|
Pulse ox multiple
|
$476.04 |
$476.04 |
$476.04 |
$194.33
|
|
Pulse ox single
|
$244.08 |
$244.08 |
$244.08 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$287.08 |
$287.08 |
$287.08 |
$127.50
|
|
Puncture spinal lumbar diagnostic
|
$3,192.12 |
$3,192.12 |
$3,192.12 |
$1,131.35
|
|
Pvb thoracic 2nd+ inj site
|
$2,152.56 |
$2,152.56 |
$2,152.56 |
$1,013.20
|
|
Pvb thoracic single inj site
|
$3,567.48 |
$3,567.48 |
$3,567.48 |
$1,177.00
|
|
Quest t3 uptake
|
$198.59 |
$198.59 |
$198.59 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$12,732.94 |
$12,732.94 |
$12,732.94 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$12,741.35 |
$12,741.35 |
$12,741.35 |
$3,213.80
|
|
Radiation treatment delivery
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$257.01
|
|
Radiation treatment delivery
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$552.40
|
|
Radiology port images(s)
|
$415.73 |
$415.73 |
$415.73 |
$262.50
|
|
Radiotherapy dose plan imrt
|
$17,408.24 |
$17,408.24 |
$17,408.24 |
$5,996.21
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,896.95 |
$7,896.95 |
$7,896.95 |
$16,050.00
|
|
Rapid Strep Test
|
$140.32 |
$140.32 |
$140.32 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$35,836.29 |
$35,836.29 |
$35,836.29 |
$35,222.00
|
|
Red blood cells leukocytes reduced each unit
|
$478.23 |
$478.23 |
$478.23 |
$406.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,306.71 |
$1,306.71 |
$1,306.71 |
$674.98
|
|
Removal cerumen impacted (both sides)
|
$296.48 |
$296.48 |
$296.48 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$514.22 |
$514.22 |
$514.22 |
$245.28
|
|
Removal foreign body foot subcutaneous right
|
$3,089.03 |
$3,089.03 |
$3,089.03 |
$1,256.00
|
|
Renal function panel
|
$377.61 |
$377.61 |
$377.61 |
$112.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,193.40
|
|
Repair lip full thkns =<one-half vert height
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,308.00
|
|
Reptilase test
|
$106.97 |
$106.97 |
$106.97 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$43.29 |
$43.29 |
$43.29 |
$48.00
|
|
Resuscitation cardiopulmonary
|
$1,612.45 |
$1,612.45 |
$1,612.45 |
$847.29
|
|
Reticulated platelet assay
|
$97.20 |
$97.20 |
$97.20 |
$62.70
|
|
Reticulocyte automated
|
$137.85 |
$137.85 |
$137.85 |
$54.60
|
|
Rheumatoid factor qualitative
|
$216.36 |
$216.36 |
$216.36 |
$54.60
|
|
Rheumatoid factor quantitative
|
$319.04 |
$319.04 |
$319.04 |
$58.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$34.86 |
$34.86 |
$34.86 |
$255.26
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$5,053.74 |
$5,053.74 |
$5,053.74 |
$9,916.57
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$5,595.45 |
$5,595.45 |
$5,595.45 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$14,514.27 |
$14,514.27 |
$14,514.27 |
$5,707.80
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$13,807.45 |
$13,807.45 |
$13,807.45 |
$3,703.04
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$14,362.85 |
$14,362.85 |
$14,362.85 |
$7,683.91
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$14,720.43 |
$14,720.43 |
$14,720.43 |
$7,141.65
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,510.58 |
$1,510.58 |
$1,510.58 |
$184.88
|
|
Rubella antibody igg
|
$362.50 |
$362.50 |
$362.50 |
$73.15
|
|
Rubeola antibody igg
|
$354.69 |
$354.69 |
$354.69 |
$80.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,939.72 |
$2,939.72 |
$2,939.72 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,891.69 |
$1,891.69 |
$1,891.69 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,314.97 |
$1,314.97 |
$1,314.97 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,069.02 |
$1,069.02 |
$1,069.02 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,853.37 |
$1,853.37 |
$1,853.37 |
$761.67
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,124.64 |
$2,124.64 |
$2,124.64 |
$995.47
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,428.86 |
$1,428.86 |
$1,428.86 |
$662.20
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,428.86 |
