|
Rbc irradiated each unit
|
$490.75 |
$490.75 |
$490.75 |
$443.95
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$656.50 |
$656.50 |
$656.50 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$288.60 |
$288.60 |
$288.60 |
$519.35
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,888.50 |
$1,888.50 |
$1,888.50 |
$1,888.50
|
|
Removal cerumen impacted (both sides)
|
$159.90 |
$159.90 |
$159.90 |
$161.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$189.15 |
$189.15 |
$189.15 |
$236.64
|
|
Removal foreign body foot subcutaneous right
|
$505.70 |
$505.70 |
$505.70 |
$1,256.00
|
|
Renal function panel
|
$155.35 |
$155.35 |
$155.35 |
$95.76
|
|
Reptilase test
|
$68.25 |
$68.25 |
$68.25 |
$65.72
|
|
Resuscitation cardiopulmonary
|
$774.15 |
$774.15 |
$774.15 |
$895.44
|
|
Reticulocyte automated
|
$48.10 |
$48.10 |
$48.10 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$30.55 |
$30.55 |
$30.55 |
$32.50
|
|
Rheumatoid factor qualitative
|
$65.00 |
$65.00 |
$65.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$53.30 |
$53.30 |
$53.30 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$471.60 |
$471.60 |
$471.60 |
$345.07
|
|
Rsv assay w/optic
|
$89.05 |
$89.05 |
$89.05 |
$64.13
|
|
Rubella antibody igg
|
$79.30 |
$79.30 |
$79.30 |
$73.05
|
|
Rubeola antibody igg
|
$79.30 |
$79.30 |
$79.30 |
$80.00
|
|
Russell viper venom diluted
|
$62.40 |
$62.40 |
$62.40 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$71.50 |
$71.50 |
$71.50 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$125.45 |
$125.45 |
$125.45 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$215.80 |
$215.80 |
$215.80 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$113.10 |
$113.10 |
$113.10 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$134.55 |
$134.55 |
$134.55 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$75.40 |
$75.40 |
$75.40 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$966.55 |
$966.55 |
$966.55 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$630.50 |
$630.50 |
$630.50 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$822.25 |
$822.25 |
$822.25 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$530.40 |
$530.40 |
$530.40 |
$507.18
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,038.05 |
$1,038.05 |
$1,038.05 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$458.25 |
$458.25 |
$458.25 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$381.55 |
$381.55 |
$381.55 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$370.50 |
$370.50 |
$370.50 |
$527.80
|
|
Screening prostate cancer PSA
|
$101.40 |
$101.40 |
$101.40 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$180.70 |
$180.70 |
$180.70 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$44.20 |
$44.20 |
$44.20 |
$37.80
|
|
Semen analysis presence/motility
|
$113.10 |
$113.10 |
$113.10 |
$79.92
|
|
Shoulder X-ray
|
$391.95 |
$391.95 |
$391.95 |
$307.20
|
|
Sickling rbc
|
$75.40 |
$75.40 |
$75.40 |
$53.40
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Sinus CT scan (with and without contrast)
|
$2,299.05 |
$2,299.05 |
$2,299.05 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,306.50 |
$1,306.50 |
$1,306.50 |
$1,151.00
|
|
Slp ther svc non-spch gen
|
$204.10 |
$204.10 |
$204.10 |
$172.50
|
|
Smear fluorescent and/or acid fast stain
|
$57.20 |
$57.20 |
$57.20 |
$50.70
|
|
Smear gram stain
|
$66.30 |
$66.30 |
$66.30 |
$48.00
|
|
Smear nasal eosinophil
|
$49.40 |
$49.40 |
$49.40 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$72.80 |
$72.80 |
$72.80 |
$60.00
|
|
Smear wet mount
|
$70.85 |
$70.85 |
$70.85 |
$56.13
|
|
Snrpn/ube3a gene
|
$380.90 |
$380.90 |
