|
Rpl non-tun cvc wo sbq prt/pmp
|
$727.49 |
$727.49 |
$727.49 |
$2,173.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$241.50 |
$241.50 |
$241.50 |
$2,173.60
|
|
Rsv assay w/optic
|
$20.01 |
$20.01 |
$20.01 |
$79.38
|
|
Rubella antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$77.03
|
|
Rubeola antibody igg
|
$22.08 |
$22.08 |
$22.08 |
$80.00
|
|
Russell viper venom diluted
|
$16.33 |
$16.33 |
$16.33 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$795.11 |
$795.11 |
$795.11 |
$1,008.79
|
|
Salmonella antibody
|
$23.00 |
$23.00 |
$23.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$10.12 |
$10.12 |
$10.12 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$337.87 |
$337.87 |
$337.87 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$225.17 |
$225.17 |
$225.17 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$337.87 |
$337.87 |
$337.87 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$225.17 |
$225.17 |
$225.17 |
$497.20
|
|
Scan duplex extremity veins unilateral/limited study
|
$225.17 |
$225.17 |
$225.17 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$337.87 |
$337.87 |
$337.87 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$225.17 |
$225.17 |
$225.17 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$225.17 |
$225.17 |
$225.17 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$8,336.73 |
$8,336.73 |
$8,336.73 |
$4,490.64
|
|
Screening HIV antigen/antibody combination assay
|
$41.63 |
$41.63 |
$41.63 |
$42.30
|
|
Screening Mammogram
|
$72.68 |
$72.68 |
$72.68 |
$312.55
|
|
Screening prostate cancer PSA
|
$31.74 |
$31.74 |
$31.74 |
$100.63
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$119.37 |
$119.37 |
$119.37 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$4.83 |
$4.83 |
$4.83 |
$42.00
|
|
Semen analysis presence/motility
|
$20.70 |
$20.70 |
$20.70 |
$71.05
|
|
Semen analysis w/count
|
$8.97 |
$8.97 |
$8.97 |
$56.44
|
|
Serpina1 gene
|
$131.33 |
$131.33 |
$131.33 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.38 |
$24.38 |
$24.38 |
$126.43
|
|
Sf3b1 gene common variants
|
$243.34 |
$243.34 |
$243.34 |
$248.10
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$81.88 |
$81.88 |
$81.88 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$90.39 |
$90.39 |
$90.39 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$2,713.80
|
|
Shoulder MRI (without contrast)
|
$624.68 |
$624.68 |
$624.68 |
$2,065.05
|
|
Shoulder X-ray
|
$75.21 |
$75.21 |
$75.21 |
$339.50
|
|
Sickling rbc
|
$9.43 |
$9.43 |
$9.43 |
$57.92
|
|
Sigmoidoscopy w/resection
|
$1,138.04 |
$1,138.04 |
$1,138.04 |
$2,564.40
|
|
Sincalide 5 mcg solution for injection
|
$302.15 |
$302.15 |
$302.15 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$549.24 |
$549.24 |
$549.24 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$521.87 |
$521.87 |
$521.87 |
$1,292.04
|
|
Skeletal muscle relaxant 1/2
|
$13.34 |
$13.34 |
$13.34 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$13.34 |
$13.34 |
$13.34 |
$16.12
|
|
Skin Biopsy
|
$38.64 |
$38.64 |
$38.64 |
$360.34
|
|
Sleep study unattended
|
$255.76 |
$255.76 |
$255.76 |
$580.87
|
|
Slp eval non-spch gen comm dev
|
$84.87 |
$84.87 |
$84.87 |
$285.09
|
|
Slp ther svc non-spch gen
|
$36.80 |
$36.80 |
$36.80 |
$188.50
|
|
Sm-153 lexidron ther
|
$4,078.82 |
$4,078.82 |
$4,078.82 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$8.97 |
$8.97 |
$8.97 |
$64.20
|
|
Smear gram stain
|
$7.36 |
$7.36 |
$7.36 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$10.12 |
$10.12 |
$10.12 |
$73.15
|
|
Smear wet mount
|
$6.90 |
$6.90 |
$6.90 |
$67.49
|
|
Smn1 gene full gene sequence
|
