|
Reticulocyte automated
|
$318.55 |
$318.55 |
$318.55 |
$52.57
|
|
Rheumatoid factor qualitative
|
$387.63 |
$387.63 |
$387.63 |
$57.20
|
|
Rheumatoid factor quantitative
|
$491.24 |
$491.24 |
$491.24 |
$57.00
|
|
Rho d immune globulin inj
|
$245.70 |
$245.70 |
$245.70 |
$217.71
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$595.95 |
$595.95 |
$595.95 |
$455.01
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$91.50 |
$91.50 |
$91.50 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$12,876.15 |
$12,876.15 |
$12,876.15 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$12,876.15 |
$12,876.15 |
$12,876.15 |
$3,139.20
|
|
Rsv assay w/optic
|
$557.99 |
$557.99 |
$557.99 |
$79.38
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$8,208.31 |
$8,208.31 |
$8,208.31 |
$5,174.32
|
|
Sargramostim injection
|
$2,276.20 |
$2,276.20 |
$2,276.20 |
$609.00
|
|
Sarscov coronavirus ag ia
|
$34.65 |
$34.65 |
$34.65 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$48.50 |
$48.50 |
$48.50 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,214.51 |
$1,214.51 |
$1,214.51 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$598.51 |
$598.51 |
$598.51 |
$497.20
|
|
Screening prostate cancer PSA
|
$740.70 |
$740.70 |
$740.70 |
$100.63
|
|
Serpina1 gene
|
$1,078.43 |
$1,078.43 |
$1,078.43 |
$197.00
|
|
Sickling rbc
|
$387.63 |
$387.63 |
$387.63 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$1,523.57 |
$1,523.57 |
$1,523.57 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$299.58 |
$299.58 |
$299.58 |
$307.58
|
|
Sinus/juglr venogram s&i
|
$12,005.58 |
$12,005.58 |
$12,005.58 |
$2,489.25
|
|
Sirolimus, oral
|
$16.10 |
$16.10 |
$16.10 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$694.63 |
$694.63 |
$694.63 |
$83.85
|
|
Skin test unlisted antigen ea
|
$999.75 |
$999.75 |
$999.75 |
$48.57
|
|
Sleep study attended
|
$10,532.69 |
$10,532.69 |
$10,532.69 |
$1,329.00
|
|
Sleep study unattended
|
$2,086.11 |
$2,086.11 |
$2,086.11 |
$580.87
|
|
Sling pelv split sam med
|
$784.00 |
$784.00 |
$784.00 |
$150.00
|
|
Smear nasal eosinophil
|
$220.65 |
$220.65 |
$220.65 |
$46.20
|
|
Smear wet mount
|
$225.37 |
$225.37 |
$225.37 |
$67.49
|
|
Sock fracture or equal each
|
$412.00 |
$412.00 |
$412.00 |
$74.51
|
|
Sodium 24 hour urine
|
$318.55 |
$318.55 |
$318.55 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$90.50 |
$90.50 |
$90.50 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$89.90 |
$89.90 |
$89.90 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$261.65 |
$261.65 |
$261.65 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$318.55 |
$318.55 |
$318.55 |
$45.60
|
|
Specific gravity body fluid
|
$157.35 |
$157.35 |
$157.35 |
$22.00
|
|
Specimen fat stain
|
$341.58 |
$341.58 |
$341.58 |
$35.10
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,636.32 |
$2,636.32 |
$2,636.32 |
$543.26
|
|
Split blood or products
|
$101.46 |
$101.46 |
$101.46 |
$127.48
|
|
St cognitve performance testing healthcare professional each hour
|
$678.99 |
$678.99 |
$678.99 |
$286.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,562.05 |
$1,562.05 |
$1,562.05 |
$399.60
|
|
St evaluation swallow function
|
$781.02 |
$781.02 |
$781.02 |
$314.40
|
|
Strep a ag ia
|
$370.46 |
$370.46 |
$370.46 |
$75.40
|
|
Stress test pulmonary
|
$550.54 |
$550.54 |
$550.54 |
$322.85
|
|
St treatment swallow dysfunction/oral
|
$461.05 |
$461.05 |
$461.05 |
$240.31
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$487.89 |
$487.89 |
$487.89 |
$114.88
|
|
Surgical pathology level 1 gross examination only
|
$117.06 |
$117.06 |
$117.06 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$291.69 |
$291.69 |
$291.69 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$464.38 |
$464.38 |
$464.38 |
$181.00
|
|
Surgical pathology level 5 gross & microscopic examination
|
