|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,921.00 |
$3,921.00 |
$3,921.00 |
$5,400.67
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$49.70 |
$49.70 |
$49.70 |
$60.40
|
|
Rp loclzj tum 2+area 1+d img
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,283.66
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,376.20 |
$3,376.20 |
$3,376.20 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$7,072.20 |
$7,072.20 |
$7,072.20 |
$4,115.61
|
|
Rsv assay w/optic
|
$261.60 |
$261.60 |
$261.60 |
$64.13
|
|
Rubella antibody igg
|
$144.60 |
$144.60 |
$144.60 |
$73.05
|
|
Rubeola antibody igg
|
$119.40 |
$119.40 |
$119.40 |
$80.00
|
|
Russell viper venom diluted
|
$210.60 |
$210.60 |
$210.60 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$25.22 |
$25.22 |
$25.22 |
$1,441.80
|
|
Salivary gland imaging
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$569.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,182.80 |
$2,182.80 |
$2,182.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,092.60 |
$1,092.60 |
$1,092.60 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$891.00 |
$891.00 |
$891.00 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,633.20 |
$1,633.20 |
$1,633.20 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,088.40 |
$1,088.40 |
$1,088.40 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$903.00 |
$903.00 |
$903.00 |
$527.80
|
|
Scr c/v cyto,thinlayer,rescr
|
$178.20 |
$178.20 |
$178.20 |
$76.70
|
|
Screen cerv/vag thin layer
|
$148.80 |
$148.80 |
$148.80 |
$61.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$71.40 |
$71.40 |
$71.40 |
$27.44
|
|
Screening Mammogram
|
$249.60 |
$249.60 |
$249.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$175.20 |
$175.20 |
$175.20 |
$96.00
|
|
Screen pap by tech w md supv
|
$120.60 |
$120.60 |
$120.60 |
$27.65
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$306.60 |
$306.60 |
$306.60 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$95.40 |
$95.40 |
$95.40 |
$37.80
|
|
Select picture audiometry
|
$76.20 |
$76.20 |
$76.20 |
$84.00
|
|
Semen analysis presence/motility
|
$106.20 |
$106.20 |
$106.20 |
$79.92
|
|
Serial casting application 97139app
|
$18.00 |
$18.00 |
$18.00 |
$67.42
|
|
Serpina1 gene
|
$433.20 |
$433.20 |
$433.20 |
$195.65
|
|
Set radiation therapy field
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$709.00
|
|
Set radiation therapy field
|
$2,225.40 |
$2,225.40 |
$2,225.40 |
$1,029.00
|
|
Set radiation therapy field
|
$2,662.20 |
$2,662.20 |
$2,662.20 |
$1,601.60
|
|
Shoe post-op mens m
|
$52.20 |
$52.20 |
$52.20 |
$29.76
|
|
Shoulder MRI (with and without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$1,938.28
|
|
Shoulder X-ray
|
$391.20 |
$391.20 |
$391.20 |
$307.20
|
|
Sialidase enzyme assay
|
$93.00 |
$93.00 |
$93.00 |
$54.60
|
|
Sickling rbc
|
$125.40 |
$125.40 |
$125.40 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$309.14 |
$309.14 |
$309.14 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$2,052.67
|
|
Sirolimus, oral
|
$11.61 |
$11.61 |
$11.61 |
$19.16
|
|
Skin Biopsy
|
$436.20 |
$436.20 |
$436.20 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$6,083.40 |
$6,083.40 |
$6,083.40 |
$4,043.20
|
|
Slp pure tone screening
|
$34.80 |
$34.80 |
$34.80 |
$64.50
|
|
Slp stdy unatnd w/anal
|
$832.80 |
$832.80 |
$832.80 |
$402.15
|
|
Smear fluorescent and/or acid fast stain
|
$136.20 |
$136.20 |
$136.20 |
$50.70
|
|
Smear gram stain
|
$101.40 |
$101.40 |
