|
Pulmonary vent imaging
|
$5,560.26 |
$5,560.26 |
$5,560.26 |
$845.28
|
|
Pyridoxine hcl 100 mg
|
$95.48 |
$95.48 |
$95.48 |
$43.24
|
|
Pyruvate
|
$67.12 |
$67.12 |
$67.12 |
$65.00
|
|
Pyruvate kinase
|
$86.62 |
$86.62 |
$86.62 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$5,839.04 |
$5,839.04 |
$5,839.04 |
$1,209.44
|
|
Quest t3 uptake
|
$895.91 |
$895.91 |
$895.91 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$4,487.56 |
$4,487.56 |
$4,487.56 |
$1,059.01
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,721.91 |
$4,721.91 |
$4,721.91 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,763.01 |
$7,763.01 |
$7,763.01 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,721.91 |
$4,721.91 |
$4,721.91 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,834.35 |
$1,834.35 |
$1,834.35 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$12,257.71 |
$12,257.71 |
$12,257.71 |
$1,139.40
|
|
Rbc count only automated
|
$7.51 |
$7.51 |
$7.51 |
$20.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,139.25 |
$1,139.25 |
$1,139.25 |
$656.83
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,708.16 |
$2,708.16 |
$2,708.16 |
$1,864.71
|
|
Renal function panel
|
$2,878.36 |
$2,878.36 |
$2,878.36 |
$110.10
|
|
#resp virpnl dfa-parainfluenza
|
$76.14 |
$76.14 |
$76.14 |
$35.20
|
|
Resp virus 6-11 targets
|
$1,010.61 |
$1,010.61 |
$1,010.61 |
$363.38
|
|
Reticulocyte automated
|
$473.31 |
$473.31 |
$473.31 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$12.53 |
$12.53 |
$12.53 |
$33.57
|
|
Rheumatoid factor qualitative
|
$861.19 |
$861.19 |
$861.19 |
$54.60
|
|
Rheumatoid factor quantitative
|
$1,197.50 |
$1,197.50 |
$1,197.50 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$640.15 |
$640.15 |
$640.15 |
$255.26
|
|
Rho d immune globulin inj
|
$1,693.69 |
$1,693.69 |
$1,693.69 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,279.22 |
$1,279.22 |
$1,279.22 |
$539.70
|
|
Ring barrier skin cx 1 9/16 adapt
|
$16.00 |
$16.00 |
$16.00 |
$10.02
|
|
Ring ostmy barr adapt 48mm
|
$10.00 |
$10.00 |
$10.00 |
$5.97
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,955.52 |
$4,955.52 |
$4,955.52 |
$8,779.01
|
|
Rp loclzj tum 2+area 1+d img
|
$4,347.68 |
$4,347.68 |
$4,347.68 |
$1,458.95
|
|
Russell viper venom diluted
|
$25.22 |
$25.22 |
$25.22 |
$70.16
|
|
Sargramostim injection
|
$1,477.77 |
$1,477.77 |
$1,477.77 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$51.30 |
$51.30 |
$51.30 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$504.02 |
$504.02 |
$504.02 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$3,236.38 |
$3,236.38 |
$3,236.38 |
$589.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$4,760.48 |
$4,760.48 |
$4,760.48 |
$1,006.85
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,515.30 |
$2,515.30 |
$2,515.30 |
$601.70
|
|
Screen cerv/vag thin layer
|
$57.94 |
$57.94 |
$57.94 |
$47.04
|
|
Screening HIV antigen/antibody combination assay
|
$57.94 |
$57.94 |
$57.94 |
$26.49
|
|
Screening prostate cancer PSA
|
$1,031.08 |
$1,031.08 |
$1,031.08 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$26.41 |
$26.41 |
$26.41 |
$44.20
|
|
Sincalide 5 mcg solution for injection
|
$616.28 |
$616.28 |
$616.28 |
$409.96
|
|
Smear nasal eosinophil
|
$25.01 |
$25.01 |
$25.01 |
$49.50
|
|
Sodium 24 hour urine
|
$331.94 |
$331.94 |
$331.94 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$623.06 |
$623.06 |
$623.06 |
$46.43
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$337.44 |
$337.44 |
$337.44 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$297.49 |
$297.49 |
$297.49 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$580.48 |
$580.48 |
$580.48 |
$223.86
|
|
Specific gravity body fluid
|
$15.23 |
$15.23 |
$15.23 |
$23.63
|
|
Specimen fat stain
|
$37.96 |
$37.96 |
$37.96 |
$32.76
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,813.20 |
