|
Repair detached retina
|
$27,293.36 |
$27,293.36 |
$27,293.36 |
$6,889.27
|
|
Repair elbow perc
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$4,350.00
|
|
Repair extns tendon finger without grft ea
|
$25,998.47 |
$25,998.47 |
$25,998.47 |
$2,340.00
|
|
Repair hand joint with graft
|
$3,166.40 |
$3,166.40 |
$3,166.40 |
$3,839.54
|
|
Repair nonunion hand
|
$3,612.00 |
$3,612.00 |
$3,612.00 |
$5,886.74
|
|
Repair of ruptured tendon
|
$38,296.85 |
$38,296.85 |
$38,296.85 |
$6,484.80
|
|
Repair of thigh muscle
|
$39,393.30 |
$39,393.30 |
$39,393.30 |
$6,727.70
|
|
Repair retinal detach cplx
|
$29,098.53 |
$29,098.53 |
$29,098.53 |
$6,657.60
|
|
Repair rotator cuff chronic
|
$51,403.61 |
$51,403.61 |
$51,403.61 |
$7,061.76
|
|
Repair upper arm/elbow tendon/muscle ea
|
$39,322.86 |
$39,322.86 |
$39,322.86 |
$8,412.89
|
|
Reslizumab 10 mg/ml intravenous solution
|
$5,680.00 |
$5,680.00 |
$5,680.00 |
$2,079.00
|
|
Reticulated platelet assay
|
$169.00 |
$169.00 |
$169.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$46.15 |
$46.15 |
$46.15 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$45,114.00 |
$45,114.00 |
$45,114.00 |
$23,780.31
|
|
Revise/replace knee joint
|
$4,797.00 |
$4,797.00 |
$4,797.00 |
$6,287.67
|
|
Revise/replace knee joint
|
$58,990.35 |
$58,990.35 |
$58,990.35 |
$7,048.60
|
|
Revision of knee joint
|
$60,872.51 |
$60,872.51 |
$60,872.51 |
$14,254.12
|
|
Revision of unstable kneecap
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$7,112.94
|
|
Revis reconst shoulder joint
|
$5,941.00 |
$5,941.00 |
$5,941.00 |
$7,841.60
|
|
Rezafungin 200 mg intravenous solution
|
$10,657.15 |
$10,657.15 |
$10,657.15 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$26.00 |
$26.00 |
$26.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$77.35 |
$77.35 |
$77.35 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$294.95 |
$294.95 |
$294.95 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$159.25 |
$159.25 |
$159.25 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$559.65 |
$559.65 |
$559.65 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$533.00 |
$533.00 |
$533.00 |
$491.70
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$82.10 |
$82.10 |
$82.10 |
$455.01
|
|
Ring barrier skin cx 1 9/16 adapt
|
$0.66 |
$0.66 |
$0.66 |
$2.60
|
|
Ring fx reform 11-13x17mm
|
$1,052.12 |
$1,052.12 |
$1,052.12 |
$1,509.75
|
|
Ring ostmy barr adapt 48mm
|
$0.33 |
$0.33 |
$0.33 |
$5.20
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$30,071.50 |
$30,071.50 |
$30,071.50 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,114.50 |
$2,114.50 |
$2,114.50 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,092.80 |
$14,092.80 |
$14,092.80 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$22,548.30 |
$22,548.30 |
$22,548.30 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$12,035.25 |
$12,035.25 |
$12,035.25 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$8,300.55 |
$8,300.55 |
$8,300.55 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$9,889.65 |
$9,889.65 |
$9,889.65 |
$5,309.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$8,826.40 |
$8,826.40 |
$8,826.40 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17,344.00 |
$17,344.00 |
$17,344.00 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$13,801.85 |
$13,801.85 |
$13,801.85 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$188.50 |
$188.50 |
$188.50 |
$188.16
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$56,796.70 |
$56,796.70 |
$56,796.70 |
$15,007.16
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$25,990.05 |
$25,990.05 |
$25,990.05 |
$4,500.75
|
|
Rsv assay w/optic
|
$845.00 |
$845.00 |
$845.00 |
$76.32
|
|
Rubella antibody igg
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$77.40
|
|
Rubeola antibody igg
|
$128.70 |
$128.70 |
$128.70 |
$80.00
|
|
Russell viper venom diluted
|
$111.80 |
$111.80 |
$111.80 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,844.35 |
