|
Pyridoxine hcl 100 mg
|
$82.80 |
$82.80 |
$82.80 |
$48.70
|
|
Pyruvate
|
$99.00 |
$99.00 |
$99.00 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,078.00 |
$2,078.00 |
$2,078.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$1,199.16
|
|
Quest t3 uptake
|
$80.00 |
$80.00 |
$80.00 |
$52.25
|
|
Quinupristin/dalfopristin
|
$1,559.68 |
$1,559.68 |
$1,559.68 |
$1,066.32
|
|
Rabies ig ht&sol human im/sc
|
$1,073.82 |
$1,073.82 |
$1,073.82 |
$2,756.77
|
|
Radiation therapy dose plan
|
$564.50 |
$564.50 |
$564.50 |
$514.05
|
|
Radium ra223 dichl ther/uci
|
$38,192.49 |
$38,192.49 |
$38,192.49 |
$215.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,639.50 |
$1,639.50 |
$1,639.50 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$703.00 |
$703.00 |
$703.00 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,235.88 |
$18,235.88 |
$18,235.88 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,712.30 |
$2,712.30 |
$2,712.30 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$58,729.34 |
$58,729.34 |
$58,729.34 |
$41,926.70
|
|
Rbc count only automated
|
$23.00 |
$23.00 |
$23.00 |
$20.40
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$556.00 |
$556.00 |
$556.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$813.50 |
$813.50 |
$813.50 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$85.06 |
$85.06 |
$85.06 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,524.70 |
$1,524.70 |
$1,524.70 |
$1,524.70
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$309.50 |
$309.50 |
$309.50 |
$249.60
|
|
Renal function panel
|
$56.00 |
$56.00 |
$56.00 |
$113.52
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,703.50 |
$2,703.50 |
$2,703.50 |
$2,079.00
|
|
#resp virpnl dfa-adenovirus
|
$20.50 |
$20.50 |
$20.50 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$16.50 |
$16.50 |
$16.50 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$574.50 |
$574.50 |
$574.50 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$942.00 |
$942.00 |
$942.00 |
$780.42
|
|
Reticulated platelet assay
|
$37.50 |
$37.50 |
$37.50 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$49.00 |
$49.00 |
$49.00 |
$36.57
|
|
Rezafungin 200 mg intravenous solution
|
$5,044.25 |
$5,044.25 |
$5,044.25 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$100.00 |
$100.00 |
$100.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$22.50 |
$22.50 |
$22.50 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$188.85 |
$188.85 |
$188.85 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$867.42 |
$867.42 |
$867.42 |
$3,709.00
|
|
Rho d immune globulin inj
|
$193.30 |
$193.30 |
$193.30 |
$217.71
|
|
Ring fx reform 11-13x17mm
|
$247.28 |
$247.28 |
$247.28 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$23,597.35 |
$23,597.35 |
$23,597.35 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,006.74 |
$3,006.74 |
$3,006.74 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$11,770.00 |
$11,770.00 |
$11,770.00 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$18,872.38 |
$18,872.38 |
$18,872.38 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$7,483.88 |
$7,483.88 |
$7,483.88 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,733.62 |
$5,733.62 |
$5,733.62 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$6,699.50 |
$6,699.50 |
$6,699.50 |
$5,309.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,742.75 |
$7,742.75 |
$7,742.75 |
$6,333.33
|
|
Romiplostim injection
|
$39,293.20 |
$39,293.20 |
$39,293.20 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,155.68 |
$3,155.68 |
$3,155.68 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$116.81 |
$116.81 |
$116.81 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$8,508.50 |
$8,508.50 |
$8,508.50 |
$15,007.16
|
|
Rp loclzj tum 2+area 1+d img
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,006.00 |
$2,006.00 |
$2,006.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,661.50 |
$2,661.50 |
$2,661.50 |
$3,139.20
|
|
Rubella antibody igg
|
$86.00 |
$86.00 |
$86.00 |
$77.03
|
|
Rubeola antibody igg
|
$102.50 |
$102.50 |
$102.50 |
$80.00
|
|
Russell viper venom diluted
|
$19.00 |
$19.00 |
$19.00 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,186.05 |
$6,186.05 |
$6,186.05 |
$5,174.32
|
|
Sargramostim injection
|
$610.40 |
$610.40 |
$610.40 |
$609.00
|
|
Sarscov coronavirus ag ia
|
$68.50 |
$68.50 |
$68.50 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$679.00 |
$679.00 |
$679.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$439.00 |
$439.00 |
$439.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$436.50 |
$436.50 |
$436.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$436.50 |
$436.50 |
$436.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$582.50 |
$582.50 |
$582.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$613.50 |
$613.50 |
$613.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$942.00 |
$942.00 |
$942.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$586.00 |
$586.00 |
$586.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$599.00 |
$599.00 |
$599.00 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,490.64
|
|
Screening hepatitis b non-obstetric high risk
|
$252.50 |
$252.50 |
$252.50 |
$60.00
|
|
Screening Mammogram
|
$188.50 |
$188.50 |
$188.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$85.00 |
$85.00 |
$85.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$55,015.00 |
$55,015.00 |
$55,015.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$35.50 |
$35.50 |
$35.50 |
$42.00
|
|
Select picture audiometry
|
$172.50 |
$172.50 |
$172.50 |
$105.60
|
|
Semen analysis presence/motility
|
$132.50 |
$132.50 |
$132.50 |
$71.05
|
|
Shoulder MRI (with and without contrast)
|
$1,344.50 |
$1,344.50 |
$1,344.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,152.50 |
$1,152.50 |
$1,152.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$960.00 |
$960.00 |
$960.00 |
$2,065.05
|
|
Shoulder X-ray
|
$280.00 |
$280.00 |
$280.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$5,545.60 |
$5,545.60 |
$5,545.60 |
$4,636.80
|
|
Sickling rbc
|
$13.50 |
$13.50 |
$13.50 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$364.46 |
$364.46 |
$364.46 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$749.00 |
$749.00 |
$749.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$634.50 |
$634.50 |
$634.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$519.00 |
$519.00 |
$519.00 |
$1,292.04
|
|
Sipuleucel-t - su
|
$103,303.45 |
$103,303.45 |
$103,303.45 |
$100,990.51
|
|
Sirolimus, oral
|
$3,675.46 |
$3,675.46 |
$3,675.46 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$19,113.40 |
$19,113.40 |
$19,113.40 |
$14,361.10
|
|
Skyla, 13.5 mg
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$2,923.50 |
$2,923.50 |
$2,923.50 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$75.00 |
$75.00 |
$75.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$5,222.50 |
$5,222.50 |
$5,222.50 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$285.50 |
$285.50 |
$285.50 |
$285.09
|
|
Slp pure tone screening
|
$125.50 |
$125.50 |
$125.50 |
$60.48
|
|
Slp ther svc non-spch gen
|
$188.00 |
$188.00 |
$188.00 |
$188.50
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$32.50 |
$32.50 |
$32.50 |
$64.20
|
|
Smear gram stain
|
$32.00 |
$32.00 |
$32.00 |
$55.25
|
|
Smear nasal eosinophil
|
$37.00 |
$37.00 |
$37.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$74.50 |
$74.50 |
$74.50 |
$73.15
|
|
Smear wet mount
|
$58.50 |
$58.50 |
$58.50 |
$67.49
|
