|
Resuscitation cardiopulmonary
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$895.44
|
|
Reticulocyte automated
|
$100.80 |
$100.80 |
$100.80 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$86.40 |
$86.40 |
$86.40 |
$32.50
|
|
Rheumatoid factor qualitative
|
$160.20 |
$160.20 |
$160.20 |
$54.60
|
|
Rheumatoid factor quantitative
|
$187.20 |
$187.20 |
$187.20 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$511.80 |
$511.80 |
$511.80 |
$345.07
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$9,864.87 |
$9,864.87 |
$9,864.87 |
$17,105.60
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13.05 |
$13.05 |
$13.05 |
$31.05
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,921.00 |
$3,921.00 |
$3,921.00 |
$5,400.67
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$42.10 |
$42.10 |
$42.10 |
$60.40
|
|
Rp loclzj tum 2+area 1+d img
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$1,283.66
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$2,182.05
|
|
Rsv assay w/optic
|
$207.00 |
$207.00 |
$207.00 |
$64.13
|
|
Rubella antibody igg
|
$187.20 |
$187.20 |
$187.20 |
$73.05
|
|
Rubeola antibody igg
|
$179.40 |
$179.40 |
$179.40 |
$80.00
|
|
Russell viper venom diluted
|
$218.40 |
$218.40 |
$218.40 |
$73.03
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$970.20 |
$970.20 |
$970.20 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,401.00 |
$1,401.00 |
$1,401.00 |
$788.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$658.80 |
$658.80 |
$658.80 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$952.20 |
$952.20 |
$952.20 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$888.00 |
$888.00 |
$888.00 |
$527.80
|
|
Screen cerv/vag thin layer
|
$163.80 |
$163.80 |
$163.80 |
$61.20
|
|
Screening Mammogram
|
$249.60 |
$249.60 |
$249.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$253.20 |
$253.20 |
$253.20 |
$96.00
|
|
Screen pap by tech w md supv
|
$102.00 |
$102.00 |
$102.00 |
$27.65
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$306.00 |
$306.00 |
$306.00 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$112.80 |
$112.80 |
$112.80 |
$37.80
|
|
Select picture audiometry
|
$73.20 |
$73.20 |
$73.20 |
$84.00
|
|
Semen analysis presence/motility
|
$95.40 |
$95.40 |
$95.40 |
$79.92
|
|
Serpina1 gene
|
$425.40 |
$425.40 |
$425.40 |
$195.65
|
|
Shoulder MRI (with and without contrast)
|
$4,837.20 |
$4,837.20 |
$4,837.20 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$4,030.80 |
$4,030.80 |
$4,030.80 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$3,224.40 |
$3,224.40 |
$3,224.40 |
$1,938.28
|
|
Shoulder X-ray
|
$543.60 |
$543.60 |
$543.60 |
$307.20
|
|
Sialidase enzyme assay
|
$89.40 |
$89.40 |
$89.40 |
$54.60
|
|
Sialography s&i
|
$470.40 |
$470.40 |
$470.40 |
$403.70
|
|
Sickling rbc
|
$138.60 |
$138.60 |
$138.60 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$309.14 |
$309.14 |
$309.14 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$1,151.00
|
|
Skin Biopsy
|
$473.40 |
$473.40 |
$473.40 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$3,991.80 |
$3,991.80 |
$3,991.80 |
$4,043.20
|
|
Slp stdy unatnd w/anal
|
$771.60 |
$771.60 |
$771.60 |
$402.15
|
|
Smear fluorescent and/or acid fast stain
|
$137.40 |
$137.40 |
$137.40 |
$50.70
|
|
Smear gram stain
|
$102.00 |
$102.00 |
$102.00 |
$48.00
|
|
Smear nasal eosinophil
|
$120.00 |
$120.00 |
$120.00 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$137.40 |
$137.40 |
$137.40 |
$60.00
|
|
Smear wet mount
|
$117.00 |
$117.00 |
$117.00 |
$56.13
|
|
Sodium 24 hour urine
|
$100.80 |
$100.80 |
$100.80 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.32 |
$49.32 |
$49.32 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$79.09 |
$79.09 |
$79.09 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$79.66 |
$79.66 |
$79.66 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$79.30 |
$79.30 |
$79.30 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$104.98 |
$104.98 |
$104.98 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$83.40 |
$83.40 |
$83.40 |
$42.43
|
|
Specific gravity body fluid
|
$49.80 |
$49.80 |
$49.80 |
$21.55
|
|
Specimen fat stain
|
$126.00 |
$126.00 |
$126.00 |
$40.00
|
|
Speech audiometry complete
|
$153.60 |
$153.60 |
$153.60 |
$112.45
|
|
Speech evaluation complex
|
$485.40 |
$485.40 |
$485.40 |
$409.97
|
|
Speech recep thresh
|
$77.40 |
$77.40 |
$77.40 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,640.40 |
$1,640.40 |
$1,640.40 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$841.80 |
$841.80 |
$841.80 |
$526.80
|
|
Split blood or products
|
$112.80 |
$112.80 |
$112.80 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$152.40 |
$152.40 |
$152.40 |
$295.10
|
|
Staph a dna amp probe
|
$105.00 |
$105.00 |
$105.00 |
$116.39
|
|
St evaluate speech sound production
|
$148.80 |
$148.80 |
$148.80 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$305.40 |
$305.40 |
$305.40 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$370.20 |
$370.20 |
$370.20 |
$336.00
|
|
St evaluation swallow function
|
$314.40 |
$314.40 |
$314.40 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$154.20 |
$154.20 |
$154.20 |
$185.36
|
|
Strapping of chest
|
$169.80 |
$169.80 |
$169.80 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$136.80 |
$136.80 |
$136.80 |
$176.31
|
|
Strapping of hand or finger
|
$168.00 |
$168.00 |
$168.00 |
$197.63
|
|
Strapping of hip
|
$344.40 |
$344.40 |
$344.40 |
$164.70
|
|
Strapping of knee
|
$181.20 |
$181.20 |
$181.20 |
$216.34
|
|
Strep a ag ia
|
$145.80 |
$145.80 |
$145.80 |
$75.40
|
|
Strep b dna amp probe
|
$63.00 |
$63.00 |
$63.00 |
$124.20
|
|
Streptokinase antibody
|
$112.80 |
$112.80 |
$112.80 |
$17.47
|
|
Stress test pulmonary
|
$428.40 |
$428.40 |
$428.40 |
$330.63
|
|
Stress tte complete
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$1,989.60
|
|
St treatment speech individual
|
$261.00 |
$261.00 |
$261.00 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$213.60 |
$213.60 |
$213.60 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$49.13 |
$22.19
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.71 |
$50.71 |
$50.71 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$19.80 |
$19.80 |
$19.80 |
$105.75
|
|
Surgical pathology level 1 gross examination only
|
$163.80 |
$163.80 |
$163.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$251.40 |
$251.40 |
$251.40 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$331.80 |
$331.80 |
$331.80 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$433.20 |
$433.20 |
$433.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$735.60 |
$735.60 |
$735.60 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$944.40 |
$944.40 |
$944.40 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$145.80 |
$145.80 |
$145.80 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$100.80 |
$100.80 |
$100.80 |
$31.85
|
|
Susceptibility mic per plate
|
$157.80 |
$157.80 |
$157.80 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$109.20 |
$109.20 |
$109.20 |
$45.70
|
|
T3 (triiodothyronine) free
|
$423.60 |
$423.60 |
$423.60 |
$91.20
|
