|
Radiation therapy dose plan
|
$255.25 |
$255.25 |
$255.25 |
$514.05
|
|
Radiation treatment aid(s)
|
$298.88 |
$298.88 |
$298.88 |
$520.00
|
|
Radiation treatment aid(s)
|
$289.50 |
$289.50 |
$289.50 |
$644.16
|
|
Radiation treatment aid(s)
|
$629.12 |
$629.12 |
$629.12 |
$1,076.78
|
|
Radiation treatment delivery
|
$309.50 |
$309.50 |
$309.50 |
$552.40
|
|
Radiation treatment delivery
|
$454.88 |
$454.88 |
$454.88 |
$920.00
|
|
Radiology port images(s)
|
$86.88 |
$86.88 |
$86.88 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$5,524.62 |
$5,524.62 |
$5,524.62 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$38,192.49 |
$38,192.49 |
$38,192.49 |
$215.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,122.38 |
$1,122.38 |
$1,122.38 |
$2,177.00
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,235.88 |
$18,235.88 |
$18,235.88 |
$13,136.04
|
|
Rapid Strep Test
|
$49.50 |
$49.50 |
$49.50 |
$75.24
|
|
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
|
$18.88 |
$18.88 |
$18.88 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$341.62 |
$341.62 |
$341.62 |
$441.00
|
|
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 central venous catheter tunneled without port/pump
|
$84.70 |
$84.70 |
$84.70 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$216.65 |
$216.65 |
$216.65 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$25.55 |
$25.55 |
$25.55 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$307.00 |
$307.00 |
$307.00 |
$249.60
|
|
Removal of breast lesion
|
$225.92 |
$225.92 |
$225.92 |
$4,631.50
|
|
Renal function panel
|
$55.50 |
$55.50 |
$55.50 |
$113.52
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,703.50 |
$2,703.50 |
$2,703.50 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$936.00 |
$936.00 |
$936.00 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$570.00 |
$570.00 |
$570.00 |
$764.40
|
|
Rezafungin 200 mg intravenous solution
|
$5,044.25 |
$5,044.25 |
$5,044.25 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$53.75 |
$53.75 |
$53.75 |
$57.20
|
|
Rheumatoid factor quantitative
|
$12.75 |
$12.75 |
$12.75 |
$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
|
|
Rmvl ndwellg tun pleural cath
|
$125.65 |
$125.65 |
$125.65 |
$1,156.80
|
|
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
|
|
Rubella antibody igg
|
$59.62 |
$59.62 |
$59.62 |
$77.03
|
|
Rubeola antibody igg
|
$95.50 |
$95.50 |
$95.50 |
$80.00
|
|
Russell viper venom diluted
|
$49.50 |
$49.50 |
$49.50 |
$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
|
$34.62 |
$34.62 |
$34.62 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$403.62 |
$403.62 |
$403.62 |
$983.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$380.00 |
$380.00 |
$380.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$543.12 |
$543.12 |
$543.12 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$398.25 |
$398.25 |
$398.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$265.25 |
$265.25 |
$265.25 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,490.64
|
|
Screening Mammogram
|
$187.50 |
$187.50 |
$187.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$73.62 |
$73.62 |
$73.62 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$55,015.00 |
$55,015.00 |
$55,015.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$31.00 |
$31.00 |
$31.00 |
$42.00
|
|
Set radiation therapy field
|
$498.12 |
$498.12 |
$498.12 |
$762.40
|
|
Set radiation therapy field
|
$572.50 |
$572.50 |
$572.50 |
$1,157.38
|
|
Set radiation therapy field
|
$1,173.25 |
$1,173.25 |
$1,173.25 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$1,154.81 |
$1,154.81 |
$1,154.81 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,548.75 |
$1,548.75 |
$1,548.75 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$980.25 |
$980.25 |
$980.25 |
$2,065.05
|
|
Shoulder X-ray
|
$278.00 |
$278.00 |
$278.00 |
$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)
|
$501.75 |
$501.75 |
$501.75 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$473.25 |
$473.25 |
$473.25 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$436.25 |
$436.25 |
$436.25 |
$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
|
|
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)
|
$2,001.38 |
$2,001.38 |
$2,001.38 |
$3,607.50
|
|
Sling suprapubic suburetheral
|
$5,222.40 |
$5,222.40 |
$5,222.40 |
$9,679.96
|
|
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 special stain inclusion bodies/parasites
|
$8.00 |
$8.00 |
$8.00 |
$73.15
|
|
Smear wet mount
|
$37.75 |
$37.75 |
$37.75 |
$67.49
|
|
Sodium 24 hour urine
|
$33.38 |
$33.38 |
$33.38 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$71.00 |
$71.00 |
$71.00 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$66.00 |
$66.00 |
$66.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$66.12 |
$66.12 |
$66.12 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$62.00 |
$62.00 |
$62.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$61.22 |
$61.22 |
$61.22 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$1,063.10 |
$1,063.10 |
$1,063.10 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$28.62 |
$28.62 |
$28.62 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$537.10 |
$537.10 |
$537.10 |
$177.52
|
|
Special radiation dosimetry
|
$188.00 |
$188.00 |
$188.00 |
$392.50
|
|
Special radiation treatment
|
$1,523.75 |
$1,523.75 |
$1,523.75 |
$1,986.00
|
|
Special teletx port plan
|
$539.88 |
$539.88 |
$539.88 |
$1,086.99
|