|
Radiology port images(s)
|
$277.60 |
$277.60 |
$277.60 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$4,998.02 |
$4,998.02 |
$4,998.02 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,608.39 |
$1,608.39 |
$4,081.23 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,608.39 |
$1,608.39 |
$8,840.15 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,493.51 |
$1,493.51 |
$4,123.22 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$3,039.64 |
$3,039.64 |
$3,039.64 |
$1,139.40
|
|
Rasburicase 1.5 mg intravenous solution
|
$674.82 |
$674.82 |
$674.82 |
$3,184.20
|
|
Rbc count only automated
|
$4.47 |
$4.47 |
$4.47 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$30.53 |
$30.53 |
$30.53 |
$223.08
|
|
Refill maint impl spine pump
|
$458.99 |
$458.99 |
$458.99 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$108.61 |
$108.61 |
$1,531.44 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,169.76 |
$1,169.76 |
$1,169.76 |
$1,864.71
|
|
Rem interrog evl pm/ids
|
$119.79 |
$119.79 |
$119.79 |
$139.10
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$108.50 |
$108.50 |
$108.50 |
$245.60
|
|
Renal function panel
|
$77.70 |
$77.70 |
$77.70 |
$110.10
|
|
Renal venogram bil s&i
|
$4,043.45 |
$4,043.45 |
$4,043.45 |
$3,615.28
|
|
Reptilase test
|
$14.80 |
$14.80 |
$14.80 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$123.55 |
$123.55 |
$123.55 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$123.55 |
$123.55 |
$123.55 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$486.00 |
$486.00 |
$486.00 |
$847.29
|
|
Reticulocyte automated
|
$30.34 |
$30.34 |
$1,010.99 |
$54.60
|
|
Rheumatoid factor qualitative
|
$110.48 |
$110.48 |
$110.48 |
$54.60
|
|
Rheumatoid factor quantitative
|
$13.23 |
$13.23 |
$110.48 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1,184.76 |
$1,184.76 |
$1,184.76 |
$255.26
|
|
Rho d immune globulin 50 mcg
|
$354.24 |
$354.24 |
$354.24 |
$170.00
|
|
Rho d immune globulin inj
|
$511.70 |
$511.70 |
$1,184.76 |
$334.53
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$121.36 |
$121.36 |
$121.36 |
$159.25
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.25 |
$0.25 |
$804.00 |
$539.70
|
|
Right ventric recording
|
$7,090.76 |
$7,090.76 |
$7,090.76 |
$1,980.36
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$68.82 |
$68.82 |
$208.44 |
$6,877.90
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$4.83 |
$4.83 |
$4.83 |
$180.55
|
|
Rp loclzj tum 2+area 1+d img
|
$1,493.51 |
$1,493.51 |
$2,024.87 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 2
|
$3,064.53 |
$3,064.53 |
$3,064.53 |
$3,074.50
|
|
Rsv assay w/optic
|
$43.48 |
$43.48 |
$43.48 |
$73.80
|
|
Rubella antibody igg
|
$10.36 |
$10.36 |
$10.36 |
$73.10
|
|
Rubeola antibody igg
|
$30.71 |
$30.71 |
$244.73 |
$79.68
|
|
Russell viper venom diluted
|
$36.72 |
$36.72 |
$36.72 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$826.30 |
$826.30 |
$826.30 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$902.89 |
$902.89 |
$902.89 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$525.68 |
$525.68 |
$525.68 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$357.98 |
$357.98 |
$357.98 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$755.17 |
$755.17 |
$755.17 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$691.07 |
$691.07 |
$691.07 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$856.00 |
$856.00 |
$856.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$527.25 |
$527.25 |
$527.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$530.12 |
$530.12 |
$530.12 |
$601.70
|
|
Screening Mammogram
|
$287.12 |
$287.12 |
$287.12 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$42.00 |
$42.00 |
$42.00 |
$44.20
|
|
Semen analysis presence/motility
|