$7,844.35 |
$7,844.35 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$199.55 |
$199.55 |
$199.55 |
$314.26
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$435.50 |
$435.50 |
$435.50 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$453.05 |
$453.05 |
$453.05 |
$497.68
|
|
Scan duplex extremity veins unilateral/limited study
|
$841.10 |
$841.10 |
$841.10 |
$726.18
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$453.05 |
$453.05 |
$453.05 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$5,309.60 |
$5,309.60 |
$5,309.60 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$5,831.60 |
$5,831.60 |
$5,831.60 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$141.05 |
$141.05 |
$141.05 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$90.35 |
$90.35 |
$90.35 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$58.50 |
$58.50 |
$58.50 |
$42.30
|
|
Screening Mammogram
|
$394.55 |
$394.55 |
$394.55 |
$310.20
|
|
Screening prostate cancer PSA
|
$152.75 |
$152.75 |
$152.75 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$776,558.25 |
$776,558.25 |
$776,558.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$874.90 |
$874.90 |
$874.90 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$164.00 |
$164.00 |
$164.00 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$31.20 |
$31.20 |
$31.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$87.75 |
$87.75 |
$87.75 |
$96.00
|
|
Semen analysis presence/motility
|
$41.60 |
$41.60 |
$41.60 |
$70.40
|
|
Sevelamer carbonate 800 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$7.14
|
|
Sheath gldlight lasr 12fx50cm
|
$4,730.47 |
$4,730.47 |
$4,730.47 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$5,815.06 |
$5,815.06 |
$5,815.06 |
$7,143.32
|
|
Sho arthrs srg bicp tenodsis
|
$46,514.99 |
$46,514.99 |
$46,514.99 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$34,123.00 |
$34,123.00 |
$34,123.00 |
$7,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$39,922.55 |
$39,922.55 |
$39,922.55 |
$4,881.00
|
|
Sho arthrs srg rpr slap les
|
$37,952.01 |
$37,952.01 |
$37,952.01 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$41,099.58 |
$41,099.58 |
$41,099.58 |
$5,148.00
|
|
Shoe post-op mens m
|
$42.87 |
$42.87 |
$42.87 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$136.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$38,326.67 |
$38,326.67 |
$38,326.67 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$622.05 |
$622.05 |
$622.05 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$10,871.25 |
$10,871.25 |
$10,871.25 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$7,315.10 |
$7,315.10 |
$7,315.10 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$4,687.80 |
$4,687.80 |
$4,687.80 |
$2,096.84
|
|
Shoulder X-ray
|
$455.65 |
$455.65 |
$455.65 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$455.65 |
$455.65 |
$455.65 |
$263.25
|
|
Shrinker prosth above knee
|
$230.16 |
$230.16 |
$230.16 |
$168.89
|
|
Shrinker prosth below knee
|
$178.39 |
$178.39 |
$178.39 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$3,491.77 |
$3,491.77 |
$3,491.77 |
$4,538.82
|
|
Sickling rbc
|
$36.40 |
$36.40 |
$36.40 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$6,301.00 |
$6,301.00 |
$6,301.00 |
$1,446.90
|
|
Sigmoidoscopy w/ablation
|
$585.00 |
$585.00 |
$585.00 |
$2,604.00
|
|
Sig w/tndsc balloon dilation
|
$284.00 |
$284.00 |
$284.00 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$628.40 |
$628.40 |
$628.40 |
$309.14
|
|
Sinus CT scan (with contrast)
|
$1,788.15 |
$1,788.15 |
$1,788.15 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$163.80 |
$163.80 |
$163.80 |
$346.45
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Sleeve fing rolyan med
|
$37.65 |
$37.65 |
$37.65 |
$203.58
|
|
Sleeve irr assura 1pc disp
|
$0.65 |
$0.65 |
$0.65 |
$0.65
|
|
Sling arm deluxe w/pad xs
|
$529.06 |
$529.06 |
$529.06 |
$30.35
|
|
Sling pelv split sam med
|
$165.55 |
$165.55 |
$165.55 |
$150.00
|