|
Red cell survival study
|
$459.60 |
$459.60 |
$459.60 |
$549.70
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$357.00 |
$357.00 |
$357.00 |
$357.91
|
|
Release palm contracture
|
$1,790.40 |
$1,790.40 |
$1,790.40 |
$2,211.05
|
|
Remdesivir 100 mg intravenous powder for solution
|
$748.80 |
$748.80 |
$748.80 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$1,313.40 |
$1,313.40 |
$1,313.40 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$135.60 |
$135.60 |
$135.60 |
$163.20
|
|
Removal foreign body gum 41805
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$2,301.60
|
|
Removal of intranasal lesion
|
$547.80 |
$547.80 |
$547.80 |
$3,811.00
|
|
Removal of skin tags each add'l 10
|
$121.20 |
$121.20 |
$121.20 |
$134.02
|
|
Removal of sperm cord lesion
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$4,081.37
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$156.60 |
$156.60 |
$156.60 |
$292.50
|
|
Removal w/reinsrt nonbiogrdble
|
$271.20 |
$271.20 |
$271.20 |
$530.40
|
|
Renal function panel
|
$222.60 |
$222.60 |
$222.60 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$1,055.69
|
|
Repair elbow deb/attch open
|
$2,957.40 |
$2,957.40 |
$2,957.40 |
$3,839.54
|
|
Repair elbow perc
|
$2,957.40 |
$2,957.40 |
$2,957.40 |
$4,350.00
|
|
Repair elbow w/deb open
|
$2,957.40 |
$2,957.40 |
$2,957.40 |
$3,839.54
|
|
Repair of anal sphincter
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$3,975.40
|
|
Replace picvad cath
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$3,724.63
|
|
#resp virpnl dfa-parainfluenza
|
$148.20 |
$148.20 |
$148.20 |
$35.20
|
|
Reticulocyte automated
|
$21.60 |
$21.60 |
$21.60 |
$53.00
|
|
Rheumatoid factor qualitative
|
$103.80 |
$103.80 |
$103.80 |
$57.20
|
|
Rheumatoid factor quantitative
|
$31.20 |
$31.20 |
$31.20 |
$57.50
|
|
Rho d immune globulin inj
|
$309.00 |
$309.00 |
$309.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$143.40 |
$143.40 |
$143.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$186.60 |
$186.60 |
$186.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$160.80 |
$160.80 |
$160.80 |
$397.60
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$3,382.20 |
$3,382.20 |
$3,382.20 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,160.00 |
$5,160.00 |
$5,160.00 |
$5,309.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$4.80 |
$4.80 |
$4.80 |
$188.16
|
|
Rp loclzj tum 2+area 1+d img
|
$582.00 |
$582.00 |
$582.00 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$2,173.60
|
|
Rubella antibody igg
|
$134.40 |
$134.40 |
$134.40 |
$77.40
|
|
Rubeola antibody igg
|
$161.40 |
$161.40 |
$161.40 |
$80.00
|
|
Russell viper venom diluted
|
$219.60 |
$219.60 |
$219.60 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$124.20 |
$124.20 |
$124.20 |
$314.26
|
|
Salivary gland function exam
|
$463.20 |
$463.20 |
$463.20 |
$753.60
|
|
Salivary gland imaging
|
$364.80 |
$364.80 |
$364.80 |
$585.00
|
|
Salivary glnd img serial img
|
$426.60 |
$426.60 |
$426.60 |
$701.73
|
|
Salmonella antibody
|
$265.80 |
$265.80 |
$265.80 |
$37.58
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$156.60 |
$156.60 |
$156.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$277.80 |
$277.80 |
$277.80 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$799.80 |
$799.80 |
$799.80 |
$660.00
|
|
Screen c/v thin layer by md
|
$95.40 |
$95.40 |
$95.40 |
$74.10
|
|
Screening Mammogram
|
$174.60 |
$174.60 |
$174.60 |
$310.20
|
|
Screening prostate cancer PSA
|
$67.80 |
$67.80 |
$67.80 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$6,284.40 |
$6,284.40 |
$6,284.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$339.00 |
$339.00 |
$339.00 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$15.00 |
