|
Reticulocyte automated
|
$4.67 |
$4.67 |
$4.67 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$11,822.59 |
$11,822.59 |
$11,822.59 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$18,697.66
|
|
Revasc lithotrip-stent-ather
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$11,822.59 |
$11,822.59 |
$11,822.59 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$19,131.26 |
$19,131.26 |
$19,131.26 |
$18,472.02
|
|
Rf abltj nrv nrvtg si jt
|
$2,838.02 |
$2,838.02 |
$2,838.02 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$43.71 |
$43.71 |
$43.71 |
$54.60
|
|
Rheumatoid factor quantitative
|
$91.23 |
$91.23 |
$91.23 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$140.56 |
$140.56 |
$140.56 |
$255.26
|
|
Ring ostmy barr adapt 48mm
|
$6.18 |
$6.18 |
$6.18 |
$5.97
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$7,819.09 |
$7,819.09 |
$7,819.09 |
$10,693.54
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,926.62 |
$3,926.62 |
$3,926.62 |
$6,877.90
|
|
Rmvl fecal impaction/fb spx under anes
|
$402.65 |
$402.65 |
$402.65 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$688.19 |
$688.19 |
$688.19 |
$1,917.33
|
|
Rmvl pq iabp
|
$317.79 |
$317.79 |
$317.79 |
$1,082.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$9,068.00 |
$9,068.00 |
$9,068.00 |
$8,759.35
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$307.23 |
$307.23 |
$307.23 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,599.54 |
$1,599.54 |
$1,599.54 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$596.12 |
$596.12 |
$596.12 |
$1,458.95
|
|
Rpl tun cvc wo subq port
|
$1,257.15 |
$1,257.15 |
$1,257.15 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$733.16 |
$733.16 |
$733.16 |
$5,959.65
|
|
Rubella antibody igg
|
$34.37 |
$34.37 |
$34.37 |
$73.10
|
|
Rubeola antibody igg
|
$31.40 |
$31.40 |
$31.40 |
$79.68
|
|
Russell viper venom diluted
|
$37.34 |
$37.34 |
$37.34 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,371.13 |
$6,371.13 |
$6,371.13 |
$6,466.16
|
|
Salivary gland imaging
|
$369.13 |
$369.13 |
$369.13 |
$549.70
|
|
Salmonella antibody
|
$37.77 |
$37.77 |
$37.77 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$36.49 |
$36.49 |
$36.49 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$74.68 |
$74.68 |
$74.68 |
$91.14
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$682.67 |
$682.67 |
$682.67 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$392.04 |
$392.04 |
$392.04 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$717.46 |
$717.46 |
$717.46 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$449.74 |
$449.74 |
$449.74 |
$759.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$509.99 |
$509.99 |
$509.99 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$377.19 |
$377.19 |
$377.19 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$636.43 |
$636.43 |
$636.43 |
$5,235.51
|
|
Screening Mammogram
|
$177.78 |
$177.78 |
$177.78 |
$303.55
|
|
Screening prostate cancer PSA
|
$112.86 |
$112.86 |
$112.86 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$6,602.10 |
$6,602.10 |
$6,602.10 |
$28,440.67
|
|
Sedimentation rate erythrocyte automated
|
$3.40 |
$3.40 |
$3.40 |
$44.20
|
|
Sertraline (zoloft) - sendout
|
$136.20 |
$136.20 |
$136.20 |
$173.16
|
|
Set radiation therapy field
|
$400.10 |
$400.10 |
$400.10 |
$731.50
|
|
Set radiation therapy field
|
$612.24 |
$612.24 |
$612.24 |
$1,102.40
|
|
Set radiation therapy field
|
$816.32 |
$816.32 |
$816.32 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$1,981.40 |
$1,981.40 |
$1,981.40 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,249.51 |
$1,249.51 |
$1,249.51 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,262.24 |
