|
Revasc intra lithotrip-stent
|
$18,952.48 |
$18,952.48 |
$18,952.48 |
$19,964.00
|
|
Revasc intravasc lithotripsy
|
$14,438.90 |
$14,438.90 |
$14,438.90 |
$11,414.06
|
|
Revision tips
|
$19,049.05 |
$19,049.05 |
$19,049.05 |
$9,810.00
|
|
Rheumatoid factor qualitative
|
$56.29 |
$56.29 |
$56.29 |
$54.60
|
|
Rheumatoid factor quantitative
|
$29.77 |
$29.77 |
$29.77 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$28.57 |
$28.57 |
$28.57 |
$294.95
|
|
Rho d immune globulin inj
|
$456.50 |
$456.50 |
$456.50 |
$315.16
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$24,400.45 |
$24,400.45 |
$24,400.45 |
$9,420.20
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$27,028.75 |
$27,028.75 |
$27,028.75 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$11,966.02 |
$11,966.02 |
$11,966.02 |
$5,930.30
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$11,383.05 |
$11,383.05 |
$11,383.05 |
$5,579.36
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$11,841.13 |
$11,841.13 |
$11,841.13 |
$7,059.73
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$5,465.78 |
$5,465.78 |
$5,465.78 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$64,176.81 |
$64,176.81 |
$64,176.81 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$40,789.17 |
$40,789.17 |
$40,789.17 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$33,593.55 |
$33,593.55 |
$33,593.55 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$38,358.95 |
$38,358.95 |
$38,358.95 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$2,099.76 |
$2,099.76 |
$2,099.76 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$5,767.14 |
$5,767.14 |
$5,767.14 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$27,364.45 |
$27,364.45 |
$27,364.45 |
$17,475.00
|
|
Rmvl pq vad left hrt vein sep session
|
$4,618.19 |
$4,618.19 |
$4,618.19 |
$2,722.30
|
|
Rmvl subq card rhythm mntr
|
$2,173.11 |
$2,173.11 |
$2,173.11 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$6,719.46 |
$6,719.46 |
$6,719.46 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$4,408.06 |
$4,408.06 |
$4,408.06 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12,136.06 |
$12,136.06 |
$12,136.06 |
$7,141.65
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,011.19 |
$1,011.19 |
$1,011.19 |
$184.88
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,788.64 |
$3,788.64 |
$3,788.64 |
$2,331.08
|
|
Rpl tun cvc wo subq port
|
$2,626.29 |
$2,626.29 |
$2,626.29 |
$4,201.80
|
|
Rsv assay w/optic
|
$217.82 |
$217.82 |
$217.82 |
$73.80
|
|
Rubella antibody igg
|
$332.57 |
$332.57 |
$332.57 |
$73.10
|
|
Rubeola antibody igg
|
$45.45 |
$45.45 |
$45.45 |
$79.68
|
|
Russell viper venom diluted
|
$38.14 |
$38.14 |
$38.14 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,442.50 |
$1,442.50 |
$1,442.50 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,506.64 |
$1,506.64 |
$1,506.64 |
$670.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$990.31 |
$990.31 |
$990.31 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,407.83 |
$1,407.83 |
$1,407.83 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$957.96 |
$957.96 |
$957.96 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$957.96 |
$957.96 |
$957.96 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,661.74 |
$2,661.74 |
$2,661.74 |
$2,114.45
|
|
Screening Mammogram
|
$435.29 |
$435.29 |
$435.29 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$189.19 |
$189.19 |
$189.19 |
$44.20
|
|
Semen analysis presence/motility
|
$63.32 |
$63.32 |
$63.32 |
$70.85
|
|
Serpina1 gene
|
$144.38 |
$144.38 |
$144.38 |
$191.73
|
|
Set radiation therapy field
|
$1,359.25 |
$1,359.25 |
$1,359.25 |
$731.50
|
|
Set radiation therapy field
|
$1,359.25 |
$1,359.25 |
$1,359.25 |
$1,102.40
|
|
Set radiation therapy field
|
$3,195.87 |
$3,195.87 |
$3,195.87 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$3,322.09 |
$3,322.09 |
$3,322.09 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,678.05 |
$2,678.05 |
