|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$511.80 |
$511.80 |
$511.80 |
$345.07
|
|
Rho d immune globulin inj
|
$248.56 |
$248.56 |
$248.56 |
$232.72
|
|
Ring fx reform 11-13x17mm
|
$690.60 |
$690.60 |
$690.60 |
$1,059.07
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$21.64 |
$21.64 |
$21.64 |
$20.29
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$11,274.14 |
$11,274.14 |
$11,274.14 |
$17,105.60
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13.05 |
$13.05 |
$13.05 |
$31.05
|
|
Rmvl tiss expndr without implant insrtn
|
$6,021.00 |
$6,021.00 |
$6,021.00 |
$3,128.35
|
|
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
|
$365.95 |
$365.95 |
$365.95 |
$60.40
|
|
Rp loclzj tum 2+area 1+d img
|
$2,089.80 |
$2,089.80 |
$2,089.80 |
$1,283.66
|
|
Rp loclzj tum spect w/ct 1
|
$3,360.60 |
$3,360.60 |
$3,360.60 |
$2,505.00
|
|
Rp loclzj tum spect w/ct 2
|
$4,692.60 |
$4,692.60 |
$4,692.60 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,267.00 |
$3,267.00 |
$3,267.00 |
$2,182.05
|
|
Rsv assay w/optic
|
$313.80 |
$313.80 |
$313.80 |
$64.13
|
|
Rubella antibody igg
|
$153.00 |
$153.00 |
$153.00 |
$73.05
|
|
Rubeola antibody igg
|
$205.20 |
$205.20 |
$205.20 |
$80.00
|
|
Russell viper venom diluted
|
$150.00 |
$150.00 |
$150.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$25.22 |
$25.22 |
$25.22 |
$1,441.80
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,981.80 |
$1,981.80 |
$1,981.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$976.20 |
$976.20 |
$976.20 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$825.60 |
$825.60 |
$825.60 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$727.20 |
$727.20 |
$727.20 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,402.20 |
$1,402.20 |
$1,402.20 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$942.60 |
$942.60 |
$942.60 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$880.20 |
$880.20 |
$880.20 |
$527.80
|
|
Scr c/v cyto,thinlayer,rescr
|
$186.60 |
$186.60 |
$186.60 |
$76.70
|
|
Screen cerv/vag thin layer
|
$138.60 |
$138.60 |
$138.60 |
$61.20
|
|
Screening Mammogram
|
$249.60 |
$249.60 |
$249.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$180.00 |
$180.00 |
$180.00 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$286.80 |
$286.80 |
$286.80 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$108.00 |
$108.00 |
$108.00 |
$37.80
|
|
Semen analysis presence/motility
|
$100.80 |
$100.80 |
$100.80 |
$79.92
|
|
Serpina1 gene
|
$324.60 |
$324.60 |
$324.60 |
$195.65
|
|
Set radiation therapy field
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$709.00
|
|
Set radiation therapy field
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$1,029.00
|
|
Set radiation therapy field
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$1,601.60
|
|
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
|
$104.40 |
$104.40 |
$104.40 |
$54.60
|
|
Sickling rbc
|
$122.40 |
$122.40 |
$122.40 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$199.80 |
$199.80 |
$199.80 |
$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
|
|
Skin Biopsy
|
$459.00 |
$459.00 |
$459.00 |
$362.40
|
|
Skin test unlisted antigen ea
|
$120.60 |
$120.60 |
$120.60 |
$43.80
|
|
Sleep study attended
|
$2,722.80 |
$2,722.80 |
$2,722.80 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$5,143.20 |
$5,143.20 |
$5,143.20 |
$4,043.20
|
|
Sleep study unattended
|
$585.00 |
$585.00 |
$585.00 |
$631.55
|
|
Slp stdy unatnd w/anal
|
$585.00 |
$585.00 |
$585.00 |
$402.15
|
|
Smear fluorescent and/or acid fast stain
|
$137.40 |
$137.40 |
$137.40 |
$50.70
|
|
Smear gram stain
|
$98.40 |
$98.40 |
$98.40 |
$48.00
|
|
Smear nasal eosinophil
|
$112.20 |
$112.20 |
$112.20 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$132.00 |
$132.00 |
$132.00 |
$60.00
|
|
Smear wet mount
|
$111.60 |
$111.60 |
$111.60 |
$56.13
|
|
Sodium 24 hour urine
|
$98.40 |
$98.40 |
$98.40 |
$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
|
$78.00 |
$78.00 |
$78.00 |
$42.43
|
|
Special physics consult
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$688.05
|
|
Special radiation dosimetry
|
$733.80 |
$733.80 |
$733.80 |
$482.08
|
|
Special radiation treatment
|
$2,591.40 |
$2,591.40 |
$2,591.40 |
$1,945.00
|
|
Special teletx port plan
|
$1,464.60 |
$1,464.60 |
$1,464.60 |
$975.60
|
|
Specific gravity body fluid
|
$40.20 |
$40.20 |
$40.20 |
$21.55
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,941.00 |
$1,941.00 |
$1,941.00 |
$1,416.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$836.40 |
$836.40 |
$836.40 |
$526.80
|
|
Split blood or products
|
$127.80 |
$127.80 |
$127.80 |
$143.64
|
|
Srs linear based
|
$18,443.40 |
$18,443.40 |
$18,443.40 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$102.60 |
$102.60 |
$102.60 |
$295.10
|
|
Staph a dna amp probe
|
$104.40 |
$104.40 |
$104.40 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$121.80 |
$121.80 |
$121.80 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$37,528.80 |
$37,528.80 |
$37,528.80 |
$28,126.65
|
|
Stent iliac/open or perc/uni/init 37221
|
$26,016.00 |
$26,016.00 |
$26,016.00 |
$19,385.83
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$26,016.00 |
$26,016.00 |
$26,016.00 |
$10,086.20
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$26,511.00 |
$26,511.00 |
$26,511.00 |
$24,161.40
|
|
St evaluate speech sound production
|
$99.60 |
$99.60 |
$99.60 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$204.00 |
$204.00 |
$204.00 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$201.00 |
$201.00 |
$201.00 |
$336.00
|
|
St evaluation swallow function
|
$183.00 |
$183.00 |
$183.00 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$121.80 |
$121.80 |
$121.80 |
$185.36
|
|
Strapping of knee
|
$116.40 |
$116.40 |
$116.40 |
$216.34
|
|
Strep a ag ia
|
$137.40 |
$137.40 |
$137.40 |
$75.40
|
|
Strep b dna amp probe
|
$280.80 |
$280.80 |
$280.80 |
$124.20
|
|
Stress test pulmonary
|
$273.60 |
$273.60 |
$273.60 |
$330.63
|
|
Stress tte complete
|
$3,744.00 |
$3,744.00 |
$3,744.00 |
$1,989.60
|
|
St treatment speech individual
|
$209.40 |
$209.40 |
$209.40 |
$246.87
|
|
St treatment swallow dysfunction/oral
|
$153.00 |
$153.00 |
$153.00 |
$221.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$49.13 |
$49.13 |
$49.13 |
$22.19
|
|
Sugars single quant
|
$128.40 |
$128.40 |
$128.40 |
$64.28
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$50.71 |
$50.71 |
$50.71 |
$52.49
|
|
Surgical pathology level 1 gross examination only
|
$148.80 |
$148.80 |
$148.80 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$247.20 |
$247.20 |
$247.20 |
$138.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$301.20 |
$301.20 |
$301.20 |
$181.00
|
