|
PSA (Prostate) Test
|
$1,460.67 |
$1,460.67 |
$1,460.67 |
$107.50
|
|
Pulmonary vent imaging
|
$5,065.36 |
$5,065.36 |
$5,065.36 |
$828.73
|
|
Pulse ox single
|
$183.71 |
$183.71 |
$183.71 |
$88.80
|
|
Puncture arterial withdrawal blood for diagnosis
|
$275.55 |
$275.55 |
$275.55 |
$127.50
|
|
Pyridoxine hcl 100 mg
|
$66.80 |
$66.80 |
$66.80 |
$39.63
|
|
Pyruvate
|
$225.07 |
$225.07 |
$225.07 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$16,407.58 |
$16,407.58 |
$16,407.58 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$6,726.56 |
$6,726.56 |
$6,726.56 |
$1,228.50
|
|
Quest t3 uptake
|
$900.28 |
$900.28 |
$900.28 |
$58.95
|
|
Quinupristin/dalfopristin
|
$1,505.58 |
$1,505.58 |
$1,505.58 |
$647.41
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,553.58 |
$1,553.58 |
$1,553.58 |
$1,059.01
|
|
Radiation handling
|
$3,004.89 |
$3,004.89 |
$3,004.89 |
$315.25
|
|
Radiation physics consult
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$595.40
|
|
Radiation therapy dose plan
|
$986.00 |
$986.00 |
$986.00 |
$521.30
|
|
Radiation treatment aid(s)
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$526.80
|
|
Radiology port images(s)
|
$820.00 |
$820.00 |
$820.00 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$6,838.00 |
$6,838.00 |
$6,838.00 |
$5,996.21
|
|
Rapid Strep Test
|
$631.41 |
$631.41 |
$631.41 |
$74.10
|
|
Rbc count only automated
|
$5.29 |
$5.29 |
$5.29 |
$19.50
|
|
Rbc deglycerolized each unit
|
$2,363.27 |
$2,363.27 |
$2,363.27 |
$740.18
|
|
Rbc irradiated each unit
|
$736.00 |
$736.00 |
$736.00 |
$391.31
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$2,363.27 |
$2,363.27 |
$2,363.27 |
$574.37
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$736.00 |
$736.00 |
$736.00 |
$624.65
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$736.00 |
$736.00 |
$736.00 |
$570.99
|
|
Red blood cells washed each unit
|
$736.00 |
$736.00 |
$736.00 |
$551.65
|
|
Redo endovas vena cava filtr
|
$5,647.74 |
$5,647.74 |
$5,647.74 |
$4,380.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,148.16 |
$2,148.16 |
$2,148.16 |
$626.62
|
|
Relocation skin pocket aicd
|
$15,806.75 |
$15,806.75 |
$15,806.75 |
$3,153.93
|
|
Relocation skin pocket pm
|
$13,308.76 |
$13,308.76 |
$13,308.76 |
$2,939.25
|
|
Rem endovas vena cava filter
|
$5,664.30 |
$5,664.30 |
$5,664.30 |
$5,846.40
|
|
Removal/replacement ppm generator dual lead system
|
$6,618.81 |
$6,618.81 |
$6,618.81 |
$12,384.25
|
|
Remove cva lumen obstruct
|
$8,449.43 |
$8,449.43 |
$8,449.43 |
$490.80
|
|
Renal function panel
|
$2,693.25 |
$2,693.25 |
$2,693.25 |
$112.00
|
|
Renal venogram bil s&i
|
$13,727.72 |
$13,727.72 |
$13,727.72 |
$3,486.86
|
|
Repair pm/icd lead dual
|
$13,955.61 |
$13,955.61 |
$13,955.61 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$13,889.43 |
$13,889.43 |
$13,889.43 |
$4,343.82
|
|
Replace aortic valve open axillry 33363
|
$120,167.74 |
$120,167.74 |
$120,167.74 |
$17,687.80
|
|
Replace aortic valve open femoral 33362
|
$120,167.74 |
$120,167.74 |
$120,167.74 |
$22,888.58
|
|
Replace aortic valve open iliac 33364
|
$120,276.91 |
$120,276.91 |
$120,276.91 |
$14,751.10
|
|
Replace aortic valve open transaortic 33365
|
$118,938.59 |
$118,938.59 |
$118,938.59 |
$26,534.30
|
|
Reposition pm/icd lead
|
$7,245.81 |
$7,245.81 |
$7,245.81 |
$3,820.33
|
|
Repos lv lead pm/icd
|
$18,045.02 |
$18,045.02 |
$18,045.02 |
$3,770.00
|
|
Repos sq defib eltrd
|
$23,782.09 |
$23,782.09 |
$23,782.09 |
$4,831.80
|
|
Resuscitation cardiopulmonary
|
$5,018.98 |
$5,018.98 |
$5,018.98 |
$847.29
|
|
Reticulocyte direct measurement automated
|
$525.66 |
$525.66 |
$525.66 |
$33.57
|
|
Revasc intra lithotrip-ather
|
$14,479.56 |
$14,479.56 |
$14,479.56 |
$17,995.65
|
|
Revasc intra lithotrip-stent
|
$146,790.30 |
$146,790.30 |
$146,790.30 |
$18,952.48
|
|
Rheumatoid factor qualitative
|
$566.45 |
$566.45 |
$566.45 |
$54.60
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$354.03 |
$354.03 |
$354.03 |
$270.46
|
|
Rho(d) immune globulin h, sd
|
$2,133.04 |
$2,133.04 |
$2,133.04 |
$1,467.90
|
|
Rho d immune globulin inj
|
