|
Rubella antibody igg
|
$46.64 |
$46.64 |
$46.64 |
$73.10
|
|
Rubeola antibody igg
|
$50.35 |
$50.35 |
$50.35 |
$79.68
|
|
Russell viper venom diluted
|
$46.64 |
$46.64 |
$46.64 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$962.48 |
$962.48 |
$962.48 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$813.02 |
$813.02 |
$813.02 |
$670.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$681.05 |
$681.05 |
$681.05 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$782.28 |
$782.28 |
$782.28 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$995.87 |
$995.87 |
$995.87 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$957.18 |
$957.18 |
$957.18 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$824.15 |
$824.15 |
$824.15 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$695.89 |
$695.89 |
$695.89 |
$601.70
|
|
Screening prostate cancer PSA
|
$30.74 |
$30.74 |
$30.74 |
$100.80
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,102.09 |
$3,102.09 |
$3,102.09 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$22.79 |
$22.79 |
$22.79 |
$44.20
|
|
Semen analysis presence/motility
|
$37.10 |
$37.10 |
$37.10 |
$70.85
|
|
Semen analysis w/count
|
$62.54 |
$62.54 |
$62.54 |
$56.44
|
|
Serpina1 gene
|
$173.84 |
$173.84 |
$173.84 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$860.72 |
$860.72 |
$860.72 |
$173.16
|
|
Shoulder MRI (with and without contrast)
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,419.34 |
$1,419.34 |
$1,419.34 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,355.21 |
$1,355.21 |
$1,355.21 |
$2,051.28
|
|
Shoulder X-ray
|
$158.47 |
$158.47 |
$158.47 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$206.17 |
$206.17 |
$206.17 |
$345.00
|
|
Sickling rbc
|
$27.03 |
$27.03 |
$27.03 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$1,007.53 |
$1,007.53 |
$1,007.53 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$867.61 |
$867.61 |
$867.61 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$858.60 |
$858.60 |
$858.60 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,691.23 |
$1,691.23 |
$1,691.23 |
$2,489.25
|
|
Sleeve fing rolyan med
|
$496.08 |
$496.08 |
$496.08 |
$167.31
|
|
Smear fluorescent and/or acid fast stain
|
$33.92 |
$33.92 |
$33.92 |
$64.20
|
|
Smear gram stain
|
$24.91 |
$24.91 |
$24.91 |
$57.85
|
|
Smear nasal eosinophil
|
$25.44 |
$25.44 |
$25.44 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$35.51 |
$35.51 |
$35.51 |
$64.35
|
|
Smear wet mount
|
$25.97 |
$25.97 |
$25.97 |
$68.63
|
|
Snrpn/ube3a gene
|
$282.49 |
$282.49 |
$282.49 |
$228.80
|
|
Sodium 24 hour urine
|
$22.79 |
$22.79 |
$22.79 |
$48.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$11.69 |
$11.69 |
$11.69 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$15.90 |
$15.90 |
$15.90 |
$42.70
|
|
Specific gravity body fluid
|
$29.15 |
$29.15 |
$29.15 |
$23.63
|
|
Sperm antibody test
|
$45.05 |
$45.05 |
$45.05 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,724.09 |
$1,724.09 |
$1,724.09 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$457.92 |
$457.92 |
$457.92 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,178.19 |
$1,178.19 |
$1,178.19 |
$380.00
|
|
Split blood or products
|
$92.22 |
$92.22 |
$92.22 |
$148.98
|
|
Staph a dna amp probe
|
$152.11 |
$152.11 |
$152.11 |
$116.39
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,087.91 |
$9,087.91 |
$9,087.91 |
$17,281.80
|
|
Strep b dna amp probe
|
$122.43 |
$122.43 |
$122.43 |
$139.20
|
|
Stress test pulmonary
|
$165.36 |
$165.36 |
$165.36 |
$327.20
|
|
Stress tte complete
|
$3,136.01 |
$3,136.01 |
$3,136.01 |
$1,964.95
|
|
Str markers specimen anal
|
$800.30 |
$800.30 |
$800.30 |
$835.28
|
|
Sugars single quant
|
$52.47 |
$52.47 |
$52.47 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$39.22 |
