|
Removal cerumen impacted (both sides)
|
$246.00 |
$246.00 |
$246.00 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$367.00 |
$367.00 |
$367.00 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$5,481.00 |
$5,481.00 |
$5,481.00 |
$899.85
|
|
Removal foreign body foot subcutaneous right
|
$3,269.00 |
$3,269.00 |
$3,269.00 |
$1,256.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$376.00 |
$376.00 |
$376.00 |
$303.80
|
|
Removal w/reinsrt nonbiogrdble
|
$4,906.00 |
$4,906.00 |
$4,906.00 |
$538.40
|
|
Remove ear canal lesion(s)
|
$18,162.00 |
$18,162.00 |
$18,162.00 |
$3,334.38
|
|
Remove shoulder fb deep
|
$17,700.00 |
$17,700.00 |
$17,700.00 |
$3,370.52
|
|
Renal function panel
|
$180.00 |
$180.00 |
$180.00 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$4,306.00 |
$4,306.00 |
$4,306.00 |
$1,193.40
|
|
Repair lip full thkns =<one-half vert height
|
$3,495.00 |
$3,495.00 |
$3,495.00 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,340.00 |
$4,340.00 |
$4,340.00 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$3,269.00 |
$3,269.00 |
$3,269.00 |
$1,268.80
|
|
Reptilase test
|
$90.00 |
$90.00 |
$90.00 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$40.40 |
$40.40 |
$40.40 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$135.00 |
$135.00 |
$135.00 |
$35.20
|
|
Resp virus 6-11 targets
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$652.00 |
$652.00 |
$652.00 |
$797.29
|
|
Reticulocyte automated
|
$83.00 |
$83.00 |
$83.00 |
$54.60
|
|
Rheumatoid factor qualitative
|
$121.00 |
$121.00 |
$121.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$157.00 |
$157.00 |
$157.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$13.37 |
$13.37 |
$13.37 |
$243.11
|
|
Rho d immune globulin inj
|
$236.59 |
$236.59 |
$236.59 |
$287.82
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$23,516.80 |
$23,516.80 |
$23,516.80 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$26,049.81 |
$26,049.81 |
$26,049.81 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$7,662.64 |
$7,662.64 |
$7,662.64 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$7,289.84 |
$7,289.84 |
$7,289.84 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,582.77 |
$7,582.77 |
$7,582.77 |
$5,831.80
|
|
Rmvl fecal impaction/fb spx under anes
|
$15,209.00 |
$15,209.00 |
$15,209.00 |
$2,111.46
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,771.37 |
$7,771.37 |
$7,771.37 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$958.52 |
$958.52 |
$958.52 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$10,861.00 |
$10,861.00 |
$10,861.00 |
$2,331.08
|
|
Rsv assay w/optic
|
$154.00 |
$154.00 |
$154.00 |
$73.80
|
|
Rubella antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$73.10
|
|
Rubeola antibody igg
|
$168.00 |
$168.00 |
$168.00 |
$79.68
|
|
Russell viper venom diluted
|
$70.00 |
$70.00 |
$70.00 |
$70.16
|
|
Salmonella antibody
|
$149.00 |
$149.00 |
$149.00 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$233.00 |
$233.00 |
$233.00 |
$51.43
|
|
Sarscov coronavirus ag ia
|
$166.00 |
$166.00 |
$166.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$98.00 |
$98.00 |
$98.00 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,982.00 |
$1,982.00 |
$1,982.00 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$652.00 |
$652.00 |
$652.00 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$601.70
|
|
Screening Mammogram
|
$663.00 |
$663.00 |
$663.00 |
$303.55
|
|
Screening pap smear by phys
|
$31.00 |
$31.00 |
$31.00 |
$55.20
|
|
Sedimentation rate erythrocyte automated
|
$81.00 |
$81.00 |
$81.00 |
$44.20
|
|
Serpina1 gene
|
$447.00 |
$447.00 |
$447.00 |
$191.73
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$811.00 |
$811.00 |
$811.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,318.00 |
$1,318.00 |
$1,318.00 |
$442.61
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$974.00 |
$974.00 |
$974.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$513.00 |
$513.00 |
$513.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$610.00 |
$610.00 |
$610.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$720.00 |
$720.00 |
$720.00 |
$302.55
|
|
Shoulder MRI (with and without contrast)
|
$8,289.00 |
$8,289.00 |
$8,289.00 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,966.00 |
$4,966.00 |
$4,966.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,840.00 |
$4,840.00 |
$4,840.00 |
$2,051.28
|
|
Shoulder X-ray
|
$532.00 |
$532.00 |
$532.00 |
$367.02
|
|
Sialidase enzyme assay
|
$83.00 |
$83.00 |
$83.00 |
$49.44
|
|
Sickling rbc
|
$87.00 |
$87.00 |
$87.00 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$5,827.00 |
$5,827.00 |
$5,827.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$1,279.50
|
|
Skin Biopsy
|
$476.00 |
$476.00 |
$476.00 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
$3,936.80
|
|
Sleep study unattended
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$595.50
|
|
Smear fluorescent and/or acid fast stain
|
$83.00 |
$83.00 |
$83.00 |
$64.20
|
|
Smear gram stain
|
$102.00 |
$102.00 |
$102.00 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$118.00 |
$118.00 |
$118.00 |
$64.35
|
|
Smear wet mount
|
$142.00 |
$142.00 |
$142.00 |
$68.63
|
|
Snrpn/ube3a gene
|
$488.00 |
$488.00 |
$488.00 |
$228.80
|
|
Sodium 24 hour urine
|
$49.00 |
$49.00 |
$49.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.82 |
$21.82 |
$21.82 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$63.58 |
$63.58 |
$63.58 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$194.55 |
$194.55 |
$194.55 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$560.11 |
$560.11 |
$560.11 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$46.00 |
$46.00 |
$46.00 |
$42.70
|
|
Speech audiometry complete
|
$389.00 |
$389.00 |
$389.00 |
$104.25
|
|
Speech recep thresh
|
$270.00 |
$270.00 |
$270.00 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$557.00 |
$557.00 |
$557.00 |
$559.96
|
|
Srs multisource
|
$93,660.00 |
$93,660.00 |
$93,660.00 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$327.00 |
$327.00 |
$327.00 |
$300.00
|
|
Staph a dna amp probe
|
$400.00 |
$400.00 |
$400.00 |
$116.39
|
|
St evaluate speech sound production
|
$309.00 |
$309.00 |
$309.00 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$640.00 |
$640.00 |
$640.00 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$508.00 |
$508.00 |
$508.00 |
$406.40
|
|
St evaluation swallow function
|
$486.00 |
$486.00 |
$486.00 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,137.06 |
$1,137.06 |
$1,137.06 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$486.00 |
$486.00 |
$486.00 |
$171.00
|
|
Strapping of knee
|
$807.18 |
$807.18 |
$807.18 |
$224.80
|
|
Strapping of toes 29550
|
$631.56 |
$631.56 |
$631.56 |
$185.36
|
|
Stress test pulmonary
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$327.20
|
