|
Reticulated platelet assay
|
$35.01 |
$35.01 |
$35.01 |
$63.08
|
|
Reticulocyte automated
|
$64.19 |
$64.19 |
$64.19 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$24,104.78 |
$24,104.78 |
$24,104.78 |
$20,329.50
|
|
Revasc intra lithotrip-stent
|
$24,104.78 |
$24,104.78 |
$24,104.78 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$7,509.26 |
$7,509.26 |
$7,509.26 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$24,083.38 |
$24,083.38 |
$24,083.38 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$23,203.47 |
$23,203.47 |
$23,203.47 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$15,061.70 |
$15,061.70 |
$15,061.70 |
$14,318.70
|
|
Revasc lithotr-stent tib/per
|
$24,083.38 |
$24,083.38 |
$24,083.38 |
$20,865.50
|
|
Revasc lith-sten-ath tib/per
|
$24,083.38 |
$24,083.38 |
$24,083.38 |
$20,300.00
|
|
Revision of cervix
|
$2,451.87 |
$2,451.87 |
$2,451.87 |
$3,762.53
|
|
Revision tips
|
$4,970.26 |
$4,970.26 |
$4,970.26 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$8,869.59 |
$8,869.59 |
$8,869.59 |
$10,086.20
|
|
Rf abltj nrv nrvtg si jt
|
$2,082.32 |
$2,082.32 |
$2,082.32 |
$2,685.07
|
|
Rheumatoid factor quantitative
|
$9.73 |
$9.73 |
$9.73 |
$58.00
|
|
Rho(d) immune globulin h, sd
|
$1,682.82 |
$1,682.82 |
$1,682.82 |
$1,467.90
|
|
Rho d immune globulin inj
|
$220.57 |
$220.57 |
$220.57 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$333.77 |
$333.77 |
$333.77 |
$462.44
|
|
Ring fx reform 11-13x17mm
|
$19,609.49 |
$19,609.49 |
$19,609.49 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$823.13 |
$823.13 |
$823.13 |
$2,453.83
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$8,771.57 |
$8,771.57 |
$8,771.57 |
$8,485.68
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$7,894.37 |
$7,894.37 |
$7,894.37 |
$4,424.10
|
|
Rmvl icd by tv extr
|
$4,883.12 |
$4,883.12 |
$4,883.12 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,094.98 |
$7,094.98 |
$7,094.98 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$7,094.98 |
$7,094.98 |
$7,094.98 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,094.98 |
$7,094.98 |
$7,094.98 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$5,078.40 |
$5,078.40 |
$5,078.40 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$760.50 |
$760.50 |
$760.50 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$4,009.04 |
$4,009.04 |
$4,009.04 |
$6,608.00
|
|
Rmvl phrnc nrv stim pg only
|
$4,571.53 |
$4,571.53 |
$4,571.53 |
$4,069.59
|
|
Rmvl phrnc nrv stim transvns
|
$16,823.48 |
$16,823.48 |
$16,823.48 |
$5,419.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,998.00 |
$5,998.00 |
$5,998.00 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,998.00 |
$5,998.00 |
$5,998.00 |
$10,427.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,717.41 |
$4,717.41 |
$4,717.41 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$4,309.74 |
$4,309.74 |
$4,309.74 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$5,021.99 |
$5,021.99 |
$5,021.99 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$4,219.88 |
$4,219.88 |
$4,219.88 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,375.75 |
$3,375.75 |
$3,375.75 |
$4,195.80
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$41,323.09 |
$41,323.09 |
$41,323.09 |
$36,000.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,676.17 |
$4,676.17 |
$4,676.17 |
$8,971.89
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$3,462.10 |
$3,462.10 |
$3,462.10 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,148.57 |
$3,148.57 |
$3,148.57 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$2,264.37 |
$2,264.37 |
$2,264.37 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$2,156.62 |
$2,156.62 |
$2,156.62 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$1,790.18 |
$1,790.18 |
$1,790.18 |
$3,074.50
|
|
Rpl tun-cvad w subq port
|
$6,597.44 |
$6,597.44 |
$6,597.44 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$6,597.44 |
$6,597.44 |
$6,597.44 |