$30.34 |
$30.34 |
$30.34 |
$70.85
|
|
Serpina1 gene
|
$101.75 |
$101.75 |
$101.75 |
$191.73
|
|
Set radiation therapy field
|
$607.69 |
$607.69 |
$607.69 |
$731.50
|
|
Set radiation therapy field
|
$1,382.18 |
$1,382.18 |
$1,382.18 |
$1,102.40
|
|
Shoulder MRI (with and without contrast)
|
$654.35 |
$654.35 |
$654.35 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$622.25 |
$622.25 |
$622.25 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,136.27 |
$1,136.27 |
$1,136.27 |
$2,051.28
|
|
Shoulder X-ray
|
$210.90 |
$210.90 |
$210.90 |
$367.02
|
|
Shrinker prosth above knee
|
$930.00 |
$930.00 |
$930.00 |
$157.49
|
|
Shrinker prosth below knee
|
$605.00 |
$605.00 |
$605.00 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$199.25 |
$199.25 |
$531.88 |
$345.00
|
|
Sialography s&i
|
$2,293.14 |
$2,293.14 |
$2,293.14 |
$462.40
|
|
Sickling rbc
|
$29.97 |
$29.97 |
$29.97 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$91.58 |
$91.58 |
$91.58 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$86.95 |
$86.95 |
$574.56 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$693.10 |
$693.10 |
$693.10 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$647.32 |
$647.32 |
$647.32 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$601.44 |
$601.44 |
$601.44 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$4,867.81 |
$4,867.81 |
$4,867.81 |
$2,489.25
|
|
Sirolimus, oral
|
$9.81 |
$9.81 |
$9.81 |
$31.60
|
|
Sleep Study (Polysomnography)
|
$5,160.76 |
$5,160.76 |
$5,160.76 |
$3,936.80
|
|
Sleep study unattended
|
$619.94 |
$619.94 |
$619.94 |
$595.50
|
|
Slp eval non-spch gen comm dev
|
$226.89 |
$226.89 |
$226.89 |
$285.09
|
|
Slp ther svc non-spch gen
|
$226.89 |
$226.89 |
$226.89 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$27.47 |
$27.47 |
$105.73 |
$64.20
|
|
Smear gram stain
|
$22.11 |
$22.11 |
$22.11 |
$57.85
|
|
Smear nasal eosinophil
|
$23.68 |
$23.68 |
$23.68 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$26.92 |
$26.92 |
$26.92 |
$64.35
|
|
Smear wet mount
|
$9.07 |
$9.07 |
$9.07 |
$68.63
|
|
Sodium 24 hour urine
|
$30.34 |
$30.34 |
$760.32 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$91.33 |
$91.33 |
$912.60 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$68.45 |
$68.45 |
$822.96 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$75.52 |
$75.52 |
$75.52 |
$46.35
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$9.62 |
$9.62 |
$212.76 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$6.85 |
$6.85 |
$6.85 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$386.64 |
$386.64 |
$386.64 |
$223.86
|
|
Somatosensory testing
|
$971.44 |
$971.44 |
$971.44 |
$583.80
|
|
Special physics consult
|
$603.03 |
$603.03 |
$603.03 |
$700.74
|
|
Special radiation dosimetry
|
$607.69 |
$607.69 |
$607.69 |
$445.50
|
|
Special teletx port plan
|
$1,382.18 |
$1,382.18 |
$1,382.18 |
$1,046.65
|
|
Specific gravity body fluid
|
$8.97 |
$8.97 |
$8.97 |
$23.63
|
|
Specimen fat stain
|
$18.69 |
$18.69 |
$18.69 |
$32.76
|
|
Speech audiometry complete
|
$452.56 |
$452.56 |
$452.56 |
$104.25
|
|
Speech recep thresh
|
$418.74 |
$418.74 |
$418.74 |
$90.60
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$506.90 |
$506.90 |
$6,544.67 |
$559.96
|
|
Split blood or products
|
$240.87 |
$240.87 |
$240.87 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$116.00 |
$116.00 |
$116.00 |
$300.00
|
|
Staph a dna amp probe
|
$92.96 |
$92.96 |
$92.96 |
$116.39
|
|
St evaluate speech sound production
|
$116.64 |
$116.64 |
$116.64 |
$300.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$115.07 |
$115.07 |
$115.07 |
$406.40
|
|
St evaluation swallow function
|
$114.79 |
$114.79 |
$114.79 |
$336.60
|
|
Strapping of hand or finger
|
$226.89 |
$226.89 |
$226.89 |
$194.40
|
