|
Right ventric recording
|
$40,061.00 |
$40,061.00 |
$40,061.00 |
$1,980.36
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$14,233.00 |
$14,233.00 |
$14,233.00 |
$7,582.77
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$400.00 |
$400.00 |
$400.00 |
$180.55
|
|
Russell viper venom diluted
|
$285.00 |
$285.00 |
$285.00 |
$70.16
|
|
Sargramostim injection
|
$203.00 |
$203.00 |
$203.00 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$35.00 |
$35.00 |
$35.00 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,933.00 |
$2,933.00 |
$2,933.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,018.00 |
$3,018.00 |
$3,018.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$5,525.00 |
$5,525.00 |
$5,525.00 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$1,006.85
|
|
Screening Mammogram
|
$659.00 |
$659.00 |
$659.00 |
$303.55
|
|
Screening prostate cancer PSA
|
$323.00 |
$323.00 |
$323.00 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$44.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$514.00 |
$514.00 |
$514.00 |
$345.00
|
|
Sickling rbc
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$958.00 |
$958.00 |
$958.00 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$18,078.00 |
$18,078.00 |
$18,078.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$15,749.00 |
$15,749.00 |
$15,749.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$14,010.00 |
$14,010.00 |
$14,010.00 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$7,258.00 |
$7,258.00 |
$7,258.00 |
$2,489.25
|
|
Sleep Study (Polysomnography)
|
$14,674.00 |
$14,674.00 |
$14,674.00 |
$3,936.80
|
|
Smear special stain inclusion bodies/parasites
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$64.35
|
|
Smear wet mount
|
$303.00 |
$303.00 |
$303.00 |
$68.63
|
|
Sodium 24 hour urine
|
$32.00 |
$32.00 |
$32.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$184.00 |
$184.00 |
$184.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$166.00 |
$166.00 |
$166.00 |
$51.51
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$582.00 |
$582.00 |
$582.00 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$178.00 |
$178.00 |
$178.00 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$698.00 |
$698.00 |
$698.00 |
$223.86
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$559.96
|
|
St analysis behavior qualitative voice/resonance
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$300.00
|
|
St evaluate speech sound production
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$2,290.00 |
$2,290.00 |
$2,290.00 |
$406.40
|
|
St evaluation swallow function
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$336.60
|
|
Strep a ag ia
|
$568.00 |
$568.00 |
$568.00 |
$75.40
|
|
Streptomycin injection
|
$151.00 |
$151.00 |
$151.00 |
$100.00
|
|
Streptozocin injection
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$954.71
|
|
St treatment speech individual
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$998.00 |
$998.00 |
$998.00 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$119.00 |
$119.00 |
$119.00 |
$49.13
|
|
Surgical pathology level 1 gross examination only
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$6,551.00 |
$6,551.00 |
$6,551.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$6,777.00 |
$6,777.00 |
$6,777.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$7,511.00 |
$7,511.00 |
$7,511.00 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$603.00 |
$603.00 |
$603.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$67.00 |
$67.00 |
$67.00 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$22.00 |
$22.00 |
$22.00 |
$48.30
|
|
Svc venogram s&i
|
$6,489.00 |
$6,489.00 |
$6,489.00 |
$1,908.00
|
|
T3 (triiodothyronine) free
|
$93.00 |
$93.00 |
$93.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$546.00 |
$546.00 |
$546.00 |
$94.90
|
|
T4 (thyroxine) free
|
$127.00 |
$127.00 |
$127.00 |
$81.60
|
|
T4 (thyroxine) total
|
$220.00 |
$220.00 |
$220.00 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$519.00 |
$519.00 |
$519.00 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$343.00 |
$343.00 |
$343.00 |
$166.46
|
|
Tc-99m bicisate
|
$10,753.00 |
$10,753.00 |
$10,753.00 |
$1,969.45
|
|
Tc-99m disofenin
|
$830.00 |
$830.00 |
$830.00 |
$151.32
|
|
Tc-99m exame autol wbc diag per dose
|
$9,633.00 |
$9,633.00 |
$9,633.00 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$14,760.00 |
$14,760.00 |
$14,760.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$8,446.00 |
$8,446.00 |
$8,446.00 |
$323.01
|
|
Tc-99m maa
|
$5,166.00 |
$5,166.00 |
$5,166.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$838.00 |
$838.00 |
$838.00 |
$169.53
|
|
Tc-99m medronate
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$122.46
|
|
Tc-99m mertiatide
|
$3,082.00 |
$3,082.00 |
$3,082.00 |
$757.25
|
|
Tc-99m oxidronate
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$124.23
|
|
Tc-99m pentetate dtpa
|
$1,852.00 |
$1,852.00 |
$1,852.00 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$1,852.00 |
$1,852.00 |
$1,852.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$123.00 |
$123.00 |
$123.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$590.00 |
$590.00 |
$590.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$221.60
|
|
Tc-99m sulfur colloid
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$684.00 |
$684.00 |
$684.00 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$409.00 |
$409.00 |
$409.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$303.00 |
$303.00 |
$303.00 |
$120.25
|
|
T cells total count
|
$123.00 |
$123.00 |
$123.00 |
$124.11
|
|
Telethx isodose plan cplx
|
$5,884.00 |
$5,884.00 |
$5,884.00 |
$1,617.00
|
|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$10,711.00 |
$10,711.00 |
$10,711.00 |
$2,791.41
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$514.00 |
$514.00 |
$514.00 |
$44.49
|
|
Test stress cardiovascular tracing only
|
$7,628.00 |
$7,628.00 |
$7,628.00 |
$1,001.55
|
|
Tetanus immune globulin inj
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$1,395.20
|
|
Theophylline therapeutic drug level
|
$427.00 |
$427.00 |
$427.00 |
$108.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$50.00 |
$50.00 |
$50.00 |
$38.64
|
|
Thrombin time
|
$500.00 |
$500.00 |
$500.00 |
$48.75
|
|
Thyroglobulin antibody
|
$87.00 |
$87.00 |
$87.00 |
$84.00
|
|
Thyroid mets imag whole body
|
$12,058.00 |
$12,058.00 |
$12,058.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$322.00 |
$322.00 |
$322.00 |
$120.00
|
|
Thyroid Ultrasound
|
$5,238.00 |
$5,238.00 |
$5,238.00 |
$589.96
|
|
Thyroid uptake measurement
|
$3,305.00 |
$3,305.00 |
$3,305.00 |
$653.60
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$13,468.00 |
$13,468.00 |
$13,468.00 |
$4,886.55
|
|
Thyroxine binding globulin (tbg)
|
$83.00 |
$83.00 |
$83.00 |
$63.60
|
|
Tigecycline injection
|
$907.00 |
$907.00 |
$907.00 |
$308.75
|
|
Tilt table study
|
$9,266.00 |
$9,266.00 |
$9,266.00 |
$1,495.00
|
|
Tissue transglutaminase iga
|
$165.00 |
$165.00 |
$165.00 |
$48.57
|
|
Tl-201 thallium diag per mci
|
$287.00 |
$287.00 |
$287.00 |
$77.22
|
|
Tobramycin non-comp unit
|
$49.00 |
$49.00 |
$49.00 |
$107.07
|
|
Tomosynthesis breast diagnostic left
|
$113.00 |
$113.00 |
$113.00 |
$63.70
|
