|
Rmvl tv pm lead dual
|
$2,972.36 |
$2,972.36 |
$2,972.36 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$2,377.78 |
$2,377.78 |
$2,377.78 |
$4,195.80
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$29,106.75 |
$29,106.75 |
$29,106.75 |
$36,000.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,293.76 |
$3,293.76 |
$3,293.76 |
$8,971.89
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$584.72 |
$584.72 |
$584.72 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,217.76 |
$2,217.76 |
$2,217.76 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,594.96 |
$1,594.96 |
$1,594.96 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$1,519.06 |
$1,519.06 |
$1,519.06 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$1,260.95 |
$1,260.95 |
$1,260.95 |
$3,074.50
|
|
Rpl tun-cvad w subq port
|
$4,647.04 |
$4,647.04 |
$4,647.04 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$4,647.04 |
$4,647.04 |
$4,647.04 |
$4,201.80
|
|
Rsv assay w/optic
|
$43.57 |
$43.57 |
$43.57 |
$73.80
|
|
Rubella antibody igg
|
$147.69 |
$147.69 |
$147.69 |
$73.10
|
|
Rubeola antibody igg
|
$4.19 |
$4.19 |
$4.19 |
$79.68
|
|
Russell viper venom diluted
|
$8.44 |
$8.44 |
$8.44 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$2,646.30 |
$2,646.30 |
$2,646.30 |
$6,466.16
|
|
Salmonella antibody
|
$3.94 |
$3.94 |
$3.94 |
$37.58
|
|
Sargramostim injection
|
$486.35 |
$486.35 |
$486.35 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$24.39 |
$24.39 |
$24.39 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$55.63 |
$55.63 |
$55.63 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$890.23 |
$890.23 |
$890.23 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$597.32 |
$597.32 |
$597.32 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$890.23 |
$890.23 |
$890.23 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$597.32 |
$597.32 |
$597.32 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$918.45 |
$918.45 |
$918.45 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,089.15 |
$1,089.15 |
$1,089.15 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,198.85 |
$2,198.85 |
$2,198.85 |
$4,079.62
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$54.26 |
$54.26 |
$54.26 |
$54.26
|
|
Screening prostate cancer PSA
|
$57.27 |
$57.27 |
$57.27 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,122.06 |
$4,122.06 |
$4,122.06 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$298.12 |
$298.12 |
$298.12 |
$293.40
|
|
Sedimentation rate erythrocyte automated
|
$7.68 |
$7.68 |
$7.68 |
$44.20
|
|
Semen analysis presence/motility
|
$29.87 |
$29.87 |
$29.87 |
$70.85
|
|
Semen analysis w/count
|
$33.16 |
$33.16 |
$33.16 |
$56.44
|
|
Sevelamer carbonate 800 mg tablet
|
$9.87 |
$9.87 |
$9.87 |
$7.14
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$178.93 |
$178.93 |
$178.93 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$7,076.25
|
|
Shoe post-op mens m
|
$157.55 |
$157.55 |
$157.55 |
$42.87
|
|
Shrinker prosth above knee
|
$120.56 |
$120.56 |
$120.56 |
$157.49
|
|
Shunt glaucoma baerveldt 350mm
|
$22,244.69 |
$22,244.69 |
$22,244.69 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$197.01 |
$197.01 |
$197.01 |
$345.00
|
|
Sickling rbc
|
$46.04 |
$46.04 |
$46.04 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$179.75 |
$179.75 |
$179.75 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,296.85 |
$1,296.85 |
$1,296.85 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,029.25 |
$2,029.25 |
$2,029.25 |
$2,489.25
|
|
Sirolimus, oral
|
$38.64 |
$38.64 |
