|
PSA (Prostate) Test
|
$89.60 |
$89.60 |
$89.60 |
$107.50
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$138.40 |
$138.40 |
$138.40 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$81.48
|
|
Pt application of modality traction mechanical
|
$123.20 |
$123.20 |
$123.20 |
$91.80
|
|
Pt wheelchair management each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$382.40 |
$382.40 |
$382.40 |
$347.11
|
|
Pulse ox multiple
|
$220.80 |
$220.80 |
$220.80 |
$157.30
|
|
Pulse ox single
|
$96.80 |
$96.80 |
$96.80 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$193.60 |
$193.60 |
$193.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$552.00 |
$552.00 |
$552.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$974.40 |
$974.40 |
$974.40 |
$1,060.47
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,792.40 |
$3,792.40 |
$3,792.40 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$5.73 |
$5.73 |
$5.73 |
$6.48
|
|
Rapid Strep Test
|
$62.40 |
$62.40 |
$62.40 |
$76.00
|
|
Rbc count only automated
|
$24.00 |
$24.00 |
$24.00 |
$20.40
|
|
Rbc irradiated each unit
|
$593.60 |
$593.60 |
$593.60 |
$550.40
|
|
Red blood cells each unit
|
$468.00 |
$468.00 |
$468.00 |
$393.90
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$747.20 |
$747.20 |
$747.20 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$500.80 |
$500.80 |
$500.80 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$726.40 |
$726.40 |
$726.40 |
$534.15
|
|
Reduction of procidentia 45900
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$1,226.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$357.91 |
$357.91 |
$357.91 |
$357.91
|
|
Rem/biv cast full arm/leg
|
$304.80 |
$304.80 |
$304.80 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$880.00 |
$880.00 |
$880.00 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$132.00 |
$132.00 |
$132.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$245.60 |
$245.60 |
$245.60 |
$255.97
|
|
Removal embedded foreign body vestibule mouth smpl
|
$307.20 |
$307.20 |
$307.20 |
$783.75
|
|
Removal foreign body foot cmplx
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$1,260.80
|
|
Removal of anal tags
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$3,552.60
|
|
Removal of foreign body
|
$5,620.80 |
$5,620.80 |
$5,620.80 |
$4,149.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$391.20 |
$391.20 |
$391.20 |
$292.50
|
|
Remove ext hem groups 2+
|
$5,130.40 |
$5,130.40 |
$5,130.40 |
$3,425.94
|
|
Renal function panel
|
$64.80 |
$64.80 |
$64.80 |
$114.37
|
|
Repair blood vessel dir lower extr
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,481.60 |
$1,481.60 |
$1,481.60 |
$1,055.69
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$801.60 |
$801.60 |
$801.60 |
$954.20
|
|
#resp virpnl dfa-adenovirus
|
$68.00 |
$68.00 |
$68.00 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$74.40 |
$74.40 |
$74.40 |
$35.20
|
|
Reticulocyte automated
|
$39.20 |
$39.20 |
$39.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$49.60 |
$49.60 |
$49.60 |
$36.57
|
|
Rheumatoid factor qualitative
|
$47.20 |
$47.20 |
$47.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$60.00 |
$60.00 |
$60.00 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$124.00 |
$124.00 |
$124.00 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$244.80 |
$244.80 |
$244.80 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$441.60 |
$441.60 |
$441.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$512.00 |
$512.00 |
$512.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$449.60 |
$449.60 |
$449.60 |
$397.60
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$909.91 |
$909.91 |
$909.91 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,074.51 |
$4,074.51 |
$4,074.51 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,194.51 |
$3,194.51 |
$3,194.51 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$3,999.11 |
$3,999.11 |
$3,999.11 |
$6,287.16
|
|
Rmvl ndwellg tun pleural cath
|
$1,829.60 |
$1,829.60 |
$1,829.60 |
$1,172.40
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,368.80 |
$4,368.80 |
$4,368.80 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,722.07 |
$3,722.07 |
$3,722.07 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$164.03 |
$164.03 |
$164.03 |
$188.16
|
|
Rsv assay w/optic
|
$136.00 |
$136.00 |
$136.00 |
$76.32
|
|
Rubella antibody igg
|
$111.20 |
$111.20 |
$111.20 |
$77.40
|
|
Rubeola antibody igg
|
$108.80 |
$108.80 |
$108.80 |
$80.00
|
|
Russell viper venom diluted
|
$100.80 |
$100.80 |
$100.80 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$387.20 |
$387.20 |
$387.20 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,088.80 |
$1,088.80 |
$1,088.80 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$788.80 |
$788.80 |
$788.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$808.80 |
$808.80 |
$808.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$921.60 |
$921.60 |
$921.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$851.20 |
$851.20 |
$851.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$832.80 |
$832.80 |
$832.80 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$152.80 |
$152.80 |
$152.80 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$444.80 |
$444.80 |
$444.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$156.00 |
$156.00 |
$156.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$2,168.00 |
$2,168.00 |
$2,168.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$793.60 |
$793.60 |
$793.60 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$32.80 |
$32.80 |
$32.80 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$128.00 |
$128.00 |
$128.00 |
$96.00
|
|
Semen analysis presence/motility
|
$88.00 |
$88.00 |
$88.00 |
$70.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$204.80 |
$204.80 |
$204.80 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$172.80 |
$172.80 |
$172.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$360.00 |
$360.00 |
$360.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$351.20 |
$351.20 |
$351.20 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,989.60 |
$3,989.60 |
$3,989.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,332.00 |
$3,332.00 |
$3,332.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,874.40 |
$2,874.40 |
$2,874.40 |
$2,096.84
|
|
Shoulder X-ray
|
$360.80 |
$360.80 |
$360.80 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$284.00 |
$284.00 |
$284.00 |
$263.25
|
|
Sickling rbc
|
$56.00 |
$56.00 |
$56.00 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$2,947.20 |
$2,947.20 |
$2,947.20 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$383.20 |
$383.20 |
$383.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$268.00 |
$268.00 |
$268.00 |
$215.40
|
|
Sirolimus, oral
|
$47.68 |
$47.68 |
$47.68 |
$41.70
|
|
Skin Biopsy
|
$413.60 |
$413.60 |
$413.60 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$390.40 |
$390.40 |
$390.40 |
$294.45
|
