|
Rib and Chest X-ray (4 or more views, both sides)
|
$310.00 |
$310.00 |
$310.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$282.50 |
$282.50 |
$282.50 |
$397.60
|
|
Right ventric recording
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$2,345.00
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$152.41 |
$152.41 |
$152.41 |
$5,004.42
|
|
Rmvl icd by tv extr
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,735.00 |
$12,735.00 |
$12,735.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$16,585.00 |
$16,585.00 |
$16,585.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,735.00 |
$12,735.00 |
$12,735.00 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$407.50 |
$407.50 |
$407.50 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$1,784.51
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,005.00 |
$8,005.00 |
$8,005.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,585.00 |
$5,585.00 |
$5,585.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$840.00 |
$840.00 |
$840.00 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$4,225.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$27.15 |
$27.15 |
$27.15 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.71 |
$0.71 |
$0.71 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$2,203.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,930.00 |
$1,930.00 |
$1,930.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,945.00 |
$3,945.00 |
$3,945.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$3,724.63
|
|
Rsv assay w/optic
|
$110.00 |
$110.00 |
$110.00 |
$76.32
|
|
Rubella antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$77.40
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Russell viper venom diluted
|
$77.50 |
$77.50 |
$77.50 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$362.50 |
$362.50 |
$362.50 |
$314.26
|
|
Salivary glnd img serial img
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$701.73
|
|
Salmonella antibody
|
$70.00 |
$70.00 |
$70.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$37.50 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$905.00 |
$905.00 |
$905.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$605.00 |
$605.00 |
$605.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$605.00 |
$605.00 |
$605.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$565.00 |
$565.00 |
$565.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$520.00 |
$520.00 |
$520.00 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$2,144.48
|
|
Screening Mammogram
|
$237.50 |
$237.50 |
$237.50 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$10,002.77 |
$10,002.77 |
$10,002.77 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$625.00 |
$625.00 |
$625.00 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,985.00 |
$3,985.00 |
$3,985.00 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$25.00 |
$25.00 |
$25.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$96.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Semen analysis w/count
|
$90.00 |
$90.00 |
$90.00 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$400.00 |
$400.00 |
$400.00 |
$316.68
|
|
Serial tonometry
|
$122.50 |
$122.50 |
$122.50 |
$131.02
|
|
Sertraline (zoloft) - sendout
|
$357.50 |
$357.50 |
$357.50 |
$126.43
|
|
Set radiation therapy field
|
$710.00 |
$710.00 |
$710.00 |
$782.61
|
|
Set radiation therapy field
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,159.03
|
|
Set radiation therapy field
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$0.36 |
$0.36 |
$0.36 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$0.33 |
$0.33 |
$0.33 |
$21.42
|
|
Shot (Injection into Muscle or Under the Skin)
|
$70.00 |
$70.00 |
$70.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$202.50 |
$202.50 |
$202.50 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$2,096.84
|
|
Shoulder X-ray
|
$310.00 |
$310.00 |
$310.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$182.50 |
$182.50 |
$182.50 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$4,427.72 |
$4,427.72 |
$4,427.72 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$345.00 |
$345.00 |
$345.00 |
$355.80
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$59.40
|
|
Sim ang w/prs cath rad emb
|
$15,000.00 |
$15,000.00 |
$15,000.00 |
$18,145.20
|
|
Sinus CT scan (with and without contrast)
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$242.50 |
$242.50 |
$242.50 |
$346.45
|
|
Sinus X-ray (limited)
|
$160.00 |
$160.00 |
$160.00 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$287.50 |
$287.50 |
$287.50 |
$83.85
|
|
Skin Biopsy
|
$245.00 |
$245.00 |
$245.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$290.00 |
$290.00 |
$290.00 |
$294.45
|
|
Skull X-ray (complete)
|
$437.50 |
$437.50 |
$437.50 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$225.00 |
$225.00 |
$225.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$3,146.63 |
$3,146.63 |
$3,146.63 |
$9,679.96
|
|
Slitting of prepuce
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$3,376.23
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$397.50 |
$397.50 |
$397.50 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$47.50 |
$47.50 |
$47.50 |
$64.35
|
|
Smear gram stain
|
$45.00 |
$45.00 |
$45.00 |
$55.55
|
|
Smear nasal eosinophil
|
$50.00 |
$50.00 |
$50.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$60.00 |
$60.00 |
$60.00 |
$73.50
|
|
Smear wet mount
|
$32.50 |
$32.50 |
$32.50 |
$67.55
|
|
Smpd1 gene common variants
|
$140.00 |
$140.00 |
$140.00 |
$133.84
|
|
Sodium 24 hour urine
|
$47.50 |
$47.50 |
$47.50 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$86.86 |
$86.86 |
$86.86 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$61.39 |
$61.39 |
$61.39 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$58.13 |
$58.13 |
$58.13 |
$37.64
|
|
Sodium serum/plasma/whole blood
|
$45.00 |
$45.00 |
$45.00 |
$46.26
|
|
Special physics consult
|
$485.00 |
$485.00 |
$485.00 |
$725.00
|
|
Special radiation treatment
|
$1,945.00 |
$1,945.00 |
$1,945.00 |
$2,052.00
|