$1,428.86 |
$1,428.86 |
$601.70
|
|
Screening Mammogram
|
$792.81 |
$792.81 |
$792.81 |
$299.01
|
|
Screening pap smear by phys
|
$36.12 |
$36.12 |
$36.12 |
$40.59
|
|
Sedimentation rate erythrocyte automated
|
$144.47 |
$144.47 |
$144.47 |
$44.20
|
|
Shoulder X-ray
|
$692.77 |
$692.77 |
$692.77 |
$372.00
|
|
Sickling rbc
|
$171.18 |
$171.18 |
$171.18 |
$54.00
|
|
Sinus CT scan (with and without contrast)
|
$3,486.14 |
$3,486.14 |
$3,486.14 |
$1,822.80
|
|
Sinus CT scan (with contrast)
|
$3,250.16 |
$3,250.16 |
$3,250.16 |
$1,520.35
|
|
Sinus CT scan (without contrast)
|
$3,020.14 |
$3,020.14 |
$3,020.14 |
$1,281.80
|
|
Smear gram stain
|
$108.96 |
$108.96 |
$108.96 |
$58.05
|
|
Smear special stain inclusion bodies/parasites
|
$168.03 |
$168.03 |
$168.03 |
$66.82
|
|
Smear wet mount
|
$129.55 |
$129.55 |
$129.55 |
$68.64
|
|
Sodium 24 hour urine
|
$95.48 |
$95.48 |
$95.48 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$28.66 |
$28.66 |
$28.66 |
$46.85
|
|
Sodium chloride 3 % ivpb
|
$88.19 |
$88.19 |
$88.19 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$532.31 |
$532.31 |
$532.31 |
$104.98
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,048.07 |
$1,048.07 |
$1,048.07 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$108.83 |
$108.83 |
$108.83 |
$43.00
|
|
Srs multisource
|
$98,343.21 |
$98,343.21 |
$98,343.21 |
$31,800.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$509.73 |
$509.73 |
$509.73 |
$389.64
|
|
St evaluation swallow function
|
$439.28 |
$439.28 |
$439.28 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$955.13 |
$955.13 |
$955.13 |
$247.03
|
|
Strapping of elbow or wrist 29260
|
$408.08 |
$408.08 |
$408.08 |
$171.00
|
|
Strapping of knee
|
$371.23 |
$371.23 |
$371.23 |
$225.29
|
|
Strapping of toes 29550
|
$530.51 |
$530.51 |
$530.51 |
$185.36
|
|
St treatment speech individual
|
$386.60 |
$386.60 |
$386.60 |
$256.55
|
|
St treatment swallow dysfunction/oral
|
$332.43 |
$332.43 |
$332.43 |
$260.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$128.35 |
$128.35 |
$128.35 |
$49.13
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$72.22 |
$72.22 |
$72.22 |
$109.26
|
|
Surgical pathology level 1 gross examination only
|
$369.31 |
$369.31 |
$369.31 |
$92.95
|
|
Surgical pathology level 3 gross & microscopic examination
|
$659.75 |
$659.75 |
$659.75 |
$195.06
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,149.92 |
$1,149.92 |
$1,149.92 |
$254.94
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,114.69 |
$1,114.69 |
$1,114.69 |
$494.40
|
|
Susceptibility enzyme detection per enzyme
|
$51.72 |
$51.72 |
$51.72 |
$35.10
|
|
Susceptibility mic per plate
|
$156.98 |
$156.98 |
$156.98 |
$94.38
|
|
Synvisc or synvisc-one
|
$1,257.54 |
$1,257.54 |
$1,257.54 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$115.73 |
$115.73 |
$115.73 |
$44.85
|
|
T3 (triiodothyronine) free
|
$404.79 |
$404.79 |
$404.79 |
$89.82
|
|
T3 (triiodothyronine) total
|
$236.76 |
$236.76 |
$236.76 |
$93.60
|
|
T4 (thyroxine) free
|
$251.77 |
$251.77 |
$251.77 |
$83.65
|
|
T4 (thyroxine) total
|
$227.20 |
$227.20 |
$227.20 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$526.09 |
$526.09 |
$526.09 |
$122.50
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$2,323.66 |
$2,323.66 |
$2,323.66 |
$959.55
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$355.06 |
$355.06 |
$355.06 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$850.28 |
$850.28 |
$850.28 |
$185.28
|
|
T cells absolute cd 4 count
|
$218.89 |
$218.89 |
$218.89 |
$120.25
|
|
T cells total count
|
$322.01 |
$322.01 |
$322.01 |
$124.11
|
|
Telethx isodose plan cplx
|
$1,794.37 |
$1,794.37 |
$1,794.37 |
$1,617.00
|
|
Telethx isodose plan simple
|
$3,663.61 |
$3,663.61 |
$3,663.61 |
$813.43
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$25.74 |
$25.74 |
$25.74 |
$44.76
|
|
Test stress cardiovascular tracing only
|
$2,010.11 |
$2,010.11 |
$2,010.11 |
$1,001.55
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$26,166.10 |
$26,166.10 |
$26,166.10 |
$11,994.05
|