|
Ring ostmy barr adapt 48mm
|
$0.51 |
$0.51 |
$0.51 |
$5.20
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$30,071.50 |
$30,071.50 |
$30,071.50 |
$30,071.50
|
|
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 > 10 rdc
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$6,311.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$18,866.98 |
$18,866.98 |
$18,866.98 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$7,798.00 |
$7,798.00 |
$7,798.00 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$16,133.70 |
$16,133.70 |
$16,133.70 |
$4,500.75
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$6,545.00 |
$6,545.00 |
$6,545.00 |
$1,663.20
|
|
Rsv assay w/optic
|
$30.42 |
$30.42 |
$30.42 |
$76.32
|
|
Rubella antibody igg
|
$118.00 |
$118.00 |
$118.00 |
$77.40
|
|
Rubeola antibody igg
|
$74.00 |
$74.00 |
$74.00 |
$80.00
|
|
Russell viper venom diluted
|
$126.00 |
$126.00 |
$126.00 |
$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)
|
$343.00 |
$343.00 |
$343.00 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$122.48 |
$122.48 |
$122.48 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$161.00 |
$161.00 |
$161.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$328.00 |
$328.00 |
$328.00 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$166.79 |
$166.79 |
$166.79 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$228.00 |
$228.00 |
$228.00 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$105.00 |
$105.00 |
$105.00 |
$67.84
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$655.00 |
$655.00 |
$655.00 |
$497.68
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$726.18
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$774.00 |
$774.00 |
$774.00 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$3,868.86 |
$3,868.86 |
$3,868.86 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$8,544.25 |
$8,544.25 |
$8,544.25 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$7,366.50 |
$7,366.50 |
$7,366.50 |
$2,249.00
|
|
Screening hepatitis b non-obstetric high risk
|
$87.00 |
$87.00 |
$87.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$132.00 |
$132.00 |
$132.00 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$149.00 |
$149.00 |
$149.00 |
$42.30
|
|
Screening Mammogram
|
$710.00 |
$710.00 |
$710.00 |
$310.20
|
|
Screening pap smear by phys
|
$67.00 |
$67.00 |
$67.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$199.00 |
$199.00 |
$199.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$1,194,705.00 |
$1,194,705.00 |
$1,194,705.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$835.00 |
$835.00 |
$835.00 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$859.00 |
$859.00 |
$859.00 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$68.00 |
$68.00 |
$68.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$144.00 |
$144.00 |
$144.00 |
$96.00
|
|
Semen analysis presence/motility
|
$155.00 |
$155.00 |
$155.00 |
$70.40
|
|
Sheath gldlight lasr 12fx50cm
|
$7,277.64 |
$7,277.64 |
$7,277.64 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$8,946.25 |
$8,946.25 |
$8,946.25 |
$7,143.32
|
|
Sho arthrs srg bicp tenodsis
|
$2,946.00 |
$2,946.00 |
$2,946.00 |
$4,950.40
|
|
Sho arthrs srg xtnsv dbrdmt
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$5,148.00
|
|
Shoe post-op mens m
|
$65.95 |
$65.95 |
$65.95 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$522.90 |
$522.90 |
$522.90 |
$136.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$3,671.00 |
$3,671.00 |
$3,671.00 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$957.00 |
$957.00 |
$957.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$9,476.00 |
$9,476.00 |
$9,476.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$8,070.00 |
$8,070.00 |
$8,070.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$5,936.00 |
$5,936.00 |
$5,936.00 |
$2,096.84
|
|
Shoulder X-ray
|
$594.00 |
$594.00 |
$594.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$461.00 |
$461.00 |
$461.00 |
$263.25
|
|
Shrinker prosth above knee
|
$354.09 |
$354.09 |
$354.09 |
$168.89
|
|
Shrinker prosth below knee
|
$274.45 |
$274.45 |
$274.45 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$4,937.28 |
$4,937.28 |
$4,937.28 |
$4,538.82
|
|
Sickling rbc
|
$78.00 |
$78.00 |
$78.00 |
$59.40
|
|
Sigmoidoscopy w/tumr remove
|
$437.00 |
$437.00 |
$437.00 |
$1,645.43
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$356.50 |
$356.50 |
$356.50 |
$1,976.25
|
|
Sincalide 5 mcg solution for injection
|
$407.75 |
$407.75 |
$407.75 |
$309.14
|
|
Sinus CT scan (with contrast)
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$375.00 |
$375.00 |
$375.00 |
$346.45
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Skin Biopsy
|
$337.00 |
$337.00 |
$337.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$297.00 |
$297.00 |
$297.00 |
$294.45
|
|
Skull X-ray (complete)
|
$464.00 |
$464.00 |
$464.00 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$6,002.00 |
$6,002.00 |
$6,002.00 |
$3,734.50
|
|
Sleep study unattended
|
$832.00 |
$832.00 |
$832.00 |
$594.00
|
|
Sleeve fing rolyan med
|
$57.93 |
$57.93 |
$57.93 |
$203.58
|
|
Sleeve irr assura 1pc disp
|
$1.00 |
$1.00 |
$1.00 |
$0.65
|
|
Sling arm deluxe w/pad xs
|
$813.94 |
$813.94 |
$813.94 |
$30.35
|
|
Sling pelv split sam med
|
$254.70 |
$254.70 |
$254.70 |
$150.00
|
|
Sling suprapubic suburetheral
|
$14,879.23 |
$14,879.23 |
$14,879.23 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$585.00 |
$585.00 |
$585.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$78.00 |
$78.00 |
$78.00 |
$64.35
|
|
Smear gram stain
|
$339.00 |
$339.00 |
$339.00 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$99.00 |
$99.00 |
$99.00 |
$73.50
|
|
Sock wool above knee
|
$244.12 |
$244.12 |
$244.12 |
$51.18
|
|
Sodium 24 hour urine
|
$114.00 |
$114.00 |
$114.00 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$25.00 |
$25.00 |
$25.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$22.50 |
$22.50 |
$22.50 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$43.00 |
$43.00 |
$43.00 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$30.00 |
$30.00 |
$30.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$40.85 |
$40.85 |
$40.85 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$61.00 |
$61.00 |
$61.00 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$495.00 |
$495.00 |
$495.00 |
$177.52
|
|
Specific gravity body fluid
|
$47.00 |
$47.00 |
$47.00 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$659.00 |
$659.00 |
$659.00 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$378.00 |
$378.00 |
$378.00 |
$246.87
|
|
Splint arm vnyl coated padded lft med
|
$25.00 |
$25.00 |
$25.00 |
$48.00
|
