|
Rpl tun cvc wo subq port
|
$7,221.44 |
$7,221.44 |
$7,221.44 |
$4,201.80
|
|
Rubella antibody igg
|
$49.98 |
$49.98 |
$49.98 |
$73.10
|
|
Rubeola antibody igg
|
$99.66 |
$99.66 |
$99.66 |
$79.68
|
|
Russell viper venom diluted
|
$85.91 |
$85.91 |
$85.91 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,137.30 |
$3,137.30 |
$3,137.30 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,276.78 |
$3,276.78 |
$3,276.78 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,022.46 |
$2,022.46 |
$2,022.46 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$2,381.46 |
$2,381.46 |
$2,381.46 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$5,134.00 |
$5,134.00 |
$5,134.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$6,941.37 |
$6,941.37 |
$6,941.37 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$3,102.61 |
$3,102.61 |
$3,102.61 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$4,909.62 |
$4,909.62 |
$4,909.62 |
$601.70
|
|
Screening Mammogram
|
$1,448.74 |
$1,448.74 |
$1,448.74 |
$303.55
|
|
Screening pap smear by phys
|
$75.85 |
$75.85 |
$75.85 |
$40.59
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,578.08 |
$9,578.08 |
$9,578.08 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$313.05 |
$313.05 |
$313.05 |
$44.20
|
|
Shoulder MRI (with and without contrast)
|
$1,306.11 |
$1,306.11 |
$1,306.11 |
$2,705.30
|
|
Shoulder MRI (without contrast)
|
$15,975.12 |
$15,975.12 |
$15,975.12 |
$2,051.28
|
|
Shoulder X-ray
|
$1,677.42 |
$1,677.42 |
$1,677.42 |
$367.02
|
|
Sickling rbc
|
$20.11 |
$20.11 |
$20.11 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$9,097.55 |
$9,097.55 |
$9,097.55 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,427.48 |
$8,427.48 |
$8,427.48 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$7,582.29 |
$7,582.29 |
$7,582.29 |
$1,279.50
|
|
Sleeve fing rolyan med
|
$723.59 |
$723.59 |
$723.59 |
$167.31
|
|
Slp ther svc non-spch gen
|
$612.07 |
$612.07 |
$612.07 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$18.72 |
$18.72 |
$18.72 |
$64.20
|
|
Smear gram stain
|
$354.83 |
$354.83 |
$354.83 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$42.96 |
$42.96 |
$42.96 |
$64.35
|
|
Smear wet mount
|
$266.50 |
$266.50 |
$266.50 |
$68.63
|
|
Sodium 24 hour urine
|
$117.58 |
$117.58 |
$117.58 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$74.50 |
$74.50 |
$74.50 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$219.08 |
$219.08 |
$219.08 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$896.14 |
$896.14 |
$896.14 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$4,280.40 |
$4,280.40 |
$4,280.40 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$245.04 |
$245.04 |
$245.04 |
$42.70
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,129.06 |
$2,129.06 |
$2,129.06 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$891.78 |
$891.78 |
$891.78 |
$559.96
|
|
Splint extn xsm w sof-stretch rolyan
|
$179.14 |
$179.14 |
$179.14 |
$41.58
|
|
Splint finger fold over sm
|
$295.00 |
$295.00 |
$295.00 |
$57.33
|
|
Splint finger frog med
|
$118.66 |
$118.66 |
$118.66 |
$21.50
|
|
Srs multisource
|
$27,584.98 |
$27,584.98 |
$27,584.98 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$1,046.27 |
$1,046.27 |
$1,046.27 |
$300.00
|
|
Staph a dna amp probe
|
$222.96 |
$222.96 |
$222.96 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$932.30 |
$932.30 |
$932.30 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$77,180.50 |
$77,180.50 |
$77,180.50 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$89,019.82 |
$89,019.82 |
$89,019.82 |
$17,281.80
|
|
St evaluate speech sound production
|
$1,046.27 |
$1,046.27 |
$1,046.27 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,236.51 |
$1,236.51 |
$1,236.51 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$666.17 |
$666.17 |
$666.17 |
$406.40
|
|
St evaluation swallow function
|
