|
Rubella antibody igg
|
$18.20 |
$18.20 |
$18.20 |
$73.10
|
|
Rubeola antibody igg
|
$101.40 |
$101.40 |
$101.40 |
$79.68
|
|
Russell viper venom diluted
|
$533.65 |
$533.65 |
$533.65 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$1,100.50
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,965.24 |
$6,965.24 |
$6,965.24 |
$6,466.16
|
|
Salivary gland imaging
|
$1,337.05 |
$1,337.05 |
$1,337.05 |
$549.70
|
|
Salmonella antibody
|
$33.80 |
$33.80 |
$33.80 |
$37.58
|
|
S bowel endoscope w/stent
|
$3,848.65 |
$3,848.65 |
$3,848.65 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$731.90 |
$731.90 |
$731.90 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$495.30 |
$495.30 |
$495.30 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$978.25 |
$978.25 |
$978.25 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$533.65 |
$533.65 |
$533.65 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$582.40 |
$582.40 |
$582.40 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$675.35 |
$675.35 |
$675.35 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$923.00 |
$923.00 |
$923.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$640.25 |
$640.25 |
$640.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$529.10 |
$529.10 |
$529.10 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$68.90 |
$68.90 |
$68.90 |
$78.00
|
|
Screening Colonoscopy (average risk)
|
$2,864.55 |
$2,864.55 |
$2,864.55 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$2,864.55 |
$2,864.55 |
$2,864.55 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$94.90 |
$94.90 |
$94.90 |
$57.00
|
|
Screening Mammogram
|
$174.20 |
$174.20 |
$174.20 |
$303.55
|
|
Screening prostate cancer PSA
|
$52.00 |
$52.00 |
$52.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$996.35 |
$996.35 |
$996.35 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,925.10 |
$6,925.10 |
$6,925.10 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$48.10 |
$48.10 |
$48.10 |
$44.20
|
|
Semen analysis w/count
|
$251.55 |
$251.55 |
$251.55 |
$56.44
|
|
Serpina1 gene
|
$220.35 |
$220.35 |
$220.35 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$265.20 |
$265.20 |
$265.20 |
$173.16
|
|
Set radiation therapy field
|
$1,227.85 |
$1,227.85 |
$1,227.85 |
$731.50
|
|
Set radiation therapy field
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,102.40
|
|
Set radiation therapy field
|
$4,546.75 |
$4,546.75 |
$4,546.75 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$1,645.43
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$305.50 |
$305.50 |
$305.50 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$424.45 |
$424.45 |
$424.45 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$3,061.50 |
$3,061.50 |
$3,061.50 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,783.30 |
$2,783.30 |
$2,783.30 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,531.10 |
$2,531.10 |
$2,531.10 |
$2,051.28
|
|
Shoulder X-ray
|
$553.80 |
$553.80 |
$553.80 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$5,183.38 |
$5,183.38 |
$5,183.38 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$380.90 |
$380.90 |
$380.90 |
$345.00
|
|
Sialography s&i
|
$468.65 |
$468.65 |
$468.65 |
$462.40
|
|
Sickling rbc
|
$166.40 |
$166.40 |
$166.40 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$3,070.60 |
$3,070.60 |
$3,070.60 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,059.55 |
$3,059.55 |
$3,059.55 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$4,092.40 |
$4,092.40 |
$4,092.40 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$3,107.65 |
$3,107.65 |
$3,107.65 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$2,908.75 |
$2,908.75 |
$2,908.75 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,671.20 |
$3,671.20 |
$3,671.20 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$310.05 |
$310.05 |
$310.05 |
$309.52
|
|
Sig w/tndsc balloon dilation
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$1,813.80
|
|
Sincalide 5 mcg solution for injection
|
$422.50 |
$422.50 |
$422.50 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,266.20 |
$1,266.20 |
$1,266.20 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$880.10 |
$880.10 |
$880.10 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$2,489.25
|
|
Sirolimus, oral
|
$20.30 |
$20.30 |
$20.30 |
$42.11
|
|
Skin Biopsy
|
$170.95 |
$170.95 |
$170.95 |
$382.80
|
|
Sleeve fing rolyan med
|
$415.29 |
$415.29 |
$415.29 |
$167.31
|
|
Sling suprapubic suburetheral
|
$2,400.59 |
$2,400.59 |
$2,400.59 |
$10,395.47
|
|
Slp pure tone screening
|
$50.70 |
$50.70 |
$50.70 |
$67.60
|
|
Small bowel endoscopy
|
$2,237.30 |
$2,237.30 |
$2,237.30 |
$2,466.10
|
|
Small bowel endoscopy
|
$3,029.00 |
$3,029.00 |
$3,029.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,502.20 |
$3,502.20 |
$3,502.20 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,988.70 |
$2,988.70 |
$2,988.70 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,511.30 |
$3,511.30 |
$3,511.30 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,695.90 |
$3,695.90 |
$3,695.90 |
$2,734.20
|
|
Small bowel endoscopy
|
$3,181.75 |
$3,181.75 |
$3,181.75 |
$1,294.80
|
|
Small bowel endoscopy
|
$3,188.90 |
$3,188.90 |
$3,188.90 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,541.85 |
$3,541.85 |
$3,541.85 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$2,944.50 |
$2,944.50 |
$2,944.50 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,658.50 |
$2,658.50 |
$2,658.50 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$3,519.10 |
$3,519.10 |
$3,519.10 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$3,181.75 |
$3,181.75 |
$3,181.75 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$3,848.65 |
$3,848.65 |
$3,848.65 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$89.70 |
$89.70 |
$89.70 |
$64.20
|
|
Smear gram stain
|
$67.60 |
$67.60 |
$67.60 |
$57.85
|
|
Smear nasal eosinophil
|
$131.95 |
$131.95 |
$131.95 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$332.80 |
$332.80 |
$332.80 |
$64.35
|
|
Smear wet mount
|
$154.70 |
$154.70 |
$154.70 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,684.15 |
$1,684.15 |
$1,684.15 |
$495.69
|
|
Smpd1 gene common variants
|
$984.75 |
$984.75 |
$984.75 |
$140.00
|
|
Snrpn/ube3a gene
|
$746.20 |
$746.20 |
$746.20 |
$228.80
|
|
Sodium 24 hour urine
|
$66.95 |
$66.95 |
$66.95 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$44.21 |
$44.21 |
$44.21 |
$46.38
|
|
Sodium chloride 0.9 % IV bolus
|
$46.38 |
$46.38 |
$46.38 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$43.78 |
$43.78 |
$43.78 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$45.01 |
$45.01 |
$45.01 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$47.58 |
$47.58 |
$47.58 |
$91.00
|
|
Sodium serum/plasma/whole blood
|
$6.50 |
$6.50 |
$6.50 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$345.74 |
$345.74 |
$345.74 |
$156.60
|
|
So gsap cl fr cpy nmbr&mcrst
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$1,345.31
|