|
Rmv&rplcmt phrnc nrv stim ld
|
$7,621.80 |
$7,621.80 |
$7,621.80 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$4,668.02 |
$4,668.02 |
$4,668.02 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$15,917.75 |
$15,917.75 |
$15,917.75 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3.68 |
$11,056.19 |
$11,056.19 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,181.62 |
$2,181.62 |
$2,181.62 |
|
|
Routine footcare pt w lops
|
$270.53 |
$270.53 |
$270.53 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$763.18 |
$6,542.92 |
$6,542.92 |
|
|
Rp loclzj tum 2+area 1+d img
|
$345.86 |
$4,411.47 |
$8,998.50 |
|
|
Rp loclzj tum spect w/ct 1
|
$424.67 |
$7,460.50 |
$16,732.44 |
|
|
Rp loclzj tum spect w/ct 2
|
$716.80 |
$7,460.50 |
$12,697.20 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,167.03 |
$10,939.76 |
$10,939.76 |
|
|
Rpl tun-cvad w subq port
|
$2,316.72 |
$6,753.73 |
$6,753.73 |
|
|
Rpl tun-cvad w subq pump
|
$3,724.85 |
$6,986.63 |
$6,986.63 |
|
|
Rpl tun cvc wo subq port
|
$1,556.30 |
$8,009.98 |
$8,009.98 |
|
|
Rsv assay w/optic
|
$5.80 |
$173.05 |
$2,309.15 |
|
|
Rubella antibody igg
|
$10.36 |
$230.57 |
$230.57 |
|
|
Rubeola antibody igg
|
$11.10 |
$205.99 |
$205.99 |
|
|
Runx1 gene targeted seq alys
|
$3,295.75 |
$3,295.75 |
$3,295.75 |
|
|
Russell viper venom diluted
|
$6.12 |
$463.29 |
$1,703.24 |
|
|
Rx metab gen seq alys pnl 6
|
$382.53 |
$847.62 |
$1,739.26 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$64.42 |
$1,432.25 |
$2,558.59 |
|
|
Salivary gland imaging
|
$374.45 |
$521.42 |
$2,967.00 |
|
|
Salivary glnd img serial img
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
|
|
Salmonella antibody
|
$13.50 |
$213.79 |
$2,257.34 |
|
|
Sargramostim injection
|
$1,238.00 |
$2,161.14 |
$7,652.96 |
|
|
Sarscov coronavirus ag ia
|
$68.97 |
$147.43 |
$147.43 |
|
|
Sarscov & inf vir a&b ag ia
|
$124.30 |
$155.50 |
$177.94 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$279.55 |
$432.98 |
$2,493.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$170.66 |
$432.98 |
$432.98 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$296.73 |
$957.25 |
$1,451.46 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$294.22 |
$1,799.46 |
$1,799.46 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$218.71 |
$1,799.46 |
$1,799.46 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$181.58 |
$1,036.00 |
$1,799.46 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,002.38 |
$16,535.35 |
$16,535.35 |
|
|
Scope uretscp lithovue dig disp
|
$2,733.17 |
$2,733.17 |
$2,733.17 |
|
|
Screening hepatitis b non-obstetric high risk
|
$123.70 |
$123.70 |
$123.70 |
|
|
Screening HIV antigen/antibody combination assay
|
$79.70 |
$173.89 |
$753.71 |
|
|
Screening Mammogram
|
$163.10 |
$379.92 |
$379.92 |
|
|
Screening prostate cancer PSA
|
$164.19 |
$1,176.68 |
$1,196.78 |
|
|
Screen pap by tech w md supv
|
$160.04 |
$160.04 |
$160.04 |
|
|
Screw cortex 2.0 x 10mm
|
$48,750.88 |
$52,955.81 |
$70,301.14 |
|
|
Scrotal (Testicle) Ultrasound
|
$204.61 |
$1,781.50 |
$1,842.92 |
|
|
Sc ther infusion reset pump
|
$503.98 |
$503.98 |
$2,663.25 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,454.03 |
$6,991.29 |
$6,991.29 |
|
|
Sedimentation rate erythrocyte automated
|
$0.92 |
$103.65 |
