|
Russell viper venom diluted
|
$49.60 |
$49.60 |
$49.60 |
$73.03
|
|
Salmonella antibody
|
$27.60 |
$27.60 |
$27.60 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$42.80 |
$42.80 |
$42.80 |
$65.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$552.00 |
$552.00 |
$552.00 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$339.20 |
$339.20 |
$339.20 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$276.00 |
$276.00 |
$276.00 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$264.80 |
$264.80 |
$264.80 |
$507.18
|
|
Scan duplex extremity veins unilateral/limited study
|
$422.00 |
$422.00 |
$422.00 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$502.80 |
$502.80 |
$502.80 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$276.40 |
$276.40 |
$276.40 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$400.40 |
$400.40 |
$400.40 |
$527.80
|
|
Screening Mammogram
|
$179.60 |
$179.60 |
$179.60 |
$287.12
|
|
Screen/visual acuity/bilat/quant 99173
|
$13.20 |
$13.20 |
$13.20 |
$29.70
|
|
Sedimentation rate erythrocyte automated
|
$40.40 |
$40.40 |
$40.40 |
$37.80
|
|
Serpina1 gene
|
$77.60 |
$77.60 |
$77.60 |
$195.65
|
|
Set radiation therapy field
|
$209.60 |
$209.60 |
$209.60 |
$1,029.00
|
|
Set radiation therapy field
|
$209.60 |
$209.60 |
$209.60 |
$1,601.60
|
|
Shoulder MRI (with and without contrast)
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$1,646.00 |
$1,646.00 |
$1,646.00 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,938.28
|
|
Shoulder X-ray
|
$257.60 |
$257.60 |
$257.60 |
$307.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$451.60 |
$451.60 |
$451.60 |
$342.54
|
|
Sialography s&i
|
$127.60 |
$127.60 |
$127.60 |
$403.70
|
|
Sickling rbc
|
$14.00 |
$14.00 |
$14.00 |
$53.40
|
|
Sinus CT scan (with and without contrast)
|
$756.80 |
$756.80 |
$756.80 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$690.00 |
$690.00 |
$690.00 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$947.20 |
$947.20 |
$947.20 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$2,052.67
|
|
Sleep Study (Polysomnography)
|
$1,174.40 |
$1,174.40 |
$1,174.40 |
$4,043.20
|
|
Sleep study unattended
|
$138.80 |
$138.80 |
$138.80 |
$631.55
|
|
Smear fluorescent and/or acid fast stain
|
$17.20 |
$17.20 |
$17.20 |
$50.70
|
|
Smear gram stain
|
$39.60 |
$39.60 |
$39.60 |
$48.00
|
|
Smear special stain inclusion bodies/parasites
|
$27.20 |
$27.20 |
$27.20 |
$60.00
|
|
Smear wet mount
|
$54.40 |
$54.40 |
$54.40 |
$56.13
|
|
Sodium 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$47.25
|
|
Sodium serum/plasma/whole blood
|
$16.40 |
$16.40 |
$16.40 |
$42.43
|
|
Special radiation dosimetry
|
$79.20 |
$79.20 |
$79.20 |
$482.08
|
|
Special radiation treatment
|
$336.80 |
$336.80 |
$336.80 |
$1,945.00
|
|
Special teletx port plan
|
$209.60 |
$209.60 |
$209.60 |
$975.60
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$316.80 |
$316.80 |
$316.80 |
$526.80
|
|
St analysis behavior qualitative voice/resonance
|
$226.40 |
$226.40 |
$226.40 |
$295.10
|
|
Staph a dna amp probe
|
$39.60 |
$39.60 |
$39.60 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$154.40 |
$154.40 |
$154.40 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$695.20 |
$695.20 |
$695.20 |
$30,010.80
|
|
St evaluate speech sound production
|
$285.20 |
$285.20 |
$285.20 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$179.20 |
$179.20 |
$179.20 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$237.20 |
$237.20 |
$237.20 |
$336.00
|
|
St evaluation swallow function
|
$186.40 |
$186.40 |
$186.40 |
$323.72
|
|
Strep a ag ia
|
$71.20 |
$71.20 |
$71.20 |
$75.40
|
|
Strep b dna amp probe
|
$36.00 |
$36.00 |
$36.00 |
$124.20
|
|
