|
Radphm lcl tmr plnr bdy sgl day img
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,048.87
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,120.50
|
|
Rapid Strep Test
|
$66.40 |
$66.40 |
$66.40 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,464.20 |
$4,464.20 |
$4,464.20 |
$4,331.80
|
|
Rbc count only automated
|
$12.80 |
$12.80 |
$12.80 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,308.60 |
$1,308.60 |
$1,308.60 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$4,517.20 |
$4,517.20 |
$4,517.20 |
$1,524.70
|
|
Removal central venous catheter tunneled without port/pump
|
$1,186.40 |
$1,186.40 |
$1,186.40 |
$1,552.93
|
|
Removal cerclage without anes
|
$192.80 |
$192.80 |
$192.80 |
$361.50
|
|
Removal foreign body foot subcutaneous right
|
$931.20 |
$931.20 |
$931.20 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$11,138.40 |
$11,138.40 |
$11,138.40 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$188.00 |
$188.00 |
$188.00 |
$292.50
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$1,928.07
|
|
Repair pm/icd lead sgl
|
$4,652.00 |
$4,652.00 |
$4,652.00 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$1,452.80 |
$1,452.80 |
$1,452.80 |
$1,224.63
|
|
Reposition pm/icd lead
|
$3,972.00 |
$3,972.00 |
$3,972.00 |
$3,790.00
|
|
Respirator motion mgmt simul
|
$985.60 |
$985.60 |
$985.60 |
$1,197.50
|
|
Resp virus 6-11 targets
|
$907.20 |
$907.20 |
$907.20 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$1,501.60 |
$1,501.60 |
$1,501.60 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$182.40 |
$182.40 |
$182.40 |
$780.42
|
|
Reticulated platelet assay
|
$176.00 |
$176.00 |
$176.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$36.00 |
$36.00 |
$36.00 |
$36.57
|
|
Revasc intravasc lithotripsy
|
$10,342.40 |
$10,342.40 |
$10,342.40 |
$11,320.00
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Rho d immune globulin inj
|
$312.00 |
$312.00 |
$312.00 |
$217.71
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$14,784.20 |
$14,784.20 |
$14,784.20 |
$15,057.18
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$2,776.40 |
$2,776.40 |
$2,776.40 |
$5,309.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$21,519.20 |
$21,519.20 |
$21,519.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$21,519.20 |
$21,519.20 |
$21,519.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,964.00 |
$18,964.00 |
$18,964.00 |
$24,844.79
|
|
Rmvl perm pm pulse gen
|
$3,951.20 |
$3,951.20 |
$3,951.20 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,138.40 |
$11,138.40 |
$11,138.40 |
$14,929.60
|
|
Rmvl subq card rhythm mntr
|
$7,884.00 |
$7,884.00 |
$7,884.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$25,814.40 |
$25,814.40 |
$25,814.40 |
$4,028.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$301.40 |
$301.40 |
$301.40 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$3,139.20
|
|
Rubella antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$77.03
|
|
Rubeola antibody igg
|
$53.60 |
$53.60 |
$53.60 |
$80.00
|
|
Russell viper venom diluted
|
$64.00 |
$64.00 |
$64.00 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$744.00 |
$744.00 |
$744.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$639.20 |
$639.20 |
$639.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$639.20 |
$639.20 |
$639.20 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$303.20 |
$303.20 |
$303.20 |
$497.20
|
|
Scan duplex extremity veins unilateral/limited study
|
$605.60 |
$605.60 |
$605.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$989.60 |
$989.60 |
$989.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$702.40 |
$702.40 |
$702.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$776.80 |
$776.80 |
$776.80 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$5,652.00 |
$5,652.00 |
$5,652.00 |
$4,490.64
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$108.80 |
$108.80 |
$108.80 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Semen analysis presence/motility
|
$48.80 |
$48.80 |
$48.80 |
$71.05
|
|
Serpina1 gene
|
$177.60 |
$177.60 |
$177.60 |
$197.00
|
|
Set radiation therapy field
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$762.40
|
|
Set radiation therapy field
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$645.50 |
$645.50 |
$645.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$461.50 |
$461.50 |
$461.50 |
$2,065.05
|
|
Shoulder X-ray
|
$330.40 |
$330.40 |
$330.40 |
$339.50
|
|
Sickling rbc
|
$32.00 |
$32.00 |
$32.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$800.20 |
$800.20 |
$800.20 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$568.00 |
$568.00 |
$568.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$494.00 |
$494.00 |
$494.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$295.00 |
$295.00 |
$295.00 |
$1,292.04
|
|
Skyla, 13.5 mg
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,935.20 |
$3,935.20 |
$3,935.20 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$316.00 |
$316.00 |
$316.00 |
$203.58
|
|
Slp ther svc non-spch gen
|
$300.00 |
$300.00 |
$300.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$22.40 |
$22.40 |
$22.40 |
$64.20
|
|
Smear gram stain
|
$16.80 |
$16.80 |
$16.80 |
$55.25
|
|
Smear nasal eosinophil
|
$24.00 |
$24.00 |
$24.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$24.80 |
$24.80 |
$24.80 |
$73.15
|
|
Sodium 24 hour urine
|
$20.80 |
$20.80 |
$20.80 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$34.00 |
$34.00 |
$34.00 |
$48.11
|
|
Sodium chloride 3 % ivpb
|
$90.80 |
$90.80 |
$90.80 |
$40.61
|
|
Sodium serum/plasma/whole blood
|
$25.60 |
$25.60 |
$25.60 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1,007.60 |
$1,007.60 |
$1,007.60 |
$177.52
|
|
Special physics consult
|
$563.20 |
$563.20 |
$563.20 |
$725.00
|
|
Special radiation treatment
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$1,986.00
|
|
Special teletx port plan
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$1,086.99
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$841.60 |
$841.60 |
$841.60 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$552.80 |
$552.80 |
$552.80 |
$392.09
|
|
Splint finger frog med
|
$79.20 |
$79.20 |
$79.20 |
$38.08
|
|
Split blood or products
|
$653.60 |
$653.60 |
$653.60 |
$127.48
|
|
Staph a dna amp probe
|
$143.20 |
$143.20 |
$143.20 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$384.80 |
$384.80 |
$384.80 |
$286.00
|
|
Sterile water/saline, 10 ml
|
$46.40 |
$46.40 |
$46.40 |
$13.32
|
|
St evaluate speech sound production
|
$384.80 |
$384.80 |
$384.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$384.80 |
$384.80 |
$384.80 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$464.00 |
$464.00 |
$464.00 |
$399.60
|
|
St evaluation swallow function
|
$404.80 |
$404.80 |
$404.80 |
$314.40
|
