|
Protein c activity
|
$458.40 |
$458.40 |
$458.40 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$183.60 |
$183.60 |
$183.60 |
$84.00
|
|
Protein s total
|
$363.60 |
$363.60 |
$363.60 |
$85.10
|
|
Protein total 24 hour urine
|
$92.40 |
$92.40 |
$92.40 |
$45.00
|
|
Protein total body fluid
|
$90.00 |
$90.00 |
$90.00 |
$49.20
|
|
Protein total serum plasma whole blood
|
$62.40 |
$62.40 |
$62.40 |
$40.70
|
|
Prothrombin complex kcentra
|
$3.84 |
$3.84 |
$3.84 |
$3.84
|
|
Prothrombin time substitution plasma fractions each
|
$82.80 |
$82.80 |
$82.80 |
$37.05
|
|
Protoporphyrin rbc screen
|
$25.80 |
$25.80 |
$25.80 |
$24.00
|
|
PSA (Prostate) Test
|
$227.40 |
$227.40 |
$227.40 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$21.00 |
$21.00 |
$21.00 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$121.80 |
$121.80 |
$121.80 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$103.20 |
$103.20 |
$103.20 |
$82.55
|
|
Pt application of modality traction mechanical
|
$131.40 |
$131.40 |
$131.40 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$235.20 |
$235.20 |
$235.20 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$151.80 |
$151.80 |
$151.80 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$193.20 |
$193.20 |
$193.20 |
$247.20
|
|
Pt re-evaluation patient/family
|
$186.60 |
$186.60 |
$186.60 |
$141.93
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$89.40 |
$89.40 |
$89.40 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$87.60 |
$87.60 |
$87.60 |
$84.90
|
|
Pulse ox multiple
|
$284.40 |
$284.40 |
$284.40 |
$190.25
|
|
Pulse ox single
|
$167.40 |
$167.40 |
$167.40 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$193.80 |
$193.80 |
$193.80 |
$113.75
|
|
Puncture spinal lumbar diagnostic
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$1,087.80
|
|
Pyridoxine hcl 100 mg
|
$43.24 |
$43.24 |
$43.24 |
$29.11
|
|
Pyruvate
|
$142.80 |
$142.80 |
$142.80 |
$65.00
|
|
Quest t3 uptake
|
$126.00 |
$126.00 |
$126.00 |
$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
|
|
Rapid Strep Test
|
$121.80 |
$121.80 |
$121.80 |
$67.80
|
|
Rbc count only automated
|
$36.60 |
$36.60 |
$36.60 |
$20.00
|
|
Red blood cells each unit
|
$909.60 |
$909.60 |
$909.60 |
$380.25
|
|
Red blood cells leukocytes reduced each unit
|
$661.20 |
$661.20 |
$661.20 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$645.45
|
|
Refill/maint pump/resvr syst
|
$657.60 |
$657.60 |
$657.60 |
$403.76
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,518.60 |
$2,518.60 |
$2,518.60 |
$1,888.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,056.40 |
$3,056.40 |
$3,056.40 |
$2,164.52
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$234.00 |
$234.00 |
$234.00 |
$236.64
|
|
Renal function panel
|
$252.60 |
$252.60 |
$252.60 |
$95.76
|
|
Reptilase test
|
$92.40 |
$92.40 |
$92.40 |
$65.72
|
|
Resuscitation cardiopulmonary
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$895.44
|
|
Resuscitation delivery/birthing room
|
$887.40 |
$887.40 |
$887.40 |
$726.60
|
|
Reteplase injection
|
$5,382.01 |
$5,382.01 |
$5,382.01 |
$2,904.58
|
|
Reticulocyte automated
|
$86.40 |
$86.40 |
$86.40 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$12.60 |
$12.60 |
$12.60 |
$32.50
|
|
Rheumatoid factor qualitative
|
$129.00 |
$129.00 |
$129.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$159.60 |
$159.60 |
$159.60 |
$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 inj
|
$286.65 |
$286.65 |
$286.65 |
$232.72
|
|
Rsv assay w/optic
|
$135.60 |
$135.60 |
$135.60 |
$64.13
|
|
Rubella antibody igg
|
$165.60 |
$165.60 |
$165.60 |
$73.05
|
|
Rubeola antibody igg
|
$121.80 |
$121.80 |
$121.80 |
$80.00
|
|
Russell viper venom diluted
|
$162.00 |
$162.00 |
$162.00 |
$73.03
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,212.80 |
$2,212.80 |
$2,212.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$662.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$691.07
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$949.20 |
$949.20 |
$949.20 |
$612.00
|
|
Screening Mammogram
|
$308.40 |
$308.40 |
$308.40 |
$287.12
|
|
Screening prostate cancer PSA
|
$216.00 |
$216.00 |
$216.00 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$312.60 |
$312.60 |
$312.60 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$64.20 |
$64.20 |
$64.20 |
$37.80
|
|
Shoulder MRI (with and without contrast)
|
$5,559.60 |
$5,559.60 |
$5,559.60 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
$1,938.28
|
|
Shoulder X-ray
|
$526.80 |
$526.80 |
$526.80 |
$307.20
|
|
Sialidase enzyme assay
|
$62.40 |
$62.40 |
$62.40 |
$54.60
|
|
Sickling rbc
|
$90.00 |
$90.00 |
$90.00 |
$53.40
|
|
Sinus CT scan (with and without contrast)
|
$1,967.40 |
$1,967.40 |
$1,967.40 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,241.40 |
$1,241.40 |
$1,241.40 |
$1,151.00
|
|
Smear fluorescent and/or acid fast stain
|
$112.80 |
$112.80 |
$112.80 |
$50.70
|
|
Smear gram stain
|
$84.60 |
$84.60 |
$84.60 |
$48.00
|
|
Smear special stain inclusion bodies/parasites
|
$119.40 |
$119.40 |
$119.40 |
$60.00
|
|
Smear wet mount
|
$88.80 |
$88.80 |
$88.80 |
$56.13
|
|
Sodium 24 hour urine
|
$78.00 |
$78.00 |
$78.00 |
$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
|
$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
|
$64.20 |
$64.20 |
$64.20 |
$42.43
|
|
Specific gravity body fluid
|
$3.00 |
$3.00 |
$3.00 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$780.60 |
$780.60 |
$780.60 |
$526.80
|
|
Staph a dna amp probe
|
$104.40 |
$104.40 |
$104.40 |
$116.39
|
|
Strep a ag ia
|
$120.60 |
$120.60 |
$120.60 |
$75.40
|
|
Strep b dna amp probe
|
$234.00 |
$234.00 |
$234.00 |
$124.20
|
|
Stress tte complete
|
$3,573.00 |
$3,573.00 |
$3,573.00 |
$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
|
|
Support clav 29.6-40.5in med
|
$24.00 |
$24.00 |
$24.00 |
$105.75
|
|
Surgical pathology level 1 gross examination only
|
$204.60 |
$204.60 |
$204.60 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$255.00 |
$255.00 |
$255.00 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$399.00 |
$399.00 |
$399.00 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$477.60 |
$477.60 |
$477.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$787.20 |
$787.20 |
$787.20 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$131.40 |
$131.40 |
$131.40 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$90.00 |
$90.00 |
$90.00 |
$31.85
|