$1,062.75 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$40.26 |
$319.76 |
$319.76 |
|
|
Semen analysis presence/motility
|
$14.28 |
$191.66 |
$1,062.75 |
|
|
Semen analysis w/count
|
$10.04 |
$11.00 |
$22.91 |
|
|
Sept9 promoter methylation analysis
|
$80.06 |
$317.76 |
$364.03 |
|
|
Serpina1 gene
|
$149.47 |
$218.25 |
$5,307.03 |
|
|
Sertraline (zoloft) - sendout
|
$217.75 |
$217.75 |
$217.75 |
|
|
Set radiation therapy field
|
$482.20 |
$2,958.81 |
$6,233.15 |
|
|
Set radiation therapy field
|
$821.96 |
$4,169.83 |
$12,242.45 |
|
|
Set radiation therapy field
|
$915.20 |
$5,810.65 |
$10,921.00 |
|
|
Sf3b1 gene common variants
|
$80.62 |
$725.16 |
$1,242.33 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$708.00 |
$708.00 |
$708.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$287.09 |
$287.09 |
$287.09 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$354.00 |
$354.00 |
$354.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$708.00 |
$708.00 |
$708.00 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$472.00 |
$472.00 |
$472.00 |
|
|
Sheath gldlight lasr 12fx50cm
|
$3,237.54 |
$4,099.02 |
$6,905.81 |
|
|
Shoe post-op mens m
|
$40.57 |
$40.57 |
$40.57 |
|
|
Shorten radius or ulna
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$51.32 |
$164.08 |
$625.15 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$87.30 |
$1,147.25 |
$2,105.77 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$66.18 |
$1,115.86 |
$1,115.86 |
|
|
Shoulder MRI (with and without contrast)
|
$605.18 |
$6,950.63 |
$6,950.63 |
|
|
Shoulder MRI (with contrast)
|
$504.25 |
$6,305.42 |
$6,305.42 |
|
|
Shoulder MRI (without contrast)
|
$403.33 |
$5,285.27 |
$5,285.27 |
|
|
Shoulder X-ray
|
$57.73 |
$1,268.06 |
$1,268.06 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$52.45 |
$631.75 |
$851.38 |
|
|
Shrinker prosth above knee
|
$113.07 |
$113.07 |
$2,631.00 |
|
|
Shrinker prosth below knee
|
$70.94 |
$70.94 |
$1,217.00 |
|
|
Shrinker upper limb
|
$435.00 |
$435.00 |
$435.00 |
|
|
Shunt glaucoma baerveldt 350mm
|
$3,733.80 |
$5,155.04 |
$9,910.88 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$228.60 |
$869.61 |
$2,391.61 |
|
|
Sialidase enzyme assay
|
$75.63 |
$75.63 |
$75.63 |
|
|
Sialography s&i
|
$205.22 |
$303.74 |
$2,640.62 |
|
|
Sialolithotomy 42330
|
$7,686.78 |
$7,686.78 |
$7,686.78 |
|
|
Sickling rbc
|
$5.71 |
$182.79 |
$1,017.53 |
|
|
Signal avg ecg w or without ecg 93278
|
$971.75 |
$2,408.00 |
$2,470.60 |
|
|
Sincalide 5 mcg solution for injection
|
$606.38 |
$1,037.56 |
$3,353.28 |
|
|
Sinus CT scan (with and without contrast)
|
$445.18 |
$7,209.29 |
$8,888.00 |
|
|
Sinus CT scan (with contrast)
|
$370.98 |
$6,007.76 |
$8,021.50 |
|
|
Sinus CT scan (without contrast)
|
$296.78 |
$4,595.21 |
$4,686.25 |
|
|
Sinus/juglr venogram s&i
|
$1,320.70 |
$10,810.50 |
$31,959.13 |
|
|
Sinus X-ray (complete)
|
$63.01 |
$1,545.50 |
$3,138.00 |
|
|
Sinus X-ray (limited)
|
$46.82 |
$800.50 |
$1,015.69 |
|
|
Sirolimus, oral
|
$90.00 |
$90.00 |
$90.00 |
|
|
Skeletal muscle relaxant 1/2
|
$34.96 |
$150.00 |
$207.41 |
|
|
Skin Biopsy
|
$121.50 |
$730.08 |
$730.08 |
|
|
Skull X-ray (1 to 3 views)
|
$66.18 |
$950.50 |
$1,192.14 |
|
|
Skull X-ray (complete)
|
$76.03 |
$1,497.00 |
$2,369.32 |
|
|
Skyla, 13.5 mg
|
$5,974.00 |
$5,974.00 |
$7,190.75 |
|
