|
Protein s total
|
$561.16 |
$561.16 |
$561.16 |
$78.87
|
|
Protein total 24 hour urine
|
$39.52 |
$39.52 |
$39.52 |
$52.50
|
|
Protein total body fluid
|
$3.84 |
$3.84 |
$3.84 |
$52.57
|
|
Protein total serum plasma whole blood
|
$59.64 |
$59.64 |
$59.64 |
$42.81
|
|
Prothrombin complex kcentra
|
$3.19 |
$3.19 |
$3.19 |
$5.50
|
|
PSA (Prostate) Test
|
$77.49 |
$77.49 |
$77.49 |
$109.35
|
|
Pulmonary vent imaging
|
$514.00 |
$514.00 |
$514.00 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$59.46 |
$59.46 |
$59.46 |
$43.24
|
|
Pyruvate
|
$9.30 |
$9.30 |
$9.30 |
$65.00
|
|
Pyruvate kinase
|
$16.12 |
$16.12 |
$16.12 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$573.60 |
$573.60 |
$573.60 |
$1,209.44
|
|
Quest t3 uptake
|
$9.27 |
$9.27 |
$9.27 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,245.97 |
$1,245.97 |
$1,245.97 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$3,602.40 |
$3,602.40 |
$3,602.40 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,053.76 |
$1,053.76 |
$1,053.76 |
$3,213.80
|
|
Radiesse injection
|
$1,112.56 |
$1,112.56 |
$1,112.56 |
$1,010.63
|
|
Radium ra223 dichl ther/uci
|
$236.24 |
$236.24 |
$236.24 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,551.20 |
$4,551.20 |
$4,551.20 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,551.20 |
$4,551.20 |
$4,551.20 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$717.20 |
$717.20 |
$717.20 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$1,139.40
|
|
Rapid Strep Test
|
$71.60 |
$71.60 |
$71.60 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$332.16 |
$332.16 |
$332.16 |
$35,836.29
|
|
Rbc count only automated
|
$29.40 |
$29.40 |
$29.40 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$146.80 |
$146.80 |
$146.80 |
$223.08
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$25.72 |
$25.72 |
$25.72 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$8.30 |
$8.30 |
$8.30 |
$1,864.71
|
|
Remote 30 day ecg tech supp
|
$820.40 |
$820.40 |
$820.40 |
$570.85
|
|
Renal function panel
|
$27.73 |
$27.73 |
$27.73 |
$110.10
|
|
Reptilase test
|
$7.98 |
$7.98 |
$7.98 |
$65.65
|
|
Resp virus 6-11 targets
|
$394.83 |
$394.83 |
$394.83 |
$363.38
|
|
Reticulocyte automated
|
$14.86 |
$14.86 |
$14.86 |
$54.60
|
|
Rheumatoid factor qualitative
|
$8.78 |
$8.78 |
$8.78 |
$54.60
|
|
Rheumatoid factor quantitative
|
$115.08 |
$115.08 |
$115.08 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$10.76 |
$10.76 |
$10.76 |
$255.26
|
|
Rho d immune globulin inj
|
$141.36 |
$141.36 |
$141.36 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.12 |
$0.12 |
$0.12 |
$539.70
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$150.36 |
$150.36 |
$150.36 |
$10,693.54
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$89.61 |
$89.61 |
$89.61 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$80.32 |
$80.32 |
$80.32 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$133.84 |
$133.84 |
$133.84 |
$7,582.77
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.79 |
$0.79 |
$0.79 |
$180.55
|
|
Rubella antibody igg
|
$160.00 |
$160.00 |
$160.00 |
$73.10
|
|
Rubeola antibody igg
|
$31.42 |
$31.42 |
$31.42 |
$79.68
|
|
Russell viper venom diluted
|
$45.20 |
$45.20 |
$45.20 |
$70.16
|
|
Salivary gland function exam
|
$753.60 |
$753.60 |
$753.60 |
$549.70
|
|
Salivary gland imaging
|
$757.60 |
$757.60 |
$757.60 |
$549.70
|
|
Salmonella antibody
|
$5.45 |
$5.45 |
$5.45 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$456.40 |
$456.40 |
$456.40 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$765.60 |
$765.60 |
$765.60 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$333.20 |
$333.20 |
$333.20 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$328.80 |
$328.80 |
$328.80 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$484.00 |
$484.00 |
$484.00 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$388.80 |
$388.80 |
$388.80 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$498.00 |
$498.00 |
$498.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$498.00 |
$498.00 |
$498.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$690.00 |
$690.00 |
$690.00 |
$601.70
|
|
Screening Mammogram
|
$415.20 |
$415.20 |
$415.20 |
$303.55
|
|
Screening prostate cancer PSA
|
$80.69 |
$80.69 |
$80.69 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$10.14 |
$10.14 |
$10.14 |
$44.20
|
|
Semen analysis presence/motility
|
$9.66 |
$9.66 |
$9.66 |
$70.85
|
|
Sertraline (zoloft) - sendout
|
$59.60 |
$59.60 |
$59.60 |
$173.16
|
|
Shoulder MRI (with and without contrast)
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,051.28
|
|
Shoulder X-ray
|
$580.40 |
$580.40 |
$580.40 |
$367.02
|
|
Sialography s&i
|
$488.40 |
$488.40 |
$488.40 |
$462.40
|
|
Sickling rbc
|
$35.95 |
$35.95 |
$35.95 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$115.77 |
$115.77 |
$115.77 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,592.80 |
$1,592.80 |
$1,592.80 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$1,279.50
|
|
Smear fluorescent and/or acid fast stain
|
$37.03 |
$37.03 |
$37.03 |
$64.20
|
|
Smear gram stain
|
$47.46 |
$47.46 |
$47.46 |
$57.85
|
|
Smear nasal eosinophil
|
$39.39 |
$39.39 |
$39.39 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$10.63 |
$10.63 |
$10.63 |
$64.35
|
|
Smear wet mount
|
$45.76 |
$45.76 |
$45.76 |
$68.63
|
|
Sodium 24 hour urine
|
$53.76 |
$53.76 |
$53.76 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$32.63 |
$32.63 |
$32.63 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$3.06 |
$3.06 |
$3.06 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$17.16 |
$17.16 |
$17.16 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$0.56 |
$0.56 |
$0.56 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$3.30 |
$3.30 |
$3.30 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$69.76 |
$69.76 |
$69.76 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$24.40 |
$24.40 |
$24.40 |
$42.70
|
|
Specimen fat stain
|
$32.66 |
$32.66 |
$32.66 |
$32.76
|
|
Speech evaluation complex
|
$234.80 |
$234.80 |
$234.80 |
$527.06
|
|
Split blood or products
|
$63.20 |
$63.20 |
$63.20 |
$148.98
|
|
Staph a dna amp probe
|
$110.36 |
$110.36 |
$110.36 |
$116.39
|
|
Strep a ag ia
|
$17.18 |
$17.18 |
$17.18 |
$75.40
|
|
Strep b dna amp probe
|
$127.15 |
$127.15 |
$127.15 |
$139.20
|
|
Stress tte complete
|
$2,434.80 |
$2,434.80 |
$2,434.80 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$29.20 |
$29.20 |
$29.20 |
$49.13
|
|
Sugars single quant
|
$10.72 |
$10.72 |
$10.72 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$1.04 |
$1.04 |
$1.04 |
$71.09
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$152.31 |
$152.31 |
$152.31 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$59.20 |
$59.20 |
$59.20 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$96.40 |
$96.40 |
$96.40 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$124.00 |
$124.00 |
$124.00 |
$192.00
|