|
Radiation treatment delivery
|
$1,738.64 |
$1,738.64 |
$1,738.64 |
$257.01
|
|
Radiation treatment delivery
|
$1,738.64 |
$1,738.64 |
$1,738.64 |
$552.40
|
|
Radiology port images(s)
|
$83.34 |
$83.34 |
$83.34 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$18,317.87 |
$18,317.87 |
$18,317.87 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$13,821.55 |
$13,821.55 |
$13,821.55 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$14,311.44 |
$14,311.44 |
$14,311.44 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,971.72 |
$4,971.72 |
$4,971.72 |
$2,377.65
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$26,253.19 |
$26,253.19 |
$26,253.19 |
$16,029.45
|
|
Rapid Strep Test
|
$849.18 |
$849.18 |
$849.18 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$105,957.47 |
$105,957.47 |
$105,957.47 |
$35,836.29
|
|
Red blood cells leukocytes reduced each unit
|
$2,018.85 |
$2,018.85 |
$2,018.85 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$2,538.64 |
$2,538.64 |
$2,538.64 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,835.48 |
$3,835.48 |
$3,835.48 |
$656.83
|
|
Relocation skin pocket aicd
|
$12,600.28 |
$12,600.28 |
$12,600.28 |
$3,153.93
|
|
Relocation skin pocket pm
|
$7,800.49 |
$7,800.49 |
$7,800.49 |
$2,939.25
|
|
Removal biliary drg cath
|
$9,634.22 |
$9,634.22 |
$9,634.22 |
$1,427.25
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,515.24 |
$4,515.24 |
$4,515.24 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$789.92 |
$789.92 |
$789.92 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$551.80 |
$551.80 |
$551.80 |
$245.60
|
|
Removal foreign body foot subcutaneous right
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$45,209.72 |
$45,209.72 |
$45,209.72 |
$12,384.25
|
|
Remove foreign body from eye
|
$22,042.71 |
$22,042.71 |
$22,042.71 |
$3,433.80
|
|
Remove hip foreign body 27086
|
$32,480.72 |
$32,480.72 |
$32,480.72 |
$3,127.88
|
|
Remove renal tube w/fluoro
|
$8,147.12 |
$8,147.12 |
$8,147.12 |
$1,281.75
|
|
Renal function panel
|
$1,358.68 |
$1,358.68 |
$1,358.68 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$1,193.40
|
|
Replace duod/jej tube perc
|
$4,203.45 |
$4,203.45 |
$4,203.45 |
$1,383.00
|
|
Replace g/c tube perc
|
$4,625.31 |
$4,625.31 |
$4,625.31 |
$1,413.60
|
|
Replace g-j tube perc
|
$4,203.45 |
$4,203.45 |
$4,203.45 |
$1,600.45
|
|
Reposition pm/icd lead
|
$16,778.20 |
$16,778.20 |
$16,778.20 |
$3,827.46
|
|
Repos lv lead pm/icd
|
$31,648.06 |
$31,648.06 |
$31,648.06 |
$3,770.00
|
|
Reptilase test
|
$527.92 |
$527.92 |
$527.92 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$40.40 |
$40.40 |
$40.40 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$880.57 |
$880.57 |
$880.57 |
$35.20
|
|
Resp virus 6-11 targets
|
$11,687.08 |
$11,687.08 |
$11,687.08 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$3,033.94 |
$3,033.94 |
$3,033.94 |
$847.29
|
|
Reticulocyte automated
|
$410.71 |
$410.71 |
$410.71 |
$54.60
|
|
Rheumatoid factor quantitative
|
$623.88 |
$623.88 |
$623.88 |
$58.00
|
|
Rho d immune globulin inj
|
$2,046.36 |
$2,046.36 |
$2,046.36 |
$334.53
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$16,775.83 |
$16,775.83 |
$16,775.83 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$18,581.54 |
$18,581.54 |
$18,581.54 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$42,897.11 |
$42,897.11 |
$42,897.11 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$40,806.69 |
$40,806.69 |
$40,806.69 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$42,449.28 |
$42,449.28 |
$42,449.28 |
$7,582.77
|
|
Rmvl icd by tv extr
|
$7,907.84 |
$7,907.84 |
$7,907.84 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$135,834.97 |
$135,834.97 |
$135,834.97 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$169,798.85 |
$169,798.85 |
$169,798.85 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$109,101.45 |
$109,101.45 |
$109,101.45 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$34,671.57 |