$1,262.24 |
$1,262.24 |
$2,051.28
|
|
Shoulder X-ray
|
$658.91 |
$658.91 |
$658.91 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$848.57 |
$848.57 |
$848.57 |
$4,709.25
|
|
Sickling rbc
|
$39.46 |
$39.46 |
$39.46 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$204.31 |
$204.31 |
$204.31 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,127.32 |
$1,127.32 |
$1,127.32 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,279.21 |
$1,279.21 |
$1,279.21 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,266.48 |
$1,266.48 |
$1,266.48 |
$1,279.50
|
|
Skin full graft 20sq cm less 15200
|
$1,948.30 |
$1,948.30 |
$1,948.30 |
$2,190.24
|
|
Sleep Study (Polysomnography)
|
$2,539.33 |
$2,539.33 |
$2,539.33 |
$3,936.80
|
|
Sleep study unattended
|
$308.03 |
$308.03 |
$308.03 |
$595.50
|
|
Sleeve fing rolyan med
|
$114.99 |
$114.99 |
$114.99 |
$167.31
|
|
Sling suprapubic suburetheral
|
$2,971.84 |
$2,971.84 |
$2,971.84 |
$10,395.47
|
|
Slp eval non-spch gen comm dev
|
$333.49 |
$333.49 |
$333.49 |
$285.09
|
|
Slp pure tone screening
|
$184.57 |
$184.57 |
$184.57 |
$67.60
|
|
Slp ther svc non-spch gen
|
$145.11 |
$145.11 |
$145.11 |
$186.40
|
|
Small bowel endoscopy
|
$1,847.32 |
$1,847.32 |
$1,847.32 |
$2,466.10
|
|
Small bowel endoscopy
|
$1,938.12 |
$1,938.12 |
$1,938.12 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,847.32 |
$1,847.32 |
$1,847.32 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$45.40 |
$45.40 |
$45.40 |
$64.20
|
|
Smear gram stain
|
$46.68 |
$46.68 |
$46.68 |
$57.85
|
|
Smear nasal eosinophil
|
$32.67 |
$32.67 |
$32.67 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$53.46 |
$53.46 |
$53.46 |
$64.35
|
|
Smear wet mount
|
$73.83 |
$73.83 |
$73.83 |
$68.63
|
|
Smpd1 gene common variants
|
$56.01 |
$56.01 |
$56.01 |
$140.00
|
|
Sodium 24 hour urine
|
$38.61 |
$38.61 |
$38.61 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$8.44 |
$8.44 |
$8.44 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$8.44 |
$8.44 |
$8.44 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$7.39 |
$7.39 |
$7.39 |
$46.35
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$38.13 |
$38.13 |
$38.13 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$41.58 |
$41.58 |
$41.58 |
$42.70
|
|
Special physics consult
|
$263.48 |
$263.48 |
$263.48 |
$700.74
|
|
Special radiation dosimetry
|
$125.59 |
$125.59 |
$125.59 |
$445.50
|
|
Special radiation treatment
|
$402.65 |
$402.65 |
$402.65 |
$1,934.03
|
|
Special teletx port plan
|
$197.72 |
$197.72 |
$197.72 |
$1,046.65
|
|
Specific gravity body fluid
|
$16.55 |
$16.55 |
$16.55 |
$23.63
|
|
Specimen fat stain
|
$84.01 |
$84.01 |
$84.01 |
$32.76
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$639.40 |
$639.40 |
$639.40 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$73.41 |
$73.41 |
$73.41 |
$559.96
|
|
Spleen imaging
|
$659.76 |
$659.76 |
$659.76 |
$539.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$493.44 |
$493.44 |
$493.44 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$137.90 |
$137.90 |
$137.90 |
$41.58
|
|
Splint rstrc wrst/cmc right med
|
$87.41 |
$87.41 |
$87.41 |
$73.11
|
|
Split blood or products
|
$54.31 |
$54.31 |
$54.31 |
$148.98
|
|
Sputum specimen collection
|
$156.14 |
$156.14 |
$156.14 |
$180.00
|
|
Srs linear based
|
$8,096.98 |
$8,096.98 |
$8,096.98 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$219.78 |
$219.78 |
$219.78 |
$300.00
|
|
Staph a dna amp probe
|
$23.34 |
$23.34 |
$23.34 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$104.80 |
$104.80 |
$104.80 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$7,454.62 |
$7,454.62 |
$7,454.62 |
$39,270.00
|
