|
Pr tube thoracostomy w/connection to drainage open
|
$3,532.70 |
$3,532.70 |
$3,532.70 |
$1,790.60
|
|
PSA (Prostate) Test
|
$270.60 |
$270.60 |
$270.60 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$159.26 |
$159.26 |
$159.26 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$29.41 |
$29.41 |
$29.41 |
$34.69
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$164.07 |
$164.07 |
$164.07 |
$82.55
|
|
Pt evaluation high complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$388.51 |
$388.51 |
$388.51 |
$263.90
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$116.10 |
$116.10 |
$116.10 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$137.34 |
$137.34 |
$137.34 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$95.63 |
$95.63 |
$95.63 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$611.21 |
$611.21 |
$611.21 |
$368.00
|
|
Pulse ox single
|
$160.86 |
$160.86 |
$160.86 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$333.94 |
$333.94 |
$333.94 |
$127.50
|
|
Puncture spinal lumbar diagnostic
|
$7,747.47 |
$7,747.47 |
$7,747.47 |
$1,134.64
|
|
Pyruvate
|
$184.38 |
$184.38 |
$184.38 |
$65.00
|
|
Quest t3 uptake
|
$231.29 |
$231.29 |
$231.29 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$30,248.33 |
$30,248.33 |
$30,248.33 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$30,268.32 |
$30,268.32 |
$30,268.32 |
$3,213.80
|
|
Radiation treatment delivery
|
$438.35 |
$438.35 |
$438.35 |
$257.01
|
|
Radiation treatment delivery
|
$712.81 |
$712.81 |
$712.81 |
$552.40
|
|
Radiology port images(s)
|
$387.16 |
$387.16 |
$387.16 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$16,846.89 |
$16,846.89 |
$16,846.89 |
$5,996.21
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$25,596.80 |
$25,596.80 |
$25,596.80 |
$16,029.45
|
|
Rapid Strep Test
|
$210.49 |
$210.49 |
$210.49 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$69,692.46 |
$69,692.46 |
$69,692.46 |
$35,836.29
|
|
Red blood cells leukocytes reduced each unit
|
$550.31 |
$550.31 |
$550.31 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$4,619.44 |
$4,619.44 |
$4,619.44 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,527.84 |
$2,527.84 |
$2,527.84 |
$656.83
|
|
Removal cerumen impacted (both sides)
|
$249.62 |
$249.62 |
$249.62 |
$177.60
|
|
Removal foreign body foot subcutaneous right
|
$4,323.26 |
$4,323.26 |
$4,323.26 |
$1,256.00
|
|
Remove foreign body from eye
|
$7,365.49 |
$7,365.49 |
$7,365.49 |
$3,433.80
|
|
Remove hip foreign body 27086
|
$7,811.97 |
$7,811.97 |
$7,811.97 |
$3,127.88
|
|
Remove shoulder foreign body subq 23330
|
$10,259.92 |
$10,259.92 |
$10,259.92 |
$1,917.33
|
|
Renal function panel
|
$376.77 |
$376.77 |
$376.77 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$9,005.68 |
$9,005.68 |
$9,005.68 |
$1,193.40
|
|
Repair lip full thkns =<one-half vert height
|
$7,902.70 |
$7,902.70 |
$7,902.70 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,300.18 |
$4,300.18 |
$4,300.18 |
$1,928.07
|
|
#resp virpnl dfa-adenovirus
|
$43.29 |
$43.29 |
$43.29 |
$48.00
|
|
Resuscitation cardiopulmonary
|
$1,022.04 |
$1,022.04 |
$1,022.04 |
$847.29
|
|
Reticulocyte automated
|
$210.15 |
$210.15 |
$210.15 |
$54.60
|
|
Rheumatoid factor qualitative
|
$78.19 |
$78.19 |
$78.19 |
$54.60
|
|
Rheumatoid factor quantitative
|
$204.46 |
$204.46 |
$204.46 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$76.84 |
$76.84 |
$76.84 |
$255.26
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$16,356.37 |
$16,356.37 |
$16,356.37 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$18,116.94 |
$18,116.94 |
$18,116.94 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$28,218.29 |
$28,218.29 |
$28,218.29 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$26,843.44 |
$26,843.44 |
$26,843.44 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$27,923.76 |
$27,923.76 |
$27,923.76 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$23,545.05 |