$4,201.80
|
|
Rsv assay w/optic
|
$61.86 |
$61.86 |
$61.86 |
$73.80
|
|
Rubella antibody igg
|
$209.68 |
$209.68 |
$209.68 |
$73.10
|
|
Rubeola antibody igg
|
$5.94 |
$5.94 |
$5.94 |
$79.68
|
|
Russell viper venom diluted
|
$11.99 |
$11.99 |
$11.99 |
$70.16
|
|
Salmonella antibody
|
$5.59 |
$5.59 |
$5.59 |
$37.58
|
|
Sargramostim injection
|
$690.48 |
$690.48 |
$690.48 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$34.63 |
$34.63 |
$34.63 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$78.97 |
$78.97 |
$78.97 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,263.87 |
$1,263.87 |
$1,263.87 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$848.02 |
$848.02 |
$848.02 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,263.87 |
$1,263.87 |
$1,263.87 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$848.02 |
$848.02 |
$848.02 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,303.93 |
$1,303.93 |
$1,303.93 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,546.28 |
$1,546.28 |
$1,546.28 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$3,121.73 |
$3,121.73 |
$3,121.73 |
$4,079.62
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$77.03 |
$77.03 |
$77.03 |
$54.26
|
|
Screening prostate cancer PSA
|
$81.31 |
$81.31 |
$81.31 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$19,609.49 |
$19,609.49 |
$19,609.49 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,852.12 |
$5,852.12 |
$5,852.12 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$423.24 |
$423.24 |
$423.24 |
$293.40
|
|
Sedimentation rate erythrocyte automated
|
$10.90 |
$10.90 |
$10.90 |
$44.20
|
|
Semen analysis presence/motility
|
$42.41 |
$42.41 |
$42.41 |
$70.85
|
|
Semen analysis w/count
|
$47.07 |
$47.07 |
$47.07 |
$56.44
|
|
Sevelamer carbonate 800 mg tablet
|
$14.01 |
$14.01 |
$14.01 |
$7.14
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$254.02 |
$254.02 |
$254.02 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$6,863.91 |
$6,863.91 |
$6,863.91 |
$7,076.25
|
|
Shoe post-op mens m
|
$223.68 |
$223.68 |
$223.68 |
$42.87
|
|
Shrinker prosth above knee
|
$171.16 |
$171.16 |
$171.16 |
$157.49
|
|
Shunt glaucoma baerveldt 350mm
|
$31,580.97 |
$31,580.97 |
$31,580.97 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$279.70 |
$279.70 |
$279.70 |
$345.00
|
|
Sickling rbc
|
$65.36 |
$65.36 |
$65.36 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$255.19 |
$255.19 |
$255.19 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,761.52 |
$2,761.52 |
$2,761.52 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,761.52 |
$2,761.52 |
$2,761.52 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,841.14 |
$1,841.14 |
$1,841.14 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,880.94 |
$2,880.94 |
$2,880.94 |
$2,489.25
|
|
Sirolimus, oral
|
$54.85 |
$54.85 |
$54.85 |
$42.11
|
|
Skin Biopsy
|
$1,560.67 |
$1,560.67 |
$1,560.67 |
$382.80
|
|
Skyla, 13.5 mg
|
$1,845.81 |
$1,845.81 |
$1,845.81 |
$1,801.20
|
|
Sleep study unattended
|
$262.19 |
$262.19 |
$262.19 |
$595.50
|
|
Sleeve fing rolyan med
|
$154.83 |
$154.83 |
$154.83 |
$167.31
|
|
Sling arm deluxe w/pad xs
|
$171.16 |
$171.16 |
$171.16 |
$25.55
|
|
Sling suprapubic suburetheral
|
$15,083.48 |
$15,083.48 |
$15,083.48 |
$10,328.15
|
|
Sm-153 lexidron ther
|
$6,962.72 |
$6,962.72 |
$6,962.72 |
$11,563.30
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.02 |
$0.02 |
$0.02 |
$318.64
|
|
Smear fluorescent and/or acid fast stain
|
$87.14 |
$87.14 |
$87.14 |
$64.20
|
|
Smear gram stain
|
$55.24 |
$55.24 |
$55.24 |
$57.85
|
|
Smear nasal eosinophil
|
$49.41 |
$49.41 |
$49.41 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$90.25 |
$90.25 |
$90.25 |
$64.35
|
|
Smear wet mount
|
$75.47 |
$75.47 |
$75.47 |
$68.63
|
|
Snrpn/ube3a gene
|
$130.32 |
$130.32 |
$130.32 |
$228.80
|
|
Sodium 24 hour urine
|
$65.75 |
$65.75 |
$65.75 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$30.35 |
$30.35 |
$30.35 |
$46.43
|
