|
Rapid Strep Test
|
$162.80 |
$162.80 |
$162.80 |
$74.10
|
|
Rbc count only automated
|
$47.30 |
$47.30 |
$47.30 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$145.75 |
$145.75 |
$145.75 |
$223.08
|
|
Red blood cells each unit
|
$439.45 |
$439.45 |
$439.45 |
$389.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$583.00 |
$583.00 |
$583.00 |
$850.85
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$535.70 |
$535.70 |
$535.70 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$439.45 |
$439.45 |
$439.45 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$487.30 |
$487.30 |
$487.30 |
$540.00
|
|
Red blood cells washed each unit
|
$551.65 |
$551.65 |
$551.65 |
$583.68
|
|
Rem endovas vena cava filter
|
$5,258.55 |
$5,258.55 |
$5,258.55 |
$5,819.40
|
|
Removal biliary drg cath
|
$1,038.95 |
$1,038.95 |
$1,038.95 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,652.20 |
$1,652.20 |
$1,652.20 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,362.80 |
$2,362.80 |
$2,362.80 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$238.15 |
$238.15 |
$238.15 |
$177.60
|
|
Removal tunnled intprtnl cath
|
$4,766.85 |
$4,766.85 |
$4,766.85 |
$4,293.90
|
|
Remove renal tube w/fluoro
|
$542.85 |
$542.85 |
$542.85 |
$1,281.75
|
|
Remove ureter stent percut
|
$1,824.35 |
$1,824.35 |
$1,824.35 |
$3,525.30
|
|
Renal function panel
|
$210.10 |
$210.10 |
$210.10 |
$110.10
|
|
Renal venogram bil s&i
|
$4,396.15 |
$4,396.15 |
$4,396.15 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$963.60 |
$963.60 |
$963.60 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$4,478.65 |
$4,478.65 |
$4,478.65 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$1,884.85 |
$1,884.85 |
$1,884.85 |
$2,702.15
|
|
Repair finger/hand tendon
|
$3,359.40 |
$3,359.40 |
$3,359.40 |
$3,842.58
|
|
Repair lip full thkns =<one-half vert height
|
$682.55 |
$682.55 |
$682.55 |
$1,326.51
|
|
Repair rpr lip full thickness vermilion only
|
$1,045.55 |
$1,045.55 |
$1,045.55 |
$1,268.80
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,359.40 |
$3,359.40 |
$3,359.40 |
$4,627.00
|
|
Replace duod/jej tube perc
|
$980.65 |
$980.65 |
$980.65 |
$1,383.00
|
|
Replace g/c tube perc
|
$892.65 |
$892.65 |
$892.65 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,508.10 |
$1,508.10 |
$1,508.10 |
$1,600.45
|
|
Replace tunneled cv cath
|
$3,160.30 |
$3,160.30 |
$3,160.30 |
$4,001.25
|
|
Reptilase test
|
$51.70 |
$51.70 |
$51.70 |
$65.65
|
|
Respirator motion mgmt simul
|
$1,002.65 |
$1,002.65 |
$1,002.65 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$1,144.55 |
$1,144.55 |
$1,144.55 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$814.00 |
$814.00 |
$814.00 |
$847.29
|
|
Reticulated platelet assay
|
$92.40 |
$92.40 |
$92.40 |
$63.08
|
|
Reticulocyte automated
|
$59.40 |
$59.40 |
$59.40 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$29.70 |
$29.70 |
$29.70 |
$33.57
|
|
Revsc opn/prq tib/pero stent
|
$4,779.50 |
$4,779.50 |
$4,779.50 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$132.55 |
$132.55 |
$132.55 |
$54.60
|
|
Rheumatoid factor quantitative
|
$48.95 |
$48.95 |
$48.95 |
$58.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,525.15 |
$1,525.15 |
$1,525.15 |
$1,217.97
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$849.75 |
$849.75 |
$849.75 |
$2,331.08
|
|
Rp loclzj tum spect w/ct 1
|
$1,883.75 |
$1,883.75 |
$1,883.75 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,198.35 |
$2,198.35 |
$2,198.35 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,037.85 |
$1,037.85 |
$1,037.85 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$2,298.45 |
$2,298.45 |
$2,298.45 |
$4,201.80
|
|
Rsv assay w/optic
|
$127.60 |
$127.60 |
$127.60 |
$73.80
|
|
Rubella antibody igg
|
$133.10 |
$133.10 |
$133.10 |
$73.10
|
|
Rubeola antibody igg
|
$102.85 |
$102.85 |
$102.85 |
$79.68
|
|
Russell viper venom diluted
