|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$4,871.09 |
$4,871.09 |
$4,871.09 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$2,360.19 |
$2,360.19 |
$2,360.19 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$3,472.43 |
$3,472.43 |
$3,472.43 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$2,209.49 |
$2,209.49 |
$2,209.49 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$1,892.35 |
$1,892.35 |
$1,892.35 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,892.35 |
$1,892.35 |
$1,892.35 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$3,690.06 |
$3,690.06 |
$3,690.06 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,721.50 |
$12,721.50 |
$12,721.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$17,900.96 |
$17,900.96 |
$17,900.96 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,543.74 |
$12,543.74 |
$12,543.74 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,285.48 |
$3,285.48 |
$3,285.48 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$705.10 |
$705.10 |
$705.10 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$4,421.56 |
$4,421.56 |
$4,421.56 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,059.92 |
$8,059.92 |
$8,059.92 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,153.38 |
$4,153.38 |
$4,153.38 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,008.04 |
$1,008.04 |
$1,008.04 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,244.24 |
$4,244.24 |
$4,244.24 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$2,760.78 |
$2,760.78 |
$2,760.78 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,783.10 |
$1,783.10 |
$1,783.10 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,328.60 |
$3,328.60 |
$3,328.60 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$3,425.40 |
$3,425.40 |
$3,425.40 |
$4,031.69
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,488.61 |
$3,488.61 |
$3,488.61 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$799.80 |
$799.80 |
$799.80 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$17.16 |
$17.16 |
$17.16 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,290.52 |
$1,290.52 |
$1,290.52 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$1,224.08 |
$1,224.08 |
$1,224.08 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$5,756.74 |
$5,756.74 |
$5,756.74 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,070.52 |
$1,070.52 |
$1,070.52 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,904.78 |
$3,904.78 |
$3,904.78 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,261.94 |
$3,261.94 |
$3,261.94 |
$3,687.00
|
|
Rsv assay w/optic
|
$131.78 |
$131.78 |
$131.78 |
$79.38
|
|
Rubella antibody igg
|
$83.82 |
$83.82 |
$83.82 |
$77.03
|
|
Rubeola antibody igg
|
$57.20 |
$57.20 |
$57.20 |
$80.00
|
|
Russell viper venom diluted
|
$19.14 |
$19.14 |
$19.14 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$1,292.87 |
$1,292.87 |
$1,292.87 |
$5,174.32
|
|
Salmonella antibody
|
$37.84 |
$37.84 |
$37.84 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$107.80 |
$107.80 |
$107.80 |
$56.57
|
|
Sbrt management
|
$432.74 |
$432.74 |
$432.74 |
$1,189.60
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$864.38 |
$864.38 |
$864.38 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$576.18 |
$576.18 |
$576.18 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$528.22 |
$528.22 |
$528.22 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$384.12 |
$384.12 |
$384.12 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$438.02 |
$438.02 |
$438.02 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$603.24 |
$603.24 |
$603.24 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$825.44 |
$825.44 |
$825.44 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$576.18 |
$576.18 |
$576.18 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$572.22 |
$572.22 |
$572.22 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$4,165.26 |
$4,165.26 |
$4,165.26 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,159.00 |
$5,159.00 |
$5,159.00 |
$4,490.64
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$58.96 |
$58.96 |
$58.96 |
$57.60
|
|
Screening prostate cancer PSA
|
$153.56 |
$153.56 |
$153.56 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$40.70 |
$40.70 |
$40.70 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$8,180.70 |
$8,180.70 |
$8,180.70 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,186.70 |
$3,186.70 |
$3,186.70 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$74.58 |
$74.58 |
$74.58 |
$42.00
|
|
Semen analysis presence/motility
|
$97.46 |
$97.46 |
$97.46 |
$71.05
|
|
Semen analysis w/count
|
$35.86 |
$35.86 |
$35.86 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$86.65 |
$86.65 |
$86.65 |
$316.68
|
|
Sertraline (zoloft) - sendout
|
$19.80 |
$19.80 |
$19.80 |
$126.43
|
|
Set radiation therapy field
|
$413.16 |
$413.16 |
$413.16 |
$762.40
|
|
Set radiation therapy field
|
$315.04 |
$315.04 |
$315.04 |
$1,157.38
|
|
Set radiation therapy field
|
$1,270.28 |
$1,270.28 |
$1,270.28 |
$1,636.36
|
|
Sf3b1 gene common variants
|
$60.50 |
$60.50 |
$60.50 |
$248.10
|
|
Sheath gldlight lasr 12fx50cm
|
$85.58 |
$85.58 |
$85.58 |
$6,570.70
|
|
Shoe post-op mens m
|
$23.98 |
$23.98 |
$23.98 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$2,482.04 |
$2,482.04 |
$2,482.04 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,404.16 |
$2,404.16 |
$2,404.16 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,971.10 |
$2,971.10 |
$2,971.10 |
$2,065.05
|
|
Shoulder X-ray
|
$462.00 |
$462.00 |
$462.00 |
$339.50
|
|
Sickling rbc
|
$24.75 |
$24.75 |
$24.75 |
$57.92
|
|
Sinus CT scan (with and without contrast)
|
$2,351.36 |
$2,351.36 |
$2,351.36 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,148.96 |
$2,148.96 |
$2,148.96 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,467.84 |
$1,467.84 |
$1,467.84 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$36.52 |
$36.52 |
$36.52 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$1.32 |
$1.32 |
$1.32 |
$16.12
|
|
Sleep study unattended
|
$766.04 |
$766.04 |
$766.04 |
$580.87
|
|
Sleeve fing rolyan med
|
$274.56 |
$274.56 |
$274.56 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$23.98 |
$23.98 |
$23.98 |
$30.35
|
|
Sling suprapubic suburetheral
|
$2,666.84 |
$2,666.84 |
$2,666.84 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$97.02 |
$97.02 |
$97.02 |
$285.09
|
|
Slp ther svc non-spch gen
|
$97.02 |
$97.02 |
$97.02 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$112.86 |
$112.86 |
$112.86 |
$64.20
|
|
Smear gram stain
|
$104.72 |
$104.72 |
$104.72 |
$55.25
|
|
Smear nasal eosinophil
|
$104.28 |
$104.28 |
$104.28 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$128.04 |
$128.04 |
$128.04 |
$73.15
|
|
Smear wet mount
|
$124.52 |
$124.52 |
$124.52 |
$67.49
|
|
Snrpn/ube3a gene
|
$73.70 |
$73.70 |
$73.70 |
$231.85
|
|
Sodium 24 hour urine
|
$155.76 |
$155.76 |
$155.76 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$17.60 |
$17.60 |
$17.60 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$17.60 |
$17.60 |
$17.60 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$15.26 |
$15.26 |
$15.26 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$17.23 |
$17.23 |
$17.23 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$44.73 |
$44.73 |
$44.73 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$128.04 |
$128.04 |
$128.04 |
$45.60
|
|
Special physics consult
|
$562.98 |
$562.98 |
$562.98 |
$725.00
|
|
Special radiation dosimetry
|
$134.86 |
$134.86 |
$134.86 |
$392.50
|
|
Special radiation treatment
|
$938.30 |
$938.30 |
$938.30 |
$1,986.00
|
|
Special supplies phys/qhp
|
$1,244.28 |
$1,244.28 |
$1,244.28 |
$60.00
|
|
Special teletx port plan
|
$1,103.30 |
$1,103.30 |
$1,103.30 |
$1,086.99
|
