|
Rheumatoid factor quantitative
|
$74.40 |
$74.40 |
$74.40 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$131.88 |
$131.88 |
$131.88 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$279.20 |
$279.20 |
$279.20 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$437.60 |
$437.60 |
$437.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$577.60 |
$577.60 |
$577.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$554.40 |
$554.40 |
$554.40 |
$397.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$13,897.47 |
$13,897.47 |
$13,897.47 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,974.09 |
$1,974.09 |
$1,974.09 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$5,356.84 |
$5,356.84 |
$5,356.84 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,687.71 |
$4,687.71 |
$4,687.71 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,653.23 |
$5,653.23 |
$5,653.23 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,454.28 |
$3,454.28 |
$3,454.28 |
$5,309.20
|
|
Rmvl ndwellg tun pleural cath
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$1,172.40
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,379.91 |
$4,379.91 |
$4,379.91 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,325.33 |
$7,325.33 |
$7,325.33 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$165.68 |
$165.68 |
$165.68 |
$188.16
|
|
Rp loclzj tum 2+area 1+d img
|
$2,052.80 |
$2,052.80 |
$2,052.80 |
$1,310.00
|
|
Rsv assay w/optic
|
$63.20 |
$63.20 |
$63.20 |
$76.32
|
|
Rubella antibody igg
|
$79.20 |
$79.20 |
$79.20 |
$77.40
|
|
Rubeola antibody igg
|
$112.00 |
$112.00 |
$112.00 |
$80.00
|
|
Russell viper venom diluted
|
$41.60 |
$41.60 |
$41.60 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,050.36 |
$3,050.36 |
$3,050.36 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$334.40 |
$334.40 |
$334.40 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$732.00 |
$732.00 |
$732.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$745.60 |
$745.60 |
$745.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$770.40 |
$770.40 |
$770.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$570.40 |
$570.40 |
$570.40 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$640.80 |
$640.80 |
$640.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$587.20 |
$587.20 |
$587.20 |
$597.35
|
|
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
|
$414.40 |
$414.40 |
$414.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$101.60 |
$101.60 |
$101.60 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$6,860.00 |
$6,860.00 |
$6,860.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$579.20 |
$579.20 |
$579.20 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$43.20 |
$43.20 |
$43.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$124.00 |
$124.00 |
$124.00 |
$96.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Semen analysis w/count
|
$72.00 |
$72.00 |
$72.00 |
$56.44
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$203.20 |
$203.20 |
$203.20 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$93.60 |
$93.60 |
$93.60 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$304.00 |
$304.00 |
$304.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$313.60 |
$313.60 |
$313.60 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,592.00 |
$3,592.00 |
$3,592.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$2,096.84
|
|
Shoulder X-ray
|
$324.80 |
$324.80 |
$324.80 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$220.00 |
$220.00 |
$220.00 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$4,538.82
|
|
Sickling rbc
|
$70.40 |
$70.40 |
$70.40 |
$59.40
|
|
Sigmoidoscopy w/ablation
|
$2,820.80 |
$2,820.80 |
$2,820.80 |
$2,604.00
|
|
Sincalide 5 mcg solution for injection
|
$424.00 |
$424.00 |
$424.00 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,638.40 |
$2,638.40 |
$2,638.40 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,729.60 |
$1,729.60 |
$1,729.60 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$351.20 |
$351.20 |
$351.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$344.00 |
$344.00 |
$344.00 |
$215.40
|
|
Sirolimus, oral
|
$49.68 |
$49.68 |
$49.68 |
$41.70
|
|
Skin Biopsy
|
$444.00 |
$444.00 |
$444.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$313.60 |
$313.60 |
$313.60 |
$294.45
|
|
Skull X-ray (complete)
|
$464.80 |
$464.80 |
$464.80 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$4,043.20 |
$4,043.20 |
$4,043.20 |
$3,734.50
|
|
Sling suprapubic suburetheral
|
$3,230.40 |
$3,230.40 |
$3,230.40 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$545.60 |
$545.60 |
$545.60 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$76.80 |
$76.80 |
$76.80 |
$64.35
|
|
Smear gram stain
|
$72.00 |
$72.00 |
$72.00 |
$55.55
|
|
Smear nasal eosinophil
|
$55.20 |
$55.20 |
$55.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$101.60 |
$101.60 |
$101.60 |
$73.50
|
|
Smear wet mount
|
$72.00 |
$72.00 |
$72.00 |
$67.55
|
|
Snrpn/ube3a gene
|
$348.00 |
$348.00 |
$348.00 |
$230.63
|
|
Sodium 24 hour urine
|
$56.80 |
$56.80 |
$56.80 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$47.20 |
$47.20 |
$47.20 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$105.01 |
$105.01 |
$105.01 |
$177.52
|
|
So neo gsap dna/dna&rna
|
$5,124.00 |
$5,124.00 |
$5,124.00 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$4,023.20 |
$4,023.20 |
$4,023.20 |
$2,296.00
|
|
Specific gravity body fluid
|
$32.00 |
$32.00 |
$32.00 |
$22.00
|
|
Specimen fat stain
|
$20.00 |
$20.00 |
$20.00 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$496.00 |
$496.00 |
$496.00 |
$384.80
|
|
Speech audiometry complete
|
$146.40 |
$146.40 |
$146.40 |
$109.20
|
|
Speech recep thresh
|
$99.20 |
$99.20 |
$99.20 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$292.00 |
$292.00 |
$292.00 |
$246.87
|
|
Sperm isolation complex
|
$375.20 |
$375.20 |
$375.20 |
$176.28
|
|
Sperm isolation simple
|
$172.00 |
$172.00 |
$172.00 |
$126.05
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,511.20 |
$1,511.20 |
$1,511.20 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$352.00 |
$352.00 |
$352.00 |
$251.00
|
|
Splint rstrc wrst/cmc right med
|
$52.80 |
$52.80 |
$52.80 |
$99.04
|
|
St analysis behavior qualitative voice/resonance
|
$407.20 |
$407.20 |
$407.20 |
$297.60
|
|
Staph a dna amp probe
|
$144.80 |
$144.80 |
$144.80 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$336.80 |
$336.80 |
$336.80 |
$286.00
|
|
Stent bili rx wallflx 10x80 uncvr
|
$2,349.60 |
$2,349.60 |
$2,349.60 |
$20,962.50
|
|
St evaluate speech sound production
|
$391.20 |
$391.20 |
$391.20 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$507.20 |
$507.20 |
$507.20 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,374.40 |
$1,374.40 |
$1,374.40 |
$1,345.40
|
|
Strep b dna amp probe
|
$139.20 |
$139.20 |
$139.20 |
$124.15
|
|
Stress test pulmonary
|
$309.60 |
$309.60 |
$309.60 |
$324.00
|
|
Stress tte complete
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$1,900.96
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$48.72 |
$48.72 |
$48.72 |
$54.80
|