$34,671.57 |
$34,671.57 |
$4,114.00
|
|
Rmvl perm pm pulse gen
|
$8,261.88 |
$8,261.88 |
$8,261.88 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$67,810.81 |
$67,810.81 |
$67,810.81 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$33,261.22 |
$33,261.22 |
$33,261.22 |
$10,427.04
|
|
Rmvl subq card rhythm mntr
|
$6,727.03 |
$6,727.03 |
$6,727.03 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$8,169.61 |
$8,169.61 |
$8,169.61 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$15,655.60 |
$15,655.60 |
$15,655.60 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$43,506.84 |
$43,506.84 |
$43,506.84 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$5,328.30 |
$5,328.30 |
$5,328.30 |
$180.55
|
|
Rubella antibody igg
|
$93.12 |
$93.12 |
$93.12 |
$73.10
|
|
Rubeola antibody igg
|
$690.31 |
$690.31 |
$690.31 |
$79.68
|
|
Russell viper venom diluted
|
$513.45 |
$513.45 |
$513.45 |
$70.16
|
|
Salmonella antibody
|
$706.92 |
$706.92 |
$706.92 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$136.78 |
$136.78 |
$136.78 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,457.68 |
$3,457.68 |
$3,457.68 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,630.92 |
$2,630.92 |
$2,630.92 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$4,344.70 |
$4,344.70 |
$4,344.70 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$3,613.97 |
$3,613.97 |
$3,613.97 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$3,369.17 |
$3,369.17 |
$3,369.17 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$7,007.65 |
$7,007.65 |
$7,007.65 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,229.77 |
$1,229.77 |
$1,229.77 |
$601.70
|
|
Screening Mammogram
|
$254.00 |
$254.00 |
$254.00 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$604.81 |
$604.81 |
$604.81 |
$44.20
|
|
Shoulder MRI (with and without contrast)
|
$7,595.22 |
$7,595.22 |
$7,595.22 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$8,487.87 |
$8,487.87 |
$8,487.87 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$14,309.07 |
$14,309.07 |
$14,309.07 |
$2,051.28
|
|
Shoulder X-ray
|
$899.48 |
$899.48 |
$899.48 |
$367.02
|
|
Sickling rbc
|
$338.37 |
$338.37 |
$338.37 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,643.22 |
$8,643.22 |
$8,643.22 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$9,334.46 |
$9,334.46 |
$9,334.46 |
$1,279.50
|
|
Smear fluorescent and/or acid fast stain
|
$288.88 |
$288.88 |
$288.88 |
$64.20
|
|
Smear gram stain
|
$467.92 |
$467.92 |
$467.92 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$321.03 |
$321.03 |
$321.03 |
$64.35
|
|
Smear wet mount
|
$601.34 |
$601.34 |
$601.34 |
$68.63
|
|
Sodium 24 hour urine
|
$162.90 |
$162.90 |
$162.90 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$57.69 |
$57.69 |
$57.69 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$277.56 |
$277.56 |
$277.56 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$969.61 |
$969.61 |
$969.61 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$3,070.53 |
$3,070.53 |
$3,070.53 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$162.90 |
$162.90 |
$162.90 |
$42.70
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$6,376.75 |
$6,376.75 |
$6,376.75 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,922.82 |
$1,922.82 |
$1,922.82 |
$559.96
|
|
Srs multisource
|
$36,359.82 |
$36,359.82 |
$36,359.82 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$657.26 |
$657.26 |
$657.26 |
$300.00
|
|
Staph a dna amp probe
|
$1,880.67 |
$1,880.67 |
$1,880.67 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$657.26 |
$657.26 |
$657.26 |
$313.96
|
|
St evaluate speech sound production
|
$657.26 |
$657.26 |
$657.26 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$657.26 |
$657.26 |
$657.26 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$1,638.43 |
$1,638.43 |
$1,638.43 |
$406.40
|
|
St evaluation swallow function
|
$677.95 |
$677.95 |
$677.95 |
$336.60
|
