|
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
|
|
Rmvl icd by tv extr
|
$5,314.50 |
$5,314.50 |
$5,314.50 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$32,962.50 |
$32,962.50 |
$32,962.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$20,410.50 |
$20,410.50 |
$20,410.50 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$29,339.00 |
$29,339.00 |
$29,339.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,603.50 |
$5,603.50 |
$5,603.50 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$3,101.50 |
$3,101.50 |
$3,101.50 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$5,603.50 |
$5,603.50 |
$5,603.50 |
$6,094.40
|
|
Rmvl phrnc nrv stim sys
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$4,881.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,985.00 |
$11,985.00 |
$11,985.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$22,845.50 |
$22,845.50 |
$22,845.50 |
$10,542.00
|
|
Rmvl pq vad left hrt vein sep session
|
$1,511.50 |
$1,511.50 |
$1,511.50 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$5,979.00 |
$5,979.00 |
$5,979.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$5,314.50 |
$5,314.50 |
$5,314.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$5,314.50 |
$5,314.50 |
$5,314.50 |
$4,031.69
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$24,838.50 |
$24,838.50 |
$24,838.50 |
$34,440.90
|
|
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
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,931.50 |
$2,931.50 |
$2,931.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,752.50 |
$2,752.50 |
$2,752.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,931.50 |
$2,931.50 |
$2,931.50 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$4,133.00 |
$4,133.00 |
$4,133.00 |
$3,687.00
|
|
Rubella antibody igg
|
$89.00 |
$89.00 |
$89.00 |
$77.03
|
|
Rubeola antibody igg
|
$106.00 |
$106.00 |
$106.00 |
$80.00
|
|
Russell viper venom diluted
|
$19.50 |
$19.50 |
$19.50 |
$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
|
$71.00 |
$71.00 |
$71.00 |
$59.25
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$80.00 |
$80.00 |
$80.00 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$34.00 |
$34.00 |
$34.00 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$57.50 |
$57.50 |
$57.50 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$23.00 |
$23.00 |
$23.00 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$702.00 |
$702.00 |
$702.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$454.00 |
$454.00 |
$454.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$451.50 |
$451.50 |
$451.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$451.50 |
$451.50 |
$451.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$602.50 |
$602.50 |
$602.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$634.50 |
$634.50 |
$634.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$974.00 |
$974.00 |
$974.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$606.00 |
$606.00 |
$606.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$619.50 |
$619.50 |
$619.50 |
$595.35
|
|
Scan proc cranial extra
|
$0.01 |
$0.01 |
$0.01 |
$2,366.00
|
|
Scan proc spinal
|
$0.01 |
$0.01 |
$0.01 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,490.64
|
|
Screening hepatitis b non-obstetric high risk
|
$261.00 |
$261.00 |
$261.00 |
$60.00
|
|
Screening Mammogram
|
$195.00 |
$195.00 |
$195.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$88.00 |
$88.00 |
$88.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$55,015.00 |
$55,015.00 |
$55,015.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$36.50 |
$36.50 |
$36.50 |
$42.00
|
|
Select picture audiometry
|
$178.50 |
$178.50 |
$178.50 |
$105.60
|
|
Semen analysis presence/motility
|
$137.00 |
$137.00 |
$137.00 |
$71.05
|
|
Set radiation therapy field
|
$995.00 |
$995.00 |
$995.00 |
$762.40
|
|
Set radiation therapy field
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,157.38
|
|
Set radiation therapy field
|
$2,026.00 |
$2,026.00 |
$2,026.00 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$1,390.50 |
$1,390.50 |
$1,390.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$993.00 |
$993.00 |
$993.00 |
$2,065.05
|
|
Shoulder X-ray
|
$289.50 |
$289.50 |
$289.50 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$5,545.60 |
$5,545.60 |
$5,545.60 |
$4,636.80
|
|
Sickling rbc
|
$14.00 |
$14.00 |
$14.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$364.46 |
$364.46 |
$364.46 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$774.50 |
$774.50 |
$774.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$656.00 |
$656.00 |
$656.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$536.50 |
$536.50 |
$536.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$2,489.25
|
|
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
|
|
Skin Biopsy
|
$48.82 |
$48.82 |
$48.82 |
$360.34
|
|
Skyla, 13.5 mg
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,023.50 |
$3,023.50 |
$3,023.50 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$77.76 |
$77.76 |
$77.76 |
$203.58
|
|
Sling suprapubic suburetheral
|
$5,222.40 |
$5,222.40 |
$5,222.40 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$295.00 |
$295.00 |
$295.00 |
$285.09
|
|
Slp pure tone screening
|
$130.00 |
$130.00 |
$130.00 |
$60.48
|
|
Slp ther svc non-spch gen
|
$194.50 |
$194.50 |
$194.50 |
$188.50
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$33.50 |
$33.50 |
$33.50 |
$64.20
|
|
Smear gram stain
|
$33.00 |
$33.00 |
$33.00 |
$55.25
|
|
Smear nasal eosinophil
|
$38.50 |
$38.50 |
$38.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$77.00 |
$77.00 |
$77.00 |
$73.15
|
|
Smear wet mount
|
$60.50 |
$60.50 |
$60.50 |
$67.49
|
|
Sodium 24 hour urine
|
$40.50 |
$40.50 |
$40.50 |
$48.60
|
