|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,408.40 |
$11,408.40 |
$13,622.40 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,408.40 |
$11,408.40 |
$11,978.40 |
$11,241.96
|
|
Rmvl pq iabp
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$1,116.00
|
|
Rmvl pq vad left hrt vein sep session
|
$4,249.20 |
$4,249.20 |
$4,249.20 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$4,189.80 |
$4,189.80 |
$4,189.80 |
$4,294.57
|
|
Rmvl subq card rhythm mntr
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$2,052.00
|
|
Rmvl tv pm lead dual
|
$5,021.40 |
$5,021.40 |
$5,021.40 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$5,021.40 |
$5,021.40 |
$5,021.40 |
$4,028.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,119.10 |
$5,119.10 |
$5,119.10 |
$11,720.42
|
|
Romiplostim 125 mcg subcutaneous solution
|
$16.34 |
$16.34 |
$16.34 |
$25.95
|
|
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
|
$1,299.15 |
$1,299.15 |
$1,299.15 |
$60.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,804.40 |
$5,804.40 |
$5,804.40 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,062.20 |
$2,062.20 |
$2,062.20 |
$1,234.70
|
|
Rp loclzj tum spect w/ct 1
|
$3,463.80 |
$3,463.80 |
$3,463.80 |
$2,505.00
|
|
Rp loclzj tum spect w/ct 2
|
$4,849.80 |
$4,849.80 |
$4,849.80 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$6,202.20 |
$6,202.20 |
$6,202.20 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$7,095.60 |
$7,095.60 |
$7,095.60 |
$4,341.66
|
|
Rpl tun-cvad w subq pump
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$4,440.98
|
|
Rpl tun cvc wo subq port
|
$5,983.20 |
$5,983.20 |
$5,983.20 |
$4,115.61
|
|
Rsv assay w/optic
|
$175.20 |
$175.20 |
$175.20 |
$64.13
|
|
Rubella antibody igg
|
$214.20 |
$214.20 |
$214.20 |
$73.05
|
|
Rubeola antibody igg
|
$109.20 |
$142.20 |
$142.20 |
$80.00
|
|
Russell viper venom diluted
|
$234.00 |
$234.00 |
$234.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$25.22 |
$25.22 |
$25.22 |
$1,441.80
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,194.80 |
$2,194.80 |
$2,194.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$782.61
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$986.40 |
$986.40 |
$986.40 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$729.00 |
$729.00 |
$729.00 |
$580.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,120.20 |
$1,120.20 |
$1,278.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$955.50
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$934.20 |
$934.20 |
$934.20 |
$611.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$872.40 |
$872.40 |
$872.40 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$2,148.60 |
$2,148.60 |
$2,148.60 |
$2,114.45
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$88.80 |
$88.80 |
$88.80 |
$27.44
|
|
Screening Mammogram
|
$249.60 |
$249.60 |
$249.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$315.60 |
$315.60 |
$315.60 |
$96.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,968.40 |
$3,968.40 |
$3,968.40 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$293.40 |
$293.40 |
$293.40 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$128.40 |
$128.40 |
$128.40 |
$37.80
|
|
Select picture audiometry
|
$110.40 |
$110.40 |
$110.40 |
$84.00
|
|
Semen analysis presence/motility
|
$124.80 |
$124.80 |
$124.80 |
$74.75
|
|
Serpina1 gene
|
$359.40 |
$359.40 |
$359.40 |
$195.65
|
|
Set radiation therapy field
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$709.00
|
|
Set radiation therapy field
|
$2,223.60 |
$2,223.60 |
$2,223.60 |
$1,029.00
|
|
Set radiation therapy field
|
$2,759.40 |
$2,759.40 |
$2,759.40 |
$1,601.60
|
|
Shoe post-op mens m
|
$23.40 |
$23.40 |
$58.20 |
$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
|
|
Shuntogram nonvascular supervision & interpretation
|
$285.00 |
$285.00 |
$285.00 |
$342.54
|
|
Sialidase enzyme assay
|
$88.80 |
$88.80 |
$88.80 |
$54.60
|
|
Sialography s&i
|
$258.00 |
$258.00 |
$258.00 |
$403.70
|
|
Sickling rbc
|
$131.40 |
$131.40 |
$131.40 |
$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 |
$2,477.76 |
$2,477.76 |
$19.16
|
|
Skin Biopsy
|
$456.60 |
$456.60 |
$456.60 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$5,538.60 |
$5,538.60 |
$5,539.20 |
$4,043.20
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$106.80 |
$106.80 |
$106.80 |
$142.35
|
|
Slp eval non-spch gen comm dev
|
$211.80 |
$211.80 |
$211.80 |
$285.09
|
|
Slp ther svc non-spch gen
|
$270.00 |
$270.00 |
$270.00 |
$172.50
|
|
Smear fluorescent and/or acid fast stain
|
$150.00 |
$150.00 |
$150.00 |
$50.70
|
|
Smear gram stain
|
$105.00 |
$105.00 |
$105.00 |
$48.00
|
|
Smear nasal eosinophil
|
$122.40 |
$122.40 |
$122.40 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$162.60 |
$162.60 |
$162.60 |
$60.00
|
|
Smear wet mount
|
$112.80 |
$112.80 |
$112.80 |
$55.90
|
|
Sodium 24 hour urine
|
$99.00 |
$99.00 |
$99.00 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$49.32 |
$49.32 |
$49.32 |
$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 hyaluronate 20 mg/2 ml syringe
|
$328.05 |
$328.05 |
$328.05 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$90.60 |
$90.60 |
$90.60 |
$42.43
|
|
Special physics consult
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$688.05
|
|
Special radiation dosimetry
|
$676.80 |
$676.80 |
$676.80 |
$482.08
|
|
Special radiation treatment
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$1,945.00
|
|
Special teletx port plan
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$1,035.60
|
|
Specific gravity body fluid
|
$11.40 |
$11.40 |
$11.40 |
$21.55
|
|
Specimen fat stain
|
$126.60 |
$126.60 |
$126.60 |
$40.00
|
|
Speech audiometry complete
|
$201.60 |
$201.60 |
$201.60 |
$112.45
|
|
Speech recep thresh
|
$90.60 |
$90.60 |
$90.60 |
$90.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$937.20 |
$937.20 |
$937.20 |
$525.20
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$542.40
|
|
Splint finger 4 prong foam sm
|
$22.20 |
$22.20 |
$60.00 |
$20.80
|
|
Split blood or products
|
$97.20 |
$97.20 |
$97.20 |
$143.64
|
|
Srs linear based
|
$20,627.40 |
$20,627.40 |
$20,627.40 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$132.00 |
$132.00 |
$132.00 |
$295.10
|
|
Staph a dna amp probe
|
$102.60 |
$102.60 |
$102.60 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$157.20 |
$157.20 |
$157.20 |
$313.96
|
|
Stenger test pure tone
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Stenger test speech
|
$306.00 |
$306.00 |
$306.00 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$38,692.80 |
$38,692.80 |
$38,692.80 |
$28,126.65
|
