$127.49 |
$127.49 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$127.49 |
$127.49 |
$127.49 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$271.79 |
$271.79 |
$271.79 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$783.06 |
$783.06 |
$783.06 |
$42.70
|
|
Sotalol hydrochloride IV
|
$8,585.59 |
$8,585.59 |
$8,585.59 |
$1,153.60
|
|
Special teletx port plan
|
$294.86 |
$294.86 |
$294.86 |
$1,046.65
|
|
Specific gravity body fluid
|
$345.07 |
$345.07 |
$345.07 |
$23.63
|
|
Speech evaluation complex
|
$3,007.57 |
$3,007.57 |
$3,007.57 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$559.96
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$5,461.90 |
$5,461.90 |
$5,461.90 |
$406.40
|
|
Streptomycin injection
|
$123.66 |
$123.66 |
$123.66 |
$100.00
|
|
Stress tte complete
|
$13,189.99 |
$13,189.99 |
$13,189.99 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$32.60 |
$32.60 |
$32.60 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$690.85 |
$690.85 |
$690.85 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$48.36 |
$48.36 |
$48.36 |
$68.54
|
|
Surgical pathology level 1 gross examination only
|
$159.39 |
$159.39 |
$159.39 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$159.39 |
$159.39 |
$159.39 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$295.96 |
$295.96 |
$295.96 |
$192.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,001.56 |
$1,001.56 |
$1,001.56 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,604.26 |
$1,604.26 |
$1,604.26 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$775.08 |
$775.08 |
$775.08 |
$40.30
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,102.89 |
$1,102.89 |
$1,102.89 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$111.82 |
$111.82 |
$111.82 |
$122.40
|
|
Target gsa panel organ/hmtlmph neop
|
$2,299.00 |
$2,299.00 |
$2,299.00 |
$3,385.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$40.00 |
$40.00 |
$40.00 |
$166.46
|
|
Tc-99m depreotide
|
$8,148.94 |
$8,148.94 |
$8,148.94 |
$1,937.35
|
|
Tc-99m exame autol wbc diag per dose
|
$8,288.04 |
$8,288.04 |
$8,288.04 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$8,339.44 |
$8,339.44 |
$8,339.44 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$323.01
|
|
Tc-99m maa
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$312.06
|
|
Tc-99m mebrofenin
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$169.53
|
|
Tc-99m medronate
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$122.46
|
|
Tc-99m mertiatide
|
$2,193.96 |
$2,193.96 |
$2,193.96 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$654.36 |
$654.36 |
$654.36 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$2,328.03 |
$2,328.03 |
$2,328.03 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$1,107.44 |
$1,107.44 |
$1,107.44 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$2,895.98 |
$2,895.98 |
$2,895.98 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,193.96 |
$2,193.96 |
$2,193.96 |
$1,578.33
|
