|
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
|
|
Rmv implant contraceptive capsule 11976
|
$723.45 |
$723.45 |
$723.45 |
$846.42
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$709.00 |
$709.00 |
$709.00 |
$470.40
|
|
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
|
|
Rp loclzj tum spect w/ct 1
|
$3,118.05 |
$3,118.05 |
$3,118.05 |
$2,556.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$1,982.40
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$21,593.36 |
$21,593.36 |
$21,593.36 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$20,966.06 |
$20,966.06 |
$20,966.06 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$18,152.52 |
$18,152.52 |
$18,152.52 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$4,418.00 |
$4,418.00 |
$4,418.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$1,663.20
|
|
Rpr fem hernia init blocked
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$4,176.15
|
|
Rubella antibody igg
|
$77.35 |
$77.35 |
$77.35 |
$77.40
|
|
Rubeola antibody igg
|
$128.05 |
$128.05 |
$128.05 |
$80.00
|
|
Russell viper venom diluted
|
$349.70 |
$349.70 |
$349.70 |
$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)
|
$295.10 |
$295.10 |
$295.10 |
$314.26
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$321.00 |
$321.00 |
$321.00 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$165.00 |
$165.00 |
$165.00 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$221.00 |
$221.00 |
$221.00 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$105.00 |
$105.00 |
$105.00 |
$67.84
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$692.90 |
$692.90 |
$692.90 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$650.00 |
$650.00 |
$650.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$514.80 |
$514.80 |
$514.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$486.20 |
$486.20 |
$486.20 |
$597.35
|
|
Scan proc cranial extra
|
$26,150.60 |
$26,150.60 |
$26,150.60 |
$2,366.00
|
|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$8,660.27 |
$8,660.27 |
$8,660.27 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$8,635.22 |
$8,635.22 |
$8,635.22 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$141.05 |
$141.05 |
$141.05 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$89.70 |
$89.70 |
$89.70 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$85.80 |
$85.80 |
$85.80 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$96.85 |
$96.85 |
$96.85 |
$42.30
|
|
Screening Mammogram
|
$352.95 |
$352.95 |
$352.95 |
$310.20
|
|
Screening prostate cancer PSA
|
$118.30 |
$118.30 |
$118.30 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$776,558.25 |
$776,558.25 |
$776,558.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$857.35 |
$857.35 |
$857.35 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$194.35 |
$194.35 |
$194.35 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$44.20 |
$44.20 |
$44.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$96.00
|
|
Semen analysis presence/motility
|
$41.60 |
$41.60 |
$41.60 |
$70.40
|
|
Sertraline (zoloft) - sendout
|
$222.95 |
$222.95 |
$222.95 |
$126.43
|
|
Set radiation therapy field
|
$1,110.85 |
$1,110.85 |
$1,110.85 |
$782.61
|
|
Set radiation therapy field
|
$1,728.35 |
$1,728.35 |
$1,728.35 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$0.01 |
$0.01 |
$0.01 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$0.03 |
$0.03 |
$0.03 |
$21.42
|
|
Sheath gldlight lasr 12fx50cm
|
$4,725.71 |
$4,725.71 |
$4,725.71 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$5,815.06 |
$5,815.06 |
$5,815.06 |
$7,143.32
|
|
Shoe post-op mens m
|
$42.87 |
$42.87 |
$42.87 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$235.95 |
$235.95 |
$235.95 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$169.00 |
$169.00 |
$169.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$408.85 |
$408.85 |
$408.85 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,715.10 |
$4,715.10 |
$4,715.10 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,125.85 |
$3,125.85 |
$3,125.85 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,237.30 |
$2,237.30 |
$2,237.30 |
$2,096.84
|
|
Shoulder X-ray
|
$741.00 |
$741.00 |
$741.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$315.25 |
$315.25 |
$315.25 |
$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
|
$3,209.23 |
$3,209.23 |
$3,209.23 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$361.40 |
$361.40 |
$361.40 |
$355.80
|
|
Sickling rbc
|
$85.80 |
$85.80 |
$85.80 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$651.10 |
$651.10 |
$651.10 |
$309.14
|
|
Sinus CT scan (with contrast)
|
$1,847.30 |
$1,847.30 |
$1,847.30 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,461.85 |
$1,461.85 |
$1,461.85 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$347.10 |
$347.10 |
$347.10 |
$346.45
|
|
Sinus X-ray (limited)
|
$165.10 |
$165.10 |
$165.10 |
$215.40
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Skull X-ray (1 to 3 views)
|
$272.35 |
$272.35 |
$272.35 |
$294.45
|
|
Skull X-ray (complete)
|
$423.15 |
$423.15 |
$423.15 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$3,734.50
|
|
Sleep study unattended
|
$565.00 |
$565.00 |
$565.00 |
$594.00
|
|
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
|
|
Sling suprapubic suburetheral
|
$9,679.96 |
$9,679.96 |
$9,679.96 |
$9,679.96
|
|
Slp pure tone screening
|
$34.45 |
$34.45 |
$34.45 |
$64.50
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$532.35 |
$532.35 |
$532.35 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$61.75 |
$61.75 |
$61.75 |
$64.35
|
|
Smear gram stain
|
$55.90 |
$55.90 |
$55.90 |
$55.55
|
|
Smear nasal eosinophil
|
$27.30 |
$27.30 |
$27.30 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$44.20 |
$44.20 |
$44.20 |
$73.50
|
|
Smear wet mount
|
$56.55 |
$56.55 |
$56.55 |
$67.55
|
|
Sock wool above knee
|
$158.68 |
$158.68 |
$158.68 |
$51.18
|
|
Sodium 24 hour urine
|
$46.15 |
$46.15 |
$46.15 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$11,906.96 |
$11,906.96 |
$11,906.96 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$22.50 |
$22.50 |
$22.50 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$34.50 |
$34.50 |
$34.50 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$35.00 |
$35.00 |
$35.00 |
$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
|
$53.30 |
$53.30 |
$53.30 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$495.00 |
$495.00 |
$495.00 |
$177.52
|