|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$37.28 |
$37.28 |
$37.28 |
$243.11
|
|
Rho d immune globulin inj
|
$94.94 |
$94.94 |
$94.94 |
$217.71
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$258.64 |
$258.64 |
$258.64 |
$5,343.99
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$233.16 |
$233.16 |
$233.16 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,223.64 |
$1,223.64 |
$1,223.64 |
$846.42
|
|
Rmvl ndwellg tun pleural cath
|
$1,285.02 |
$1,285.02 |
$1,285.02 |
$1,156.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$24.29 |
$24.29 |
$24.29 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1.02 |
$1.02 |
$1.02 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$1,535.82 |
$1,535.82 |
$1,535.82 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,174.04 |
$2,174.04 |
$2,174.04 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,536.74 |
$5,536.74 |
$5,536.74 |
$4,647.04
|
|
Rubella antibody igg
|
$99.00 |
$99.00 |
$99.00 |
$77.03
|
|
Rubeola antibody igg
|
$89.10 |
$89.10 |
$89.10 |
$80.00
|
|
Russell viper venom diluted
|
$68.64 |
$68.64 |
$68.64 |
$72.54
|
|
Salivary glnd img serial img
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$701.73
|
|
Salmonella antibody
|
$66.00 |
$66.00 |
$66.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$73.92 |
$73.92 |
$73.92 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$805.20 |
$805.20 |
$805.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$699.60 |
$699.60 |
$699.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$601.26 |
$601.26 |
$601.26 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$461.34 |
$461.34 |
$461.34 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,175.46 |
$1,175.46 |
$1,175.46 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$881.10 |
$881.10 |
$881.10 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,951.62 |
$1,951.62 |
$1,951.62 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$531.30 |
$531.30 |
$531.30 |
$595.35
|
|
Screen cerv/vag thin layer
|
$125.40 |
$125.40 |
$125.40 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$1,052.70 |
$1,052.70 |
$1,052.70 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$2,880.90 |
$2,880.90 |
$2,880.90 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$110.22 |
$110.22 |
$110.22 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$99.66 |
$99.66 |
$99.66 |
$99.66
|
|
Screening Mammogram
|
$310.20 |
$310.20 |
$310.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$154.44 |
$154.44 |
$154.44 |
$100.63
|
|
Screen pap by tech w md supv
|
$118.14 |
$118.14 |
$118.14 |
$52.65
|
|
Sedimentation rate erythrocyte automated
|
$59.40 |
$59.40 |
$59.40 |
$42.00
|
|
Semen analysis presence/motility
|
$207.90 |
$207.90 |
$207.90 |
$71.05
|
|
Serpina1 gene
|
$663.30 |
$663.30 |
$663.30 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$97.02 |
$97.02 |
$97.02 |
$126.43
|
|
Shoulder MRI (with and without contrast)
|
$2,669.70 |
$2,669.70 |
$2,669.70 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,542.32 |
$2,542.32 |
$2,542.32 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,420.88 |
$2,420.88 |
$2,420.88 |
$2,065.05
|
|
Shoulder X-ray
|
$315.48 |
$315.48 |
$315.48 |
$339.50
|
|
Sickling rbc
|
$59.40 |
$59.40 |
$59.40 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$449.10 |
$449.10 |
$449.10 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,679.04 |
$1,679.04 |
$1,679.04 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,624.92 |
$1,624.92 |
$1,624.92 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,271.16 |
$1,271.16 |
$1,271.16 |
$1,292.04
|
|
Skin Biopsy
|
$306.24 |
$306.24 |
$306.24 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$3,812.16 |
$3,812.16 |
$3,812.16 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$296.34 |