|
$121.00 |
$121.00 |
$121.00 |
$70.16
|
|
Salivary glnd img serial img
|
$1,206.70 |
$1,206.70 |
$1,206.70 |
$585.00
|
|
Sarscov coronavirus ag ia
|
$144.65 |
$144.65 |
$144.65 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$902.00 |
$902.00 |
$902.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$778.80 |
$778.80 |
$778.80 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$459.25 |
$459.25 |
$459.25 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,161.05 |
$1,161.05 |
$1,161.05 |
$759.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,108.25 |
$1,108.25 |
$1,108.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,092.30 |
$1,092.30 |
$1,092.30 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,316.05 |
$2,316.05 |
$2,316.05 |
$2,114.45
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$59.95 |
$59.95 |
$59.95 |
$54.26
|
|
Screening prostate cancer PSA
|
$241.45 |
$241.45 |
$241.45 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$598.50 |
$598.50 |
$598.50 |
$28,563.75
|
|
Sedimentation rate erythrocyte automated
|
$61.05 |
$61.05 |
$61.05 |
$44.20
|
|
Semen analysis presence/motility
|
$113.85 |
$113.85 |
$113.85 |
$70.85
|
|
Semen analysis w/count
|
$189.75 |
$189.75 |
$189.75 |
$56.44
|
|
Serpina1 gene
|
$535.15 |
$535.15 |
$535.15 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$215.05 |
$215.05 |
$215.05 |
$173.16
|
|
Set radiation therapy field
|
$875.60 |
$875.60 |
$875.60 |
$731.50
|
|
Set radiation therapy field
|
$1,397.55 |
$1,397.55 |
$1,397.55 |
$1,102.40
|
|
Set radiation therapy field
|
$2,659.25 |
$2,659.25 |
$2,659.25 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$2,873.75 |
$2,873.75 |
$2,873.75 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,456.30 |
$2,456.30 |
$2,456.30 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,356.75 |
$2,356.75 |
$2,356.75 |
$2,051.28
|
|
Shoulder X-ray
|
$339.90 |
$339.90 |
$339.90 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,044.37 |
$3,044.37 |
$3,044.37 |
$4,709.25
|
|
Sialidase enzyme assay
|
$123.20 |
$123.20 |
$123.20 |
$49.44
|
|
Sickling rbc
|
$108.35 |
$108.35 |
$108.35 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$1,707.20 |
$1,707.20 |
$1,707.20 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,454.20 |
$1,454.20 |
$1,454.20 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,044.45 |
$1,044.45 |
$1,044.45 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,680.15 |
$2,680.15 |
$2,680.15 |
$2,489.25
|
|
Skin Biopsy
|
$429.55 |
$429.55 |
$429.55 |
$382.80
|
|
Sleep study attended
|
$1,057.10 |
$1,057.10 |
$1,057.10 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$3,067.90 |
$3,067.90 |
$3,067.90 |
$3,936.80
|
|
Sleep study unattended
|
$838.75 |
$838.75 |
$838.75 |
$595.50
|
|
Sling suprapubic suburetheral
|
$2,513.83 |
$2,513.83 |
$2,513.83 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$91.30 |
$91.30 |
$91.30 |
$64.20
|
|
Smear gram stain
|
$150.70 |
$150.70 |
$150.70 |
$57.85
|
|
Smear nasal eosinophil
|
$47.85 |
$47.85 |
$47.85 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$259.60 |
$259.60 |
$259.60 |
$64.35
|
|
Smear wet mount
|
$102.30 |
$102.30 |
$102.30 |
$68.63
|
|
Smpd1 gene common variants
|
$221.65 |
$221.65 |
$221.65 |
$140.00
|
|
Sodium 24 hour urine
|
$84.70 |
$84.70 |
$84.70 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$56.10 |
$56.10 |
$56.10 |
$42.70
|
|
So neo gsap dna mcrstl ins
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,332.88
|
|
Special physics consult
|
$915.75 |
$915.75 |
$915.75 |
$700.74
|
|
Special radiation dosimetry
|
$480.70 |
$480.70 |
$480.70 |
$445.50
|
|
Special radiation treatment
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$1,934.03
|
|
Special teletx port plan
|
$1,105.50 |
$1,105.50 |
$1,105.50 |
$1,046.65
|
|
Specific gravity body fluid
|
$22.00 |
$22.00 |
$22.00 |
$23.63
|