Stress test pulmonary
|
$185.60 |
$185.60 |
$185.60 |
$330.63
|
|
St treatment speech individual
|
$140.00 |
$140.00 |
$140.00 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$140.00 |
$140.00 |
$140.00 |
$221.00
|
|
Sulfonylurea screen qn-sendout
|
$123.60 |
$123.60 |
$123.60 |
$151.45
|
|
Surgical pathology level 1 gross examination only
|
$18.80 |
$18.80 |
$18.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$46.80 |
$46.80 |
$46.80 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$67.20 |
$67.20 |
$67.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$101.60 |
$101.60 |
$101.60 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$160.80 |
$160.80 |
$160.80 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$356.80 |
$356.80 |
$356.80 |
$720.75
|
|
Susceptibility enzyme detection per enzyme
|
$33.20 |
$33.20 |
$33.20 |
$31.85
|
|
Susceptibility mic per plate
|
$142.00 |
$142.00 |
$142.00 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$22.80 |
$22.80 |
$22.80 |
$45.70
|
|
T3 (triiodothyronine) free
|
$124.00 |
$124.00 |
$124.00 |
$91.20
|
|
T3 (triiodothyronine) total
|
$88.00 |
$88.00 |
$88.00 |
$88.00
|
|
T4 (thyroxine) free
|
$119.20 |
$119.20 |
$119.20 |
$65.00
|
|
T4 (thyroxine) total
|
$40.00 |
$40.00 |
$40.00 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$84.80 |
$84.80 |
$84.80 |
$137.15
|
|
Tbs techl calculation only
|
$53.20 |
$53.20 |
$53.20 |
$119.66
|
|
Tbs techl prep&transmis data
|
$53.20 |
$53.20 |
$53.20 |
$105.08
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$36.00 |
$36.00 |
$36.00 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$140.80 |
$140.80 |
$140.80 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$70.00 |
$70.00 |
$70.00 |
$189.60
|
|
T cells absolute cd 4 count
|
$68.80 |
$68.80 |
$68.80 |
$120.25
|
|
T cells total count
|
$53.20 |
$53.20 |
$53.20 |
$126.90
|
|
Telethx isodose plan cplx
|
$209.60 |
$209.60 |
$209.60 |
$1,526.85
|
|
Test stress cardiovascular tracing only
|
$403.60 |
$403.60 |
$403.60 |
$1,016.00
|
|
Theophylline therapeutic drug level
|
$66.40 |
$66.40 |
$66.40 |
$101.40
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$22.00 |
$22.00 |
$22.00 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$24.80 |
$24.80 |
$24.80 |
$47.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$737.20 |
$737.20 |
$737.20 |
$1,658.70
|
|
Thrombectmy crnry perq mechanical
|
$3,165.60 |
$3,165.60 |
$3,165.60 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$8,395.40
|
|
Thrombin time
|
$28.80 |
$28.80 |
$28.80 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$62.40 |
$62.40 |
$62.40 |
$56.93
|
|
Thyroglobulin antibody
|
$81.60 |
$81.60 |
$81.60 |
$86.40
|
|
Thyroid mets imag whole body
|
$628.40 |
$628.40 |
$628.40 |
$1,320.00
|
|
Thyroid (TSH) Test
|
$101.20 |
$101.20 |
$101.20 |
$101.40
|
|
Thyroid Ultrasound
|
$560.80 |
$560.80 |
$560.80 |
$553.80
|
|
Thyroid uptake measurement
|
$440.40 |
$440.40 |
$440.40 |
$580.20
|
|
Tilt table study
|
$836.80 |
$836.80 |
$836.80 |
$1,488.24
|
|
Tissue culture skin/biopsy
|
$444.00 |
$444.00 |
$444.00 |
$626.77
|
|
Tobramycin peak therapeutic drug level
|
$105.20 |
$105.20 |
$105.20 |
$117.00
|
|
Tomosynthesis breast screen bilateral
|
$40.80 |
$40.80 |
$40.80 |
$77.46
|
|
Toxoplasma antibody igg
|
$47.60 |
$47.60 |
$47.60 |
$83.20
|
|
Toxoplasma antibody igm
|
$70.80 |
$70.80 |
$70.80 |
$85.80
|
|
Transferrin
|
$69.60 |
$69.60 |
$69.60 |
$83.07
|
|
Transfusion blood/blood component(s)
|
$484.80 |
$484.80 |
$484.80 |
$988.24
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$140.80 |
$140.80 |
$140.80 |
$224.90
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$114.80 |
$114.80 |
$114.80 |
$197.60
|
