|
Rmvl subq card rhythm mntr
|
$381.48 |
$381.48 |
$693.60 |
$1,734.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,846.57 |
$3,846.57 |
$6,993.77 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$562.32 |
$562.32 |
$1,022.40 |
$188.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$447.26 |
$447.26 |
$813.20 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,687.00
|
|
Rsv assay w/optic
|
$8.80 |
$8.80 |
$16.00 |
$79.38
|
|
Rubella antibody igg
|
$47.30 |
$47.30 |
$86.00 |
$77.03
|
|
Rubeola antibody igg
|
$13.64 |
$13.64 |
$24.80 |
$80.00
|
|
Russell viper venom diluted
|
$11.66 |
$11.66 |
$21.20 |
$72.54
|
|
Salmonella antibody
|
$14.08 |
$14.08 |
$25.60 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$10.78 |
$10.78 |
$19.60 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$113.96 |
$113.96 |
$207.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$69.30 |
$69.30 |
$126.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$121.00 |
$121.00 |
$220.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$113.08 |
$113.08 |
$205.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$154.00 |
$154.00 |
$280.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$77.66 |
$77.66 |
$141.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$77.66 |
$77.66 |
$141.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,769.90 |
$1,769.90 |
$3,218.00 |
$2,114.45
|
|
Screening Mammogram
|
$89.32 |
$89.32 |
$162.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$23.32 |
$23.32 |
$42.40 |
$100.63
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,414.06 |
$2,414.06 |
$4,389.20 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$1.98 |
$1.98 |
$3.60 |
$42.00
|
|
Semen analysis presence/motility
|
$26.40 |
$26.40 |
$48.00 |
$71.05
|
|
Semen analysis w/count
|
$13.64 |
$13.64 |
$24.80 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$112.20 |
$112.20 |
$204.00 |
$126.43
|
|
Set radiation therapy field
|
$295.02 |
$295.02 |
$536.40 |
$762.40
|
|
Set radiation therapy field
|
$234.74 |
$234.74 |
$426.80 |
$1,157.38
|
|
Set radiation therapy field
|
$485.54 |
$485.54 |
$882.80 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$2.85 |
$2.85 |
$5.18 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$5.77 |
$5.77 |
$10.50 |
$21.96
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$260.92 |
$260.92 |
$474.40 |
$284.88
|
|
Shoulder MRI (with and without contrast)
|
$444.18 |
$444.18 |
$807.60 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$444.18 |
$444.18 |
$807.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$282.26 |
$282.26 |
$513.20 |
$2,065.05
|
|
Shoulder X-ray
|
$73.92 |
$73.92 |
$134.40 |
$339.50
|
|
Sickling rbc
|
$22.44 |
$22.44 |
$40.80 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$253.39 |
$253.39 |
$460.70 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$588.72 |
$588.72 |
$1,070.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$445.94 |
$445.94 |
$810.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$371.14 |
$371.14 |
$674.80 |
$1,292.04
|
|
Sirolimus, oral
|
$642.71 |
$642.71 |
$1,168.56 |
$41.25
|
|
Skin Biopsy
|
$810.70 |
$810.70 |
$1,474.00 |
$360.34
|
|
Sleep study attended
|
$197.12 |
$197.12 |
$358.40 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,147.08 |
$1,147.08 |
$2,085.60 |
$3,607.50
|
|
Sleep study unattended
|
$352.00 |
$352.00 |
$640.00 |
$580.87
|
|
Smear fluorescent and/or acid fast stain
|
$15.62 |
$15.62 |
$28.40 |
$64.20
|
|
Smear gram stain
|
$15.62 |
$15.62 |
$28.40 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$14.96 |
$14.96 |
$27.20 |
$73.15
|
|
Smear wet mount
|
$20.24 |
$20.24 |
$36.80 |
$67.49
|
|
Sodium 24 hour urine
