|
Protamine 10 mg/ml intravenous solution
|
$192.59 |
$192.59 |
$192.59 |
$59.61
|
|
Protein electrophoretic fractionation & quantitation serum
|
$598.65 |
$598.65 |
$598.65 |
$84.00
|
|
Protein s total
|
$1,186.12 |
$1,186.12 |
$1,186.12 |
$77.60
|
|
Protein total serum plasma whole blood
|
$528.09 |
$528.09 |
$528.09 |
$42.81
|
|
Prothrombin complex kcentra
|
$32.01 |
$32.01 |
$32.01 |
$7.55
|
|
Prothrombin time substitution plasma fractions each
|
$634.52 |
$634.52 |
$634.52 |
$40.30
|
|
PSA (Prostate) Test
|
$598.65 |
$598.65 |
$598.65 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$1,356.18 |
$1,356.18 |
$1,356.18 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$904.10 |
$904.10 |
$904.10 |
$222.24
|
|
Pt evaluation moderate complexity patient/family
|
$1,130.17 |
$1,130.17 |
$1,130.17 |
$249.26
|
|
Pt re-evaluation patient/family
|
$550.35 |
$550.35 |
$550.35 |
$152.40
|
|
Pulmonary vent imaging
|
$1,230.43 |
$1,230.43 |
$1,230.43 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$1,316.28 |
$1,316.28 |
$1,316.28 |
$344.00
|
|
Pulse ox multiple
|
$366.49 |
$366.49 |
$366.49 |
$162.00
|
|
Pyridoxine hcl 100 mg
|
$252.84 |
$252.84 |
$252.84 |
$48.70
|
|
Quant diff pulm perf and vent w/imaging
|
$1,922.69 |
$1,922.69 |
$1,922.69 |
$1,538.60
|
|
Quest t3 uptake
|
$588.06 |
$588.06 |
$588.06 |
$55.00
|
|
Rabies ig ht&sol human im/sc
|
$2,028.77 |
$2,028.77 |
$2,028.77 |
$2,997.00
|
|
Radiation physics consult
|
$1,900.31 |
$1,900.31 |
$1,900.31 |
$602.12
|
|
Radiation therapy dose plan
|
$1,479.33 |
$1,479.33 |
$1,479.33 |
$514.05
|
|
Radiation treatment aid(s)
|
$1,435.41 |
$1,435.41 |
$1,435.41 |
$526.80
|
|
Radiation treatment aid(s)
|
$1,974.76 |
$1,974.76 |
$1,974.76 |
$644.36
|
|
Radiation treatment aid(s)
|
$3,752.41 |
$3,752.41 |
$3,752.41 |
$1,075.03
|
|
Radiation treatment delivery
|
$4,805.40 |
$4,805.40 |
$4,805.40 |
$552.40
|
|
Radiation treatment delivery
|
$2,631.94 |
$2,631.94 |
$2,631.94 |
$911.04
|
|
Radiology port images(s)
|
$831.25 |
$831.25 |
$831.25 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$8,845.97 |
$8,845.97 |
$8,845.97 |
$5,718.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,448.71 |
$3,448.71 |
$3,448.71 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,087.71 |
$7,087.71 |
$7,087.71 |
$2,658.60
|
|
Radphm lcl tomogr sgl area sgl day
|
$7,166.82 |
$7,166.82 |
$7,166.82 |
$2,242.80
|
|
Rbc count only automated
|
$188.00 |
$188.00 |
$188.00 |
$20.00
|
|
Rbc deglycerolized each unit
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$767.00
|
|
Red blood cells each unit
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$1,277.90 |
$1,277.90 |
$1,277.90 |
$422.84
|
|
Red blood cells washed each unit
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$559.00
|
|
Red cell sequestration
|
$1,618.27 |
$1,618.27 |
$1,618.27 |
$549.70
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$6,020.34 |
$6,020.34 |
$6,020.34 |
$378.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,556.47 |
$1,556.47 |
$1,556.47 |
$1,524.70
|
|
Renal function panel
|
$837.39 |
$837.39 |
$837.39 |
$113.52
|
|
Renal venogram bil s&i
|
$2,891.10 |
$2,891.10 |
$2,891.10 |
$3,615.28
|
|
Reptilase test
|
$1,467.76 |
$1,467.76 |
$1,467.76 |
$72.80
|
|
Respirator motion mgmt simul
|
$3,133.26 |
$3,133.26 |
$3,133.26 |
$1,189.20
|
|
Resuscitation delivery/birthing room
|
$2,011.40 |
$2,011.40 |
$2,011.40 |
$774.37
|
|
Reticulocyte direct measurement automated
|
$172.11 |
$172.11 |
$172.11 |
$35.84
|
|
Rheumatoid factor qualitative
|
$592.74 |
$592.74 |
$592.74 |
$57.20
|
|
Rheumatoid factor quantitative
|
$592.00 |
$592.00 |
$592.00 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,335.04 |
$2,335.04 |
$2,335.04 |
$247.55
|
|
Rho d immune globulin 50 mcg
|
$279.94 |
$279.94 |
$279.94 |
$106.14
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,550.34 |
$1,550.34 |
$1,550.34 |
$459.00
|
|
Russell viper venom diluted
|
$67.02 |
$67.02 |
$67.02 |
$68.64
|
|
