|
Quest t3 uptake
|
$189.99 |
$189.99 |
$189.99 |
$58.60
|
|
Rabies ig ht&sol human im/sc
|
$16,698.59 |
$16,698.59 |
$16,698.59 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$16,709.62 |
$16,709.62 |
$16,709.62 |
$3,054.30
|
|
Radiation treatment delivery
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$257.01
|
|
Radiation treatment delivery
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$552.40
|
|
Radiology port images(s)
|
$1,808.69 |
$1,808.69 |
$1,808.69 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$12,265.23 |
$12,265.23 |
$12,265.23 |
$5,996.21
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,379.29 |
$2,379.29 |
$2,379.29 |
$2,290.77
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$54,145.59 |
$54,145.59 |
$54,145.59 |
$16,564.02
|
|
Rapid Strep Test
|
$164.52 |
$164.52 |
$164.52 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$41,352.06 |
$41,352.06 |
$41,352.06 |
$35,222.00
|
|
Red blood cells leukocytes reduced each unit
|
$626.73 |
$626.73 |
$626.73 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$813.28 |
$813.28 |
$813.28 |
$570.99
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,505.54 |
$1,505.54 |
$1,505.54 |
$626.62
|
|
Removal cerumen impacted (both sides)
|
$232.47 |
$232.47 |
$232.47 |
$170.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$624.41 |
$624.41 |
$624.41 |
$235.13
|
|
Renal function panel
|
$381.93 |
$381.93 |
$381.93 |
$112.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,193.40
|
|
Repair lip full thkns =<one-half vert height
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,467.20
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,832.69 |
$3,832.69 |
$3,832.69 |
$1,891.20
|
|
Repair rpr lip full thickness vermilion only
|
$2,804.39 |
$2,804.39 |
$2,804.39 |
$1,255.30
|
|
Replace duod/jej tube perc
|
$1,750.30 |
$1,750.30 |
$1,750.30 |
$1,354.54
|
|
#resp virpnl dfa-adenovirus
|
$40.40 |
$40.40 |
$40.40 |
$48.00
|
|
Resuscitation cardiopulmonary
|
$1,469.27 |
$1,469.27 |
$1,469.27 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$830.81 |
$830.81 |
$830.81 |
$774.37
|
|
Reticulocyte automated
|
$128.93 |
$128.93 |
$128.93 |
$54.60
|
|
Rheumatoid factor qualitative
|
$229.19 |
$229.19 |
$229.19 |
$54.60
|
|
Rheumatoid factor quantitative
|
$119.25 |
$119.25 |
$119.25 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$33.95 |
$33.95 |
$33.95 |
$257.69
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$34,585.37 |
$34,585.37 |
$34,585.37 |
$8,234.02
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$38,312.15 |
$38,312.15 |
$38,312.15 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$16,746.82 |
$16,746.82 |
$16,746.82 |
$4,847.77
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$15,931.17 |
$15,931.17 |
$15,931.17 |
$3,475.50
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$16,572.08 |
$16,572.08 |
$16,572.08 |
$7,683.91
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$80,607.26 |
$80,607.26 |
$80,607.26 |
$26,030.94
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$16,984.73 |
$16,984.73 |
$16,984.73 |
$7,141.65
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$613.71 |
$613.71 |
$613.71 |
$258.77
|
|
Rubella antibody igg
|
$141.14 |
$141.14 |
$141.14 |
$73.10
|
|
Rubeola antibody igg
|
$141.14 |
$141.14 |
$141.14 |
$80.00
|
|
Russell viper venom diluted
|
$404.48 |
$404.48 |
$404.48 |
$73.03
|
|
Salmonella antibody
|
$156.08 |
$156.08 |
$156.08 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,939.72 |
$2,939.72 |
$2,939.72 |
$1,000.00
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,891.69 |
$1,891.69 |
$1,891.69 |
$653.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,113.13 |
$2,113.13 |
$2,113.13 |
$735.80
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,272.01 |
$2,272.01 |
$2,272.01 |
$975.00
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,605.22 |
$1,605.22 |
$1,605.22 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,605.22 |
$1,605.22 |
$1,605.22 |
$587.20
|
|
Screening Mammogram
|
$1,521.90 |
$1,521.90 |
$1,521.90 |
$297.50
|
