|
Rubeola antibody igg
|
$122.10 |
$122.10 |
$122.10 |
$79.68
|
|
Russell viper venom diluted
|
$64.90 |
$64.90 |
$64.90 |
$70.16
|
|
Sarscov coronavirus ag ia
|
$124.85 |
$124.85 |
$124.85 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$444.40 |
$444.40 |
$444.40 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$245.85 |
$245.85 |
$245.85 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$297.00 |
$297.00 |
$297.00 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$878.90 |
$878.90 |
$878.90 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,189.10 |
$1,189.10 |
$1,189.10 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$739.75 |
$739.75 |
$739.75 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,825.45 |
$1,825.45 |
$1,825.45 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,321.00 |
$2,321.00 |
$2,321.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$1,064.25 |
$1,064.25 |
$1,064.25 |
$4,079.62
|
|
Screen cerv/vag thin layer
|
$90.20 |
$90.20 |
$90.20 |
$61.20
|
|
Screening Mammogram
|
$387.75 |
$387.75 |
$387.75 |
$303.55
|
|
Screening prostate cancer PSA
|
$115.50 |
$115.50 |
$115.50 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$320.42 |
$320.42 |
$320.42 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,119.25 |
$1,119.25 |
$1,119.25 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$30.80 |
$30.80 |
$30.80 |
$44.20
|
|
Semen analysis presence/motility
|
$9.90 |
$9.90 |
$9.90 |
$70.85
|
|
Serpina1 gene
|
$166.10 |
$166.10 |
$166.10 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$179.85 |
$179.85 |
$179.85 |
$173.16
|
|
Set radiation therapy field
|
$759.00 |
$759.00 |
$759.00 |
$731.50
|
|
Set radiation therapy field
|
$1,112.65 |
$1,112.65 |
$1,112.65 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$102.85 |
$102.85 |
$102.85 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$113.30 |
$113.30 |
$113.30 |
$275.88
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$55.00 |
$55.00 |
$55.00 |
$302.55
|
|
Shoulder MRI (with and without contrast)
|
$3,639.90 |
$3,639.90 |
$3,639.90 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,223.00 |
$3,223.00 |
$3,223.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,051.28
|
|
Shoulder X-ray
|
$208.45 |
$208.45 |
$208.45 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$1,427.93 |
$1,427.93 |
$1,427.93 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$243.65 |
$243.65 |
$243.65 |
$345.00
|
|
Sialography s&i
|
$366.30 |
$366.30 |
$366.30 |
$462.40
|
|
Sickling rbc
|
$118.80 |
$118.80 |
$118.80 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$1,481.15 |
$1,481.15 |
$1,481.15 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,426.70 |
$1,426.70 |
$1,426.70 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,349.15 |
$1,349.15 |
$1,349.15 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,986.50 |
$2,986.50 |
$2,986.50 |
$2,489.25
|
|
Skin Biopsy
|
$279.40 |
$279.40 |
$279.40 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,472.15 |
$3,472.15 |
$3,472.15 |
$3,936.80
|
|
Sleep study unattended
|
$449.90 |
$449.90 |
$449.90 |
$595.50
|
|
Sling pelv split sam med
|
$58.67 |
$58.67 |
$58.67 |
$115.20
|
|
Smear fluorescent and/or acid fast stain
|
$55.55 |
$55.55 |
$55.55 |
$64.20
|
|
Smear gram stain
|
$62.70 |
$62.70 |
$62.70 |
$57.85
|
|
Smear nasal eosinophil
|
$61.05 |
$61.05 |
$61.05 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$68.20 |
$68.20 |
$68.20 |
$64.35
|
|
Smear wet mount
|
$31.90 |
$31.90 |
$31.90 |
$68.63
|
|
Sodium 24 hour urine
|
$38.50 |
$38.50 |
$38.50 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$42.90 |
$42.90 |
$42.90 |
$42.70
|
|
So neo gsap dna mcrstl ins
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$2,332.88
