|
Puraply 1 sq cm
|
$709.53 |
$709.53 |
$709.53 |
$8,176.14
|
|
Quest t3 uptake
|
$154.93 |
$154.93 |
$154.93 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$28,962.91 |
$28,962.91 |
$28,962.91 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$28,982.06 |
$28,982.06 |
$28,982.06 |
$3,213.80
|
|
Radiation treatment delivery
|
$535.57 |
$535.57 |
$535.57 |
$257.01
|
|
Radiation treatment delivery
|
$646.54 |
$646.54 |
$646.54 |
$552.40
|
|
Radiology port images(s)
|
$535.54 |
$535.54 |
$535.54 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$15,280.63 |
$15,280.63 |
$15,280.63 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,187.35 |
$5,187.35 |
$5,187.35 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,181.08 |
$6,181.08 |
$6,181.08 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$4,532.57 |
$4,532.57 |
$4,532.57 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$62,889.90 |
$62,889.90 |
$62,889.90 |
$16,029.45
|
|
Rapid Strep Test
|
$176.87 |
$176.87 |
$176.87 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$64,938.92 |
$64,938.92 |
$64,938.92 |
$35,836.29
|
|
Red blood cells leukocytes reduced each unit
|
$922.02 |
$922.02 |
$922.02 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$3,700.48 |
$3,700.48 |
$3,700.48 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,357.88 |
$2,357.88 |
$2,357.88 |
$656.83
|
|
Rem endovas vena cava filter
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$5,819.40
|
|
Removal central venous catheter tunneled without port/pump
|
$2,530.88 |
$2,530.88 |
$2,530.88 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,375.51 |
$4,375.51 |
$4,375.51 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$245.90 |
$245.90 |
$245.90 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$667.56 |
$667.56 |
$667.56 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$9,376.59 |
$9,376.59 |
$9,376.59 |
$899.85
|
|
Removal foreign body foot cmplx
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$4,804.66 |
$4,804.66 |
$4,804.66 |
$1,256.00
|
|
Removal of scrotum lesion
|
$21,570.24 |
$21,570.24 |
$21,570.24 |
$2,507.31
|
|
Removal/replacement ppm generator dual lead system
|
$37,558.44 |
$37,558.44 |
$37,558.44 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$10,096.99 |
$10,096.99 |
$10,096.99 |
$4,293.90
|
|
Remove renal tube w/fluoro
|
$3,522.62 |
$3,522.62 |
$3,522.62 |
$1,281.75
|
|
Renal function panel
|
$291.40 |
$291.40 |
$291.40 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$6,330.58 |
$6,330.58 |
$6,330.58 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,727.03 |
$4,727.03 |
$4,727.03 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$6,330.58 |
$6,330.58 |
$6,330.58 |
$1,268.80
|
|
Replace g/c tube perc
|
$6,749.88 |
$6,749.88 |
$6,749.88 |
$1,413.60
|
|
Replace g-j tube perc
|
$9,376.59 |
$9,376.59 |
$9,376.59 |
$1,600.45
|
|
Reposition pm/icd lead
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,827.46
|
|
Reptilase test
|
$105.40 |
$105.40 |
$105.40 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$50.51 |
$50.51 |
$50.51 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$175.80 |
$175.80 |
$175.80 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$1,418.06 |
$1,418.06 |
$1,418.06 |
$847.29
|
|
Reticulocyte automated
|
$64.97 |
$64.97 |
$64.97 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$106,275.18 |
$106,275.18 |
$106,275.18 |
$18,697.66
|
|
Revasc lithotrip-stent-ather
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$80,965.52 |
$80,965.52 |
$80,965.52 |
$13,419.98
|
|
Rheumatoid factor qualitative
|
$199.12 |
$199.12 |
$199.12 |
$54.60
|
|
Rheumatoid factor quantitative
|
$19.85 |
$19.85 |
$19.85 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$71.90 |
$71.90 |
$71.90 |
$255.26
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$40,170.56 |
$40,170.56 |
$40,170.56 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$44,499.24 |
$44,499.24 |
$44,499.24 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$26,295.11 |
$26,295.11 |
$26,295.11 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$25,014.08 |
$25,014.08 |
$25,014.08 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$26,020.67 |
$26,020.67 |
$26,020.67 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$5,346.11 |
$5,346.11 |
$5,346.11 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$82,763.78 |
$82,763.78 |
$82,763.78 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$59,300.46 |
$59,300.46 |
$59,300.46 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$84,223.94 |
$84,223.94 |
$84,223.94 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$33,744.41 |
$33,744.41 |
$33,744.41 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$7,246.41 |
$7,246.41 |
$7,246.41 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$9,025.40 |
$9,025.40 |
$9,025.40 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$90,353.80 |
$90,353.80 |
$90,353.80 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$32,371.77 |
$32,371.77 |
$32,371.77 |
$10,427.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,874.79 |
$4,874.79 |
$4,874.79 |
$2,722.30
|
|
Rmvl subq card rhythm mntr
|
$2,124.65 |
$2,124.65 |
$2,124.65 |
$1,991.00
|
|
Rmvl tv pm lead sgl
|
$9,153.58 |
$9,153.58 |
$9,153.58 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$26,668.76 |
$26,668.76 |
$26,668.76 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$3,328.15 |
$3,328.15 |
$3,328.15 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$14,882.87 |
$14,882.87 |
$14,882.87 |
$2,331.08
|
|
Rp loclzj tum spect w/ct 1
|
$13,451.94 |
$13,451.94 |
$13,451.94 |
$2,531.25
|
|
Rpl tun-cvad w subq pump
|
$53,471.29 |
$53,471.29 |
$53,471.29 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$4,201.80
|
|
Rubella antibody igg
|
$153.97 |
$153.97 |
$153.97 |
$73.10
|
|
Rubeola antibody igg
|
$137.82 |
$137.82 |
$137.82 |
$79.68
|
|
Russell viper venom diluted
|
$33.53 |
$33.53 |
$33.53 |
$70.16
|
|
Salmonella antibody
|
$141.13 |
$141.13 |
$141.13 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,339.78 |
$3,339.78 |
$3,339.78 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,033.03 |
$3,033.03 |
$3,033.03 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$3,249.79 |
$3,249.79 |
$3,249.79 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,542.48 |
$1,542.48 |
$1,542.48 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,789.99 |
$1,789.99 |
$1,789.99 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,440.24 |
$2,440.24 |
$2,440.24 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,665.23 |
$1,665.23 |
$1,665.23 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,594.75 |
$1,594.75 |
$1,594.75 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$5,346.11 |
$5,346.11 |
$5,346.11 |
$2,114.45
|
|
Screening Mammogram
|
$299.01 |
$299.01 |
$299.01 |
$303.55
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,043.13 |
$9,043.13 |
$9,043.13 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$110.24 |
$110.24 |
$110.24 |
$44.20
|
|
Semen analysis presence/motility
|
$128.94 |
$128.94 |
$128.94 |
$70.85
|
|
Shoulder MRI (with and without contrast)
|
$9,721.70 |
$9,721.70 |
$9,721.70 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$8,502.78 |
$8,502.78 |
$8,502.78 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$7,159.88 |
$7,159.88 |
$7,159.88 |
$2,051.28
|
|
Shoulder X-ray
|
$1,765.86 |
$1,765.86 |
$1,765.86 |
$367.02
|
|
Sickling rbc
|
$59.75 |
$59.75 |
$59.75 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$2,284.82 |
$2,284.82 |
$2,284.82 |
$1,815.00
|