|
Reticulated platelet assay
|
$75.00 |
$75.00 |
$75.00 |
$73.20
|
|
Reticulocyte automated
|
$37.50 |
$37.50 |
$37.50 |
$51.37
|
|
Reticulocyte direct measurement automated
|
$47.50 |
$47.50 |
$47.50 |
$35.84
|
|
Revasc intra lithotrip-stent
|
$12,420.00 |
$12,420.00 |
$12,420.00 |
$20,329.50
|
|
Revision tips
|
$8,940.00 |
$8,940.00 |
$8,940.00 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$14,550.00 |
$14,550.00 |
$14,550.00 |
$9,051.26
|
|
Rheumatoid factor quantitative
|
$57.50 |
$57.50 |
$57.50 |
$56.24
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$12.50 |
$12.50 |
$12.50 |
$247.55
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$240.98 |
$240.98 |
$240.98 |
$4,888.96
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$190.38 |
$190.38 |
$190.38 |
$5,309.20
|
|
Rmvl ndwellg tun pleural cath
|
$427.50 |
$427.50 |
$427.50 |
$1,133.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.63 |
$0.63 |
$0.63 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,336.30
|
|
Rp loclzj tum spect w/ct 1
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$910.00 |
$910.00 |
$910.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$4,627.00
|
|
Rpl tun cvc wo subq port
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$3,706.68
|
|
Rsv assay w/optic
|
$105.00 |
$105.00 |
$105.00 |
$81.90
|
|
Rtm 1st set-up&pt educaj eqp
|
$70.00 |
$70.00 |
$70.00 |
$172.20
|
|
Rtm dev sply mscskl 16-30 d
|
$115.00 |
$115.00 |
$115.00 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$115.00 |
$115.00 |
$115.00 |
$72.96
|
|
Rubella antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$76.70
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Russell viper venom diluted
|
$87.50 |
$87.50 |
$87.50 |
$71.88
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$79.66 |
$79.66 |
$79.66 |
$5,051.50
|
|
Salmonella antibody
|
$27.50 |
$27.50 |
$27.50 |
$39.60
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$37.50 |
$59.50
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$575.00 |
$575.00 |
$575.00 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$385.00 |
$385.00 |
$385.00 |
$661.20
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$590.00 |
$590.00 |
$590.00 |
$757.02
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$395.00 |
$395.00 |
$395.00 |
$475.24
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$685.00 |
$685.00 |
$685.00 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$675.00 |
$675.00 |
$675.00 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$965.00 |
$965.00 |
$965.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$645.00 |
$645.00 |
$645.00 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$475.00 |
$475.00 |
$475.00 |
$570.00
|
|
Sclerotherapy fluid collection pq w/img
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$92.50 |
$92.50 |
$92.50 |
$83.40
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$30.00 |
$30.00 |
$30.00 |
$57.60
|
|
Screening Mammogram
|
$222.50 |
$222.50 |
$222.50 |
$313.35
|
|
Screw cortex 2.0 x 10mm
|
$13,280.00 |
$13,280.00 |
$13,280.00 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,150.00 |
$5,150.00 |
$5,150.00 |
$4,446.00
|
|
Sedimentation rate erythrocyte automated
|
$47.50 |
$47.50 |
$47.50 |
$42.25
|
|
Semen analysis presence/motility
|
$70.00 |
$70.00 |
$70.00 |
$74.75
|
|
Sept9 promoter methylation analysis
|
$290.00 |
$290.00 |
$290.00 |
$316.68
|
|
Serial casting application 97139app
|
$70.00 |
$70.00 |
$70.00 |
$78.39
|
|
Sertraline (zoloft) - sendout
|
$135.00 |
$135.00 |
$135.00 |
$126.43
|
|
Set radiation therapy field
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$731.50
|
|
Set radiation therapy field
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$1,149.50
|
|
Set radiation therapy field
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,607.40
|
|
Shoe post-op mens m
|
$40.00 |
$40.00 |
$40.00 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,088.20
|
|
Shoulder X-ray
|
$700.00 |
$700.00 |
$700.00 |
$340.40
|
|
Shuntogram nonvascular supervision & interpretation
|
$302.50 |
$302.50 |
$302.50 |
$355.80
|
|
Sialography s&i
|
$605.00 |
$605.00 |
$605.00 |
$519.42
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$56.00
|
|
Sinus CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$2,589.60
|
|
Sleep study unattended
|
$337.50 |
$337.50 |
$337.50 |
$585.00
|
|
Sleeve fing rolyan med
|
$140.00 |
$140.00 |
$140.00 |
$204.60
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$30.35
|
|
Sling pelv split sam med
|
$150.00 |
$150.00 |
$150.00 |
$147.38
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$142.50 |
$142.50 |
$142.50 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$285.00 |
$285.09
|
|
Slp pure tone screening
|
$70.00 |
$70.00 |
$70.00 |
$60.48
|
|
Slp ther svc non-spch gen
|
$255.00 |
$255.00 |
$255.00 |
$188.00
|
|
Sm-153 lexidron ther
|
$16,540.00 |
$16,540.00 |
$16,540.00 |
$8,175.36
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$55.00 |
$55.00 |
$64.00
|
|
Smear gram stain
|
$40.00 |
$40.00 |
$40.00 |
$54.03
|
|
Smear nasal eosinophil
|
$30.00 |
$30.00 |
$30.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$67.50 |
$67.50 |
$71.40
|
|
Smear wet mount
|
$37.50 |
$37.50 |
$37.50 |
$66.30
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$856.10
|
|
Sodium 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.51 |
$33.51 |
$33.51 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$14.17 |
$14.17 |
$14.17 |
$43.45
|
|
Sodium chloride 0.9 % IV bolus
|
$10.89 |
$10.89 |
$10.89 |
$37.19
|
|
Sodium serum/plasma/whole blood
|
$22.50 |
$22.50 |
$22.50 |
$45.50
|
|
So vest canvas/web pre ots
|
$150.00 |
$150.00 |
$150.00 |
$256.54
|
|
Special physics consult
|
$725.00 |
$725.00 |
$725.00 |
$709.00
|
|
Special radiation dosimetry
|
$392.50 |
$392.50 |
$392.50 |
$393.25
|
|
Special radiation treatment
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,945.00
|
|
Special teletx port plan
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,056.31
|
|
Specimen fat stain
|
$47.50 |
$47.50 |
$47.50 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$467.50 |
$467.50 |
$467.50 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$330.00 |
$330.00 |
$330.00 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$42.50 |
$42.50 |
$42.50 |
$77.51
|
|
Splint finger frog med
|
$42.50 |
$42.50 |
$42.50 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$62.50 |
$62.50 |
$62.50 |
$100.75
|
|
Split blood or products
|
$75.00 |
$75.00 |
$75.00 |
$129.50
|
|
Srs linear based
|
$24,095.00 |
$24,095.00 |
$24,095.00 |
$14,124.25
|
|
Srs multisource
|
$17,525.00 |
$17,525.00 |
$17,525.00 |
$31,800.00
|
