|
Romiplostim 125 mcg subcutaneous solution
|
$12,887.84 |
$12,887.84 |
$12,887.84 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,155.43 |
$6,155.43 |
$6,155.43 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$479.04 |
$479.04 |
$479.04 |
$188.50
|
|
Rotavirus antibody
|
$90.00 |
$90.00 |
$90.00 |
$125.01
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$20,098.88 |
$20,098.88 |
$20,098.88 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$997.50 |
$997.50 |
$997.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,812.25 |
$3,812.25 |
$3,812.25 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,975.25 |
$5,975.25 |
$5,975.25 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$6,296.25 |
$6,296.25 |
$6,296.25 |
$3,687.00
|
|
Rpr nsl vlv collapse w/implt
|
$14,958.75 |
$14,958.75 |
$14,958.75 |
$7,606.40
|
|
Rsv assay w/optic
|
$72.75 |
$72.75 |
$72.75 |
$79.38
|
|
Rsv vacc mrna lipid nano im
|
$682.35 |
$682.35 |
$682.35 |
$509.49
|
|
Rubella antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$77.03
|
|
Rubeola ag if
|
$299.25 |
$299.25 |
$299.25 |
$92.31
|
|
Rubeola antibody igg
|
$81.00 |
$81.00 |
$81.00 |
$80.00
|
|
Russell viper venom diluted
|
$39.75 |
$39.75 |
$39.75 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,032.34 |
$6,032.34 |
$6,032.34 |
$5,174.32
|
|
Salivary gland function exam
|
$997.50 |
$997.50 |
$997.50 |
$753.60
|
|
Salivary gland imaging
|
$997.50 |
$997.50 |
$997.50 |
$585.00
|
|
Salivary glnd img serial img
|
$997.50 |
$997.50 |
$997.50 |
$701.73
|
|
Salmonella antibody
|
$81.00 |
$81.00 |
$81.00 |
$37.58
|
|
Sargramostim injection
|
$739.98 |
$739.98 |
$739.98 |
$609.00
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$397.69 |
$397.69 |
$397.69 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$94.50 |
$94.50 |
$94.50 |
$59.25
|
|
S bowel endoscope w/stent
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
$4,379.25
|
|
Sbrt management
|
$1,779.75 |
$1,779.75 |
$1,779.75 |
$1,189.60
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$948.75 |
$948.75 |
$948.75 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$768.00 |
$768.00 |
$768.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$847.50 |
$847.50 |
$847.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$394.50 |
$394.50 |
$394.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$423.75 |
$423.75 |
$423.75 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$600.00 |
$600.00 |
$600.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$807.00 |
$807.00 |
$807.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$638.25 |
$638.25 |
$638.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$442.50 |
$442.50 |
$442.50 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$3,077.25 |
$3,077.25 |
$3,077.25 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$690.00 |
$690.00 |
$690.00 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$90.00 |
$90.00 |
$90.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$123.75 |
$123.75 |
$123.75 |
$84.60
|
|
Screen c/v thin layer by md
|
$108.75 |
$108.75 |
$108.75 |
$74.10
|
|
Screening Colonoscopy (average risk)
|
$3,452.25 |
$3,452.25 |
$3,452.25 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$4,625.25 |
$4,625.25 |
$4,625.25 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$78.75 |
$78.75 |
$78.75 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$150.00 |
$150.00 |
$150.00 |
$99.66
|
|
Screening HIV antigen/antibody combination assay
|
$74.25 |
$74.25 |
$74.25 |
$42.30
|
|
Screening Mammogram
|
$317.25 |
$317.25 |
$317.25 |
$312.55
|
|
Screening prostate cancer PSA
|
$123.00 |
$123.00 |
$123.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.00 |
$6.00 |
$6.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$749.69 |
$749.69 |
$749.69 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$146.25 |
$146.25 |
$146.25 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$25.50 |
$25.50 |
$25.50 |
$42.00
|
|
Semen analysis
|
$19.50 |
$19.50 |
$19.50 |
$13.60
|
|
Semen analysis presence/motility
|
$45.00 |
$45.00 |
$45.00 |
$71.05
|
|
Semen analysis w/count
|
$25.50 |
$25.50 |
$25.50 |
$56.44
|
|
Sensorimotor examination
|
$66.00 |
$66.00 |
$66.00 |
$109.50
|
|
Sertraline (zoloft) - sendout
|
$93.75 |
$93.75 |
$93.75 |
$126.43
|
|
Set radiation therapy field
|
$983.25 |
$983.25 |
$983.25 |
$762.40
|
|
Set radiation therapy field
|
$1,397.25 |
$1,397.25 |
$1,397.25 |
$1,157.38
|
|
Set radiation therapy field
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,636.36
|
|
Set up port xray equipment
|
$72.00 |
$72.00 |
$72.00 |
$152.32
|
|
Sex chromatin identification
|
$56.25 |
$56.25 |
$56.25 |
$45.60
|
|
Sex chromatin identification
|
$24.00 |
$24.00 |
$24.00 |
$20.80
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$505.50 |
$505.50 |
$505.50 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$465.00 |
$465.00 |
$465.00 |
$6,570.70
|
|
Shigella antibody
|
$120.00 |
$120.00 |
$120.00 |
$49.60
|
|
Shoe heel new rubber standar
|
$31.20 |
$31.20 |
$31.20 |
$63.70
|
|
Shoe post-op mens m
|
$17.25 |
$17.25 |
$17.25 |
$52.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$5,430.00 |
$5,430.00 |
$5,430.00 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,692.50 |
$2,692.50 |
$2,692.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,257.50 |
$2,257.50 |
$2,257.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,407.50 |
$2,407.50 |
$2,407.50 |
$2,065.05
|
|
Shoulder X-ray
|
$270.75 |
$270.75 |
$270.75 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$662.63 |
$662.63 |
$662.63 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$296.25 |
$296.25 |
$296.25 |
$349.20
|
|
Sialidase enzyme assay
|
$74.25 |
$74.25 |
$74.25 |
$54.60
|
|
Sialography s&i
|
$652.50 |
$652.50 |
$652.50 |
$499.20
|
|
Sickling rbc
|
$35.25 |
$35.25 |
$35.25 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$2,272.50 |
$2,272.50 |
$2,272.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$1,444.83
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
$3,692.00
|
|
Sigmoidoscopy w/tumr remove
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,558.80
|
|
Sigmoidoscopy w/us guide bx
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,452.50 |
$2,452.50 |
$2,452.50 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$134.25 |
$134.25 |
$134.25 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$750.00 |
$750.00 |
$750.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$309.04 |
$309.04 |
$309.04 |
$307.58
|
|
Single energy x-ray study
|
$296.25 |
$296.25 |
$296.25 |
$125.84
|
|
Sinus CT scan (with and without contrast)
|
$1,672.50 |
$1,672.50 |
$1,672.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$2,489.25
|
|
Sipuleucel-t - su
|
$135,255.15 |
$135,255.15 |
$135,255.15 |
$100,990.51
|
|
Sirolimus, oral
|
$4,597.85 |
$4,597.85 |
$4,597.85 |
$41.25
|
