|
Rho d immune globulin inj
|
$2,454.00 |
$2,454.00 |
$2,454.00 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$496.00 |
$496.00 |
$496.00 |
$462.44
|
|
Rotavirus antibody
|
$222.00 |
$222.00 |
$222.00 |
$38.40
|
|
Rsv assay w/optic
|
$648.00 |
$648.00 |
$648.00 |
$73.80
|
|
Russell viper venom diluted
|
$588.00 |
$588.00 |
$588.00 |
$70.16
|
|
Sargramostim injection
|
$227.00 |
$227.00 |
$227.00 |
$708.27
|
|
Screening prostate cancer PSA
|
$423.00 |
$423.00 |
$423.00 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$199.00 |
$199.00 |
$199.00 |
$44.20
|
|
Semen analysis w/count
|
$395.00 |
$395.00 |
$395.00 |
$56.44
|
|
Serpina1 gene
|
$948.00 |
$948.00 |
$948.00 |
$191.73
|
|
Sialidase enzyme assay
|
$159.00 |
$159.00 |
$159.00 |
$49.44
|
|
Sickling rbc
|
$423.00 |
$423.00 |
$423.00 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$4,915.00 |
$4,915.00 |
$4,915.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$4,269.00 |
$4,269.00 |
$4,269.00 |
$1,519.50
|
|
Sinus/juglr venogram s&i
|
$9,678.00 |
$9,678.00 |
$9,678.00 |
$2,489.25
|
|
Smear nasal eosinophil
|
$361.00 |
$361.00 |
$361.00 |
$49.50
|
|
Snrpn/ube3a gene
|
$343.00 |
$343.00 |
$343.00 |
$228.80
|
|
Sodium 24 hour urine
|
$294.00 |
$294.00 |
$294.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$497.00 |
$497.00 |
$497.00 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$403.00 |
$403.00 |
$403.00 |
$47.27
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$120.00 |
$120.00 |
$120.00 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$261.00 |
$261.00 |
$261.00 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$373.00 |
$373.00 |
$373.00 |
$195.48
|
|
Specific gravity body fluid
|
$190.00 |
$190.00 |
$190.00 |
$23.63
|
|
Sperm antibody test
|
$179.00 |
$179.00 |
$179.00 |
$56.44
|
|
Strep a ag ia
|
$280.00 |
$280.00 |
$280.00 |
$75.40
|
|
Strep b assay w/optic
|
$190.00 |
$190.00 |
$190.00 |
$32.00
|
|
Sugars single quant
|
$199.00 |
$199.00 |
$199.00 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$204.00 |
$204.00 |
$204.00 |
$74.79
|
|
Surgical pathology level 1 gross examination only
|
$273.00 |
$273.00 |
$273.00 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$424.00 |
$424.00 |
$424.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$535.00 |
$535.00 |
$535.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$629.00 |
$629.00 |
$629.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,779.00 |
$1,779.00 |
$1,779.00 |
$790.00
|
|
Susceptibility enzyme detection per enzyme
|
$99.00 |
$99.00 |
$99.00 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$20.00 |
$20.00 |
$20.00 |
$48.30
|
|
Svc venogram s&i
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$1,908.00
|
|
Sweat collection by iontophoresis
|
$513.00 |
$513.00 |
$513.00 |
$105.21
|
|
T3 (triiodothyronine) free
|
$447.00 |
$447.00 |
$447.00 |
$89.82
|
|
T3 (triiodothyronine) total
|
$291.00 |
$291.00 |
$291.00 |
$94.90
|
|
T4 (thyroxine) free
|
$256.00 |
$256.00 |
$256.00 |
$81.60
|
|
T4 (thyroxine) total
|
$294.00 |
$294.00 |
$294.00 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$753.00 |
$753.00 |
$753.00 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$3,385.00
|
|
Target gsa panel organ neop
|
$3,943.00 |
$3,943.00 |
$3,943.00 |
$1,913.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$462.00 |
$462.00 |
$462.00 |
$166.46
|
|
Tc-99m apcitide diag
|
$5,159.00 |
$5,159.00 |
$5,159.00 |
$1,765.30
|
|
Tc-99m disofenin
|
$573.00 |
$573.00 |
$573.00 |
$151.32
|
|
Tc-99m exametazime diag
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$2,166.26
