|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$69.60 |
$69.60 |
$69.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$84.90
|
|
Pulmonary vent imaging
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$828.73
|
|
Pulse ox multiple
|
$315.60 |
$315.60 |
$315.60 |
$190.25
|
|
Pulse ox single
|
$78.60 |
$78.60 |
$78.60 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$79.80 |
$79.80 |
$79.80 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$704.40 |
$704.40 |
$704.40 |
$478.80
|
|
Puncture spinal lumbar diagnostic
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$1,087.80
|
|
Pyruvate
|
$154.80 |
$154.80 |
$154.80 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,852.40 |
$2,852.40 |
$2,852.40 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$1,842.60 |
$1,842.60 |
$1,842.60 |
$1,228.80
|
|
Quest t3 uptake
|
$142.80 |
$142.80 |
$142.80 |
$55.00
|
|
Rabies ig ht&sol human im/sc
|
$5,401.91 |
$5,401.91 |
$5,401.91 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,401.91 |
$5,401.91 |
$5,401.91 |
$1,624.21
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,893.20 |
$2,893.20 |
$2,893.20 |
$2,683.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,494.80 |
$2,494.80 |
$2,494.80 |
$2,177.00
|
|
Rapid Strep Test
|
$124.80 |
$124.80 |
$124.80 |
$67.80
|
|
Rbc count only automated
|
$42.60 |
$42.60 |
$42.60 |
$20.00
|
|
Red blood cells leukocytes reduced each unit
|
$456.00 |
$456.00 |
$456.00 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$931.80 |
$931.80 |
$931.80 |
$645.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$626.62 |
$626.62 |
$626.62 |
$115.07
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,518.60 |
$2,518.60 |
$2,518.60 |
$1,888.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$154.80 |
$154.80 |
$154.80 |
$236.64
|
|
Renal function panel
|
$322.20 |
$322.20 |
$322.20 |
$95.76
|
|
#resp virpnl dfa-adenovirus
|
$136.20 |
$136.20 |
$136.20 |
$62.40
|
|
Resuscitation cardiopulmonary
|
$797.40 |
$797.40 |
$797.40 |
$895.44
|
|
Reteplase injection
|
$5,624.40 |
$5,624.40 |
$5,624.40 |
$2,904.58
|
|
Reticulocyte automated
|
$93.00 |
$93.00 |
$93.00 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$17.40 |
$17.40 |
$17.40 |
$32.50
|
|
Rheumatoid factor quantitative
|
$91.20 |
$91.20 |
$91.20 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$511.80 |
$511.80 |
$511.80 |
$345.07
|
|
Rho(d) immune globulin h, sd
|
$2,340.43 |
$2,340.43 |
$2,340.43 |
$1,551.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$42.10 |
$42.10 |
$42.10 |
$60.40
|
|
Rsv assay w/optic
|
$206.40 |
$206.40 |
$206.40 |
$64.13
|
|
Rubella antibody igg
|
$140.40 |
$140.40 |
$140.40 |
$73.05
|
|
Rubeola antibody igg
|
$143.40 |
$143.40 |
$143.40 |
$80.00
|
|
Russell viper venom diluted
|
$165.60 |
$165.60 |
$165.60 |
$73.03
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$998.40 |
$998.40 |
$998.40 |
$662.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$891.00 |
$891.00 |
$891.00 |
$507.18
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$979.20 |
$979.20 |
$979.20 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$986.40 |
$986.40 |
$986.40 |
$527.80
|
|
Screening Mammogram
|
$206.40 |
$206.40 |
$206.40 |
$287.12
|
|
Screening prostate cancer PSA
|
$206.40 |
$206.40 |
$206.40 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$309.00 |
$309.00 |
$309.00 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$70.20 |
$70.20 |
$70.20 |
$37.80
|
|
Serpina1 gene
|
$387.00 |
$387.00 |
$387.00 |
$195.65
|
|
Shoulder MRI (with and without contrast)
|
$4,876.80 |
$4,876.80 |
