|
Rituximab-abbs 10 mg/ml intravenous solution
|
$13,585.81 |
$13,585.81 |
$13,585.81 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$12,924.03 |
$12,924.03 |
$12,924.03 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13,444.04 |
$13,444.04 |
$13,444.04 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$81,789.16 |
$81,789.16 |
$81,789.16 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$116,504.64 |
$116,504.64 |
$116,504.64 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$81,789.16 |
$81,789.16 |
$81,789.16 |
$26,561.92
|
|
Rmvl ndwellg tun pleural cath
|
$1,917.17 |
$1,917.17 |
$1,917.17 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$3,358.43 |
$3,358.43 |
$3,358.43 |
$1,991.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$13,778.84 |
$13,778.84 |
$13,778.84 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,215.71 |
$1,215.71 |
$1,215.71 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,910.37 |
$2,910.37 |
$2,910.37 |
$2,331.08
|
|
Rp loclzj tum spect w/ct 1
|
$3,862.48 |
$3,862.48 |
$3,862.48 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,506.22 |
$5,506.22 |
$5,506.22 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$5,854.97 |
$5,854.97 |
$5,854.97 |
$4,201.80
|
|
Rsv assay w/optic
|
$272.55 |
$272.55 |
$272.55 |
$73.80
|
|
Rubella antibody igg
|
$228.03 |
$228.03 |
$228.03 |
$73.10
|
|
Rubeola antibody igg
|
$84.50 |
$84.50 |
$84.50 |
$79.68
|
|
Russell viper venom diluted
|
$106.44 |
$106.44 |
$106.44 |
$70.16
|
|
Salmonella antibody
|
$45.81 |
$45.81 |
$45.81 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$137.45 |
$137.45 |
$137.45 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,580.91 |
$1,580.91 |
$1,580.91 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,733.75 |
$1,733.75 |
$1,733.75 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,872.65 |
$1,872.65 |
$1,872.65 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,208.58 |
$1,208.58 |
$1,208.58 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,754.96 |
$1,754.96 |
$1,754.96 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,315.40 |
$1,315.40 |
$1,315.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,285.97 |
$1,285.97 |
$1,285.97 |
$601.70
|
|
Screening Mammogram
|
$452.08 |
$452.08 |
$452.08 |
$303.55
|
|
Screening pap smear by phys
|
$72.24 |
$72.24 |
$72.24 |
$40.59
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,867.50 |
$8,867.50 |
$8,867.50 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$198.65 |
$198.65 |
$198.65 |
$44.20
|
|
Semen analysis presence/motility
|
$146.15 |
$146.15 |
$146.15 |
$70.85
|
|
Serpina1 gene
|
$229.33 |
$229.33 |
$229.33 |
$191.73
|
|
Set radiation therapy field
|
$1,945.76 |
$1,945.76 |
$1,945.76 |
$731.50
|
|
Set radiation therapy field
|
$3,279.84 |
$3,279.84 |
$3,279.84 |
$1,636.36
|
|
Shoe post-op mens m
|
$90.84 |
$90.84 |
$90.84 |
$31.88
|
|
Shoulder MRI (with and without contrast)
|
$6,349.80 |
$6,349.80 |
$6,349.80 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,472.88 |
$5,472.88 |
$5,472.88 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$5,140.32 |
$5,140.32 |
$5,140.32 |
$2,051.28
|
|
Shoulder X-ray
|
$882.05 |
$882.05 |
$882.05 |
$367.02
|
|
Sickling rbc
|
$195.07 |
$195.07 |
$195.07 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$4,318.66 |
$4,318.66 |
$4,318.66 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,666.03 |
$3,666.03 |
$3,666.03 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$3,161.88 |
$3,161.88 |
$3,161.88 |
$1,279.50
|
|
Slp ther svc non-spch gen
|
$510.05 |
$510.05 |
$510.05 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$164.66 |
$164.66 |
$164.66 |
$64.20
|
|
Smear gram stain
|
$132.83 |
$132.83 |
$132.83 |
$57.85
|
|
Smear nasal eosinophil
|
$156.20 |
$156.20 |
$156.20 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$215.37 |