Sarscov coronavirus ag ia
|
$34.10 |
$34.10 |
$34.10 |
$59.25
|
|
Sbrt w/positron emission del
|
$18,078.91 |
$18,078.91 |
$18,078.91 |
$4,438.19
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,587.01 |
$1,587.01 |
$1,587.01 |
$966.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,307.87 |
$1,307.87 |
$1,307.87 |
$653.40
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,520.07 |
$2,520.07 |
$2,520.07 |
$985.20
|
|
Screening prostate cancer PSA
|
$598.65 |
$598.65 |
$598.65 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$476.33 |
$476.33 |
$476.33 |
$44.20
|
|
Set radiation therapy field
|
$2,781.91 |
$2,781.91 |
$2,781.91 |
$731.50
|
|
Set radiation therapy field
|
$5,519.89 |
$5,519.89 |
$5,519.89 |
$1,590.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$2,576.83 |
$2,576.83 |
$2,576.83 |
$345.00
|
|
Sildenafil citrate, 25 mg
|
$464.94 |
$464.94 |
$464.94 |
$182.99
|
|
Sincalide 5 mcg solution for injection
|
$2,090.79 |
$2,090.79 |
$2,090.79 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$4,419.07 |
$4,419.07 |
$4,419.07 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,281.80
|
|
Sleep study unattended
|
$2,237.66 |
$2,237.66 |
$2,237.66 |
$576.54
|
|
Smear special stain inclusion bodies/parasites
|
$528.09 |
$528.09 |
$528.09 |
$68.85
|
|
Sodium chloride 0.9 % intravenous solution
|
$93.27 |
$93.27 |
$93.27 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$92.23 |
$92.23 |
$92.23 |
$44.34
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$300.76 |
$300.76 |
$300.76 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$408.10 |
$408.10 |
$408.10 |
$45.00
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$836.31 |
$836.31 |
$836.31 |
$177.52
|
|
Special physics consult
|
$3,562.81 |
$3,562.81 |
$3,562.81 |
$702.24
|
|
Special radiation treatment
|
$4,688.64 |
$4,688.64 |
$4,688.64 |
$1,932.96
|
|
Special teletx port plan
|
$4,510.82 |
$4,510.82 |
$4,510.82 |
$1,050.06
|
|
Speech evaluation complex
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$527.06
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$536.34
|
|
Srs linear based
|
$37,071.63 |
$37,071.63 |
$37,071.63 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$928.13 |
$928.13 |
$928.13 |
$295.10
|
|
St cognitve performance testing healthcare professional each hour
|
$584.01 |
$584.01 |
$584.01 |
$284.65
|
|
St evaluate speech sound production
|
$395.51 |
$395.51 |
$395.51 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$928.13 |
$928.13 |
$928.13 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$734.94 |
$734.94 |
$734.94 |
$373.50
|
|
St evaluation swallow function
|
$675.53 |
$675.53 |
$675.53 |
$311.36
|
|
Strep a ag ia
|
$629.81 |
$629.81 |
$629.81 |
$75.40
|
|
Strep b assay w/optic
|
$194.05 |
$194.05 |
$194.05 |
$80.16
|
|
St treatment speech individual
|
$731.51 |
$731.51 |
$731.51 |
$253.80
|
|
St treatment swallow dysfunction/oral
|
$489.76 |
$489.76 |
$489.76 |
$245.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$155.75 |
$155.75 |
$155.75 |
$50.22
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$329.94 |
$329.94 |
$329.94 |
$82.46
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,187.11 |
$1,187.11 |
$1,187.11 |
$123.58
|
|
Support clav 29.6-40.5in med
|
$109.00 |
$109.00 |
$109.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$188.18 |
$188.18 |
$188.18 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$188.18 |
$188.18 |
$188.18 |
$146.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$404.58 |
$404.58 |
$404.58 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$404.58 |
$404.58 |
$404.58 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$543.96 |
$543.96 |
$543.96 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$543.96 |
$543.96 |
$543.96 |
$730.20
|
|
Susceptibility enzyme detection per enzyme
|
$476.72 |
$476.72 |
$476.72 |
$35.10
|
|
Suscept studies macrobroth dilution ea
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$59.28
|