$39.22 |
$39.22 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$42.40 |
$42.40 |
$42.40 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$75.26 |
$75.26 |
$75.26 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$96.99 |
$96.99 |
$96.99 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$503.50 |
$503.50 |
$503.50 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$193.45 |
$193.45 |
$193.45 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$434.60 |
$434.60 |
$434.60 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$24.38 |
$24.38 |
$24.38 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$14.84 |
$14.84 |
$14.84 |
$34.48
|
|
Suscept studies macrobroth dilution ea
|
$35.51 |
$35.51 |
$35.51 |
$48.30
|
|
Svc venogram s&i
|
$849.06 |
$849.06 |
$849.06 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$23.85 |
$23.85 |
$23.85 |
$44.85
|
|
T3 (triiodothyronine) free
|
$57.77 |
$57.77 |
$57.77 |
$89.82
|
|
T3 (triiodothyronine) total
|
$56.71 |
$56.71 |
$56.71 |
$94.90
|
|
T4 (thyroxine) free
|
$45.05 |
$45.05 |
$45.05 |
$81.60
|
|
T4 (thyroxine) total
|
$34.45 |
$34.45 |
$34.45 |
$73.64
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$3.42 |
$3.42 |
$3.42 |
$12.25
|
|
Tacrolimus therapeutic drug level
|
$93.81 |
$93.81 |
$93.81 |
$122.40
|
|
Tap block bilat cont infusion 64489
|
$885.10 |
$885.10 |
$885.10 |
$914.55
|
|
Tap block uni by cont infusion 64487
|
$638.65 |
$638.65 |
$638.65 |
$638.65
|
|
Target gsa panel hmtlmph neop
|
$4,211.91 |
$4,211.91 |
$4,211.91 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$3,567.96 |
$3,567.96 |
$3,567.96 |
$3,385.00
|
|
Target gsa panel organ neop
|
$2,655.83 |
$2,655.83 |
$2,655.83 |
$1,913.00
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1.50 |
$1.50 |
$1.50 |
$959.55
|
|
Tbs techl calculation only
|
$112.36 |
$112.36 |
$112.36 |
$123.30
|
|
Tbs techl prep&transmis data
|
$112.36 |
$112.36 |
$112.36 |
$104.19
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$200.87 |
$200.87 |
$200.87 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$200.87 |
$200.87 |
$200.87 |
$166.46
|
|
Tc-99m exametazime diag
|
$3,200.67 |
$3,200.67 |
$3,200.67 |
$2,166.26
|
|
Tc-99m maa
|
$368.35 |
$368.35 |
$368.35 |
$312.06
|
|
Tc-99m medronate
|
$131.44 |
$131.44 |
$131.44 |
$122.46
|
|
Tc-99m pentetate dtpa aerosol
|
$160.59 |
$160.59 |
$160.59 |
$244.02
|
|
Tc-99m pyroph diag per dose up to 25 mci
|
$134.62 |
$134.62 |
$134.62 |
$147.24
|
|
Tc-99m sulfur colloid
|
$548.02 |
$548.02 |
$548.02 |
$245.70
|
|
Tc-99m tetrofosmin p study dose
|
$438.31 |
$438.31 |
$438.31 |
$198.05
|
|
T cells absolute cd4/cd8 including ratio
|
$152.64 |
$152.64 |
$152.64 |
$186.00
|
|
T cells absolute cd 4 count
|
$86.92 |
$86.92 |
$86.92 |
$120.25
|
|
T cells total count
|
$121.90 |
$121.90 |
$121.90 |
$124.11
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$24.81 |
$24.81 |
$24.81 |
$46.10
|
|
Test for urine cystines
|
$15.37 |
$15.37 |
$15.37 |
$26.00
|
|
Test stress cardiovascular tracing only
|
$1,038.80 |
$1,038.80 |
$1,038.80 |
$1,001.55
|
|
Theophylline therapeutic drug level
|
$57.77 |
$57.77 |
$57.77 |
$108.00
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$66.25 |
$66.25 |
$66.25 |
$55.00
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$66.25 |
$66.25 |
$66.25 |
$50.40
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$9.27 |
$9.27 |
$9.27 |
$35.72
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,163.88 |
$1,163.88 |
$1,163.88 |
$1,804.00
|
|
Thrombectmy crnry perq mechanical
|
$870.79 |
$870.79 |
$870.79 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,838.92 |
$9,838.92 |
$9,838.92 |
$7,828.60
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$19,882.42 |
$19,882.42 |
$19,882.42 |
$15,185.00
|