|
|
Tc-99m labeled rbc
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$323.01
|
|
Tc-99m maa
|
$123.00 |
$123.00 |
$123.00 |
$312.06
|
|
Tc-99m mebrofenin
|
$457.00 |
$457.00 |
$457.00 |
$169.53
|
|
Tc-99m medronate
|
$258.00 |
$258.00 |
$258.00 |
$122.46
|
|
Tc-99m mertiatide
|
$600.00 |
$600.00 |
$600.00 |
$757.25
|
|
Tc-99m pentetate dtpa
|
$755.00 |
$755.00 |
$755.00 |
$245.85
|
|
Tc-99m pentetate dtpa aerosol
|
$279.00 |
$279.00 |
$279.00 |
$244.02
|
|
Tc-99m pertechnetate per mci
|
$62.00 |
$62.00 |
$62.00 |
$28.08
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$156.00 |
$156.00 |
$156.00 |
$147.24
|
|
Tc-99m sestamibi p study dose
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$221.60
|
|
Tc-99m succimer (dmsa)
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$1,578.33
|
|
Tc-99m sulfur colloid
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$245.70
|
|
T cells absolute cd4/cd8 including ratio
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$186.00
|
|
T cells absolute cd 4 count
|
$774.00 |
$774.00 |
$774.00 |
$120.25
|
|
T cells total count
|
$932.00 |
$932.00 |
$932.00 |
$124.11
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$178.00 |
$178.00 |
$178.00 |
$46.10
|
|
Tetanus immune globulin inj
|
$2,799.00 |
$2,799.00 |
$2,799.00 |
$1,204.50
|
|
Tgsap so neo 5-50 rna alys
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$816.27
|
|
Theophylline therapeutic drug level
|
$540.00 |
$540.00 |
$540.00 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$106.00 |
$106.00 |
$106.00 |
$55.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$35.72
|
|
Thrombin time
|
$602.00 |
$602.00 |
$602.00 |
$48.75
|
|
Thromboplastin inhibition
|
$29.00 |
$29.00 |
$29.00 |
$52.00
|
|
Thyroglobulin antibody
|
$293.00 |
$293.00 |
$293.00 |
$84.00
|
|
Thyroid mets imag whole body
|
$4,722.00 |
$4,722.00 |
$4,722.00 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$350.00 |
$350.00 |
$350.00 |
$120.00
|
|
Thyroid Ultrasound
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$589.96
|
|
Thyroxine binding globulin (tbg)
|
$294.00 |
$294.00 |
$294.00 |
$63.60
|
|
Tissue exam koh skin/hair/nails
|
$397.00 |
$397.00 |
$397.00 |
$47.40
|
|
Tl-201 thallium diag per mci
|
$373.00 |
$373.00 |
$373.00 |
$77.22
|
|
Tomosynthesis breast diagnostic left
|
$84.00 |
$84.00 |
$84.00 |
$78.80
|
|
Tomosynthesis breast screen bilateral
|
$84.00 |
$84.00 |
$84.00 |
$73.45
|
|
Total tau
|
$293.00 |
$293.00 |
$293.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$293.00 |
$293.00 |
$293.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$293.00 |
$293.00 |
$293.00 |
$83.20
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$233.00 |
$233.00 |
$233.00 |
$104.50
|
|
Transferrin
|
$343.00 |
$343.00 |
$343.00 |
$87.30
|
|
Trastuzumab 150 mg intravenous solution
|
$621.00 |
$621.00 |
$621.00 |
$3,900.04
|
|
Trg gene rearrangement anal
|
$760.00 |
$760.00 |
$760.00 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$60.00 |
$60.00 |
$60.00 |
$55.80
|
|
Trichinella antibody
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$70.65
|
|
Ultrasound abdomen aorta screening study aaa
|
$696.00 |
$696.00 |
$696.00 |
$403.26
|
|
Ultrasound chest
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$608.00 |
$608.00 |
$608.00 |
$284.25
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,986.00 |
$1,986.00 |
$1,986.00 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$373.00 |
$373.00 |
$373.00 |
$340.22
|
|
Ultrasound hips infant dynamic
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$403.00
|
