|
Rpr aa hrn 1st 3-10 rdc
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$4,000.83
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$6,858.71 |
$6,858.71 |
$6,858.71 |
$6,397.53
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,357.55 |
$2,357.55 |
$2,357.55 |
$3,104.80
|
|
Rpr aa hrn rcr > 10 rdc
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,217.60
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,881.75 |
$1,881.75 |
$1,881.75 |
$2,148.00
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,881.75 |
$1,881.75 |
$1,881.75 |
$4,000.83
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,140.75 |
$1,140.75 |
$1,140.75 |
$2,665.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$3,856.84
|
|
Rsv assay w/optic
|
$77.35 |
$77.35 |
$77.35 |
$64.13
|
|
Rtm 1st set-up&pt educaj eqp
|
$208.65 |
$208.65 |
$208.65 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$65.65 |
$65.65 |
$65.65 |
$78.65
|
|
Rubella antibody igg
|
$81.90 |
$81.90 |
$81.90 |
$73.05
|
|
Rubeola antibody igg
|
$77.35 |
$77.35 |
$77.35 |
$80.00
|
|
Russell viper venom diluted
|
$102.70 |
$102.70 |
$102.70 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$68.90 |
$68.90 |
$68.90 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$104.00 |
$104.00 |
$104.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$213.20 |
$213.20 |
$213.20 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$109.85 |
$109.85 |
$109.85 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$148.85 |
$148.85 |
$148.85 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$74.75 |
$74.75 |
$74.75 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$927.55 |
$927.55 |
$927.55 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$603.20 |
$603.20 |
$603.20 |
$662.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$636.35 |
$636.35 |
$636.35 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$955.50 |
$955.50 |
$955.50 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$538.85 |
$538.85 |
$538.85 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$636.35 |
$636.35 |
$636.35 |
$527.80
|
|
Screening Colonoscopy (average risk)
|
$609.70 |
$609.70 |
$609.70 |
$1,093.16
|
|
Screening Colonoscopy (high risk)
|
$593.45 |
$593.45 |
$593.45 |
$1,575.00
|
|
Screening Mammogram
|
$197.60 |
$197.60 |
$197.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$115.70 |
$115.70 |
$115.70 |
$96.00
|
|
Semen analysis presence/motility
|
$105.95 |
$105.95 |
$105.95 |
$79.92
|
|
Sertraline (zoloft) - sendout
|
$217.10 |
$217.10 |
$217.10 |
$178.33
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$171.60 |
$171.60 |
$171.60 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$176.80 |
$176.80 |
$176.80 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$245.70 |
$245.70 |
$245.70 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$102.05 |
$102.05 |
$102.05 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$170.30 |
$170.30 |
$170.30 |
$231.75
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$170.95 |
$170.95 |
$170.95 |
$259.58
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$150.80 |
$150.80 |
$150.80 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$165.10 |
$165.10 |
$165.10 |
$231.52
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$186.55 |
$186.55 |
$186.55 |
$304.50
|
|
Shoulder MRI (with and without contrast)
|
$2,853.50 |
$2,853.50 |
$2,853.50 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,449.85 |
$2,449.85 |
$2,449.85 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,065.05 |
$2,065.05 |
$2,065.05 |
$1,938.28
|
|
Shoulder X-ray
|
$374.40 |
$374.40 |
$374.40 |
$307.20
|
|
Sickling rbc
|
$50.70 |
$50.70 |
$50.70 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$369.20 |
$369.20 |
$369.20 |
$1,351.63
|
|
Sigmoidoscopy w/tumr remove
|
$599.30 |
$599.30 |
$599.30 |
$1,350.83
|
|
Sinus CT scan (with and without contrast)
|
$2,224.30 |
$2,224.30 |
$2,224.30 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,697.15 |
$1,697.15 |
$1,697.15 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$1,151.00
|
|
Skin Biopsy
|
$655.85 |
$655.85 |
$655.85 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$4,043.20
|
|
Sleep study unattended
|
$726.70 |
$726.70 |
$726.70 |
$631.55
|
|
Smear fluorescent and/or acid fast stain
|
$81.25 |
$81.25 |
$81.25 |
$50.70
|
|
Smear gram stain
|
$55.25 |
$55.25 |
$55.25 |
$48.00
|
|
Smear nasal eosinophil
|
$41.60 |
$41.60 |
$41.60 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$71.50 |
$71.50 |
$71.50 |
$60.00
|
|
Smear wet mount
|
$46.15 |
$46.15 |
$46.15 |
$56.13
|
|
Snrpn/ube3a gene
|
$341.25 |
$341.25 |
$341.25 |
$228.80
|
|
Sodium 24 hour urine
|
$65.65 |
$65.65 |
$65.65 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$68.25 |
$68.25 |
$68.25 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$68.25 |
$68.25 |
$68.25 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$33.80 |
$33.80 |
$33.80 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$96.12 |
$96.12 |
$96.12 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$46.80 |
$46.80 |
$46.80 |
$42.43
|
|
Specific gravity body fluid
|
$24.05 |
$24.05 |
$24.05 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$438.10 |
$438.10 |
$438.10 |
$526.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$19.50 |
$19.50 |
$19.50 |
$93.00
|
|
Splint finger frog med
|
$37.05 |
$37.05 |
$37.05 |
$73.50
|
|
Splint rstrc wrst/cmc right med
|
$141.05 |
$141.05 |
$141.05 |
$74.97
|
|
Sputum specimen collection
|
$97.50 |
$97.50 |
$97.50 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$358.80 |
$358.80 |
$358.80 |
$295.10
|
|
Staph a dna amp probe
|
$117.00 |
$117.00 |
$117.00 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$241.80 |
$241.80 |
$241.80 |
$313.96
|
|
St evaluate speech sound production
|
$358.80 |
$358.80 |
$358.80 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$358.80 |
$358.80 |
$358.80 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$755.30 |
$755.30 |
$755.30 |
$336.00
|
|
St evaluation swallow function
|
$358.80 |
$358.80 |
$358.80 |
$323.72
|
|
Strep a ag ia
|
$97.50 |
$97.50 |
$97.50 |
$75.40
|
|
Strep b dna amp probe
|
$104.65 |
$104.65 |
$104.65 |
$124.20
|
|
Stress test pulmonary
|
$198.90 |
$198.90 |
$198.90 |
$330.63
|
|
Stress tte complete
|
$411.45 |
$411.45 |
$411.45 |
$1,989.60
|
|
Str markers specimen anal
|
$767.00 |
$767.00 |
$767.00 |
$978.25
|
|
St treatment speech individual
|
$1,155.05 |
$1,155.05 |
$1,155.05 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$363.35 |
$363.35 |
$363.35 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$33.25 |
$33.25 |
$33.25 |
$52.49
|
|
Support clav 29.6-40.5in med
|
$17.55 |
$17.55 |
$17.55 |
$105.75
|
|
Surg dx exam anorectal
|
$460.20 |
$460.20 |
$460.20 |
$2,814.85
|
|
Surgical pathology level 1 gross examination only
|
$74.75 |
$74.75 |
$74.75 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$115.05 |
$115.05 |
$115.05 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$6,616.20 |
$6,616.20 |
$6,616.20 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$3,404.10 |
$3,404.10 |
$3,404.10 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$299.00 |
$299.00 |
$299.00 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$424.45 |
$424.45 |
$424.45 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$33.80 |
$33.80 |
$33.80 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$33.80 |
$33.80 |
$33.80 |
$31.85
|
