|
Rheumatoid factor qualitative
|
$30.13 |
$30.13 |
$30.13 |
$57.20
|
|
Rheumatoid factor quantitative
|
$30.13 |
$30.13 |
$30.13 |
$57.00
|
|
Rho d immune globulin inj
|
$103.04 |
$103.04 |
$103.04 |
$217.71
|
|
Right ventric recording
|
$2,945.84 |
$2,945.84 |
$2,945.84 |
$2,345.00
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,467.47 |
$1,467.47 |
$1,467.47 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$1,705.68 |
$1,705.68 |
$1,705.68 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$491.97 |
$491.97 |
$491.97 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,326.18 |
$1,326.18 |
$1,326.18 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$17,327.74 |
$17,327.74 |
$17,327.74 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$17,327.74 |
$17,327.74 |
$17,327.74 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$17,327.74 |
$17,327.74 |
$17,327.74 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,638.98 |
$1,638.98 |
$1,638.98 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$250.01 |
$250.01 |
$250.01 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$3,470.24 |
$3,470.24 |
$3,470.24 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$300.15 |
$300.15 |
$300.15 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,283.80 |
$11,283.80 |
$11,283.80 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,232.70 |
$10,232.70 |
$10,232.70 |
$10,542.00
|
|
Rmvl pq iabp
|
$717.60 |
$717.60 |
$717.60 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$300.15 |
$300.15 |
$300.15 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$466.67 |
$466.67 |
$466.67 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,392.42 |
$1,392.42 |
$1,392.42 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,392.42 |
$1,392.42 |
$1,392.42 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$2,010.71 |
$2,010.71 |
$2,010.71 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$293.94 |
$293.94 |
$293.94 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$862.96 |
$862.96 |
$862.96 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$450.57 |
$450.57 |
$450.57 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,098.48 |
$1,098.48 |
$1,098.48 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$968.30 |
$968.30 |
$968.30 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$822.02 |
$822.02 |
$822.02 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,925.10 |
$1,925.10 |
$1,925.10 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$1,925.10 |
$1,925.10 |
$1,925.10 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$1,578.95 |
$1,578.95 |
$1,578.95 |
$3,687.00
|
|
Rsv assay w/optic
|
$39.56 |
$39.56 |
$39.56 |
$79.38
|
|
Rubella antibody igg
|
$50.14 |
$50.14 |
$50.14 |
$77.03
|
|
Rubeola antibody igg
|
$21.62 |
$21.62 |
$21.62 |
$80.00
|
|
Russell viper venom diluted
|
$25.07 |
$25.07 |
$25.07 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$122.13 |
$122.13 |
$122.13 |
$1,008.79
|
|
Salmonella antibody
|
$30.13 |
$30.13 |
$30.13 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$42.78 |
$42.78 |
$42.78 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$115.23 |
$115.23 |
$115.23 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$363.63 |
$363.63 |
$363.63 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$143.52 |
$143.52 |
$143.52 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$416.99 |
$416.99 |
$416.99 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$235.29 |
$235.29 |
$235.29 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$189.98 |
$189.98 |
$189.98 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$179.63 |
$179.63 |
$179.63 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$174.57 |
$174.57 |
$174.57 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$151.57 |
$151.57 |
$151.57 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$184.23 |
$184.23 |
$184.23 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$464.60 |
$464.60 |
$464.60 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$34.50 |
$34.50 |
$34.50 |
$85.15
|
|
Screening Mammogram
|
$99.13 |
$99.13 |
$99.13 |
$312.55
|
|
Screening prostate cancer PSA
|
$76.13 |
$76.13 |
$76.13 |
$100.63
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,682.26 |
$2,682.26 |
$2,682.26 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$35.19 |
$35.19 |
$35.19 |
$42.00
|
|
Semen analysis presence/motility
|
$60.49 |
$60.49 |
$60.49 |
$71.05
|
|
Serpina1 gene
|
$24.38 |
$24.38 |
$24.38 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$50.14 |
$50.14 |
$50.14 |
$126.43
|
|
Set radiation therapy field
|
$315.79 |
$315.79 |
$315.79 |
$762.40
|
|
Set radiation therapy field
|
$320.62 |
$320.62 |
$320.62 |
$1,157.38
|
|
Set radiation therapy field
|
$485.76 |
$485.76 |
$485.76 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$1.24 |
$1.24 |
$1.24 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$2.51 |
$2.51 |
$2.51 |
$21.96
|
|
Shoulder MRI (with and without contrast)
|
$1,367.35 |
$1,367.35 |
$1,367.35 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,301.80 |
$1,301.80 |
$1,301.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,230.27 |
$1,230.27 |
$1,230.27 |
$2,065.05
|
|
Shoulder X-ray
|
$88.78 |
$88.78 |
$88.78 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$297.62 |
$297.62 |
$297.62 |
$349.20
|
|
Sickling rbc
|
$51.75 |
$51.75 |
$51.75 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$132.45 |
$132.45 |
$132.45 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$907.81 |
$907.81 |
$907.81 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$709.55 |
$709.55 |
$709.55 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$810.98 |
$810.98 |
$810.98 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,408.52 |
$1,408.52 |
$1,408.52 |
$2,489.25
|
|
Sirolimus, oral
|
$279.97 |
$279.97 |
$279.97 |
$41.25
|
|
Skel musc relaxant 3 or more
|
$85.33 |
$85.33 |
$85.33 |
$16.12
|
|
Skin Biopsy
|
$139.38 |
$139.38 |
$139.38 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$1,466.48 |
$1,466.48 |
$1,466.48 |
$3,607.50
|
|
Sleep study unattended
|
$111.78 |
$111.78 |
$111.78 |
$580.87
|
|
Slitting of prepuce
|
$624.45 |
$624.45 |
$624.45 |
$3,365.50
|
|
Slp stdy unatnd w/anal
|
$117.07 |
$117.07 |
$117.07 |
$296.34
|
|
Smear fluorescent and/or acid fast stain
|
$35.88 |
$35.88 |
$35.88 |
$64.20
|
|
Smear gram stain
|
$36.57 |
$36.57 |
$36.57 |
$55.25
|
|
Smear nasal eosinophil
|
$27.14 |
$27.14 |
$27.14 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$15.41 |
$15.41 |
$15.41 |
$73.15
|
|
Smear wet mount
|
$22.31 |
$22.31 |
$22.31 |
$67.49
|
|
Snrpn/ube3a gene
|
$42.78 |
$42.78 |
$42.78 |
$231.85
|
|
Sodium 24 hour urine
|
$36.34 |
$36.34 |
$36.34 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$137.54 |
$137.54 |
$137.54 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$126.96 |
$126.96 |
$126.96 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$47.61 |
$47.61 |
$47.61 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$9.49 |
$9.49 |
$9.49 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$13.87 |
$13.87 |
$13.87 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$31.74 |
$31.74 |
$31.74 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$170.77 |
$170.77 |
$170.77 |
$177.52
|
|
Special physics consult
|
$312.11 |
$312.11 |
$312.11 |
$725.00
|
|
Special radiation dosimetry
|
$119.14 |
$119.14 |
$119.14 |
$392.50
|
|
Special radiation treatment
|
$947.60 |
$947.60 |
$947.60 |
$1,986.00
|
|
Special teletx port plan
|
$372.83 |
$372.83 |
$372.83 |
$1,086.99
|
|
Specific gravity body fluid
|
$7.13 |
$7.13 |
$7.13 |
$22.00
|