$343.67 |
$343.67 |
$343.67 |
$334.53
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$281.88 |
$281.88 |
$281.88 |
$4,888.96
|
|
Rmvl icd by tv extr
|
$32,546.54 |
$32,546.54 |
$32,546.54 |
$4,350.24
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,173.01 |
$7,173.01 |
$7,173.01 |
$26,030.94
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$7,444.32 |
$7,444.32 |
$7,444.32 |
$34,271.25
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$20,273.35 |
$20,273.35 |
$20,273.35 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$8,757.82 |
$8,757.82 |
$8,757.82 |
$4,114.00
|
|
Rmvl perm pm pulse gen
|
$9,315.33 |
$9,315.33 |
$9,315.33 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,898.39 |
$6,898.39 |
$6,898.39 |
$17,351.25
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,352.49 |
$6,352.49 |
$6,352.49 |
$10,319.90
|
|
Rmvl pq vad left hrt vein sep session
|
$4,050.96 |
$4,050.96 |
$4,050.96 |
$2,896.40
|
|
Rmvl sq defib electrode
|
$16,314.62 |
$16,314.62 |
$16,314.62 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$8,873.61 |
$8,873.61 |
$8,873.61 |
$2,054.83
|
|
Rmvl tv pm lead dual
|
$23,332.13 |
$23,332.13 |
$23,332.13 |
$4,031.69
|
|
Rmvl tv pm lead sgl
|
$18,286.54 |
$18,286.54 |
$18,286.54 |
$4,190.98
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,727.97 |
$4,727.97 |
$4,727.97 |
$2,204.24
|
|
Rubeola antibody igg
|
$309.66 |
$309.66 |
$309.66 |
$80.00
|
|
Russell viper venom diluted
|
$1,252.22 |
$1,252.22 |
$1,252.22 |
$73.03
|
|
Sargramostim injection
|
$25,403.93 |
$25,403.93 |
$25,403.93 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$45.11 |
$45.11 |
$45.11 |
$60.40
|
|
Scope uretscp lithovue dig disp
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$3,317.43
|
|
Sedimentation rate erythrocyte automated
|
$654.06 |
$654.06 |
$654.06 |
$44.20
|
|
Semen analysis presence/motility
|
$734.12 |
$734.12 |
$734.12 |
$71.05
|
|
Set radiation therapy field
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$731.50
|
|
Set radiation therapy field
|
$3,357.00 |
$3,357.00 |
$3,357.00 |
$1,636.36
|
|
Sialography s&i
|
$5,513.24 |
$5,513.24 |
$5,513.24 |
$452.40
|
|
Sickling rbc
|
$400.30 |
$400.30 |
$400.30 |
$54.00
|
|
Signal avg ecg w or without ecg 93278
|
$2,226.55 |
$2,226.55 |
$2,226.55 |
$309.52
|
|
Sinus/juglr venogram s&i
|
$11,641.56 |
$11,641.56 |
$11,641.56 |
$2,489.25
|
|
Sling pelv split sam med
|
$831.60 |
$831.60 |
$831.60 |
$134.95
|
|
Smear nasal eosinophil
|
$900.28 |
$900.28 |
$900.28 |
$49.41
|
|
Sodium 24 hour urine
|
$817.19 |
$817.19 |
$817.19 |
$48.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$363.37 |
$363.37 |
$363.37 |
$104.00
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$412.80 |
$412.80 |
$412.80 |
$345.74
|
|
Special physics consult
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$700.74
|
|
Special radiation dosimetry
|
$1,832.00 |
$1,832.00 |
$1,832.00 |
$422.48
|
|
Special radiation treatment
|
$3,844.00 |
$3,844.00 |
$3,844.00 |
$1,905.15
|
|
Special teletx port plan
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,037.40
|
|
Specific gravity body fluid
|
$327.78 |
$327.78 |
$327.78 |
$22.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$3,410.31 |
$3,410.31 |
$3,410.31 |
$549.83
|
|
Split blood or products
|
$273.06 |
$273.06 |
$273.06 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$12,395.63 |
$12,395.63 |
$12,395.63 |
$4,588.65
|
|
Stress test pulmonary
|
$2,335.65 |
$2,335.65 |
$2,335.65 |
$321.75
|
|
Sugars single quant
|
$87.50 |
$87.50 |
$87.50 |
$52.00
|
|
Sulfonylurea screen qn-sendout
|
$500.00 |
$500.00 |
$500.00 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$1,287.84 |
$1,287.84 |
$1,287.84 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$103.00 |
$103.00 |
$103.00 |
$77.22
|
|
Surgical pathology level 1 gross examination only
|
$990.90 |
$990.90 |
$990.90 |
$95.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$1,244.67 |
$1,244.67 |
$1,244.67 |
$150.40
|
|
Surgical pathology level 3 gross & microscopic examination
|
$1,540.73 |
$1,540.73 |
$1,540.73 |
$191.00
|