$296.34 |
$296.34 |
$203.58
|
|
Smear fluorescent and/or acid fast stain
|
$118.14 |
$118.14 |
$118.14 |
$64.20
|
|
Smear gram stain
|
$39.60 |
$39.60 |
$39.60 |
$55.25
|
|
Smear nasal eosinophil
|
$33.00 |
$33.00 |
$33.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$129.36 |
$129.36 |
$129.36 |
$73.15
|
|
Smear wet mount
|
$39.60 |
$39.60 |
$39.60 |
$67.49
|
|
Snrpn/ube3a gene
|
$327.36 |
$327.36 |
$327.36 |
$231.85
|
|
Sodium 24 hour urine
|
$29.70 |
$29.70 |
$29.70 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$69.96 |
$69.96 |
$69.96 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$69.96 |
$69.96 |
$69.96 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$21.32 |
$21.32 |
$21.32 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$20.46 |
$20.46 |
$20.46 |
$45.60
|
|
So neo gsap dna mcrstl ins
|
$2,972.64 |
$2,972.64 |
$2,972.64 |
$2,296.00
|
|
Specific gravity body fluid
|
$13.20 |
$13.20 |
$13.20 |
$22.00
|
|
Specimen fat stain
|
$31.68 |
$31.68 |
$31.68 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,364.88 |
$1,364.88 |
$1,364.88 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$654.72 |
$654.72 |
$654.72 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$684.42 |
$684.42 |
$684.42 |
$392.09
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,228.62 |
$4,228.62 |
$4,228.62 |
$4,619.65
|
|
St analysis behavior qualitative voice/resonance
|
$184.14 |
$184.14 |
$184.14 |
$297.60
|
|
Staph a dna amp probe
|
$237.60 |
$237.60 |
$237.60 |
$125.00
|
|
Static or dynami afo pre ots
|
$85.80 |
$85.80 |
$85.80 |
$284.60
|
|
St evaluate speech sound production
|
$181.50 |
$181.50 |
$181.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$345.18 |
$345.18 |
$345.18 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$282.48 |
$282.48 |
$282.48 |
$399.60
|
|
St evaluation swallow function
|
$273.24 |
$273.24 |
$273.24 |
$314.40
|
|
Strep a ag ia
|
$79.86 |
$79.86 |
$79.86 |
$75.40
|
|
Strep b dna amp probe
|
$237.60 |
$237.60 |
$237.60 |
$120.90
|
|
Stress test pulmonary
|
$447.48 |
$447.48 |
$447.48 |
$322.85
|
|
St treatment speech individual
|
$224.40 |
$224.40 |
$224.40 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$224.40 |
$224.40 |
$224.40 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$6.47 |
$6.47 |
$6.47 |
$52.31
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$89.76 |
$89.76 |
$89.76 |
$114.88
|
|
Support clav 29.6-40.5in med
|
$115.50 |
$115.50 |
$115.50 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$97.02 |
$97.02 |
$97.02 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$198.66 |
$198.66 |
$198.66 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$248.16 |
$248.16 |
$248.16 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$297.66 |
$297.66 |
$297.66 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$974.16 |
$974.16 |
$974.16 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,391.94 |
$1,391.94 |
$1,391.94 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$68.64 |
$68.64 |
$68.64 |
$45.45
|
|
Susceptibility enzyme detection per enzyme
|
$49.50 |
$49.50 |
$49.50 |
$35.70
|
|
Susceptibility mic per plate
|
$356.40 |
$356.40 |
$356.40 |
$106.00
|
|
Suscept studies macrobroth dilution ea
|
$143.88 |
$143.88 |
$143.88 |
$59.28
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$42.24 |
$42.24 |
$42.24 |
$41.60
|
|
T3 (triiodothyronine) free
|
$72.60 |
$72.60 |
$72.60 |
$99.20
|
|
T3 (triiodothyronine) total
|
$89.76 |
$89.76 |
$89.76 |
$93.52
|
|
T4 (thyroxine) free
|
$130.02 |
$130.02 |
$130.02 |
$85.20
|
|
T4 (thyroxine) total
|
$31.68 |
$31.68 |
$31.68 |
$69.00
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$7.51 |
$7.51 |
$7.51 |
$9.84
|
|
Tacrolimus therapeutic drug level
|
$77.88 |
$77.88 |
$77.88 |
$122.40
|