|
Revasc intra lithotrip-ather
|
$17,609.80 |
$17,609.80 |
$17,609.80 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$35,998.30 |
$35,998.30 |
$35,998.30 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$18,138.25 |
$18,138.25 |
$18,138.25 |
$11,101.80
|
|
Revise spine eltrd perq aray
|
$11,607.05 |
$11,607.05 |
$11,607.05 |
$7,728.86
|
|
Revision of penis
|
$3,970.85 |
$3,970.85 |
$3,970.85 |
$4,040.25
|
|
Revision of penis
|
$3,885.70 |
$3,885.70 |
$3,885.70 |
$4,367.48
|
|
Revision tips
|
$23,728.90 |
$23,728.90 |
$23,728.90 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$18,981.95 |
$18,981.95 |
$18,981.95 |
$9,196.55
|
|
Rezafungin 200 mg intravenous solution
|
$7,094.95 |
$7,094.95 |
$7,094.95 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$5,283.20 |
$5,283.20 |
$5,283.20 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$98.80 |
$98.80 |
$98.80 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$41.60 |
$41.60 |
$41.60 |
$234.12
|
|
Rho(d) immune globulin h, sd
|
$1,438.12 |
$1,438.12 |
$1,438.12 |
$3,228.05
|
|
Rho d immune globulin inj
|
$16.90 |
$16.90 |
$16.90 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$736.45 |
$736.45 |
$736.45 |
$359.47
|
|
Rib X-ray (3 views, both sides)
|
$813.15 |
$813.15 |
$813.15 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$618.38 |
$618.38 |
$618.38 |
$455.01
|
|
Right ventric recording
|
$5,029.05 |
$5,029.05 |
$5,029.05 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$328.90 |
$328.90 |
$328.90 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$3,164.12 |
$3,164.12 |
$3,164.12 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$38.06 |
$38.06 |
$38.06 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$325.37 |
$325.37 |
$325.37 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$292.83 |
$292.83 |
$292.83 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$248.24 |
$248.24 |
$248.24 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$248.24 |
$248.24 |
$248.24 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$7,494.50 |
$7,494.50 |
$7,494.50 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$56,987.45 |
$56,987.45 |
$56,987.45 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$66,651.65 |
$66,651.65 |
$66,651.65 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$55,147.95 |
$55,147.95 |
$55,147.95 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$7,494.50 |
$7,494.50 |
$7,494.50 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,181.05 |
$1,181.05 |
$1,181.05 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$12,851.15 |
$12,851.15 |
$12,851.15 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$34,770.45 |
$34,770.45 |
$34,770.45 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$19,665.75 |
$19,665.75 |
$19,665.75 |
$10,542.00
|
|
Rmvl pq iabp
|
$10,308.35 |
$10,308.35 |
$10,308.35 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$12,817.35 |
$12,817.35 |
$12,817.35 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$7,299.50 |
$7,299.50 |
$7,299.50 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$5,112.90 |
$5,112.90 |
$5,112.90 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$1,339.65 |
$1,339.65 |
$1,339.65 |
$460.68
|
|
Rmvl tv pm lead dual
|
$6,817.20 |
$6,817.20 |
$6,817.20 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$7,719.40 |
$7,719.40 |
$7,719.40 |
$4,225.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,752.03 |
$6,752.03 |
$6,752.03 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$9.75 |
$9.75 |
$9.75 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,268.15 |
$1,268.15 |
$1,268.15 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,722.55 |
$3,722.55 |
$3,722.55 |
$2,556.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,936.35 |
$1,936.35 |
$1,936.35 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,330.60 |
$3,330.60 |
$3,330.60 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$4,767.75 |
$4,767.75 |
$4,767.75 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$6,311.00
|
|
Rpr aa hrn 1st 3-10 rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$4,500.75
|
|
Rpr aa hrn rcr > 10 rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$6,905.60
|
|
Rpr aa hrn rcr < 3 rdc
|
$7,547.15 |
$7,547.15 |
$7,547.15 |
$4,500.75
|
|
Rubella antibody igg
|
$44.85 |
$44.85 |
$44.85 |
$77.40
|
|
Rubeola antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$289.25 |
$289.25 |
$289.25 |
$454.72
|
|
Russell viper venom diluted
|
$110.50 |
$110.50 |
$110.50 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$686.40 |
$686.40 |
$686.40 |
$314.26
|
|
Salivary glnd img serial img
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$701.73
|
|
Salmonella antibody
|
$46.15 |
$46.15 |
$46.15 |
$37.58
|
|
Sargramostim injection
|
$857.16 |
$857.16 |
$857.16 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$72.80 |
$72.80 |
$72.80 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$234.65 |
$234.65 |
$234.65 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$969.15 |
$969.15 |
$969.15 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$620.75 |
$620.75 |
$620.75 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$931.45 |
$931.45 |
$931.45 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$766.35 |
$766.35 |
$766.35 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$766.35 |
$766.35 |
$766.35 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$766.35 |
$766.35 |
$766.35 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,876.55 |
$1,876.55 |
$1,876.55 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$15,475.20 |
$15,475.20 |
$15,475.20 |
$4,246.72
|
|
Screening Mammogram
|
$426.40 |
$426.40 |
$426.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$180.05 |
$180.05 |
$180.05 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$81,937.70 |
$81,937.70 |
$81,937.70 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$779.35 |
$779.35 |
$779.35 |
$611.91
|
|
Sc ther infusion reset pump
|
$120.25 |
$120.25 |
$120.25 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,235.45 |
$6,235.45 |
$6,235.45 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$64.35 |
$64.35 |
$64.35 |
$42.00
|
|
Self-adher band w>=3" <5"/yd
|
$23.40 |
$23.40 |
$23.40 |
$2.07
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$163.15 |
$163.15 |
$163.15 |
$96.00
|
|
Semen analysis presence/motility
|
$68.25 |
$68.25 |
$68.25 |
$70.40
|
|
Serial tonometry
|
$605.80 |
$605.80 |
$605.80 |
$131.02
|
|
Serpina1 gene
|
$273.00 |
$273.00 |
$273.00 |
$197.00
|
|
Set radiation therapy field
|
$1,940.90 |
$1,940.90 |
$1,940.90 |
$782.61
|
|
Set radiation therapy field
|
$2,577.90 |
$2,577.90 |
$2,577.90 |
$1,159.03
|
|
Set radiation therapy field
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$568.10 |
$568.10 |
$568.10 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$14,190.15 |
$14,190.15 |
$14,190.15 |
$6,570.70
|
|
Shoe post-op mens m
|
$40.30 |
$40.30 |
$40.30 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$195.00 |
$195.00 |
$195.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$339.95 |
$339.95 |
$339.95 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$549.25 |
$549.25 |
$549.25 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,020.90 |
$4,020.90 |
$4,020.90 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,445.00 |
$3,445.00 |
$3,445.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$2,096.84
|
|
Shoulder X-ray
|
$577.85 |
$577.85 |
$577.85 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$394.55 |
$394.55 |
$394.55 |
$263.25
|
|
Sialography s&i
|
$743.60 |
$743.60 |
$743.60 |
$499.20
|