|
|
Special radiation treatment
|
$1,721.50 |
$1,721.50 |
$1,721.50 |
$1,934.03
|
|
Specific gravity body fluid
|
$25.85 |
$25.85 |
$25.85 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$851.40 |
$851.40 |
$851.40 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$232.65 |
$232.65 |
$232.65 |
$559.96
|
|
Splint finger frog med
|
$10.64 |
$10.64 |
$10.64 |
$27.95
|
|
St analysis behavior qualitative voice/resonance
|
$343.20 |
$343.20 |
$343.20 |
$300.00
|
|
Staph a dna amp probe
|
$185.35 |
$185.35 |
$185.35 |
$116.39
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$12,241.90 |
$12,241.90 |
$12,241.90 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$872.77 |
$872.77 |
$872.77 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$247.81 |
$247.81 |
$247.81 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$768.62 |
$768.62 |
$768.62 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$10,366.40 |
$10,366.40 |
$10,366.40 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,288.25 |
$5,288.25 |
$5,288.25 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,320.75 |
$10,320.75 |
$10,320.75 |
$19,765.20
|
|
St evaluate speech sound production
|
$313.50 |
$313.50 |
$313.50 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$554.95 |
$554.95 |
$554.95 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$549.45 |
$549.45 |
$549.45 |
$406.40
|
|
St evaluation swallow function
|
$464.20 |
$464.20 |
$464.20 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$248.05 |
$248.05 |
$248.05 |
$248.05
|
|
Strapping of chest
|
$113.30 |
$113.30 |
$113.30 |
$201.60
|
|
Strapping of hand or finger
|
$113.30 |
$113.30 |
$113.30 |
$194.40
|
|
Strep b dna amp probe
|
$118.80 |
$118.80 |
$118.80 |
$139.20
|
|
Stress test pulmonary
|
$92.40 |
$92.40 |
$92.40 |
$327.20
|
|
Stress tte complete
|
$3,388.55 |
$3,388.55 |
$3,388.55 |
$1,964.95
|
|
St treatment speech individual
|
$477.95 |
$477.95 |
$477.95 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$272.25 |
$272.25 |
$272.25 |
$261.60
|
|
Sulfonylurea screen qn-sendout
|
$140.80 |
$140.80 |
$140.80 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$75.35 |
$75.35 |
$75.35 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$99.55 |
$99.55 |
$99.55 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$256.85 |
$256.85 |
$256.85 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$282.70 |
$282.70 |
$282.70 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$908.60 |
$908.60 |
$908.60 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$138.05 |
$138.05 |
$138.05 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$22.00 |
$22.00 |
$22.00 |
$34.48
|
|
Susceptibility mic per plate
|
$166.10 |
$166.10 |
$166.10 |
$94.38
|
|
Svc venogram s&i
|
$3,434.75 |
$3,434.75 |
$3,434.75 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$36.30 |
$36.30 |
$36.30 |
$44.85
|
|
System pacing micra av
|
$7,106.13 |
$7,106.13 |
$7,106.13 |
$24,469.57
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$1,733.54 |
$1,733.54 |
$1,733.54 |
$10,980.00
|
|
System sealant biosentry tract
|
$435.24 |
$435.24 |
$435.24 |
$900.00
|
|
T3 (triiodothyronine) free
|
$136.95 |
$136.95 |
$136.95 |
$89.82
|
|
T3 (triiodothyronine) total
|
$107.80 |
$107.80 |
$107.80 |
$94.90
|
|
T4 (thyroxine) free
|
$76.45 |
$76.45 |
$76.45 |
$81.60
|
|
T4 (thyroxine) total
|
$42.90 |
$42.90 |
$42.90 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$185.90 |
$185.90 |
$185.90 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$4,565.55 |
$4,565.55 |
$4,565.55 |
$1,928.40
|
|
Target gsa panel organ/hmtlmph neop
|
$4,131.05 |
$4,131.05 |
$4,131.05 |
$3,385.00
|
|
Target gsa panel organ neop
|
$4,378.00 |
$4,378.00 |
$4,378.00 |
$1,913.00
|