$215.37 |
$215.37 |
$64.35
|
|
Smear wet mount
|
$256.25 |
$256.25 |
$256.25 |
$68.63
|
|
Sodium 24 hour urine
|
$102.04 |
$102.04 |
$102.04 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$14.22 |
$14.22 |
$14.22 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$78.84 |
$78.84 |
$78.84 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$320.68 |
$320.68 |
$320.68 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$977.64 |
$977.64 |
$977.64 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$104.04 |
$104.04 |
$104.04 |
$42.70
|
|
Special physics consult
|
$1,345.49 |
$1,345.49 |
$1,345.49 |
$700.74
|
|
Special radiation dosimetry
|
$759.48 |
$759.48 |
$759.48 |
$445.50
|
|
Special radiation treatment
|
$2,713.76 |
$2,713.76 |
$2,713.76 |
$1,934.03
|
|
Special teletx port plan
|
$1,635.64 |
$1,635.64 |
$1,635.64 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$941.02 |
$941.02 |
$941.02 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$356.91 |
$356.91 |
$356.91 |
$559.96
|
|
Srs linear based
|
$26,680.93 |
$26,680.93 |
$26,680.93 |
$14,124.25
|
|
Srs multisource
|
$27,584.98 |
$27,584.98 |
$27,584.98 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$364.61 |
$364.61 |
$364.61 |
$300.00
|
|
Staph a dna amp probe
|
$222.96 |
$222.96 |
$222.96 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$388.67 |
$388.67 |
$388.67 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$45,789.01 |
$45,789.01 |
$45,789.01 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$41,057.89 |
$41,057.89 |
$41,057.89 |
$17,281.80
|
|
St evaluate speech sound production
|
$364.61 |
$364.61 |
$364.61 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$364.61 |
$364.61 |
$364.61 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$491.30 |
$491.30 |
$491.30 |
$406.40
|
|
St evaluation swallow function
|
$575.86 |
$575.86 |
$575.86 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$470.17 |
$470.17 |
$470.17 |
$248.05
|
|
Strapping of knee
|
$273.98 |
$273.98 |
$273.98 |
$224.80
|
|
Strapping of toes 29550
|
$197.43 |
$197.43 |
$197.43 |
$185.36
|
|
Stress test pulmonary
|
$444.74 |
$444.74 |
$444.74 |
$327.20
|
|
Stress tte complete
|
$3,928.11 |
$3,928.11 |
$3,928.11 |
$1,964.95
|
|
St treatment speech individual
|
$273.43 |
$273.43 |
$273.43 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$362.87 |
$362.87 |
$362.87 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$91.55 |
$91.55 |
$91.55 |
$49.13
|
|
Sugars single quant
|
$40.05 |
$40.05 |
$40.05 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$284.78 |
$284.78 |
$284.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$34.26 |
$34.26 |
$34.26 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$39.92 |
$39.92 |
$39.92 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$215.00 |
$215.00 |
$215.00 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$329.00 |
$329.00 |
$329.00 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$405.00 |
$405.00 |
$405.00 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$717.11 |
$717.11 |
$717.11 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,690.20 |
$1,690.20 |
$1,690.20 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$294.01 |
$294.01 |
$294.01 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$21.13 |
$21.13 |
$21.13 |
$34.48
|
|
Susceptibility mic per plate
|
$631.08 |
$631.08 |
$631.08 |
$94.38
|
|
Svc venogram s&i
|
$4,222.55 |
$4,222.55 |
$4,222.55 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,173.76 |
$1,173.76 |
$1,173.76 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$135.82 |
$135.82 |
$135.82 |
$44.85
|
|
T3 (triiodothyronine) free
|
$252.91 |
$252.91 |
$252.91 |
$89.82
|
|
T3 (triiodothyronine) total
|
$227.61 |
$227.61 |
$227.61 |
$94.90
|
|
T4 (thyroxine) free
|
$47.59 |
$47.59 |
$47.59 |
$81.60
|