|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Russell viper venom diluted
|
$87.50 |
$87.50 |
$87.50 |
$68.64
|
|
Salmonella antibody
|
$27.50 |
$27.50 |
$27.50 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$37.50 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$105.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$575.00 |
$575.00 |
$575.00 |
$966.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$385.00 |
$385.00 |
$385.00 |
$653.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$590.00 |
$590.00 |
$590.00 |
$744.47
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$395.00 |
$395.00 |
$395.00 |
$468.30
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$685.00 |
$685.00 |
$685.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$675.00 |
$675.00 |
$675.00 |
$709.76
|
|
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 |
$645.21
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$475.00 |
$475.00 |
$475.00 |
$567.00
|
|
Scope uretscp lithovue dig disp
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$4,285.86
|
|
Screening Mammogram
|
$182.50 |
$182.50 |
$182.50 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$7,065.10 |
$7,065.10 |
$7,065.10 |
$28,563.75
|
|
Sedimentation rate erythrocyte automated
|
$47.50 |
$47.50 |
$47.50 |
$44.20
|
|
Semen analysis presence/motility
|
$70.00 |
$70.00 |
$70.00 |
$75.40
|
|
Sept9 promoter methylation analysis
|
$290.00 |
$290.00 |
$290.00 |
$316.68
|
|
Set radiation therapy field
|
$845.00 |
$845.00 |
$845.00 |
$731.50
|
|
Set radiation therapy field
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,590.00
|
|
Sevelamer carbonate 800 mg tablet
|
$0.27 |
$0.27 |
$0.27 |
$7.14
|
|
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 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,110.00
|
|
Shoulder X-ray
|
$720.00 |
$720.00 |
$720.00 |
$343.70
|
|
Shunt glaucoma baerveldt 350mm
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$4,636.80
|
|
Sickling rbc
|
$187.50 |
$187.50 |
$187.50 |
$54.00
|
|
Sinus CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,281.80
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$230.00 |
$357.00
|
|
Sleep Study (Polysomnography)
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,659.20
|
|
Sleeve fing rolyan med
|
$140.00 |
$140.00 |
$140.00 |
$197.40
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$29.93
|
|
Slp eval non-spch gen comm dev
|
$285.00 |
$285.00 |
$285.00 |
$285.09
|
|
Slp ther svc non-spch gen
|
$255.00 |
$255.00 |
$255.00 |
$187.75
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$55.00 |
$55.00 |
$64.35
|
|
Smear gram stain
|
$40.00 |
$40.00 |
$40.00 |
$55.35
|
|
Smear nasal eosinophil
|
$30.00 |
$30.00 |
$30.00 |
$45.57
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$67.50 |
$67.50 |
$68.85
|
|
Smear wet mount
|
$37.50 |
$37.50 |
$37.50 |
$66.30
|
|
Smpd1 gene common variants
|
$160.00 |
$160.00 |
$160.00 |
$140.00
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$694.40
|
|
Sodium 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$60.40 |
$60.40 |
$60.40 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$41.12 |
$41.12 |
$41.12 |
$44.34
|
|
Sodium chloride 0.9 % IV bolus
|
$37.19 |
$37.19 |
$37.19 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$22.50 |
$22.50 |
$22.50 |
$45.00
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.95 |
$1.95 |
$1.95 |
$177.52
|
|
Special physics consult
|
$725.00 |
$725.00 |
$725.00 |
$702.24
|
|
Special radiation dosimetry
|
$392.50 |
$392.50 |
