|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,875.74 |
$1,875.74 |
$1,875.74 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$305.35 |
$305.35 |
$308.68 |
$188.50
|
|
Routine footcare pt w lops
|
$86.62 |
$86.62 |
$86.62 |
$219.93
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,869.14 |
$1,869.14 |
$1,889.51 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$2,356.14 |
$2,356.14 |
$2,381.82 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,386.53 |
$1,386.53 |
$1,401.64 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$3,354.38 |
$3,354.38 |
$3,390.94 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$4,804.40 |
$4,804.40 |
$4,856.77 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$2,164.20 |
$2,164.20 |
$2,187.79 |
$4,201.80
|
|
Rubella antibody igg
|
$61.66 |
$61.66 |
$62.33 |
$73.10
|
|
Rubeola antibody igg
|
$24.96 |
$24.96 |
$25.23 |
$79.68
|
|
Russell viper venom diluted
|
$154.51 |
$154.51 |
$156.20 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,526.87 |
$3,526.87 |
$3,526.87 |
$6,466.16
|
|
Salivary gland function exam
|
$360.77 |
$360.77 |
$364.70 |
$549.70
|
|
Salivary glnd img serial img
|
$360.77 |
$360.77 |
$364.70 |
$585.00
|
|
Salmonella antibody
|
$4.68 |
$4.68 |
$4.74 |
$37.58
|
|
Sargramostim injection
|
$434.17 |
$434.17 |
$438.90 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$32.67 |
$32.67 |
$33.02 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$64.60 |
$64.60 |
$65.30 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$907.96 |
$907.96 |
$917.86 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$526.65 |
$526.65 |
$532.39 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$617.67 |
$617.67 |
$624.40 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$390.49 |
$390.49 |
$394.75 |
$509.35
|
|
Scan duplex extremity veins unilateral/limited study
|
$513.44 |
$513.44 |
$519.03 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$635.65 |
$635.65 |
$642.58 |
$1,006.85
|
|
Scope uretscp lithovue dig disp
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$4,079.62
|
|
Screening Mammogram
|
$330.30 |
$330.30 |
$333.90 |
$303.55
|
|
Screening prostate cancer PSA
|
$311.59 |
$311.59 |
$314.98 |
$100.80
|
|
Screen pap by tech w md supv
|
$31.93 |
$31.93 |
$32.28 |
$41.80
|
|
Screw cortex 2.0 x 10mm
|
$28,440.67 |
$28,440.67 |
$28,750.65 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,724.40 |
$4,724.40 |
$5,188.44 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$607.02 |
$607.02 |
$613.64 |
$278.00
|
|
Sedimentation rate erythrocyte automated
|
$102.03 |
$102.03 |
$103.14 |
$44.20
|
|
Sevelamer carbonate 800 mg tablet
|
$13.22 |
$13.22 |
$13.36 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$28.26 |
$28.26 |
$28.57 |
$21.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$200.39 |
$200.39 |
$202.57 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$6,108.01
|
|
Sheath laser cavaclear 14f
|
$5,791.31 |
$5,791.31 |
$5,791.31 |
$6,331.24
|
|
Shoe post-op mens m
|
$143.13 |
$143.13 |
$144.69 |
$42.87
|
|
Shrinker prosth above knee
|
$187.17 |
$187.17 |
$189.21 |
$157.49
|
|
Shrinker prosth below knee
|
$244.06 |
$244.06 |
$246.72 |
$153.13
|
|
Shunt glaucoma baerveldt 350mm
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$128.82 |
$128.82 |
$142.10 |
$345.00
|
|
Sickling rbc
|
$71.57 |
$71.57 |
$72.35 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$239.66 |
$239.66 |
$242.27 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,978.50 |
$1,978.50 |
$2,000.07 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,651.14 |
$1,651.14 |
$1,669.13 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,364.51 |
$1,364.51 |
$1,379.38 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,505.44 |
$1,505.44 |
$1,521.85 |
$2,489.25
|
|