$4,876.80 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$3,285.60 |
$3,285.60 |
$3,285.60 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$4,219.20 |
$4,219.20 |
$4,219.20 |
$1,938.28
|
|
Shoulder X-ray
|
$520.80 |
$520.80 |
$520.80 |
$307.20
|
|
Sialidase enzyme assay
|
$130.80 |
$130.80 |
$130.80 |
$54.60
|
|
Sickling rbc
|
$112.80 |
$112.80 |
$112.80 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$309.14 |
$309.14 |
$309.14 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,844.40 |
$1,844.40 |
$1,844.40 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,237.80 |
$1,237.80 |
$1,237.80 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,186.80 |
$1,186.80 |
$1,186.80 |
$1,151.00
|
|
Sleep Study (Polysomnography)
|
$4,037.40 |
$4,037.40 |
$4,037.40 |
$4,043.20
|
|
Sleep study unattended
|
$781.20 |
$781.20 |
$781.20 |
$631.55
|
|
Smear fluorescent and/or acid fast stain
|
$85.80 |
$85.80 |
$85.80 |
$50.70
|
|
Smear gram stain
|
$84.60 |
$84.60 |
$84.60 |
$48.00
|
|
Smear nasal eosinophil
|
$43.20 |
$43.20 |
$43.20 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$140.40 |
$140.40 |
$140.40 |
$60.00
|
|
Smear wet mount
|
$96.00 |
$96.00 |
$96.00 |
$56.13
|
|
Sodium 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.07 |
$49.07 |
$49.07 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$79.09 |
$79.09 |
$79.09 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$49.00 |
$49.00 |
$49.00 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$79.30 |
$79.30 |
$79.30 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$54.60 |
$54.60 |
$54.60 |
$42.43
|
|
Specific gravity body fluid
|
$49.80 |
$49.80 |
$49.80 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$534.00 |
$534.00 |
$534.00 |
$526.80
|
|
Strapping of ankle and/or ft 29540
|
$118.80 |
$118.80 |
$118.80 |
$185.36
|
|
Strapping of elbow or wrist 29260
|
$106.80 |
$106.80 |
$106.80 |
$176.31
|
|
Strapping of hand or finger
|
$110.40 |
$110.40 |
$110.40 |
$197.63
|
|
Strapping of hip
|
$135.00 |
$135.00 |
$135.00 |
$164.70
|
|
Strapping of knee
|
$124.80 |
$124.80 |
$124.80 |
$216.34
|
|
Strep a ag ia
|
$142.80 |
$142.80 |
$142.80 |
$75.40
|
|
Strep b dna amp probe
|
$236.40 |
$236.40 |
$236.40 |
$124.20
|
|
Stress test pulmonary
|
$291.00 |
$291.00 |
$291.00 |
$330.63
|
|
Stress tte complete
|
$2,912.40 |
$2,912.40 |
$2,912.40 |
$1,989.60
|
|
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
|
|
Surgical pathology level 1 gross examination only
|
$71.40 |
$71.40 |
$71.40 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$138.60 |
$138.60 |
$138.60 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$267.60 |
$267.60 |
$267.60 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$360.00 |
$360.00 |
$360.00 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$568.20 |
$568.20 |
$568.20 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$529.20 |
$529.20 |
$529.20 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$61.80 |
$61.80 |
$61.80 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$69.60 |
$69.60 |
$69.60 |
$31.85
|
|
Susceptibility mic per plate
|
$129.00 |
$129.00 |
$129.00 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$88.20 |
$88.20 |
$88.20 |
$45.70
|
|
T3 (triiodothyronine) free
|
$184.80 |
$184.80 |
$184.80 |
$91.20
|
|
T3 (triiodothyronine) total
|
$184.80 |
$184.80 |
$184.80 |
$88.00
|
|
T4 (thyroxine) free
|
$216.00 |
$216.00 |
$216.00 |
$65.00
|
|
T4 (thyroxine) total
|
$138.60 |
$138.60 |
$138.60 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$192.00 |
$192.00 |
$192.00 |
$137.15
|