$392.50 |
$392.50
|
|
Special radiation treatment
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
$1,932.96
|
|
Special teletx port plan
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$1,050.06
|
|
Specimen fat stain
|
$47.50 |
$47.50 |
$47.50 |
$37.70
|
|
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 |
$536.34
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$330.00 |
$330.00 |
$330.00 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$42.50 |
$42.50 |
$42.50 |
$67.76
|
|
Splint finger frog med
|
$42.50 |
$42.50 |
$42.50 |
$32.50
|
|
Splint rstrc wrst/cmc right med
|
$62.50 |
$62.50 |
$62.50 |
$96.88
|
|
Split blood or products
|
$75.00 |
$75.00 |
$75.00 |
$125.72
|
|
St analysis behavior qualitative voice/resonance
|
$227.50 |
$227.50 |
$227.50 |
$295.10
|
|
Staph a dna amp probe
|
$125.00 |
$125.00 |
$125.00 |
$129.00
|
|
St cognitve performance testing healthcare professional each hour
|
$230.00 |
$230.00 |
$230.00 |
$284.65
|
|
Stent axios caut enh 15x10mm electrocaut
|
$3,524.50 |
$3,524.50 |
$3,524.50 |
$32,403.15
|
|
St evaluate speech sound production
|
$227.50 |
$227.50 |
$227.50 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$340.00 |
$340.00 |
$340.00 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$337.50 |
$337.50 |
$337.50 |
$373.50
|
|
St evaluation swallow function
|
$337.50 |
$337.50 |
$337.50 |
$311.36
|
|
Stimulants synthetic
|
$152.50 |
$152.50 |
$152.50 |
$80.08
|
|
Strapping of knee
|
$110.00 |
$110.00 |
$110.00 |
$205.20
|
|
Strep a ag ia
|
$20.00 |
$20.00 |
$20.00 |
$75.40
|
|
Strep b dna amp probe
|
$90.00 |
$90.00 |
$90.00 |
$122.43
|
|
Stress test pulmonary
|
$217.50 |
$217.50 |
$217.50 |
$311.40
|
|
Stress tte complete
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$1,784.25
|
|
Str markers specimen anal
|
$380.00 |
$380.00 |
$380.00 |
$751.50
|
|
St treatment speech individual
|
$255.00 |
$255.00 |
$255.00 |
$253.80
|
|
St treatment swallow dysfunction/oral
|
$270.00 |
$270.00 |
$270.00 |
$245.50
|
|
Sulfonylurea screen qn-sendout
|
$230.00 |
$230.00 |
$230.00 |
$152.64
|
|
Support clav 29.6-40.5in med
|
$70.00 |
$70.00 |
$70.00 |
$94.19
|
|
Surgical pathology level 1 gross examination only
|
$87.50 |
$87.50 |
$87.50 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$147.50 |
$147.50 |
$147.50 |
$146.30
|
|
Surgical pathology level 3 gross & microscopic examination
|
$190.00 |
$190.00 |
$190.00 |
$184.50
|
|
Surgical pathology level 4 gross & microscopic examination
|
$307.50 |
$307.50 |
$307.50 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$480.00 |
$480.00 |
$480.00 |
$489.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$680.00 |
$680.00 |
$680.00 |
$730.20
|
|
Susceptibility agar dilution per agent
|
$20.00 |
$20.00 |
$20.00 |
$42.70
|
|
Susceptibility enzyme detection per enzyme
|
$20.00 |
$20.00 |
$20.00 |
$35.10
|
|
Susceptibility mic per plate
|
$40.00 |
$40.00 |
$40.00 |
$104.00
|
|
Suscept studies macrobroth dilution ea
|
$100.00 |
$100.00 |
$100.00 |
$59.28
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$17.50 |
$17.50 |
$17.50 |
$40.11
|
|
T3 (triiodothyronine) free
|
$95.00 |
$95.00 |
$95.00 |
$99.20
|
|
T3 (triiodothyronine) total
|
$105.00 |
$105.00 |
$105.00 |
$93.52
|
|
T4 (thyroxine) free
|
$90.00 |
$90.00 |
$90.00 |
$85.20
|
|
T4 (thyroxine) total
|
$72.50 |
$72.50 |
$72.50 |
$67.80
|
|
Tacrolimus therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$120.60
|
|
Target gsa panel hmtlmph neop
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$2,160.00
|