Sipuleucel-t - su
|
$68,654.69 |
$68,654.69 |
$69,402.97 |
$95,750.46
|
|
Sirolimus, oral
|
$51.94 |
$51.94 |
$51.94 |
$42.11
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$11,893.01 |
$11,893.01 |
$11,893.01 |
$114.21
|
|
Skin Biopsy
|
$153.41 |
$153.41 |
$155.08 |
$382.80
|
|
Sling arm deluxe w/pad xs
|
$143.13 |
$143.13 |
$144.69 |
$25.55
|
|
Sling pelv split sam med
|
$187.17 |
$187.17 |
$189.21 |
$115.20
|
|
Sling suprapubic suburetheral
|
$12,588.10 |
$12,588.10 |
$12,725.30 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$43.45 |
$43.45 |
$43.93 |
$64.20
|
|
Smear gram stain
|
$93.96 |
$93.96 |
$94.98 |
$57.85
|
|
Smear nasal eosinophil
|
$40.37 |
$40.37 |
$40.81 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$75.61 |
$75.61 |
$76.43 |
$64.35
|
|
Smear wet mount
|
$91.02 |
$91.02 |
$92.01 |
$68.63
|
|
Snrpn/ube3a gene
|
$122.95 |
$122.95 |
$124.29 |
$228.80
|
|
Sock fracture or equal each
|
$187.17 |
$187.17 |
$189.21 |
$72.80
|
|
Sodium 24 hour urine
|
$100.56 |
$100.56 |
$101.66 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$20.04 |
$20.04 |
$28.63 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$19.82 |
$19.82 |
$20.04 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$57.62 |
$57.62 |
$58.25 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$87.35 |
$87.35 |
$88.30 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$55.79 |
$55.79 |
$56.40 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$32.67 |
$32.67 |
$33.02 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$156.35 |
$156.35 |
$158.05 |
$195.48
|
|
Soft interface below knee se
|
$143.13 |
$143.13 |
$144.69 |
$209.99
|
|
Somatosensory testing
|
$1,539.20 |
$1,539.20 |
$1,555.98 |
$583.80
|
|
Special physics consult
|
$146.18 |
$146.18 |
$146.18 |
$700.74
|
|
Special pump services
|
$10,972.57 |
$10,972.57 |
$11,092.16 |
$928.00
|
|
Specific gravity body fluid
|
$42.94 |
$42.94 |
$43.41 |
$23.63
|
|
Speech evaluation complex
|
$240.39 |
$240.39 |
$243.01 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$737.31 |
$737.31 |
$745.34 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$425.36 |
$425.36 |
$429.99 |
$559.96
|
|
Splint extn xsm w sof-stretch rolyan
|
$49.55 |
$49.55 |
$50.09 |
$52.65
|
|
Splint finger frog med
|
$9.18 |
$9.18 |
$9.28 |
$27.95
|
|
Splint func pos polyflex ii med
|
$108.27 |
$108.27 |
$109.45 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$36.70 |
$36.70 |
$37.10 |
$101.18
|
|
Split blood or products
|
$72.67 |
$72.67 |
$73.46 |
$148.98
|
|
Sr-89 stront chlor ther / mci
|
$1,293.31 |
$1,293.31 |
$1,307.41 |
$4,588.65
|
|
Static or dynami afo pre ots
|
$412.88 |
$412.88 |
$417.38 |
$217.65
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$38,953.75 |
$38,953.75 |
$39,378.32 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$50,383.60 |
$50,383.60 |
$50,932.74 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,003.82 |
$2,003.82 |
$2,025.66 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$12,725.30 |
$12,725.30 |
$25,855.15 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$7,448.27 |
$7,448.27 |
$7,529.45 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,484.95 |
$26,484.95 |
$37,914.41 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$11,076.06 |
$11,076.06 |
$11,196.78 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$15,323.36 |
$15,323.36 |
$18,273.98 |
$19,765.20
|
|
Strep b dna amp probe
|
$49.92 |
$49.92 |
$50.46 |
$139.20
|
|
Streptomycin injection
|
$33.39 |
$33.39 |
$33.39 |
$138.30
|
|
Streptozocin injection
|
$612.16 |
$612.16 |
$618.83 |
$943.23
|
|
Stress test pulmonary
|
$182.40 |
$182.40 |
$182.40 |
$327.20
|
|
Stress tte complete
|
$552.34 |
$552.34 |
$558.36 |
$1,964.95
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$87.72 |
$87.72 |
$153.97 |
$49.13
|
