|
Rituximab-arrx 10 mg/ml intravenous solution
|
$37,461.23 |
$37,461.23 |
$37,461.23 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$38,969.15 |
$38,969.15 |
$38,969.15 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$9,138.91 |
$9,138.91 |
$9,138.91 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$41,575.31 |
$41,575.31 |
$41,575.31 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$77,751.98 |
$77,751.98 |
$77,751.98 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$88,950.90 |
$88,950.90 |
$88,950.90 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$9,138.91 |
$9,138.91 |
$9,138.91 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$8,657.89 |
$8,657.89 |
$8,657.89 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$23,140.65 |
$23,140.65 |
$23,140.65 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,620.67 |
$16,620.67 |
$16,620.67 |
$10,427.04
|
|
Rmvl subq card rhythm mntr
|
$4,161.65 |
$4,161.65 |
$4,161.65 |
$1,991.00
|
|
Rmvl tv pm lead sgl
|
$9,138.91 |
$9,138.91 |
$9,138.91 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$39,940.01 |
$39,940.01 |
$39,940.01 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,619.76 |
$2,619.76 |
$2,619.76 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$2,331.08
|
|
Rubella antibody igg
|
$210.66 |
$210.66 |
$210.66 |
$73.10
|
|
Rubeola antibody igg
|
$117.97 |
$117.97 |
$117.97 |
$79.68
|
|
Russell viper venom diluted
|
$141.30 |
$141.30 |
$141.30 |
$70.16
|
|
Salmonella antibody
|
$203.58 |
$203.58 |
$203.58 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,425.75 |
$3,425.75 |
$3,425.75 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,879.47 |
$3,879.47 |
$3,879.47 |
$670.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,914.73 |
$1,914.73 |
$1,914.73 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,970.04 |
$2,970.04 |
$2,970.04 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,728.03 |
$2,728.03 |
$2,728.03 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,897.12 |
$2,897.12 |
$2,897.12 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,873.13 |
$2,873.13 |
$2,873.13 |
$601.70
|
|
Screening Colonoscopy (average risk)
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,278.72
|
|
Screening Mammogram
|
$525.15 |
$525.15 |
$525.15 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$204.41 |
$204.41 |
$204.41 |
$44.20
|
|
Semen analysis presence/motility
|
$186.00 |
$186.00 |
$186.00 |
$70.85
|
|
Serpina1 gene
|
$673.74 |
$673.74 |
$673.74 |
$191.73
|
|
Sho arthrs srg lmtd dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Sho arthrs srg xtnsv dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$7,607.01 |
$7,607.01 |
$7,607.01 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,896.42 |
$5,896.42 |
$5,896.42 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,643.01 |
$3,643.01 |
$3,643.01 |
$2,051.28
|
|
Shoulder X-ray
|
$1,868.10 |
$1,868.10 |
$1,868.10 |
$367.02
|
|
Sickling rbc
|
$87.28 |
$87.28 |
$87.28 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$9,590.02 |
$9,590.02 |
$9,590.02 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,411.53 |
$8,411.53 |
$8,411.53 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$6,904.22 |
$6,904.22 |
$6,904.22 |
$1,279.50
|
|
Skin Biopsy
|
$618.20 |
$618.20 |
$618.20 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$3,936.80
|
|
Smear fluorescent and/or acid fast stain
|
$266.72 |
$266.72 |
$266.72 |
$64.20
|
|
Smear gram stain
|
$180.77 |
$180.77 |
$180.77 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$110.28 |
$110.28 |
$110.28 |
$64.35
|
|
Smear wet mount
|
$231.62 |
$231.62 |
$231.62 |
$68.63
|
|
Sodium 24 hour urine
|
$225.41 |
$225.41 |
$225.41 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$53.25 |
$53.25 |
$53.25 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$149.46 |
$149.46 |
$149.46 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$562.49 |
$562.49 |
$562.49 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,818.94 |
$2,818.94 |
$2,818.94 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$260.16 |
$260.16 |
$260.16 |
$42.70
|
|
Special physics consult
|
$1,661.78 |
$1,661.78 |
$1,661.78 |
$700.74
|
|
Special radiation dosimetry
|
$942.28 |
$942.28 |
$942.28 |
$445.50
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$3,196.41 |
$3,196.41 |
$3,196.41 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,635.78 |
$1,635.78 |
$1,635.78 |
$559.96
|
|
Srs multisource
|
$35,192.81 |
$35,192.81 |
$35,192.81 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$689.48 |
$689.48 |
$689.48 |
$300.00
|
|
Staph a dna amp probe
|
$541.61 |
$541.61 |
$541.61 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$346.05 |
$346.05 |
$346.05 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,386.81 |
$37,386.81 |
$37,386.81 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,373.26 |
$21,373.26 |
$21,373.26 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$14,512.66 |
$14,512.66 |
$14,512.66 |
$9,276.80
|
|
St evaluate speech sound production
|
$460.08 |
$460.08 |
$460.08 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$769.30 |
$769.30 |
$769.30 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,196.99 |
$1,196.99 |
$1,196.99 |
$406.40
|
|
St evaluation swallow function
|
$612.12 |
$612.12 |
$612.12 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$670.29 |
$670.29 |
$670.29 |
$171.00
|
|
Strapping of hand or finger
|
$670.29 |
$670.29 |
$670.29 |
$194.40
|
|
Strapping of hip
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$170.08
|
|
Strapping of knee
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$224.80
|
|
Strapping of toes 29550
|
$670.29 |
$670.29 |
$670.29 |
$185.36
|
|
Strep b dna amp probe
|
$174.15 |
$174.15 |
$174.15 |
$139.20
|
|
Stress test pulmonary
|
$1,042.44 |
$1,042.44 |
$1,042.44 |
$327.20
|
|
St treatment speech individual
|
$417.93 |
$417.93 |
$417.93 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$563.80 |
$563.80 |
$563.80 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$328.81 |
$328.81 |
$328.81 |
$49.13
|
|
Sulfonylurea screen qn-sendout
|
$247.93 |
$247.93 |
$247.93 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$196.30 |
$196.30 |
$196.30 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$287.01 |
$287.01 |
$287.01 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$688.96 |
$688.96 |
$688.96 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$887.67 |
$887.67 |
$887.67 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$1,206.51 |
$1,206.51 |
$1,206.51 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$1,494.75 |
$1,494.75 |
$1,494.75 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$73.32 |
$73.32 |
$73.32 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$73.32 |
$73.32 |
$73.32 |
$34.48
|
|
Susceptibility mic per plate
|
$3,365.75 |
$3,365.75 |
$3,365.75 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$102.49 |
$102.49 |
$102.49 |
$48.30
|
|
Synvisc or synvisc-one
|
$3,387.65 |
$3,387.65 |
$3,387.65 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$76.55 |
$76.55 |
$76.55 |
$44.85
|
|
T3 (triiodothyronine) free
|
$115.69 |
$115.69 |
$115.69 |
$89.82
|
|
T3 (triiodothyronine) total
|
$174.27 |
$174.27 |
$174.27 |
$94.90
|
|
T4 (thyroxine) free
|
$252.67 |
$252.67 |
$252.67 |
$81.60
|