|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2.60 |
$2.60 |
$2.60 |
$455.01
|
|
Right ventric recording
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$4,850.30 |
$4,850.30 |
$4,850.30 |
$1,509.75
|
|
Ring ostmy barr adapt 48mm
|
$3.90 |
$3.90 |
$3.90 |
$5.20
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$150.15 |
$150.15 |
$150.15 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$442.65 |
$442.65 |
$442.65 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$221.00 |
$221.00 |
$221.00 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$398.45 |
$398.45 |
$398.45 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$397.15 |
$397.15 |
$397.15 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$362.70 |
$362.70 |
$362.70 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$8,445.45 |
$8,445.45 |
$8,445.45 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$20,892.95 |
$20,892.95 |
$20,892.95 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$29,779.75 |
$29,779.75 |
$29,779.75 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$20,892.95 |
$20,892.95 |
$20,892.95 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$8,445.45 |
$8,445.45 |
$8,445.45 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$14,482.00 |
$14,482.00 |
$14,482.00 |
$6,097.00
|
|
Rmvl phrnc nrv stim pg only
|
$9,391.20 |
$9,391.20 |
$9,391.20 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$9,391.20 |
$9,391.20 |
$9,391.20 |
$5,419.00
|
|
Rmvl phrnc nrv stim transvns
|
$9,391.20 |
$9,391.20 |
$9,391.20 |
$5,917.50
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$18,635.50 |
$18,635.50 |
$18,635.50 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,497.00 |
$16,497.00 |
$16,497.00 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$8,366.80 |
$8,366.80 |
$8,366.80 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$5,761.60 |
$5,761.60 |
$5,761.60 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$7,682.35 |
$7,682.35 |
$7,682.35 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$8,698.95 |
$8,698.95 |
$8,698.95 |
$4,225.20
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$37,597.95 |
$37,597.95 |
$37,597.95 |
$15,321.63
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$85,705.10 |
$85,705.10 |
$85,705.10 |
$36,000.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$150.80 |
$150.80 |
$150.80 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$48.75 |
$48.75 |
$48.75 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$61.75 |
$61.75 |
$61.75 |
$4,820.04
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$83.85 |
$83.85 |
$83.85 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,428.70 |
$1,428.70 |
$1,428.70 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$2,309.45 |
$2,309.45 |
$2,309.45 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,152.20 |
$4,152.20 |
$4,152.20 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$4,708.60 |
$4,708.60 |
$4,708.60 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,182.05 |
$2,182.05 |
$2,182.05 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,752.45 |
$3,752.45 |
$3,752.45 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$4,135.30 |
$4,135.30 |
$4,135.30 |
$5,988.54
|
|
Rpl tun cvc wo subq port
|
$2,813.20 |
$2,813.20 |
$2,813.20 |
$3,724.63
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$16,079.05 |
$16,079.05 |
$16,079.05 |
$6,870.89
|
|
Rpr blood vsl grf oth vein lo ex
|
$23,333.70 |
$23,333.70 |
$23,333.70 |
$5,983.35
|
|
Rsv assay w/optic
|
$163.15 |
$163.15 |
$163.15 |
$76.32
|
|
Rtm 1st set-up&pt educaj eqp
|
$395.20 |
$395.20 |
$395.20 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$124.80 |
$124.80 |
$124.80 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$124.80 |
$124.80 |
$124.80 |
$90.40
|
|
Rubella antibody igg
|
$217.10 |
$217.10 |
$217.10 |
$77.40
|
|
Rubeola antibody igg
|
$253.50 |
$253.50 |
$253.50 |
$80.00
|
|
Russell viper venom diluted
|
$61.75 |
$61.75 |
$61.75 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$157.30 |
$157.30 |
$157.30 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$765.70 |
$765.70 |
$765.70 |
$314.26
|
|
Salivary glnd img serial img
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$701.73
|
|
Sargramostim injection
|
$448.50 |
$448.50 |
$448.50 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$88.40 |
$88.40 |
$88.40 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$257.40 |
$257.40 |
$257.40 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,038.05 |
$1,038.05 |
$1,038.05 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$856.05 |
$856.05 |
$856.05 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$856.05 |
$856.05 |
$856.05 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$856.05 |
$856.05 |
$856.05 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,114.45 |
$2,114.45 |
$2,114.45 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$23,185.50 |
$23,185.50 |
$23,185.50 |
$4,246.72
|
|
Screening prostate cancer PSA
|
$210.60 |
$210.60 |
$210.60 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$163,493.85 |
$163,493.85 |
$163,493.85 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$869.05 |
$869.05 |
$869.05 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,565.60 |
$4,565.60 |
$4,565.60 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$116.35 |
$116.35 |
$116.35 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$188.50 |
$188.50 |
$188.50 |
$96.00
|
|
Semen analysis w/count
|
$163.15 |
$163.15 |
$163.15 |
$56.44
|
|
Sf3b1 gene common variants
|
$444.60 |
$444.60 |
$444.60 |
$248.10
|
|
Sheath gldlight lasr 12fx50cm
|
$13,364.65 |
$13,364.65 |
$13,364.65 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,364.65 |
$13,364.65 |
$13,364.65 |
$7,143.32
|
|
Shoe post-op mens m
|
$44.85 |
$44.85 |
$44.85 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$225.55 |
$225.55 |
$225.55 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$379.60 |
$379.60 |
$379.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$611.65 |
$611.65 |
$611.65 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,842.80 |
$3,842.80 |
$3,842.80 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$3,305.25 |
$3,305.25 |
$3,305.25 |
$2,096.84
|
|
Shoulder X-ray
|
$644.80 |
$644.80 |
$644.80 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$438.75 |
$438.75 |
$438.75 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$9,790.95 |
$9,790.95 |
$9,790.95 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$497.90 |
$497.90 |
$497.90 |
$355.80
|
|
Sickling rbc
|
$92.95 |
$92.95 |
$92.95 |
$59.40
|
|
Sim ang w/prs cath rad emb
|
$31,254.60 |
$31,254.60 |
$31,254.60 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$1,025.05 |
$1,025.05 |
$1,025.05 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,688.10 |
$3,688.10 |
$3,688.10 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,984.15 |
$2,984.15 |
$2,984.15 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$6,561.75 |
$6,561.75 |
$6,561.75 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$905.45 |
$905.45 |
$905.45 |
$346.45
|
|
Sinus X-ray (limited)
|
$372.45 |
$372.45 |
$372.45 |
$215.40
|
|
Sipuleucel-t - su
|
$173,460.30 |
$173,460.30 |
$173,460.30 |
$100,990.51
|
|
Sirolimus, oral
|
$98.15 |
$98.15 |
$98.15 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$679.90 |
$679.90 |
$679.90 |
$14,361.10
|
|
Skel musc relaxant 3 or more
|
$7.15 |
$7.15 |
$7.15 |
$16.12
|
|
Skin Biopsy
|
$665.60 |
$665.60 |
$665.60 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$549.25 |
$549.25 |
$549.25 |
$294.45
|
|
Skull X-ray (complete)
|
$910.00 |
$910.00 |
$910.00 |
$417.50
|