|
Screening pap smear by phys
|
$36.12 |
$36.12 |
$36.12 |
$40.59
|
|
Sedimentation rate erythrocyte automated
|
$120.52 |
$120.52 |
$120.52 |
$44.20
|
|
Semen analysis w/count
|
$252.74 |
$252.74 |
$252.74 |
$56.44
|
|
Shoulder MRI (with and without contrast)
|
$5,584.48 |
$5,584.48 |
$5,584.48 |
$2,650.10
|
|
Shoulder MRI (with contrast)
|
$4,839.41 |
$4,839.41 |
$4,839.41 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$4,614.48 |
$4,614.48 |
$4,614.48 |
$2,060.00
|
|
Shoulder X-ray
|
$543.60 |
$543.60 |
$543.60 |
$360.80
|
|
Sinus CT scan (with and without contrast)
|
$3,230.12 |
$3,230.12 |
$3,230.12 |
$1,806.60
|
|
Sinus CT scan (with contrast)
|
$4,689.03 |
$4,689.03 |
$4,689.03 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,095.66 |
$4,095.66 |
$4,095.66 |
$1,275.30
|
|
Smear fluorescent and/or acid fast stain
|
$138.18 |
$138.18 |
$138.18 |
$61.60
|
|
Smear gram stain
|
$142.51 |
$142.51 |
$142.51 |
$55.80
|
|
Smear special stain inclusion bodies/parasites
|
$31.25 |
$31.25 |
$31.25 |
$64.35
|
|
Smear wet mount
|
$129.55 |
$129.55 |
$129.55 |
$68.40
|
|
Sodium 24 hour urine
|
$125.70 |
$125.70 |
$125.70 |
$47.88
|
|
Sodium chloride 0.9 % intravenous solution
|
$30.60 |
$30.60 |
$30.60 |
$44.34
|
|
Sodium chloride 3 % ivpb
|
$45.11 |
$45.11 |
$45.11 |
$53.79
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$187.10 |
$187.10 |
$187.10 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,207.06 |
$1,207.06 |
$1,207.06 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$87.70 |
$87.70 |
$87.70 |
$42.43
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$996.08 |
$996.08 |
$996.08 |
$549.83
|
|
Srs multisource
|
$98,343.21 |
$98,343.21 |
$98,343.21 |
$31,800.00
|
|
St evaluation swallow function
|
$337.65 |
$337.65 |
$337.65 |
$340.13
|
|
Strapping of ankle and/or ft 29540
|
$955.13 |
$955.13 |
$955.13 |
$235.20
|
|
Strapping of chest
|
$1,017.69 |
$1,017.69 |
$1,017.69 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$408.08 |
$408.08 |
$408.08 |
$176.31
|
|
Strapping of knee
|
$723.66 |
$723.66 |
$723.66 |
$224.80
|
|
Strapping of toes 29550
|
$530.51 |
$530.51 |
$530.51 |
$195.43
|
|
St treatment swallow dysfunction/oral
|
$213.29 |
$213.29 |
$213.29 |
$256.19
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$125.67 |
$125.67 |
$125.67 |
$48.43
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$87.73 |
$87.73 |
$87.73 |
$123.58
|
|
Surgical pathology level 1 gross examination only
|
$67.01 |
$67.01 |
$67.01 |
$95.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$102.55 |
$102.55 |
$102.55 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$220.95 |
$220.95 |
$220.95 |
$191.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$220.95 |
$220.95 |
$220.95 |
$256.80
|
|
Surgical pathology level 5 gross & microscopic examination
|
$346.16 |
$346.16 |
$346.16 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$346.16 |
$346.16 |
$346.16 |
$783.25
|
|
Susceptibility enzyme detection per enzyme
|
$76.99 |
$76.99 |
$76.99 |
$35.01
|
|
Susceptibility mic per plate
|
$233.73 |
$233.73 |
$233.73 |
$94.38
|
|
Synvisc or synvisc-one
|
$1,448.79 |
$1,448.79 |
$1,448.79 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$67.10 |
$67.10 |
$67.10 |
$44.85
|
|
T3 (triiodothyronine) free
|
$602.24 |
$602.24 |
$602.24 |
$89.82
|
|
T3 (triiodothyronine) total
|
$432.74 |
$432.74 |
$432.74 |
$92.00
|
|
T4 (thyroxine) free
|
$289.72 |
$289.72 |
$289.72 |
$81.40
|
|
T4 (thyroxine) total
|
$149.08 |
$149.08 |
$149.08 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$139.40 |
$139.40 |
$139.40 |
$122.50
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,679.07 |
$2,679.07 |
$2,679.07 |
$995.97
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$110.00 |
$110.00 |
$110.00 |
$164.45
|
|
T cells absolute cd4/cd8 including ratio
|
$500.10 |
$500.10 |
$500.10 |
$185.28
|
|
T cells absolute cd 4 count
|
$270.90 |
$270.90 |
$270.90 |
$124.00
|
|
T cells total count
|
$299.18 |
$299.18 |
$299.18 |
$123.00
|
|
Telethx isodose plan cplx
|
$5,299.39 |
$5,299.39 |
$5,299.39 |
$1,627.54
|