$101.40 |
$48.00
|
|
Smear nasal eosinophil
|
$119.40 |
$119.40 |
$119.40 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$131.40 |
$131.40 |
$131.40 |
$60.00
|
|
Smear wet mount
|
$120.00 |
$120.00 |
$120.00 |
$56.13
|
|
Sodium 24 hour urine
|
$101.40 |
$101.40 |
$101.40 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.07 |
$49.07 |
$49.07 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$79.09 |
$79.09 |
$79.09 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$79.66 |
$79.66 |
$79.66 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$79.30 |
$79.30 |
$79.30 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$104.98 |
$104.98 |
$104.98 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$80.40 |
$80.40 |
$80.40 |
$42.43
|
|
Special physics consult
|
$1,345.20 |
$1,345.20 |
$1,345.20 |
$688.05
|
|
Special radiation dosimetry
|
$858.00 |
$858.00 |
$858.00 |
$482.08
|
|
Special radiation treatment
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$1,945.00
|
|
Special teletx port plan
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$975.60
|
|
Specific gravity body fluid
|
$48.00 |
$48.00 |
$48.00 |
$21.55
|
|
Speech audiometry complete
|
$126.00 |
$126.00 |
$126.00 |
$112.45
|
|
Speech recep thresh
|
$58.80 |
$58.80 |
$58.80 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,957.20 |
$1,957.20 |
$1,957.20 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$863.40 |
$863.40 |
$863.40 |
$526.80
|
|
Srs linear based
|
$27,885.60 |
$27,885.60 |
$27,885.60 |
$14,124.25
|
|
Staggered spondaic word test
|
$70.20 |
$70.20 |
$70.20 |
$180.64
|
|
St analysis behavior qualitative voice/resonance
|
$106.80 |
$106.80 |
$106.80 |
$295.10
|
|
Staph a dna amp probe
|
$104.40 |
$104.40 |
$104.40 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$128.40 |
$128.40 |
$128.40 |
$313.96
|
|
Stenger test pure tone
|
$56.40 |
$56.40 |
$56.40 |
$75.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$42,419.40 |
$42,419.40 |
$42,419.40 |
$28,126.65
|
|
Stent iliac/open or perc/uni/init 37221
|
$29,407.80 |
$29,407.80 |
$29,407.80 |
$19,385.83
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$29,407.80 |
$29,407.80 |
$29,407.80 |
$10,086.20
|
|
St evaluate speech sound production
|
$103.20 |
$103.20 |
$103.20 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$213.00 |
$213.00 |
$213.00 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$194.40 |
$194.40 |
$194.40 |
$336.00
|
|
St evaluation swallow function
|
$124.80 |
$124.80 |
$124.80 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$75.60 |
$75.60 |
$75.60 |
$185.36
|
|
Strapping of chest
|
$85.20 |
$85.20 |
$85.20 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$60.00 |
$60.00 |
$60.00 |
$176.31
|
|
Strapping of hand or finger
|
$53.40 |
$53.40 |
$53.40 |
$197.63
|
|
Strapping of hip
|
$85.20 |
$85.20 |
$85.20 |
$164.70
|
|
Strapping of knee
|
$79.80 |
$79.80 |
$79.80 |
$216.34
|
|
Strep a ag ia
|
$154.80 |
$154.80 |
$154.80 |
$75.40
|
|
Strep b dna amp probe
|
$261.60 |
$261.60 |
$261.60 |
$124.20
|
|
Stress test pulmonary
|
$555.60 |
$555.60 |
$555.60 |
$330.63
|
|
Stress tte complete
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$1,989.60
|
|
St treatment speech individual
|
$148.80 |
$148.80 |
$148.80 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$110.40 |
$110.40 |
$110.40 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$49.13 |
$22.19
|
|
Sugars single quant
|
$142.20 |
$142.20 |
$142.20 |
$64.28
|
