|
Removal foreign body foot subcutaneous right
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$1,260.80
|
|
Removal foreign body mouth
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,424.80
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$726.00 |
$726.00 |
$726.00 |
$292.50
|
|
Remove hip foreign body 27086
|
$10,379.00 |
$10,379.00 |
$10,379.00 |
$2,396.00
|
|
Remove shoulder foreign body subq 23330
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$1,788.80
|
|
Renal function panel
|
$44.00 |
$44.00 |
$44.00 |
$114.37
|
|
Renal venogram bil s&i
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$3,615.28
|
|
Repair blood vessel dir upper extr
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$847.96 |
$847.96 |
$847.96 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,340.00
|
|
Repair of kneecap tendon
|
$26,575.00 |
$26,575.00 |
$26,575.00 |
$7,807.24
|
|
Repair of rectum
|
$10,323.00 |
$10,323.00 |
$10,323.00 |
$3,432.60
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$877.00 |
$877.00 |
$877.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,244.09
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$871.00 |
$871.00 |
$871.00 |
$478.00
|
|
Repair vagina/perineum
|
$11,441.00 |
$11,441.00 |
$11,441.00 |
$4,096.68
|
|
#resp virpnl dfa-adenovirus
|
$67.00 |
$67.00 |
$67.00 |
$48.10
|
|
Resuscitation delivery/birthing room
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$802.00
|
|
Rezafungin 200 mg intravenous solution
|
$5,015.14 |
$5,015.14 |
$5,015.14 |
$4,987.55
|
|
Rheumatoid factor quantitative
|
$26.00 |
$26.00 |
$26.00 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$714.63 |
$714.63 |
$714.63 |
$234.12
|
|
Rho(d) immune globulin h, sd
|
$1,295.60 |
$1,295.60 |
$1,295.60 |
$3,228.05
|
|
Rib and Chest X-ray (3 views, left side)
|
$566.00 |
$566.00 |
$566.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$566.00 |
$566.00 |
$566.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$566.00 |
$566.00 |
$566.00 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$749.95 |
$749.95 |
$749.95 |
$455.01
|
|
Right ventric recording
|
$4,071.00 |
$4,071.00 |
$4,071.00 |
$2,345.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$36,360.34 |
$36,360.34 |
$36,360.34 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,557.90 |
$4,557.90 |
$4,557.90 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$17,418.70 |
$17,418.70 |
$17,418.70 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$18,038.62 |
$18,038.62 |
$18,038.62 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$15,676.50 |
$15,676.50 |
$15,676.50 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$13,289.47 |
$13,289.47 |
$13,289.47 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13,289.47 |
$13,289.47 |
$13,289.47 |
$5,309.20
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,351.00 |
$4,351.00 |
$4,351.00 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$6,025.00 |
$6,025.00 |
$6,025.00 |
$1,876.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,676.76 |
$7,676.76 |
$7,676.76 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,607.24 |
$6,607.24 |
$6,607.24 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,008.98 |
$6,008.98 |
$6,008.98 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,866.49 |
$2,866.49 |
$2,866.49 |
$188.16
|
|
Rpr ing hernia init reduce
|
$14,333.00 |
$14,333.00 |
$14,333.00 |
$5,411.37
|
|
Rubella antibody igg
|
$67.00 |
$67.00 |
$67.00 |
$77.40
|
|
Rubeola antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$80.00
|
|
Russell viper venom diluted
|
$44.00 |
$44.00 |
$44.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$8,913.51 |
$8,913.51 |
$8,913.51 |
$5,174.32
|
|
Salmonella antibody
|
$61.00 |
$61.00 |
$61.00 |
$37.58
|
|
Sargramostim injection
|
$1,321.44 |
$1,321.44 |
$1,321.44 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$163.00 |
$163.00 |
$163.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$143.00 |
$143.00 |
$143.00 |
$104.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$610.00 |
$610.00 |
$610.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$610.00 |
$610.00 |
$610.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$610.00 |
$610.00 |
$610.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$610.00 |
$610.00 |
$610.00 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$1,599.76 |
$1,599.76 |
$1,599.76 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$136.00 |
$136.00 |
$136.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$93.00 |
$93.00 |
$93.00 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$73.00 |
$73.00 |
$73.00 |
$57.60
|
|
Screening Mammogram
|
$419.00 |
$419.00 |
$419.00 |
$310.20
|
|
Screening prostate cancer PSA
|
$89.00 |
$89.00 |
$89.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$9,038.25 |
$9,038.25 |
$9,038.25 |
$29,785.18
|
|
Sedimentation rate erythrocyte automated
|
$13.00 |
$13.00 |
$13.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$174.00 |
$174.00 |
$174.00 |
$96.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Serpina1 gene
|
$201.00 |
$201.00 |
$201.00 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$28.12 |
$28.12 |
$28.12 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$74.96 |
$74.96 |
$74.96 |
$21.42
|
|
Shot (Injection into Muscle or Under the Skin)
|
$221.00 |
$221.00 |
$221.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$440.00 |
$440.00 |
$440.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$566.00 |
$566.00 |
$566.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,806.00 |
$3,806.00 |
$3,806.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,096.84
|
|
Shoulder X-ray
|
$440.00 |
$440.00 |
$440.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$440.00 |
$440.00 |
$440.00 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$548.00 |
$548.00 |
$548.00 |
$355.80
|
|
Sialolithotomy 42330
|
$11,430.00 |
$11,430.00 |
$11,430.00 |
$3,837.72
|
|
Sickling rbc
|
$25.00 |
$25.00 |
$25.00 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$547.95 |
$547.95 |
$547.95 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$440.00 |
$440.00 |
$440.00 |
$346.45
|
|
Sinus X-ray (limited)
|
$440.00 |
$440.00 |
$440.00 |
$215.40
|
|
Sirolimus, oral
|
$221.05 |
$221.05 |
$221.05 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$19,722.94 |
$19,722.94 |
$19,722.94 |
$14,361.10
|
|
Skin Biopsy
|
$535.00 |
$535.00 |
$535.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$566.00 |
$566.00 |
$566.00 |
$294.45
|
|
Skull X-ray (complete)
|
$566.00 |
$566.00 |
$566.00 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$6,290.00 |
$6,290.00 |
$6,290.00 |
$3,734.50
|
|
Sleep study unattended
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$594.00
|
|
Sling suprapubic suburetheral
|
$3,115.75 |
$3,115.75 |
$3,115.75 |
$9,679.96
|
|
Slitting of prepuce
|
$7,452.00 |
$7,452.00 |
$7,452.00 |
$3,376.23
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$938.00 |
$938.00 |
$938.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$25.00 |
$25.00 |
$25.00 |
$64.35
|
|
Smear gram stain
|
$20.00 |
$20.00 |
$20.00 |
$55.55
|
|
Smear nasal eosinophil
|
$27.00 |
$27.00 |
$27.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$28.00 |
$28.00 |
$28.00 |
$73.50
|
|
Smear wet mount
|
$27.00 |
$27.00 |
$27.00 |
$67.55
|
|
Snrpn/ube3a gene
|
$235.00 |
$235.00 |
$235.00 |
$230.63
|
