|
Revision of knee joint
|
$38,029.94 |
$38,029.94 |
$38,029.94 |
$12,836.37
|
|
Revision tips
|
$22,953.32 |
$22,953.32 |
$22,953.32 |
$9,810.00
|
|
Rev-rem impl neurostim gen-rec
|
$9,465.69 |
$9,465.69 |
$9,465.69 |
$4,069.59
|
|
Revsc opn/prq tib/pero stent
|
$17,294.08 |
$17,294.08 |
$17,294.08 |
$10,086.20
|
|
Rf abltj nrv nrvtg si jt
|
$16,620.35 |
$16,620.35 |
$16,620.35 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$90.29 |
$90.29 |
$878.31 |
$54.60
|
|
Rheumatoid factor quantitative
|
$90.95 |
$90.95 |
$964.02 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$127.61 |
$127.61 |
$7,126.56 |
$243.11
|
|
Rho d immune globulin 50 mcg
|
$730.59 |
$730.59 |
$730.59 |
$124.10
|
|
Rho d immune globulin inj
|
$1,598.24 |
$1,598.24 |
$2,285.81 |
$287.82
|
|
R hrt cath chd abnl nt cnj
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$4,880.85
|
|
R hrt cath chd nml nt cnj
|
$27,539.20 |
$27,539.20 |
$27,539.20 |
$4,925.61
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$5,314.96 |
$5,314.96 |
$5,314.96 |
$462.44
|
|
Right ventric recording
|
$1,335.55 |
$1,335.55 |
$11,791.00 |
$1,980.36
|
|
Ring barrier skin cx 1 9/16 adapt
|
$98.00 |
$98.00 |
$98.00 |
$10.02
|
|
Ring ostmy barr adapt 48mm
|
$26.00 |
$26.00 |
$26.00 |
$5.97
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$19,750.76 |
$19,750.76 |
$19,750.76 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$21,877.48 |
$21,877.48 |
$21,877.48 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$10,901.48 |
$10,901.48 |
$10,901.48 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$10,371.05 |
$10,371.05 |
$10,371.05 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$10,787.84 |
$10,787.84 |
$10,787.84 |
$5,831.80
|
|
R&l hrt cath chd abnl nt cnj
|
$27,177.71 |
$27,177.71 |
$27,177.71 |
$5,173.00
|
|
R&l hrt cath chd nml nt cnj
|
$27,177.71 |
$27,177.71 |
$27,177.71 |
$5,173.00
|
|
Rmvl ext fixj sys under anes
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$7,529.14 |
$7,529.14 |
$7,529.14 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$5,716.57 |
$5,716.57 |
$5,716.57 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$60,943.12 |
$60,943.12 |
$60,943.12 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$84,564.76 |
$84,564.76 |
$84,564.76 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$43,919.75 |
$43,919.75 |
$43,919.75 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$22,182.27 |
$22,182.27 |
$22,182.27 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,217.97 |
$1,217.97 |
$1,217.97 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$12,399.09 |
$12,399.09 |
$12,399.09 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$23,556.36 |
$23,556.36 |
$23,556.36 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,826.72 |
$14,826.72 |
$14,826.72 |
$10,427.04
|
|
Rmvl pq iabp
|
$451.54 |
$451.54 |
$451.54 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$9,694.62 |
$9,694.62 |
$9,694.62 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$10,110.90 |
$10,110.90 |
$10,110.90 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,616.82 |
$2,616.82 |
$2,616.82 |
$1,991.00
|
|
Rmvl tongs/halo anthr indiv
|
$1,100.47 |
$1,100.47 |
$1,100.47 |
$504.90
|
|
Rmvl tv pm lead dual
|
$8,372.46 |
$8,372.46 |
$8,372.46 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$6,977.06 |
$6,977.06 |
$6,977.06 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,924.80 |
$5,924.80 |
$11,056.19 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,181.62 |
$2,181.62 |
$2,181.62 |
$188.50
|
|
Routine footcare pt w lops
|
$270.53 |
$270.53 |
$270.53 |
$219.93
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$6,542.92 |
$6,542.92 |
$6,542.92 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$4,411.47 |
$4,411.47 |
$8,998.50 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$7,460.50 |
$7,460.50 |
$8,734.71 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$7,460.50 |
$7,460.50 |
$12,528.57 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$10,939.76 |
$10,939.76 |
$10,939.76 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$6,753.73 |
$6,753.73 |
$6,753.73 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$6,986.63 |
$6,986.63 |
$6,986.63 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$8,009.98 |
$8,009.98 |
$8,009.98 |
$4,201.80
|
|
Rsv assay w/optic
|
$173.05 |
$173.05 |
$173.05 |
$73.80
|
|
Rubella antibody igg
|
$230.57 |
$230.57 |
$230.57 |
$73.10
|
|
Rubeola antibody igg
|
$205.99 |
$205.99 |
$205.99 |
$79.68
|
|
Russell viper venom diluted
|
$463.29 |
$463.29 |
$1,406.70 |
$70.16
|
|
Salivary gland imaging
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$549.70
|
|
Salmonella antibody
|
$213.79 |
$213.79 |
$2,257.34 |
$37.58
|
|
Sargramostim injection
|
$7,652.96 |
$7,652.96 |
$7,652.96 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$147.43 |
$147.43 |
$147.43 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$177.94 |
$177.94 |
$177.94 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,559.24 |
$2,559.24 |
$3,063.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$432.98 |
$432.98 |
$2,493.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$432.98 |
$432.98 |
$432.98 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,451.46 |
$1,451.46 |
$1,451.46 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$432.98 |
$432.98 |
$432.98 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$16,535.35 |
$16,535.35 |
$16,535.35 |
$2,114.45
|
|
Screening hepatitis b non-obstetric high risk
|
$123.70 |
$123.70 |
$123.70 |
$56.55
|
|
Screening Mammogram
|
$379.92 |
$379.92 |
$379.92 |
$303.55
|
|
Screening prostate cancer PSA
|
$1,176.68 |
$1,176.68 |
$1,176.68 |
$100.80
|
|
Screen pap by tech w md supv
|
$160.04 |
$160.04 |
$160.04 |
$41.80
|
|
Sc ther infusion reset pump
|
$503.98 |
$503.98 |
$503.98 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,991.29 |
$6,991.29 |
$6,991.29 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$103.65 |
$103.65 |
$706.00 |
$44.20
|
|
Semen analysis presence/motility
|
$191.66 |
$191.66 |
$191.66 |
$70.85
|
|
Sept9 promoter methylation analysis
|
$317.76 |
$317.76 |
$317.76 |
$316.68
|
|
Serpina1 gene
|
$218.25 |
$218.25 |
$1,609.06 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$217.75 |
$217.75 |
$217.75 |
$173.16
|
|
Set radiation therapy field
|
$2,958.81 |
$2,958.81 |
$6,233.15 |
$731.50
|
|
Set radiation therapy field
|
$4,169.83 |
$4,169.83 |
$12,242.45 |
$1,102.40
|
|
Set radiation therapy field
|
$5,810.65 |
$5,810.65 |
$5,810.65 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$708.00 |
$708.00 |
$708.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$287.09 |
$287.09 |
$287.09 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$708.00 |
$708.00 |
$708.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$472.00 |
$472.00 |
$472.00 |
$302.55
|
|
Shoe post-op mens m
|
$40.57 |
$40.57 |
$40.57 |
$42.87
|
|
Shorten radius or ulna
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,609.96
|
|
Shoulder MRI (with and without contrast)
|
$6,950.63 |
$6,950.63 |
$6,950.63 |
$2,705.30
|