|
Rsv assay w/optic
|
$31.56 |
$31.56 |
$31.56 |
$76.32
|
|
Rubella antibody igg
|
$111.22 |
$111.22 |
$111.22 |
$77.40
|
|
Rubeola antibody igg
|
$137.68 |
$137.68 |
$137.68 |
$80.00
|
|
Russell viper venom diluted
|
$149.00 |
$149.00 |
$149.00 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$4,372.53 |
$4,372.53 |
$4,372.53 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$328.37 |
$328.37 |
$328.37 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$119.00 |
$119.00 |
$119.00 |
$60.40
|
|
Sbsq psyc collab care mgmt
|
$153.20 |
$153.20 |
$153.20 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$650.37 |
$650.37 |
$650.37 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$428.66 |
$428.66 |
$428.66 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$468.21 |
$468.21 |
$468.21 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$649.75 |
$649.75 |
$649.75 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$412.18 |
$412.18 |
$412.18 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$291.05 |
$291.05 |
$291.05 |
$597.35
|
|
Screen cerv/vag thin layer
|
$95.55 |
$95.55 |
$95.55 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,064.06 |
$1,064.06 |
$1,064.06 |
$1,816.36
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$86.86 |
$86.86 |
$86.86 |
$57.60
|
|
Screening Mammogram
|
$462.54 |
$462.54 |
$462.54 |
$310.20
|
|
Screening prostate cancer PSA
|
$186.34 |
$186.34 |
$186.34 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$10.02 |
$10.02 |
$10.02 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$608.90 |
$608.90 |
$608.90 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$9.65 |
$9.65 |
$9.65 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$98.83 |
$98.83 |
$98.83 |
$96.00
|
|
Semen analysis presence/motility
|
$97.30 |
$97.30 |
$97.30 |
$70.40
|
|
Set radiation therapy field
|
$868.20 |
$868.20 |
$868.20 |
$782.61
|
|
Set radiation therapy field
|
$1,537.45 |
$1,537.45 |
$1,537.45 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$451.81 |
$451.81 |
$451.81 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$95.21 |
$95.21 |
$95.21 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$397.56 |
$397.56 |
$397.56 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$428.46 |
$428.46 |
$428.46 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$175.39 |
$175.39 |
$175.39 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$161.19 |
$161.19 |
$161.19 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$355.80 |
$355.80 |
$355.80 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$392.55 |
$392.55 |
$392.55 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$91.03 |
$91.03 |
$91.03 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$67.65 |
$67.65 |
$67.65 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$165.37 |
$165.37 |
$165.37 |
$289.30
|
|
Shot (Injection into Muscle or Under the Skin)
|
$186.97 |
$186.97 |
$186.97 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$240.99 |
$240.99 |
$240.99 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$256.69 |
$256.69 |
$256.69 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,574.29 |
$3,574.29 |
$3,574.29 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,216.32 |
$2,216.32 |
$2,216.32 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,987.67 |
$1,987.67 |
$1,987.67 |
$2,096.84
|
|
Shoulder X-ray
|
$224.13 |
$224.13 |
$224.13 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$302.73 |
$302.73 |
$302.73 |
$263.25
|
|
Sickling rbc
|
$128.12 |
$128.12 |
$128.12 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$1,615.02 |
$1,615.02 |
$1,615.02 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,584.82 |
$1,584.82 |
$1,584.82 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,500.13 |
$1,500.13 |
$1,500.13 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$362.23 |
$362.23 |
$362.23 |
$346.45
|
|
Sinus X-ray (limited)
|
$231.52 |
$231.52 |
$231.52 |
$215.40
|
|
Skin Biopsy
|
$451.81 |
$451.81 |
$451.81 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$231.52 |
$231.52 |
$231.52 |
$294.45
|
|
Skull X-ray (complete)
|
$446.50 |
$446.50 |
$446.50 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,476.51 |
$1,476.51 |
$1,476.51 |
$1,643.47
|
|
Sleep study attended
|
$1,145.95 |
$1,145.95 |
$1,145.95 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,278.61 |
$3,278.61 |
$3,278.61 |
$3,734.50
|
|
Slp pure tone screening
|
$66.90 |
$66.90 |
$66.90 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$366.99 |
$366.99 |
$366.99 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$145.94 |
$145.94 |
$145.94 |
$64.35
|
|
Smear gram stain
|
$44.31 |
$44.31 |
$44.31 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$85.16 |
$85.16 |
$85.16 |
$73.50
|
|
Smear wet mount
|
$93.37 |
$93.37 |
$93.37 |
$67.55
|
|
Snrpn/ube3a gene
|
$147.91 |
$147.91 |
$147.91 |
$230.63
|
|
Sodium 24 hour urine
|
$77.34 |
$77.34 |
$77.34 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.63 |
$7.63 |
$7.63 |
$49.07
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$10.32 |
$10.32 |
$10.32 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$321.10 |
$321.10 |
$321.10 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$59.96 |
$59.96 |
$59.96 |
$46.26
|
|
Special radiation treatment
|
$1,432.30 |
$1,432.30 |
$1,432.30 |
$2,052.00
|
|
Special teletx port plan
|
$861.89 |
$861.89 |
$861.89 |
$1,095.05
|
|
Specimen fat stain
|
$14.74 |
$14.74 |
$14.74 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$179.64 |
$179.64 |
$179.64 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$181.18 |
$181.18 |
$181.18 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$205.92 |
$205.92 |
$205.92 |
$251.00
|
|
Sputum specimen collection
|
$344.29 |
$344.29 |
$344.29 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$179.64 |
$179.64 |
$179.64 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$201.58 |
$201.58 |
$201.58 |
$286.00
|
|
St evaluate speech sound production
|
$352.99 |
$352.99 |
$352.99 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$222.77 |
$222.77 |
$222.77 |
$400.00
|
|
Stimulants synthetic
|
$141.65 |
$141.65 |
$141.65 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$793.48 |
$793.48 |
$793.48 |
$1,345.40
|
|
Strapping of ankle and/or ft 29540
|
$364.69 |
$364.69 |
$364.69 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$125.87 |
$125.87 |
$125.87 |
$157.46
|
|
Strapping of hand or finger
|
$156.36 |
$156.36 |
$156.36 |
$177.45
|
|
Strapping of knee
|
$212.81 |
$212.81 |
$212.81 |
$205.20
|
|
Strapping of toes 29550
|
$199.38 |
$199.38 |
$199.38 |
$164.70
|
|
Strep a ag ia
|
$64.30 |
$64.30 |
$64.30 |
$75.40
|
|
Stress test pulmonary
|
$203.79 |
$203.79 |
$203.79 |
$324.00
|
|
Stress tte complete
|
$2,268.42 |
$2,268.42 |
$2,268.42 |
$1,900.96
|
|
Sulfonylurea screen qn-sendout
|
$145.62 |
$145.62 |
$145.62 |
$158.75
|
|
Surgical pathology level 1 gross examination only
|
$62.44 |
$62.44 |
$62.44 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$116.85 |
$116.85 |
$116.85 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$162.86 |
$162.86 |
$162.86 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$190.26 |
$190.26 |
$190.26 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$317.04 |
$317.04 |
$317.04 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$442.16 |
$442.16 |
$442.16 |
$720.75
|
|
Susceptibility enzyme detection per enzyme
|
$11.90 |
$11.90 |
$11.90 |
$35.89
|
|
Susceptibility mic per plate
|
$88.61 |
$88.61 |
$88.61 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$222.77 |
$222.77 |
$222.77 |
$316.80
|