$15.00 |
$15.00 |
$42.00
|
|
Semen analysis
|
$108.00 |
$108.00 |
$108.00 |
$13.60
|
|
Serial casting application 97139app
|
$61.20 |
$61.20 |
$61.20 |
$78.39
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$234.00 |
$234.00 |
$234.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$300.60 |
$300.60 |
$300.60 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$157.80 |
$157.80 |
$157.80 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$157.20 |
$157.20 |
$157.20 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$301.80 |
$301.80 |
$301.80 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$157.20 |
$157.20 |
$157.20 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$157.20 |
$157.20 |
$157.20 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$129.00 |
$129.00 |
$129.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$201.60 |
$201.60 |
$201.60 |
$6,570.70
|
|
Shoe post-op mens m
|
$32.40 |
$32.40 |
$32.40 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$112.20 |
$112.20 |
$112.20 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$133.20 |
$133.20 |
$133.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$213.00 |
$213.00 |
$213.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$8,550.60 |
$8,550.60 |
$8,550.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$5,029.20 |
$5,029.20 |
$5,029.20 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$4,336.80 |
$4,336.80 |
$4,336.80 |
$2,096.84
|
|
Shoulder X-ray
|
$307.20 |
$307.20 |
$307.20 |
$340.10
|
|
Sialography s&i
|
$452.40 |
$452.40 |
$452.40 |
$499.20
|
|
Sickling rbc
|
$102.60 |
$102.60 |
$102.60 |
$59.40
|
|
Sigmoidoscopy w/tumr remove
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$1,645.43
|
|
Sincalide 5 mcg solution for injection
|
$166.80 |
$166.80 |
$166.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$993.60 |
$993.60 |
$993.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$820.20 |
$820.20 |
$820.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$156.60 |
$156.60 |
$156.60 |
$346.45
|
|
Sinus X-ray (limited)
|
$118.80 |
$118.80 |
$118.80 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$163.80 |
$163.80 |
$163.80 |
$83.85
|
|
Skin Biopsy
|
$98.40 |
$98.40 |
$98.40 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$138.00 |
$138.00 |
$138.00 |
$294.45
|
|
Skull X-ray (complete)
|
$187.80 |
$187.80 |
$187.80 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,643.47
|
|
Sling arm deluxe w/pad xs
|
$37.20 |
$37.20 |
$37.20 |
$30.35
|
|
Sling pelv split sam med
|
$146.40 |
$146.40 |
$146.40 |
$150.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$349.20 |
$349.20 |
$349.20 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$25.80 |
$25.80 |
$25.80 |
$64.35
|
|
Smear gram stain
|
$46.20 |
$46.20 |
$46.20 |
$55.55
|
|
Smear nasal eosinophil
|
$106.20 |
$106.20 |
$106.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$141.00 |
$141.00 |
$141.00 |
$73.50
|
|
Smear wet mount
|
$90.60 |
$90.60 |
$90.60 |
$67.55
|
|
Sodium 24 hour urine
|
$94.80 |
$94.80 |
$94.80 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$8.40 |
$8.40 |
$8.40 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$8.40 |
$8.40 |
$8.40 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$8.40 |
$8.40 |
$8.40 |
$37.64
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$94.80 |
$94.80 |
$94.80 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$55.80 |
$55.80 |
$55.80 |
$46.26
|
|
Special casting material
|
$193.80 |
$193.80 |
$193.80 |
$47.45
|
|
Specific gravity body fluid
|
$49.20 |
$49.20 |
$49.20 |
$22.00
|
|
Specimen fat stain
|
$98.40 |
$98.40 |
$98.40 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$425.40 |
$425.40 |
$425.40 |
$384.80
|
