|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,242.72 |
$4,242.72 |
$4,242.72 |
$4,820.04
|
|
Rsv assay w/optic
|
$148.00 |
$148.00 |
$148.00 |
$76.32
|
|
Rubella antibody igg
|
$165.60 |
$165.60 |
$165.60 |
$77.40
|
|
Rubeola antibody igg
|
$155.20 |
$155.20 |
$155.20 |
$80.00
|
|
Russell viper venom diluted
|
$171.20 |
$171.20 |
$171.20 |
$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)
|
$468.80 |
$468.80 |
$468.80 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$866.40 |
$866.40 |
$866.40 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$874.40 |
$874.40 |
$874.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$918.40 |
$918.40 |
$918.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$856.00 |
$856.00 |
$856.00 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$742.40 |
$742.40 |
$742.40 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$131.20 |
$131.20 |
$131.20 |
$85.15
|
|
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
|
$448.80 |
$448.80 |
$448.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$155.20 |
$155.20 |
$155.20 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$820.80 |
$820.80 |
$820.80 |
$611.91
|
|
Sc ther infusion reset pump
|
$174.40 |
$174.40 |
$174.40 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$45.60 |
$45.60 |
$45.60 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$132.00 |
$132.00 |
$132.00 |
$96.00
|
|
Semen analysis presence/motility
|
$101.60 |
$101.60 |
$101.60 |
$70.40
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$224.00 |
$224.00 |
$224.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$327.20 |
$327.20 |
$327.20 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$196.00 |
$196.00 |
$196.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$207.20 |
$207.20 |
$207.20 |
$223.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$176.80 |
$176.80 |
$176.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$470.40 |
$470.40 |
$470.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$416.00 |
$416.00 |
$416.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,205.60 |
$4,205.60 |
$4,205.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,704.80 |
$3,704.80 |
$3,704.80 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,952.80 |
$2,952.80 |
$2,952.80 |
$2,096.84
|
|
Shoulder X-ray
|
$441.60 |
$441.60 |
$441.60 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$369.60 |
$369.60 |
$369.60 |
$263.25
|
|
Sickling rbc
|
$77.60 |
$77.60 |
$77.60 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,075.20 |
$2,075.20 |
$2,075.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$539.20 |
$539.20 |
$539.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$356.00 |
$356.00 |
$356.00 |
$215.40
|
|
Skin Biopsy
|
$459.20 |
$459.20 |
$459.20 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$433.60 |
$433.60 |
$433.60 |
$294.45
|
|
Skull X-ray (complete)
|
$639.20 |
$639.20 |
$639.20 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$3,734.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$865.60 |
$865.60 |
$865.60 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$96.00 |
$96.00 |
$96.00 |
$64.35
|
|
Smear gram stain
|
$64.80 |
$64.80 |
$64.80 |
$55.55
|
|
Smear nasal eosinophil
|
$66.40 |
$66.40 |
$66.40 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$162.40 |
$162.40 |
$162.40 |
$73.50
|
|
Smear wet mount
|
$101.60 |
$101.60 |
$101.60 |
$67.55
|
|
Sodium 24 hour urine
|
$81.60 |
$81.60 |
$81.60 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$80.00 |
$80.00 |
$80.00 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$60.00 |
$60.00 |
$60.00 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$5.19 |
$5.19 |
$5.19 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$100.00 |
$100.00 |
$100.00 |
$46.26
|
|
Specimen fat stain
|
$121.60 |
$121.60 |
$121.60 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$490.40 |
$490.40 |
$490.40 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$324.00 |
$324.00 |
$324.00 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$393.60 |
$393.60 |
$393.60 |
$251.00
|
|
Spleen imaging
|
$759.20 |
$759.20 |
$759.20 |
$679.00
|
|
St analysis behavior qualitative voice/resonance
|
$390.40 |
$390.40 |
$390.40 |
$297.60
|
|
Stent bili dbl pgtl 10fx5cm
|
$202.40 |
$202.40 |
$202.40 |
$2,704.27
|
|
Sterile water/saline, 10 ml
|
$5.19 |
$5.19 |
$5.19 |
$13.32
|
|
St evaluate speech sound production
|
$376.80 |
$376.80 |
$376.80 |
$292.95
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,345.40
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$81.25 |
$81.25 |
$81.25 |
$54.80
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$65.88 |
$65.88 |
$65.88 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$68.87 |
$68.87 |
$68.87 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$31.20 |
$31.20 |
$31.20 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$64.00 |
$64.00 |
$64.00 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$136.00 |
$136.00 |
$136.00 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$140.00 |
$140.00 |
$140.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$145.60 |
$145.60 |
$145.60 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$679.20 |
$679.20 |
$679.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$117.60 |
$117.60 |
$117.60 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$162.40 |
$162.40 |
$162.40 |
$35.89
|
|
Susceptibility mic per plate
|
$191.20 |
$191.20 |
$191.20 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$410.40 |
$410.40 |
$410.40 |
$316.80
|
|
Swallowing Therapy Session
|
$312.80 |
$312.80 |
$312.80 |
$232.56
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$48.80 |
$48.80 |
$48.80 |
$42.24
|
|
T3 (triiodothyronine) free
|
$147.20 |
$147.20 |
$147.20 |
$100.32
|
|
T3 (triiodothyronine) total
|
$92.00 |
$92.00 |
$92.00 |
$93.52
|
|
T4 (thyroxine) free
|
$160.80 |
$160.80 |
$160.80 |
$89.60
|
|
T4 (thyroxine) total
|
$103.20 |
$103.20 |
$103.20 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$1.20 |
$1.20 |
$1.20 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$196.00 |
$196.00 |
$196.00 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$442.40 |
$442.40 |
$442.40 |
$289.20
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$279.20 |
$279.20 |
$279.20 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$542.40 |
$542.40 |
$542.40 |
$179.95
|
|
Tc-99m labeled rbc
|
$428.00 |
$428.00 |
$428.00 |
$306.00
|
|
Tc-99m mebrofenin
|
$178.40 |
$178.40 |
$178.40 |
$157.65
|
|
Tc-99m medronate
|
$133.60 |
$133.60 |
$133.60 |
$111.01
|
|
Tc-99m mertiatide
|
$756.00 |
$756.00 |
$756.00 |
$756.00
|
|
Tc-99m oxidronate
|
$168.00 |
$168.00 |
$168.00 |
$108.00
|