$880.76 |
$880.76 |
$880.76 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,245.37 |
$1,245.37 |
$1,245.37 |
$718.00
|
|
Susceptibility mic per plate
|
$188.07 |
$188.07 |
$188.07 |
$106.00
|
|
Svc venogram s&i
|
$36,225.41 |
$36,225.41 |
$36,225.41 |
$1,934.62
|
|
T3 (triiodothyronine) free
|
$437.51 |
$437.51 |
$437.51 |
$99.20
|
|
T3 (triiodothyronine) total
|
$575.66 |
$575.66 |
$575.66 |
$93.52
|
|
T4 (thyroxine) free
|
$637.09 |
$637.09 |
$637.09 |
$85.20
|
|
T4 (thyroxine) total
|
$414.47 |
$414.47 |
$414.47 |
$69.00
|
|
Tacrol astagraf ex rel oral
|
$12.00 |
$12.00 |
$12.00 |
$62.32
|
|
Tacrolimus 5 mg/ml intravenous solution
|
$1,372.25 |
$1,372.25 |
$1,372.25 |
$601.95
|
|
Tacrolimus therapeutic drug level
|
$623.62 |
$623.62 |
$623.62 |
$122.40
|
|
Target gsa panel organ neop
|
$11,910.99 |
$11,910.99 |
$11,910.99 |
$1,655.52
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$431.75 |
$431.75 |
$431.75 |
$194.35
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$1,272.22 |
$1,272.22 |
$1,272.22 |
$177.65
|
|
Tc-99m maa
|
$690.77 |
$690.77 |
$690.77 |
$292.80
|
|
Tc-99m mertiatide
|
$1,285.62 |
$1,285.62 |
$1,285.62 |
$756.00
|
|
Tc-99m pentetate dtpa
|
$893.76 |
$893.76 |
$893.76 |
$222.60
|
|
Tc-99m pentetate dtpa aerosol
|
$695.52 |
$695.52 |
$695.52 |
$190.80
|
|
Tc-99m tetrofosmin p study dose
|
$407.97 |
$407.97 |
$407.97 |
$190.80
|
|
T cells absolute cd4/cd8 including ratio
|
$1,091.45 |
$1,091.45 |
$1,091.45 |
$176.40
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$90.50 |
$90.50 |
$90.50 |
$39.33
|
|
Test for chlorohydrocarbons
|
$326.24 |
$326.24 |
$326.24 |
$65.00
|
|
Tetanus immune globulin inj
|
$1,498.25 |
$1,498.25 |
$1,498.25 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$788.58 |
$788.58 |
$788.58 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$128.36 |
$128.36 |
$128.36 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$128.36 |
$128.36 |
$128.36 |
$50.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$90.50 |
$90.50 |
$90.50 |
$25.54
|
|
Thrombin time
|
$278.24 |
$278.24 |
$278.24 |
$53.76
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$301.26 |
$301.26 |
$301.26 |
$61.52
|
|
Thromboxane urine
|
$727.26 |
$727.26 |
$727.26 |
$95.00
|
|
Thyroglobulin antibody
|
$779.09 |
$779.09 |
$779.09 |
$82.00
|
|
Thyroid imaging
|
$4,205.23 |
$4,205.23 |
$4,205.23 |
$695.02
|
|
Thyroid uptake measurement
|
$4,402.16 |
$4,402.16 |
$4,402.16 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$520.02 |
$520.02 |
$520.02 |
$64.35
|
|
Tibial length sock fx or equ
|
$332.00 |
$332.00 |
$332.00 |
$88.92
|
|
Tigecycline injection
|
$320.58 |
$320.58 |
$320.58 |
$234.00
|
|
Tilt table study
|
$12,178.18 |
$12,178.18 |
$12,178.18 |
$1,507.01
|
|
Tissue culture skin/biopsy
|
$2,857.27 |
$2,857.27 |
$2,857.27 |
$484.00
|
|
Tissue culture tumor
|
$1,427.68 |
$1,427.68 |
$1,427.68 |
$483.36
|
|
Tl-201 thallium diag per mci
|
$3,638.64 |
$3,638.64 |
$3,638.64 |
$78.40
|
|
Tobramycin non-comp unit
|
$22.76 |
$22.76 |
$22.76 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$779.09 |
$779.09 |
$779.09 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$8,070.30 |
$8,070.30 |
$8,070.30 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$88.91 |
$88.91 |
$88.91 |
$73.00
|
|
Toxoplasma antibody igg
|
$1,535.13 |
$1,535.13 |
$1,535.13 |
$89.40
|
|
Toxoplasma antibody igm
|
$911.48 |
$911.48 |
$911.48 |
$87.00
|
|
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution
|
$90.50 |
$90.50 |
$90.50 |
$56.38
|
|
Transcatheter bx s&i
|
$18,567.46 |
$18,567.46 |
$18,567.46 |
$1,915.00
|
|
Transferrin
|
$591.02 |
$591.02 |
$591.02 |
$82.00
|
|
Trastuzumab-anns 150 mg intravenous solution
|
$202.20 |
$202.20 |
$202.20 |
$7,540.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$872.31 |
$872.31 |
$872.31 |
$224.90
|