$232.30 |
$232.30 |
$232.30 |
$495.69
|
|
Sodium 24 hour urine
|
$8.51 |
$8.51 |
$8.51 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$11.13 |
$11.13 |
$11.13 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$11.13 |
$11.13 |
$11.13 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$11.13 |
$11.13 |
$11.13 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$119.24 |
$119.24 |
$119.24 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$8.51 |
$8.51 |
$8.51 |
$45.60
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$191.13 |
$191.13 |
$191.13 |
$543.26
|
|
Splint finger fold over sm
|
$151.34 |
$151.34 |
$151.34 |
$146.88
|
|
Split blood or products
|
$37.72 |
$37.72 |
$37.72 |
$127.48
|
|
Sputum specimen collection
|
$46.69 |
$46.69 |
$46.69 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$812.13 |
$812.13 |
$812.13 |
$2,667.94
|
|
Staph a dna amp probe
|
$60.03 |
$60.03 |
$60.03 |
$125.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$173.88 |
$173.88 |
$173.88 |
$377.00
|
|
St evaluation swallow function
|
$80.73 |
$80.73 |
$80.73 |
$314.40
|
|
Stimulants synthetic
|
$20.93 |
$20.93 |
$20.93 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$50.83 |
$50.83 |
$50.83 |
$223.45
|
|
Strapping of elbow or wrist 29260
|
$36.80 |
$36.80 |
$36.80 |
$154.70
|
|
Strapping of hand or finger
|
$55.89 |
$55.89 |
$55.89 |
$174.82
|
|
Strapping of knee
|
$55.89 |
$55.89 |
$55.89 |
$205.20
|
|
Strapping of toes 29550
|
$50.83 |
$50.83 |
$50.83 |
$164.70
|
|
Strep b dna amp probe
|
$60.03 |
$60.03 |
$60.03 |
$120.90
|
|
Stress test pulmonary
|
$90.16 |
$90.16 |
$90.16 |
$322.85
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$188.05 |
$188.05 |
$188.05 |
$52.31
|
|
Sugars multiple quant
|
$11.96 |
$11.96 |
$11.96 |
$44.19
|
|
Sulfonylurea screen qn-sendout
|
$18.40 |
$18.40 |
$18.40 |
$156.16
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$433.78 |
$433.78 |
$433.78 |
$114.88
|
|
Surgical pathology level 3 gross & microscopic examination
|
$44.39 |
$44.39 |
$44.39 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$74.06 |
$74.06 |
$74.06 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$230.92 |
$230.92 |
$230.92 |
$480.00
|
|
Susceptibility agar dilution per agent
|
$8.28 |
$8.28 |
$8.28 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$3.91 |
$3.91 |
$3.91 |
$35.70
|
|
Susceptibility mic per plate
|
$14.95 |
$14.95 |
$14.95 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$7.13 |
$7.13 |
$7.13 |
$59.28
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$7.82 |
$7.82 |
$7.82 |
$41.60
|
|
T3 (triiodothyronine) free
|
$29.21 |
$29.21 |
$29.21 |
$99.20
|
|
T3 (triiodothyronine) total
|
$24.38 |
$24.38 |
$24.38 |
$93.52
|
|
T4 (thyroxine) free
|
$15.41 |
$15.41 |
$15.41 |
$85.20
|
|
T4 (thyroxine) total
|
$11.73 |
$11.73 |
$11.73 |
$69.00
|
|
Tacrolimus therapeutic drug level
|
$23.69 |
$23.69 |
$23.69 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$816.50 |
$816.50 |
$816.50 |
$2,246.30
|
|
Target gsa panel organ/hmtlmph neop
|
$3,676.78 |
$3,676.78 |
$3,676.78 |
$3,746.70
|
|
Tbp gene detc abnor alleles
|
$105.80 |
$105.80 |
$105.80 |
$225.42
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$106.49 |
$106.49 |
$106.49 |
$177.65
|
|
Tc-99m disofenin
|
$35.65 |
$35.65 |
$35.65 |
$124.32
|
|
Tc-99m exame autol wbc diag per dose
|
$1,255.34 |
$1,255.34 |
$1,255.34 |
$2,435.36
|
|
Tc-99m exametazime diag
|
$713.00 |
$713.00 |
$713.00 |
$2,033.20
|
|
Tc-99m labeled rbc
|
$291.87 |
$291.87 |
$291.87 |
$302.40
|
|
Tc-99m maa
|
$48.07 |
$48.07 |
$48.07 |
$292.80
|
|
Tc-99m mebrofenin
|
$51.52 |
$51.52 |
$51.52 |
$157.65
|