|
Removal biliary drg cath
|
$575.00 |
$575.00 |
$575.00 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$375.00 |
$375.00 |
$375.00 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$625.00 |
$625.00 |
$625.00 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$30.00 |
$30.00 |
$30.00 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$105.00 |
$105.00 |
$105.00 |
$245.60
|
|
Removal foreign body foot subcutaneous right
|
$112.50 |
$112.50 |
$112.50 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$5,750.00 |
$5,750.00 |
$5,750.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$105.00 |
$105.00 |
$105.00 |
$303.80
|
|
Removal tunnled intprtnl cath
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$4,293.90
|
|
Remove hip foreign body 27086
|
$175.00 |
$175.00 |
$175.00 |
$3,127.88
|
|
Remove renal tube w/fluoro
|
$400.00 |
$400.00 |
$400.00 |
$1,281.75
|
|
Remove ureter stent percut
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$3,525.30
|
|
Renal function panel
|
$66.25 |
$66.25 |
$66.25 |
$110.10
|
|
Renal venogram bil s&i
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$500.00 |
$500.00 |
$500.00 |
$1,193.40
|
|
Repair lip full thkns =<one-half vert height
|
$300.00 |
$300.00 |
$300.00 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$600.00 |
$600.00 |
$600.00 |
$1,928.07
|
|
Repair pm/icd lead sgl
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$130.00 |
$130.00 |
$130.00 |
$867.75
|
|
Replace duod/jej tube perc
|
$575.00 |
$575.00 |
$575.00 |
$1,383.00
|
|
Replace g/c tube perc
|
$575.00 |
$575.00 |
$575.00 |
$1,413.60
|
|
Replace g-j tube perc
|
$575.00 |
$575.00 |
$575.00 |
$1,600.45
|
|
Reposition pm/icd lead
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$3,827.46
|
|
Reptilase test
|
$22.50 |
$22.50 |
$22.50 |
$65.65
|
|
Reslizumab 10 mg/ml intravenous solution
|
$4,389.84 |
$4,389.84 |
$4,389.84 |
$2,196.50
|
|
Respirator motion mgmt simul
|
$150.00 |
$150.00 |
$150.00 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$168.75 |
$168.75 |
$168.75 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$400.00 |
$400.00 |
$400.00 |
$847.29
|
|
Reticulocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$54.60
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$48,565.44 |
$48,565.44 |
$48,565.44 |
$2,299.91
|
|
Revasc intra lithotrip-stent
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$14,318.70
|
|
Revasc lithotr-stent tib/per
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$20,865.50
|
|
Revasc lith-sten-ath tib/per
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$20,300.00
|
|
Rezafungin 200 mg intravenous solution
|
$8,235.65 |
$8,235.65 |
$8,235.65 |
$5,538.23
|
|
Rf abltj nrv nrvtg si jt
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,685.07
|
|
Rheumatoid factor quantitative
|
$22.50 |
$22.50 |
$22.50 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$9.50 |
$9.50 |
$9.50 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$239.82 |
$239.82 |
$239.82 |
$1,467.90
|
|
Rho d immune globulin inj
|
$169.44 |
$169.44 |
$169.44 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$717.82 |
$717.82 |
$717.82 |
$462.44
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$41,698.25 |
$41,698.25 |
$41,698.25 |
$18,265.61
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$843.53 |
$843.53 |
$843.53 |
$2,453.83
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$265.82 |
$265.82 |
$265.82 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$750.06 |
$750.06 |
$750.06 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$16,995.56 |
$16,995.56 |
$16,995.56 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$14,407.68 |
$14,407.68 |
$14,407.68 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$14,407.68 |
$14,407.68 |
$14,407.68 |
$5,831.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,475.00 |
$8,475.00 |
$8,475.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,875.00 |
$11,875.00 |
$11,875.00 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$8,475.00 |
$8,475.00 |
$8,475.00 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$375.00 |
$375.00 |
$375.00 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$10,427.04
|
|
Rmvl pq iabp
|
$168.75 |
$168.75 |
$168.75 |
$1,082.40
|
|
Rmvl sq defib electrode
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$557.50 |
$557.50 |
$557.50 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$4,195.80
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$2,379.17 |
$2,379.17 |
$2,379.17 |
$7,626.51
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,533.66 |
$5,533.66 |
$5,533.66 |
$8,971.89
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$9,779.59 |
$9,779.59 |
$9,779.59 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$165.62 |
$165.62 |
$165.62 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$625.00 |
$625.00 |
$625.00 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$625.00 |
$625.00 |
$625.00 |
$2,182.05
|
|
Rpl tun-cvad w subq pump
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$4,201.80
|
|
Rubella antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$73.10
|
|
Rubeola antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$79.68
|
|
Russell viper venom diluted
|
$26.25 |
$26.25 |
$26.25 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$10,103.23 |
$10,103.23 |
$10,103.23 |
$6,466.16
|
|
Salmonella antibody
|
$35.00 |
$35.00 |
$35.00 |
$37.58
|
|
Sargramostim injection
|
$225.49 |
$225.49 |
$225.49 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$18.75 |
$18.75 |
$18.75 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$400.00 |
$400.00 |
$400.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$325.00 |
$325.00 |
$325.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$400.00 |
$400.00 |
$400.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$325.00 |
$325.00 |
$325.00 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$250.00 |
$250.00 |
$250.00 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$375.00 |
$375.00 |
$375.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$500.00 |
$500.00 |
$500.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$375.00 |
$375.00 |
$375.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$375.00 |
$375.00 |
$375.00 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$600.00 |
$600.00 |
$600.00 |
$2,114.45
|
|
Screening Mammogram
|
$97.50 |
$97.50 |
$97.50 |
$303.55
|
|
Sec art mech thrmbc non-intracranial add-on
|
$750.00 |
$750.00 |
$750.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$25.00 |
$25.00 |
$25.00 |
$44.20
|
|
Semen analysis presence/motility
|
$35.00 |
$35.00 |
$35.00 |
$70.85
|
|
Semen analysis w/count
|
$31.25 |
$31.25 |
$31.25 |
$56.44
|
|
Serpina1 gene
|
$38.25 |
$38.25 |
$38.25 |
$191.73
|
|
Set radiation therapy field
|
$475.00 |
$475.00 |
$475.00 |
$731.50
|
|
Set radiation therapy field
|
$950.00 |
$950.00 |
$950.00 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$112.50 |
$112.50 |
$112.50 |
$311.25
|
|
Shoe post-op mens m
|
$18.50 |
$18.50 |
$18.50 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,705.30
|
