|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.32 |
$4.32 |
$4.32 |
$6.48
|
|
Rapid Strep Test
|
$46.40 |
$46.40 |
$46.40 |
$76.00
|
|
Rbc count only automated
|
$16.00 |
$16.00 |
$16.00 |
$20.40
|
|
Rbc irradiated each unit
|
$588.00 |
$588.00 |
$588.00 |
$550.40
|
|
Red blood cells each unit
|
$490.40 |
$490.40 |
$490.40 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$499.20 |
$499.20 |
$499.20 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$711.20 |
$711.20 |
$711.20 |
$534.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$95.63 |
$95.63 |
$95.63 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$892.00 |
$892.00 |
$892.00 |
$1,555.39
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$178.40 |
$178.40 |
$178.40 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$301.60 |
$301.60 |
$301.60 |
$255.97
|
|
Removal foreign body foot subcutaneous right
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$1,260.80
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$381.60 |
$381.60 |
$381.60 |
$292.50
|
|
Renal function panel
|
$79.20 |
$79.20 |
$79.20 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,018.40 |
$1,018.40 |
$1,018.40 |
$1,055.69
|
|
Repair lip full thkns =<one-half vert height
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,628.80 |
$1,628.80 |
$1,628.80 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,244.09
|
|
#resp virpnl dfa-adenovirus
|
$48.80 |
$48.80 |
$48.80 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$67.20 |
$67.20 |
$67.20 |
$35.20
|
|
Reticulocyte automated
|
$23.20 |
$23.20 |
$23.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$35.20 |
$35.20 |
$35.20 |
$36.57
|
|
Rheumatoid factor qualitative
|
$55.20 |
$55.20 |
$55.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$56.00 |
$56.00 |
$56.00 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$283.24 |
$283.24 |
$283.24 |
$234.12
|
|
Rib and Chest X-ray (3 views, left side)
|
$345.60 |
$345.60 |
$345.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$554.40 |
$554.40 |
$554.40 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$444.00 |
$444.00 |
$444.00 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$287.08 |
$287.08 |
$287.08 |
$455.01
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$15,666.72 |
$15,666.72 |
$15,666.72 |
$30,071.50
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$7,151.60 |
$7,151.60 |
$7,151.60 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,358.36 |
$3,358.36 |
$3,358.36 |
$5,004.42
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,856.87 |
$3,856.87 |
$3,856.87 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$8,031.27 |
$8,031.27 |
$8,031.27 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$241.66 |
$241.66 |
$241.66 |
$188.16
|
|
Rsv assay w/optic
|
$108.00 |
$108.00 |
$108.00 |
$76.32
|
|
Rubella antibody igg
|
$70.40 |
$70.40 |
$70.40 |
$77.40
|
|
Rubeola antibody igg
|
$68.00 |
$68.00 |
$68.00 |
$80.00
|
|
Russell viper venom diluted
|
$52.00 |
$52.00 |
$52.00 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$287.20 |
$287.20 |
$287.20 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$996.00 |
$996.00 |
$996.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$688.00 |
$688.00 |
$688.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$804.80 |
$804.80 |
$804.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$864.00 |
$864.00 |
$864.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$837.60 |
$837.60 |
$837.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$804.80 |
$804.80 |
$804.80 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$164.80 |
$164.80 |
$164.80 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$459.20 |
$459.20 |
$459.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$748.80 |
$748.80 |
$748.80 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$31.20 |
$31.20 |
$31.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$124.80 |
$124.80 |
$124.80 |
$96.00
|
|
Semen analysis presence/motility
|
$50.40 |
$50.40 |
$50.40 |
$70.40
|
|
Serial casting application 97139app
|
$96.00 |
$96.00 |
$96.00 |
$78.39
|
|
Shot (Injection into Muscle or Under the Skin)
|
$144.80 |
$144.80 |
$144.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$348.00 |
$348.00 |
$348.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$260.80 |
$260.80 |
$260.80 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,837.60 |
$3,837.60 |
$3,837.60 |
$2,743.02
|
|
Shoulder MRI (without contrast)
|
$3,374.40 |
$3,374.40 |
$3,374.40 |
$2,096.84
|
|
Shoulder X-ray
|
$296.00 |
$296.00 |
$296.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$196.00 |
$196.00 |
$196.00 |
$263.25
|
|
Signal avg ecg w or without ecg 93278
|
$584.00 |
$584.00 |
$584.00 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$418.40 |
$418.40 |
$418.40 |
$346.45
|
|
Sinus X-ray (limited)
|
$280.00 |
$280.00 |
$280.00 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$287.20 |
$287.20 |
$287.20 |
$294.45
|
|
Skull X-ray (complete)
|
$536.00 |
$536.00 |
$536.00 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,099.20 |
$4,099.20 |
$4,099.20 |
$3,734.50
|
|
Sleep study unattended
|
$648.80 |
$648.80 |
$648.80 |
$594.00
|
|
Sling suprapubic suburetheral
|
$2,000.80 |
$2,000.80 |
$2,000.80 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$761.60 |
$761.60 |
$761.60 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$43.20 |
$43.20 |
$43.20 |
$64.35
|
|
Smear gram stain
|
$36.00 |
$36.00 |
$36.00 |
$55.55
|
|
Smear nasal eosinophil
|
$24.80 |
$24.80 |
$24.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$48.00 |
$48.00 |
$48.00 |
$73.50
|
|
Smear wet mount
|
$36.80 |
$36.80 |
$36.80 |
$67.55
|
|
Sodium 24 hour urine
|
$35.20 |
$35.20 |
$35.20 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$148.40 |
$148.40 |
$148.40 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$148.40 |
$148.40 |
$148.40 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$101.76 |
$101.76 |
$101.76 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$3.40 |
$3.40 |
$3.40 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$83.60 |
$83.60 |
$83.60 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$30.40 |
$30.40 |
$30.40 |
$46.26
|
|
Specific gravity body fluid
|
$12.80 |
$12.80 |
$12.80 |
$22.00
|
|
Specimen fat stain
|
$44.80 |
$44.80 |
$44.80 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$340.80 |
$340.80 |
$340.80 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$267.20 |
$267.20 |
$267.20 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$261.60 |
$261.60 |
$261.60 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$44.80 |
$44.80 |
$44.80 |
$388.80
|
|
St analysis behavior qualitative voice/resonance
|
$354.40 |
$354.40 |
$354.40 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$280.00 |
$280.00 |
$280.00 |
$286.00
|
|
Sterile water/saline, 10 ml
|
$3.40 |
$3.40 |
$3.40 |
$13.32
|