|
$62.70 |
$62.70 |
$114.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$245.96 |
$245.96 |
$447.20 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$227.04 |
$227.04 |
$412.80 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$85.14 |
$85.14 |
$154.80 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$22.00 |
$22.00 |
$40.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$26.53 |
$26.53 |
$48.24 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$5.94 |
$5.94 |
$10.80 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$326.70 |
$326.70 |
$594.00 |
$177.52
|
|
Special physics consult
|
$110.22 |
$110.22 |
$200.40 |
$725.00
|
|
Special radiation treatment
|
$928.18 |
$928.18 |
$1,687.60 |
$1,986.00
|
|
Special teletx port plan
|
$212.74 |
$212.74 |
$386.80 |
$1,086.99
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$810.70 |
$810.70 |
$1,474.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$109.34 |
$109.34 |
$198.80 |
$543.26
|
|
Split blood or products
|
$84.26 |
$84.26 |
$153.20 |
$127.48
|
|
St analysis behavior qualitative voice/resonance
|
$55.66 |
$55.66 |
$101.20 |
$297.60
|
|
Staph a dna amp probe
|
$34.76 |
$34.76 |
$63.20 |
$125.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$7,631.14 |
$7,631.14 |
$13,874.80 |
$21,626.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$7,551.72 |
$7,551.72 |
$13,730.40 |
$14,356.50
|
|
St evaluate speech sound production
|
$53.46 |
$53.46 |
$97.20 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$110.66 |
$110.66 |
$201.20 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$108.24 |
$108.24 |
$196.80 |
$399.60
|
|
St evaluation swallow function
|
$53.90 |
$53.90 |
$98.00 |
$314.40
|
|
Strapping of ankle and/or ft 29540
|
$65.34 |
$65.34 |
$118.80 |
$223.45
|
|
Strapping of chest
|
$36.52 |
$36.52 |
$66.40 |
$195.33
|
|
Strapping of hip
|
$36.52 |
$36.52 |
$66.40 |
$164.70
|
|
Strapping of knee
|
$36.52 |
$36.52 |
$66.40 |
$205.20
|
|
Strapping of toes 29550
|
$33.22 |
$33.22 |
$60.40 |
$164.70
|
|
Strep a ag ia
|
$19.36 |
$19.36 |
$35.20 |
$75.40
|
|
Strep b dna amp probe
|
$36.08 |
$36.08 |
$65.60 |
$120.90
|
|
Streptomycin injection
|
$128.01 |
$128.01 |
$232.75 |
$138.30
|
|
St treatment speech individual
|
$49.72 |
$49.72 |
$90.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$53.68 |
$53.68 |
$97.60 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$92.07 |
$92.07 |
$167.40 |
$52.31
|
|
Sulfonylurea screen qn-sendout
|
$70.84 |
$70.84 |
$128.80 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$76.34 |
$76.34 |
$138.79 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$8.36 |
$8.36 |
$15.20 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$19.58 |
$19.58 |
$35.60 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$28.82 |
$28.82 |
$52.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$33.44 |
$33.44 |
$60.80 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$51.48 |
$51.48 |
$93.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$334.84 |
$334.84 |
$608.80 |
$718.00
|
|
Susceptibility enzyme detection per enzyme
|
$12.98 |
$12.98 |
$23.60 |
$35.70
|
|
Susceptibility mic per plate
|
$26.40 |
$26.40 |
$48.00 |
$106.00
|
|
Svc venogram s&i
|
$499.84 |
$499.84 |
$908.80 |
$1,934.62
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$24.64 |
$24.64 |
$44.80 |
$41.60
|
|
T3 (triiodothyronine) free
|
$23.98 |
$23.98 |
$43.60 |
$99.20
|
|
T3 (triiodothyronine) total
|
$14.74 |
$14.74 |
$26.80 |
$93.52
|
|
T4 (thyroxine) free
|
$7.70 |
$7.70 |
$14.00 |
$85.20
|
|
T4 (thyroxine) total
|
$22.66 |
$22.66 |
$41.20 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$6.89 |
$6.89 |
$12.54 |
$9.84
|