$615.21 |
$615.21 |
$615.21 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$570.73 |
$570.73 |
$570.73 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$185.22 |
$185.22 |
$185.22 |
$171.00
|
|
Strapping of hand or finger
|
$197.43 |
$197.43 |
$197.43 |
$194.40
|
|
Strapping of knee
|
$399.93 |
$399.93 |
$399.93 |
$224.80
|
|
Strapping of toes 29550
|
$197.43 |
$197.43 |
$197.43 |
$185.36
|
|
Strep b dna amp probe
|
$114.87 |
$114.87 |
$114.87 |
$139.20
|
|
St treatment speech individual
|
$510.48 |
$510.48 |
$510.48 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$564.39 |
$564.39 |
$564.39 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$501.06 |
$501.06 |
$501.06 |
$49.13
|
|
Sugars single quant
|
$39.56 |
$39.56 |
$39.56 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$284.78 |
$284.78 |
$284.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$278.50 |
$278.50 |
$278.50 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$86.05 |
$86.05 |
$86.05 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$113.58 |
$113.58 |
$113.58 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$157.26 |
$157.26 |
$157.26 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$157.26 |
$157.26 |
$157.26 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$915.98 |
$915.98 |
$915.98 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,402.67 |
$2,402.67 |
$2,402.67 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$16.50 |
$16.50 |
$16.50 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$132.78 |
$132.78 |
$132.78 |
$34.48
|
|
Susceptibility mic per plate
|
$408.74 |
$408.74 |
$408.74 |
$94.38
|
|
Svc venogram s&i
|
$7,980.57 |
$7,980.57 |
$7,980.57 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$5,144.23 |
$5,144.23 |
$5,144.23 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$13.86 |
$13.86 |
$13.86 |
$44.85
|
|
T3 (triiodothyronine) free
|
$215.52 |
$215.52 |
$215.52 |
$89.82
|
|
T3 (triiodothyronine) total
|
$49.25 |
$49.25 |
$49.25 |
$94.90
|
|
T4 (thyroxine) free
|
$218.74 |
$218.74 |
$218.74 |
$81.60
|
|
T4 (thyroxine) total
|
$408.74 |
$408.74 |
$408.74 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$317.15 |
$317.15 |
$317.15 |
$122.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$9,540.80 |
$9,540.80 |
$9,540.80 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$215.25 |
$215.25 |
$215.25 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$163.16 |
$163.16 |
$163.16 |
$186.00
|
|
T cells total count
|
$216.97 |
$216.97 |
$216.97 |
$124.11
|
|
Telethx isodose plan cplx
|
$1,683.31 |
$1,683.31 |
$1,683.31 |
$1,617.00
|
|
Telethx isodose plan simple
|
$1,683.31 |
$1,683.31 |
$1,683.31 |
$848.72
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$62.89 |
$62.89 |
$62.89 |
$44.49
|
|
Test pathogen(s) for platelets reference
|
$172.73 |
$172.73 |
$172.73 |
$106.50
|
|
Test stress cardiovascular tracing only
|
$5,589.60 |
$5,589.60 |
$5,589.60 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$107,864.49 |
$107,864.49 |
$107,864.49 |
$12,080.29
|
|
Theophylline therapeutic drug level
|
$688.39 |
$688.39 |
$688.39 |
$108.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$400.40 |
$400.40 |
$400.40 |
$38.64
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$2,294.22 |
$2,294.22 |
$2,294.22 |
$1,804.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$15,910.71 |
$15,910.71 |
$15,910.71 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$38,330.26 |
$38,330.26 |
$38,330.26 |
$15,185.00
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$55,634.48 |
$55,634.48 |
$55,634.48 |
$24,605.30
|
|
Thrombin time
|
$18.18 |
$18.18 |
$18.18 |
$48.75
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$42.21 |
$42.21 |
$42.21 |
$56.93
|
|
Thyroglobulin antibody
|
$145.92 |
$145.92 |
$145.92 |
$84.00
|
|
Thyroid imaging
|
$2,094.50 |
$2,094.50 |
$2,094.50 |
$670.80
|