|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$14,008.05 |
$14,008.05 |
$14,008.05 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$26,023.20 |
$26,023.20 |
$26,023.20 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12,425.17 |
$12,425.17 |
$12,425.17 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$346.15 |
$346.15 |
$346.15 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,435.20 |
$4,435.20 |
$4,435.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,706.20 |
$2,706.20 |
$2,706.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,606.70 |
$4,606.70 |
$4,606.70 |
$2,542.20
|
|
Rpl tun-cvad w subq port
|
$17,682.59 |
$17,682.59 |
$17,682.59 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$13,432.30 |
$13,432.30 |
$13,432.30 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$56,081.54 |
$56,081.54 |
$56,081.54 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$37,125.21 |
$37,125.21 |
$37,125.21 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$35,833.12 |
$35,833.12 |
$35,833.12 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$36,085.92 |
$36,085.92 |
$36,085.92 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$24,476.70 |
$24,476.70 |
$24,476.70 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$21,079.30 |
$21,079.30 |
$21,079.30 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$67,136.63 |
$67,136.63 |
$67,136.63 |
$2,402.40
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$46,396.57 |
$46,396.57 |
$46,396.57 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$37,923.34 |
$37,923.34 |
$37,923.34 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$36,681.74 |
$36,681.74 |
$36,681.74 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$31,781.73 |
$31,781.73 |
$31,781.73 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$28,940.94 |
$28,940.94 |
$28,940.94 |
$7,606.40
|
|
Rpr rem hernia init reduce
|
$40,797.20 |
$40,797.20 |
$40,797.20 |
$3,906.18
|
|
Rp therapy unlisted px
|
$549.50 |
$549.50 |
$549.50 |
$549.50
|
|
Rsv assay w/optic
|
$177.80 |
$177.80 |
$177.80 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$254.10 |
$254.10 |
$254.10 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$84.00 |
$84.00 |
$84.00 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$72.10 |
$72.10 |
$72.10 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$81.90 |
$81.90 |
$81.90 |
$81.90
|
|
Rubella antibody igg
|
$94.50 |
$94.50 |
$94.50 |
$77.03
|
|
Rubeola antibody igg
|
$91.00 |
$91.00 |
$91.00 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$799.40 |
$799.40 |
$799.40 |
$454.72
|
|
Russell viper venom diluted
|
$151.20 |
$151.20 |
$151.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,164.10 |
$1,164.10 |
$1,164.10 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$12,115.95 |
$12,115.95 |
$12,115.95 |
$5,174.32
|
|
Salivary gland imaging
|
$975.10 |
$975.10 |
$975.10 |
$585.00
|
|
S bowel endoscope w/stent
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,875.30 |
$1,875.30 |
$1,875.30 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,263.50 |
$1,263.50 |
$1,263.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,094.80 |
$1,094.80 |
$1,094.80 |
$595.35
|
|
Scan proc cranial extra
|
$51,268.08 |
$51,268.08 |
$51,268.08 |
$2,366.00
|
|
Scan proc spinal
|
$47,794.51 |
$47,794.51 |
$47,794.51 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$3,224.02 |
$3,224.02 |
$3,224.02 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$24,725.67 |
$24,725.67 |
$24,725.67 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$7,211.40 |
$7,211.40 |
$7,211.40 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$96.60 |
$96.60 |
$96.60 |
$85.15
|
|
Screen cerv/vag thin layer
|
$191.10 |
$191.10 |
$191.10 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$3,322.90 |
$3,322.90 |
$3,322.90 |
$1,951.46
|
|
Screening Mammogram
|
$523.60 |
$523.60 |
$523.60 |
$312.55
|
|
Screening prostate cancer PSA
|
$214.20 |
$214.20 |
$214.20 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$47,973.84 |
$47,973.84 |
$47,973.84 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$93.10 |
$93.10 |
$93.10 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$10,026.10 |
$10,026.10 |
$10,026.10 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$79.80 |
$79.80 |
$79.80 |
$42.00
|
|
Semen analysis presence/motility
|
$105.00 |
$105.00 |
$105.00 |
$71.05
|
|
Semen analysis w/count
|
$110.60 |
$110.60 |
$110.60 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$443.80 |
$443.80 |
$443.80 |
$316.68
|
|
Serpina1 gene
|
$582.40 |
$582.40 |
$582.40 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$207.90 |
$207.90 |
$207.90 |
$126.43
|
|
Set radiation therapy field
|
$27,090.00 |
$27,090.00 |
$27,090.00 |
$762.40
|
|
Set radiation therapy field
|
$3,812.90 |
$3,812.90 |
$3,812.90 |
$1,157.38
|
|
Set radiation therapy field
|
$23,097.90 |
$23,097.90 |
$23,097.90 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$3,341.10 |
$3,341.10 |
$3,341.10 |
$2,146.95
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$208.60 |
$208.60 |
$208.60 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$291.20 |
$291.20 |
$291.20 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$8,698.75 |
$8,698.75 |
$8,698.75 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$7,490.55 |
$7,490.55 |
$7,490.55 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$58,248.91 |
$58,248.91 |
$58,248.91 |
$4,950.40
|
|
Sho arthrs srg compl synvct
|
$40,992.94 |
$40,992.94 |
$40,992.94 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$36,143.47 |
$36,143.47 |
$36,143.47 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$28,077.75 |
$28,077.75 |
$28,077.75 |
$3,839.54
|
|
Sho arthrs srg xtnsv dbrdmt
|
$45,654.19 |
$45,654.19 |
$45,654.19 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$43,717.09 |
$43,717.09 |
$43,717.09 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$4,323.90 |
$4,323.90 |
$4,323.90 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,827.60 |
$3,827.60 |
$3,827.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,591.70 |
$3,591.70 |
$3,591.70 |
$2,065.05
|
|
Shoulder X-ray
|
$623.00 |
$623.00 |
$623.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$22,255.64 |
$22,255.64 |
$22,255.64 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$523.60 |
$523.60 |
$523.60 |
$349.20
|
|
Sialidase enzyme assay
|
$62.30 |
$62.30 |
$62.30 |
$54.60
|
|
Sialography s&i
|
$1,460.20 |
$1,460.20 |
$1,460.20 |
$499.20
|
|
Sickling rbc
|
$68.60 |
$68.60 |
$68.60 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$6,360.99 |
$6,360.99 |
$6,360.99 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,547.30 |
$2,547.30 |
$2,547.30 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$4,307.46 |
$4,307.46 |
$4,307.46 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$4,665.71 |
$4,665.71 |
$4,665.71 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,619.00 |
$3,619.00 |
$3,619.00 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$8,193.70 |
$8,193.70 |
$8,193.70 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$6,955.79 |
$6,955.79 |
$6,955.79 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$8,193.70 |
$8,193.70 |
$8,193.70 |
$1,740.57
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$2,763.60 |
$2,763.60 |
$2,763.60 |
$1,901.90
|
|
Sim ang w/prs cath rad emb
|
$24,825.50 |
$24,825.50 |
$24,825.50 |
$18,145.20
|
