|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$5.04 |
$5.04 |
$5.04 |
$6.48
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,648.00 |
$2,648.00 |
$2,648.00 |
$2,242.80
|
|
Rapid Strep Test
|
$52.00 |
$52.00 |
$52.00 |
$76.00
|
|
Red blood cells leukocytes reduced each unit
|
$493.60 |
$493.60 |
$493.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$718.40 |
$718.40 |
$718.40 |
$534.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$412.20 |
$412.20 |
$412.20 |
$357.91
|
|
Relocation skin pocket aicd
|
$4,782.40 |
$4,782.40 |
$4,782.40 |
$2,935.84
|
|
Relocation skin pocket pm
|
$4,496.00 |
$4,496.00 |
$4,496.00 |
$2,673.12
|
|
Remdesivir 100 mg intravenous powder for solution
|
$880.00 |
$880.00 |
$880.00 |
$1,555.39
|
|
Removal foreign body foot subcutaneous right
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,260.80
|
|
Renal function panel
|
$56.00 |
$56.00 |
$56.00 |
$114.37
|
|
Repair pm/icd lead sgl
|
$5,665.60 |
$5,665.60 |
$5,665.60 |
$4,343.82
|
|
Replace g/c tube perc
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$1,366.30
|
|
Reposition pm/icd lead
|
$4,190.40 |
$4,190.40 |
$4,190.40 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$6,020.80 |
$6,020.80 |
$6,020.80 |
$3,802.20
|
|
#resp virpnl dfa-adenovirus
|
$49.60 |
$49.60 |
$49.60 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$65.60 |
$65.60 |
$65.60 |
$35.20
|
|
Reticulocyte automated
|
$27.20 |
$27.20 |
$27.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$30.40 |
$30.40 |
$30.40 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$13.92 |
$13.92 |
$13.92 |
$15.56
|
|
Rheumatoid factor qualitative
|
$40.00 |
$40.00 |
$40.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$66.40 |
$66.40 |
$66.40 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$144.00 |
$144.00 |
$144.00 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$172.80 |
$172.80 |
$172.80 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$218.40 |
$218.40 |
$218.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$302.40 |
$302.40 |
$302.40 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$244.00 |
$244.00 |
$244.00 |
$397.60
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,635.64 |
$3,635.64 |
$3,635.64 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,324.49 |
$3,324.49 |
$3,324.49 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$8,395.20 |
$8,395.20 |
$8,395.20 |
$4,375.80
|
|
Rmvl tv pm lead dual
|
$7,230.40 |
$7,230.40 |
$7,230.40 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$5,788.80 |
$5,788.80 |
$5,788.80 |
$4,225.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,242.72 |
$4,242.72 |
$4,242.72 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$278.16 |
$278.16 |
$278.16 |
$188.16
|
|
Rsv assay w/optic
|
$148.00 |
$148.00 |
$148.00 |
$76.32
|
|
Rubella antibody igg
|
$86.40 |
$86.40 |
$86.40 |
$77.40
|
|
Rubeola antibody igg
|
$77.60 |
$77.60 |
$77.60 |
$80.00
|
|
Russell viper venom diluted
|
$67.20 |
$67.20 |
$67.20 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$228.00 |
$228.00 |
$228.00 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,052.80 |
$1,052.80 |
$1,052.80 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$754.40 |
$754.40 |
$754.40 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$796.00 |
$796.00 |
$796.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$893.60 |
$893.60 |
$893.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$888.80 |
$888.80 |
$888.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$812.00 |
$812.00 |
$812.00 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$121.60 |
$121.60 |
$121.60 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening Mammogram
|
$486.40 |
$486.40 |
$486.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$99.20 |
$99.20 |
$99.20 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$893.60 |
$893.60 |
$893.60 |
$29,785.18
|
|
Sc ther infusion reset pump
|
$308.80 |
$308.80 |
$308.80 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$20.80 |
$20.80 |
$20.80 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$119.20 |
$119.20 |
$119.20 |
$96.00
|
|
Semen analysis presence/motility
|
$62.40 |
$62.40 |
$62.40 |
$70.40
|
|
Serial casting application 97139app
|
$129.60 |
$129.60 |
$129.60 |
$78.39
|
|
Shot (Injection into Muscle or Under the Skin)
|
$165.60 |
$165.60 |
$165.60 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$240.80 |
$240.80 |
$240.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$208.80 |
$208.80 |
$208.80 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,018.40 |
$4,018.40 |
$4,018.40 |
$2,743.02
|
|
Shoulder MRI (without contrast)
|
$2,809.60 |
$2,809.60 |
$2,809.60 |
$2,096.84
|
|
Shoulder X-ray
|
$274.40 |
$274.40 |
$274.40 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$150.40 |
$150.40 |
$150.40 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$4,538.82
|
|
Sickling rbc
|
$33.60 |
$33.60 |
$33.60 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$424.00 |
$424.00 |
$424.00 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,814.40 |
$2,814.40 |
$2,814.40 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,431.20 |
$2,431.20 |
$2,431.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$240.80 |
$240.80 |
$240.80 |
$346.45
|
|
Sinus X-ray (limited)
|
$200.80 |
$200.80 |
$200.80 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$224.80 |
$224.80 |
$224.80 |
$294.45
|
|
Skull X-ray (complete)
|
$290.40 |
$290.40 |
$290.40 |
$417.50
|
|
Skyla, 13.5 mg
|
$719.68 |
$719.68 |
$719.68 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$4,214.40 |
$4,214.40 |
$4,214.40 |
$3,734.50
|
|
Sling suprapubic suburetheral
|
$3,776.80 |
$3,776.80 |
$3,776.80 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$646.40 |
$646.40 |
$646.40 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$48.80 |
$48.80 |
$48.80 |
$64.35
|
|
Smear gram stain
|
$28.00 |
$28.00 |
$28.00 |
$55.55
|
|
Smear nasal eosinophil
|
$28.80 |
$28.80 |
$28.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$54.40 |
$54.40 |
$54.40 |
$73.50
|
|
Smear wet mount
|
$41.60 |
$41.60 |
$41.60 |
$67.55
|
|
Sodium 24 hour urine
|
$28.00 |
$28.00 |
$28.00 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$70.79 |
$70.79 |
$70.79 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$70.79 |
$70.79 |
$70.79 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$47.20 |
$47.20 |
$47.20 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$4.86 |
$4.86 |
$4.86 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$27.20 |
$27.20 |
$27.20 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$95.89 |
$95.89 |
$95.89 |
$177.52
|
|
Specimen fat stain
|
$54.40 |
$54.40 |
$54.40 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$461.60 |
$461.60 |
$461.60 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$302.40 |
$302.40 |
$302.40 |
$246.87
|
|
St analysis behavior qualitative voice/resonance
|
$368.80 |
$368.80 |
$368.80 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$349.60 |
$349.60 |
$349.60 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,720.00 |
$3,720.00 |
$3,720.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$174.40 |
$174.40 |
$174.40 |
$2,704.27
|
|
Sterile water/saline, 10 ml
|
$5.09 |
$5.09 |
$5.09 |
$13.32
|
|
St evaluate speech sound production
|
$351.20 |
$351.20 |
$351.20 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$457.60 |
$457.60 |
$457.60 |
$400.00
|