$23,545.05 |
$23,545.05 |
$1,917.33
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$28,619.31 |
$28,619.31 |
$28,619.31 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$4,420.19 |
$4,420.19 |
$4,420.19 |
$180.55
|
|
Rubella antibody igg
|
$210.69 |
$210.69 |
$210.69 |
$73.10
|
|
Rubeola antibody igg
|
$164.01 |
$164.01 |
$164.01 |
$79.68
|
|
Russell viper venom diluted
|
$33.27 |
$33.27 |
$33.27 |
$70.16
|
|
Salmonella antibody
|
$167.96 |
$167.96 |
$167.96 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$4,056.83 |
$4,056.83 |
$4,056.83 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,938.80 |
$1,938.80 |
$1,938.80 |
$670.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,358.67 |
$2,358.67 |
$2,358.67 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,677.79 |
$2,677.79 |
$2,677.79 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,225.13 |
$2,225.13 |
$2,225.13 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,331.50 |
$2,331.50 |
$2,331.50 |
$601.70
|
|
Screening Mammogram
|
$741.07 |
$741.07 |
$741.07 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$34.39 |
$34.39 |
$34.39 |
$44.20
|
|
Shoulder MRI (with and without contrast)
|
$7,148.88 |
$7,148.88 |
$7,148.88 |
$2,705.30
|
|
Shoulder MRI (without contrast)
|
$6,687.41 |
$6,687.41 |
$6,687.41 |
$2,051.28
|
|
Shoulder X-ray
|
$1,542.02 |
$1,542.02 |
$1,542.02 |
$367.02
|
|
Sickling rbc
|
$70.16 |
$70.16 |
$70.16 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$5,907.21 |
$5,907.21 |
$5,907.21 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$6,805.89 |
$6,805.89 |
$6,805.89 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$6,454.91 |
$6,454.91 |
$6,454.91 |
$1,279.50
|
|
Smear fluorescent and/or acid fast stain
|
$68.63 |
$68.63 |
$68.63 |
$64.20
|
|
Smear gram stain
|
$180.05 |
$180.05 |
$180.05 |
$57.85
|
|
Smear wet mount
|
$74.11 |
$74.11 |
$74.11 |
$68.63
|
|
Sodium 24 hour urine
|
$196.70 |
$196.70 |
$196.70 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.98 |
$42.98 |
$42.98 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$260.46 |
$260.46 |
$260.46 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$829.46 |
$829.46 |
$829.46 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,024.74 |
$2,024.74 |
$2,024.74 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$166.33 |
$166.33 |
$166.33 |
$42.70
|
|
Srs multisource
|
$35,677.03 |
$35,677.03 |
$35,677.03 |
$31,800.00
|
|
Staph a dna amp probe
|
$446.83 |
$446.83 |
$446.83 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$452.48 |
$452.48 |
$452.48 |
$313.96
|
|
St evaluate speech sound production
|
$339.51 |
$339.51 |
$339.51 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$692.37 |
$692.37 |
$692.37 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$406.40
|
|
St evaluation swallow function
|
$752.31 |
$752.31 |
$752.31 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$2,494.22 |
$2,494.22 |
$2,494.22 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$959.73 |
$959.73 |
$959.73 |
$171.00
|
|
Strapping of hand or finger
|
$959.73 |
$959.73 |
$959.73 |
$194.40
|
|
Strapping of knee
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$224.80
|
|
Strapping of toes 29550
|
$959.73 |
$959.73 |
$959.73 |
$185.36
|
|
St treatment speech individual
|
$231.71 |
$231.71 |
$231.71 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$256.19 |
$256.19 |
$256.19 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$251.87 |
$251.87 |
$251.87 |
$49.13
|
|
Sugars single quant
|
$146.82 |
$146.82 |
$146.82 |
$52.47
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$145.66 |
$145.66 |
$145.66 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$436.19 |
$436.19 |
$436.19 |
$92.59
|
|
Surgical pathology level 4 gross & microscopic examination
|
$614.01 |
$614.01 |
$614.01 |
$253.75
|
|
Susceptibility agar dilution per agent
|
$60.48 |
$60.48 |
$60.48 |
$40.30
|