|
Rmvl imed rx delivery device
|
$1,249.30 |
$1,249.30 |
$1,249.30 |
$761.60
|
|
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 perq right heart vad
|
$15,740.40 |
$15,740.40 |
$15,740.40 |
$1,745.00
|
|
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 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$9,391.20 |
$9,391.20 |
$9,391.20 |
$6,014.40
|
|
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 pq iabp
|
$11,616.80 |
$11,616.80 |
$11,616.80 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$17,476.55 |
$17,476.55 |
$17,476.55 |
$2,553.60
|
|
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 |
$1,736.70
|
|
Rmvl tiss expndr without implant insrtn
|
$11,330.15 |
$11,330.15 |
$11,330.15 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$442.06
|
|
Rmvl tv pm lead dual
|
$7,682.35 |
$7,682.35 |
$7,682.35 |
$4,190.98
|
|
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 |
$15,792.75
|
|
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 |
$9,384.17 |
$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 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$2,309.45 |
$2,309.45 |
$7,893.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,152.20 |
$4,152.20 |
$4,152.20 |
$2,566.53
|
|
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 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$3,752.45 |
$3,752.45 |
$3,752.45 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$4,135.30 |
$4,135.30 |
$4,135.30 |
$6,067.30
|
|
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 |
$6,463.42
|
|
Rpr blood vsl grf oth vein lo ex
|
$23,333.70 |
$23,333.70 |
$23,333.70 |
$5,907.78
|
|
Rsv assay w/optic
|
$163.15 |
$163.15 |
$2,334.00 |
$75.96
|
|
Rtm 1st set-up&pt educaj eqp
|
$395.00 |
$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 |
$77.50
|
|
Rubeola antibody igg
|
$253.50 |
$253.50 |
$253.50 |
$80.00
|
|
Russell viper venom diluted
|
$61.75 |
$61.75 |
$1,004.00 |
$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 |
$314.79
|
|
Salivary gland function exam
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$753.60
|
|
Salivary gland imaging
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$585.00
|
|
Salivary glnd img serial img
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$701.73
|
|
Salmonella antibody
|
$477.00 |
$477.00 |
$477.00 |
$37.58
|
|
Sargramostim injection
|
$448.50 |
$448.50 |
$2,340.00 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$88.40 |
$88.40 |
$88.40 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$232.70 |
$232.70 |
$257.40 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$767.40
|
|
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 |
$1,038.70 |
$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 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,114.45 |
$2,114.45 |
$2,114.45 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$23,185.50 |
$23,185.50 |
$23,185.50 |
$4,246.72
|
|
Screening Mammogram
|
$475.15 |
$475.15 |
$548.00 |
$310.20
|
|
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 |
$608.90
|
|
Sc ther infusion reset pump
|
$135.20 |
$135.20 |
$135.20 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,565.60 |
$4,565.60 |
$4,565.60 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$116.35 |
$116.35 |
$905.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$188.50 |
$188.50 |
$188.50 |
$96.60
|
|
Semen analysis w/count
|
$163.15 |
$163.15 |
$163.15 |
$56.44
|
|
Set radiation therapy field
|
$2,185.30 |
$2,185.30 |
$2,185.30 |
$782.61
|
|
Set radiation therapy field
|
$2,901.60 |
$2,901.60 |
$4,047.00 |
$1,159.03
|
|
Set radiation therapy field
|
$3,606.20 |
$3,606.20 |
$3,606.20 |
$1,636.36
|
|
Sex chromatin identification
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$45.60
|
|
Sf3b1 gene common variants
|
$444.60 |
$444.60 |
$444.60 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$634.40 |
$634.40 |
$634.40 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$634.40 |
$634.40 |
$634.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$436.64
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$634.40 |
$634.40 |
$634.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$634.40 |
$634.40 |
$634.40 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$634.40 |
$634.40 |
$634.40 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$665.60 |
$665.60 |
$665.60 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$634.40 |
$634.40 |
$634.40 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$634.40 |
$634.40 |
$634.40 |
$286.89
|
|
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 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$379.60 |
$379.60 |
$483.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$611.65 |
$611.65 |
$611.65 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$3,842.80 |
$3,842.80 |
$3,842.80 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$3,305.25 |
$3,305.25 |
$3,305.25 |
$2,088.20
|
|
Shoulder X-ray
|
$644.80 |
$644.80 |
$644.80 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$438.75 |
$438.75 |
$438.75 |
$264.00
|
|
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
|
|
Sialidase enzyme assay
|
$57.00 |
$57.00 |
$107.25 |
$54.99
|
|
Sialography s&i
|
$3,124.00 |
$3,124.00 |
$3,124.00 |
$499.20
|
|
Sickling rbc
|
$92.95 |
$92.95 |
$885.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,951.95 |
$1,951.95 |
$1,951.95 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$1,078.88
|