$3,813.20 |
$3,813.20 |
$559.96
|
|
St analysis behavior qualitative voice/resonance
|
$1,057.59 |
$1,057.59 |
$1,057.59 |
$300.00
|
|
St evaluate speech sound production
|
$1,057.59 |
$1,057.59 |
$1,057.59 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,057.59 |
$1,057.59 |
$1,057.59 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,057.59 |
$1,057.59 |
$1,057.59 |
$406.40
|
|
St evaluation swallow function
|
$1,094.13 |
$1,094.13 |
$1,094.13 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$459.08 |
$459.08 |
$459.08 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$180.94 |
$180.94 |
$180.94 |
$171.00
|
|
Strapping of hand or finger
|
$180.94 |
$180.94 |
$180.94 |
$194.40
|
|
Strapping of hip
|
$366.58 |
$366.58 |
$366.58 |
$170.08
|
|
Strapping of knee
|
$366.58 |
$366.58 |
$366.58 |
$224.80
|
|
Strapping of toes 29550
|
$265.79 |
$265.79 |
$265.79 |
$185.36
|
|
Strep a ag ia
|
$831.49 |
$831.49 |
$831.49 |
$75.40
|
|
Streptozocin injection
|
$2,277.42 |
$2,277.42 |
$2,277.42 |
$954.71
|
|
Stress test pulmonary
|
$169.06 |
$169.06 |
$169.06 |
$327.20
|
|
St treatment speech individual
|
$478.88 |
$478.88 |
$478.88 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$502.15 |
$502.15 |
$502.15 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$12.48 |
$12.48 |
$12.48 |
$49.13
|
|
Sugars single quant
|
$53.46 |
$53.46 |
$53.46 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$133.81 |
$133.81 |
$133.81 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,156.34 |
$1,156.34 |
$1,156.34 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$865.89 |
$865.89 |
$865.89 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,310.74 |
$1,310.74 |
$1,310.74 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,905.44 |
$1,905.44 |
$1,905.44 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,165.53 |
$3,165.53 |
$3,165.53 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$4,611.71 |
$4,611.71 |
$4,611.71 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$5,911.81 |
$5,911.81 |
$5,911.81 |
$790.00
|
|
Suscept studies macrobroth dilution ea
|
$30.78 |
$30.78 |
$30.78 |
$48.30
|
|
Svc venogram s&i
|
$22,633.51 |
$22,633.51 |
$22,633.51 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$908.44 |
$908.44 |
$908.44 |
$44.85
|
|
T3 (triiodothyronine) total
|
$974.70 |
$974.70 |
$974.70 |
$94.90
|
|
T4 (thyroxine) total
|
$895.91 |
$895.91 |
$895.91 |
$73.64
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,353.54 |
$1,353.54 |
$1,353.54 |
$612.11
|
|
Tacrolimus therapeutic drug level
|
$121.39 |
$121.39 |
$121.39 |
$122.40
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$90.94 |
$90.94 |
$90.94 |
$166.46
|
|
Tc-99m exame autol wbc diag per dose
|
$6,290.21 |
$6,290.21 |
$6,290.21 |
$2,393.40
|
|
Tc-99m exametazime diag
|
$12,280.39 |
$12,280.39 |
$12,280.39 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$3,377.03 |
$3,377.03 |
$3,377.03 |
$323.01
|
|
Tc-99m maa
|
$957.12 |
$957.12 |
$957.12 |
$312.06
|
|
Tc-99m mebrofenin
|
$841.88 |
$841.88 |
$841.88 |
$169.53
|
|
Tc-99m medronate
|
$212.45 |
$212.45 |
$212.45 |
$122.46
|
|
Tc-99m mertiatide
|
$3,357.87 |
$3,357.87 |
$3,357.87 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$760.72 |
$760.72 |
$760.72 |
$245.85
|
|
Tc-99m pertechnetate per mci
|
$38.89 |
$38.89 |
$38.89 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$2,060.07 |
$2,060.07 |
$2,060.07 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$801.54 |
$801.54 |
$801.54 |
$221.60
|
|
Tc-99m sulfur colloid
|
$627.07 |
$627.07 |
$627.07 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$825.99 |
$825.99 |
$825.99 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$63.13 |
$63.13 |
$63.13 |
$186.00
|
|
T cells absolute cd 4 count
|
$37.96 |
$37.96 |
$37.96 |
$120.25
|
|
T cells total count
|
$32.72 |
$32.72 |
$32.72 |
$124.11
|