$2,678.05 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,645.71 |
$2,645.71 |
$2,645.71 |
$2,051.28
|
|
Shoulder X-ray
|
$737.87 |
$737.87 |
$737.87 |
$367.02
|
|
Sickling rbc
|
$81.62 |
$81.62 |
$81.62 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$4,279.12 |
$4,279.12 |
$4,279.12 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,807.41 |
$3,807.41 |
$3,807.41 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,863.98 |
$2,863.98 |
$2,863.98 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,628.50 |
$1,628.50 |
$1,628.50 |
$2,489.25
|
|
Skin Biopsy
|
$673.15 |
$673.15 |
$673.15 |
$382.80
|
|
Sleeve fing rolyan med
|
$953.74 |
$953.74 |
$953.74 |
$167.31
|
|
Smear fluorescent and/or acid fast stain
|
$95.81 |
$95.81 |
$95.81 |
$64.20
|
|
Smear gram stain
|
$107.32 |
$107.32 |
$107.32 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$63.61 |
$63.61 |
$63.61 |
$64.35
|
|
Smear wet mount
|
$238.50 |
$238.50 |
$238.50 |
$68.63
|
|
Sodium 24 hour urine
|
$87.46 |
$87.46 |
$87.46 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$19.41 |
$19.41 |
$19.41 |
$46.85
|
|
Sodium chloride 3 % ivpb
|
$70.84 |
$70.84 |
$70.84 |
$51.43
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$360.38 |
$360.38 |
$360.38 |
$95.40
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$859.38 |
$859.38 |
$859.38 |
$548.25
|
|
Sodium serum/plasma/whole blood
|
$89.18 |
$89.18 |
$89.18 |
$42.70
|
|
Special physics consult
|
$1,440.15 |
$1,440.15 |
$1,440.15 |
$700.74
|
|
Special radiation dosimetry
|
$724.95 |
$724.95 |
$724.95 |
$445.50
|
|
Special radiation treatment
|
$2,524.35 |
$2,524.35 |
$2,524.35 |
$1,934.03
|
|
Special teletx port plan
|
$671.54 |
$671.54 |
$671.54 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,788.49 |
$1,788.49 |
$1,788.49 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$591.11 |
$591.11 |
$591.11 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,650.01 |
$1,650.01 |
$1,650.01 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$236.11 |
$236.11 |
$236.11 |
$41.72
|
|
Splint finger frog med
|
$156.42 |
$156.42 |
$156.42 |
$24.53
|
|
Srs multisource
|
$30,212.12 |
$30,212.12 |
$30,212.12 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$262.14 |
$262.14 |
$262.14 |
$300.00
|
|
Staph a dna amp probe
|
$207.51 |
$207.51 |
$207.51 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$302.31 |
$302.31 |
$302.31 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$42,712.82 |
$42,712.82 |
$42,712.82 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,662.96 |
$24,662.96 |
$24,662.96 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,520.43 |
$14,520.43 |
$14,520.43 |
$9,276.80
|
|
St evaluate speech sound production
|
$248.20 |
$248.20 |
$248.20 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$515.43 |
$515.43 |
$515.43 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$630.66 |
$630.66 |
$630.66 |
$406.40
|
|
St evaluation swallow function
|
$443.24 |
$443.24 |
$443.24 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$203.90 |
$203.90 |
$203.90 |
$248.05
|
|
Strapping of knee
|
$203.90 |
$203.90 |
$203.90 |
$224.80
|
|
Strapping of toes 29550
|
$216.23 |
$216.23 |
$216.23 |
$185.36
|
|
Stress test pulmonary
|
$281.71 |
$281.71 |
$281.71 |
$327.20
|
|
St treatment speech individual
|
$298.86 |
$298.86 |
$298.86 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$364.73 |
$364.73 |
$364.73 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$103.70 |
$103.70 |
$103.70 |
$49.13
|
|
Sugars single quant
|
$44.33 |
$44.33 |
$44.33 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$311.90 |
$311.90 |
$311.90 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$61.71 |
$61.71 |
$61.71 |
$111.46
|
|
Surgical pathology level 1 gross examination only
|
$65.42 |
$65.42 |
$65.42 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$215.00 |
$215.00 |
$215.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$372.89 |
$372.89 |
$372.89 |
$192.00
|