$38.64 |
$42.11
|
|
Skin Biopsy
|
$1,099.29 |
$1,099.29 |
$1,099.29 |
$382.80
|
|
Skyla, 13.5 mg
|
$1,300.13 |
$1,300.13 |
$1,300.13 |
$1,801.20
|
|
Sleep study unattended
|
$184.68 |
$184.68 |
$184.68 |
$595.50
|
|
Sleeve fing rolyan med
|
$109.06 |
$109.06 |
$109.06 |
$167.31
|
|
Sling arm deluxe w/pad xs
|
$120.56 |
$120.56 |
$120.56 |
$25.55
|
|
Sling suprapubic suburetheral
|
$10,624.35 |
$10,624.35 |
$10,624.35 |
$10,328.15
|
|
Sm-153 lexidron ther
|
$4,904.33 |
$4,904.33 |
$4,904.33 |
$11,563.30
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$318.64
|
|
Smear fluorescent and/or acid fast stain
|
$61.38 |
$61.38 |
$61.38 |
$64.20
|
|
Smear gram stain
|
$38.91 |
$38.91 |
$38.91 |
$57.85
|
|
Smear nasal eosinophil
|
$34.80 |
$34.80 |
$34.80 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$63.57 |
$63.57 |
$63.57 |
$64.35
|
|
Smear wet mount
|
$53.16 |
$53.16 |
$53.16 |
$68.63
|
|
Snrpn/ube3a gene
|
$91.79 |
$91.79 |
$91.79 |
$228.80
|
|
Sodium 24 hour urine
|
$46.31 |
$46.31 |
$46.31 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.38 |
$21.38 |
$21.38 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$21.38 |
$21.38 |
$21.38 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$43.30 |
$43.30 |
$43.30 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$65.49 |
$65.49 |
$65.49 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$41.93 |
$41.93 |
$41.93 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$38.91 |
$38.91 |
$38.91 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$117.28 |
$117.28 |
$117.28 |
$195.48
|
|
Somatropin injection
|
$600.34 |
$600.34 |
$600.34 |
$2,381.48
|
|
Special physics consult
|
$231.26 |
$231.26 |
$231.26 |
$700.74
|
|
Specific gravity body fluid
|
$2.47 |
$2.47 |
$2.47 |
$23.63
|
|
Speech evaluation complex
|
$667.47 |
$667.47 |
$667.47 |
$527.06
|
|
Sperm antibody test
|
$13.23 |
$13.23 |
$13.23 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$655.96 |
$655.96 |
$655.96 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$354.29 |
$354.29 |
$354.29 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$37.27 |
$37.27 |
$37.27 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$54.80 |
$54.80 |
$54.80 |
$52.65
|
|
Splint finger frog med
|
$49.87 |
$49.87 |
$49.87 |
$27.95
|
|
Splint func pos polyflex ii med
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$34.53 |
$34.53 |
$34.53 |
$101.18
|
|
Split blood or products
|
$31.79 |
$31.79 |
$31.79 |
$148.98
|
|
Staph a dna amp probe
|
$129.61 |
$129.61 |
$129.61 |
$116.39
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$10,439.40 |
$10,439.40 |
$10,439.40 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$52,449.08 |
$52,449.08 |
$52,449.08 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$5,943.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,335.36 |
$8,335.36 |
$8,335.36 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$6,231.31 |
$6,231.31 |
$6,231.31 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$8,098.62 |
$8,098.62 |
$8,098.62 |
$19,765.20
|
|
Strep b dna amp probe
|
$53.43 |
$53.43 |
$53.43 |
$139.20
|
|
Streptomycin injection
|
$24.66 |
$24.66 |
$24.66 |
$138.30
|
|
Streptozocin injection
|
$459.50 |
$459.50 |
$459.50 |
$943.23
|
|
Stress test pulmonary
|
$178.38 |
$178.38 |
$178.38 |
$327.20
|
|
Str markers specimen anal
|
$64.15 |
$64.15 |
$64.15 |
$835.28
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$114.26 |
$114.26 |
$114.26 |
$49.13
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$50.15 |
$50.15 |
$50.15 |
$74.79
|