$380.90 |
$228.80
|
|
Sodium 24 hour urine
|
$46.15 |
$46.15 |
$46.15 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium serum/plasma/whole blood
|
$40.95 |
$40.95 |
$40.95 |
$42.43
|
|
Specific gravity body fluid
|
$24.70 |
$24.70 |
$24.70 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$449.15 |
$449.15 |
$449.15 |
$526.80
|
|
Staph a dna amp probe
|
$109.20 |
$109.20 |
$109.20 |
$116.39
|
|
St evaluate speech sound production
|
$430.30 |
$430.30 |
$430.30 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$437.45 |
$437.45 |
$437.45 |
$387.00
|
|
St evaluation swallow function
|
$426.40 |
$426.40 |
$426.40 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$156.00 |
$156.00 |
$156.00 |
$185.36
|
|
Strapping of knee
|
$241.80 |
$241.80 |
$241.80 |
$216.34
|
|
Strep a ag ia
|
$96.85 |
$96.85 |
$96.85 |
$75.40
|
|
Strep b dna amp probe
|
$110.50 |
$110.50 |
$110.50 |
$124.20
|
|
Stress test pulmonary
|
$243.10 |
$243.10 |
$243.10 |
$330.63
|
|
Str markers specimen anal
|
$843.05 |
$843.05 |
$843.05 |
$978.25
|
|
St treatment speech individual
|
$670.15 |
$670.15 |
$670.15 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$254.80 |
$254.80 |
$254.80 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$22.19
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$30.57 |
$30.57 |
$30.57 |
$0.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$58.50 |
$58.50 |
$58.50 |
$52.49
|
|
Surgical pathology level 3 gross & microscopic examination
|
$225.55 |
$225.55 |
$225.55 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$304.85 |
$304.85 |
$304.85 |
$239.85
|
|
Susceptibility agar dilution per agent
|
$28.60 |
$28.60 |
$28.60 |
$38.58
|
|
Susceptibility enzyme detection per enzyme
|
$32.50 |
$32.50 |
$32.50 |
$31.85
|
|
Susceptibility mic per plate
|
$81.90 |
$81.90 |
$81.90 |
$89.70
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$49.40 |
$49.40 |
$49.40 |
$45.70
|
|
T3 (triiodothyronine) free
|
$126.75 |
$126.75 |
$126.75 |
$91.20
|
|
T3 (triiodothyronine) total
|
$100.75 |
$100.75 |
$100.75 |
$88.00
|
|
T4 (thyroxine) free
|
$101.40 |
$101.40 |
$101.40 |
$65.00
|
|
T4 (thyroxine) total
|
$56.55 |
$56.55 |
$56.55 |
$62.40
|
|
Tacrolimus therapeutic drug level
|
$173.55 |
$173.55 |
$173.55 |
$137.15
|
|
Target gsa panel hmtlmph neop
|
$1,759.55 |
$1,759.55 |
$1,759.55 |
$1,928.40
|
|
Target gsa panel organ neop
|
$2,072.85 |
$2,072.85 |
$2,072.85 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$665.88 |
$665.88 |
$665.88 |
$760.95
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$131.95 |
$131.95 |
$131.95 |
$221.65
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$205.40 |
$205.40 |
$205.40 |
$178.40
|
|
T cells absolute cd4/cd8 including ratio
|
$230.75 |
$230.75 |
$230.75 |
$189.60
|
|
T cells total count
|
$117.65 |
$117.65 |
$117.65 |
$126.90
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$22,112.20 |
$22,112.20 |
$22,112.20 |
$16,233.59
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$19.50 |
$19.50 |
$19.50 |
$39.33
|
|
Theophylline therapeutic drug level
|
$103.35 |
$103.35 |
$103.35 |
$101.40
|
|
Therapeutic procd strg endur
|
$95.55 |
$95.55 |
$95.55 |
$72.39
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$42.90 |
$42.90 |
$42.90 |
$50.40
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$39.65 |
$39.65 |
$39.65 |
$47.50
|
|
Ther/proph/diag inj ia
|
$66.95 |
$66.95 |
$66.95 |
$247.33
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$35.10 |
$35.10 |
$35.10 |
$25.80
|
|
Thrombin time
|
$63.70 |
$63.70 |
$63.70 |
$53.50
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$49.40 |
$49.40 |
$49.40 |
$56.93
|