|
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
|
$4,735.80 |
$4,735.80 |
$4,735.80 |
$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
|
|
Rsv assay w/optic
|
$30.29 |
$30.29 |
$30.29 |
$76.32
|
|
Rubella antibody igg
|
$76.70 |
$76.70 |
$76.70 |
$77.40
|
|
Rubeola antibody igg
|
$48.10 |
$48.10 |
$48.10 |
$80.00
|
|
Russell viper venom diluted
|
$81.90 |
$81.90 |
$81.90 |
$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)
|
$222.95 |
$222.95 |
$222.95 |
$314.26
|
|
Sarscov & inf vir a&b ag ia
|
$161.00 |
$161.00 |
$161.00 |
$104.00
|
|
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
|
$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 extremity veins unilateral/limited study
|
$735.80 |
$735.80 |
$735.80 |
$726.18
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$503.10 |
$503.10 |
$503.10 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Screening Colonoscopy (high risk)
|
$6,650.75 |
$6,650.75 |
$6,650.75 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$61.75 |
$61.75 |
$61.75 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$56.55 |
$56.55 |
$56.55 |
$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
|
$461.50 |
$461.50 |
$461.50 |
$310.20
|
|
Screening prostate cancer PSA
|
$129.35 |
$129.35 |
$129.35 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$776,558.25 |
$776,558.25 |
$776,558.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$542.75 |
$542.75 |
$542.75 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$558.35 |
$558.35 |
$558.35 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$44.20 |
$44.20 |
$44.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$93.60 |
$93.60 |
$93.60 |
$96.00
|
|
Semen analysis presence/motility
|
$100.75 |
$100.75 |
$100.75 |
$70.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$187.20 |
$187.20 |
$187.20 |
$314.00
|
|
Sheath gldlight lasr 12fx50cm
|
$4,727.59 |
$4,727.59 |
$4,727.59 |
$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)
|
$11,364.95 |
$11,364.95 |
$11,364.95 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$249.60 |
$249.60 |
$249.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$622.05 |
$622.05 |
$622.05 |
$286.89
|
|
Shoulder MRI (without contrast)
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$2,096.84
|
|
Shoulder X-ray
|
$386.10 |
$386.10 |
$386.10 |
$340.10
|
|
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
|
|
Sickling rbc
|
$50.70 |
$50.70 |
$50.70 |
$59.40
|
|
Sinus CT scan (without contrast)
|
$1,275.30 |
$1,275.30 |
$1,275.30 |
$1,289.00
|
|
Skin Biopsy
|
$337.00 |
$337.00 |
$337.00 |
$360.34
|
|
Sleep study attended
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$3,734.50
|
|
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
|
$9,671.50 |
$9,671.50 |
$9,671.50 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$57,456.00 |
$57,456.00 |
$57,456.00 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$50.70 |
$50.70 |
$50.70 |
$64.35
|
|
Smear gram stain
|
$35.75 |
$35.75 |
$35.75 |
$55.55
|
|
Smear nasal eosinophil
|
$37.05 |
$37.05 |
$37.05 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$64.35 |
$64.35 |
$64.35 |
$73.50
|
|
Smear wet mount
|
$41.60 |
$41.60 |
$41.60 |
$67.55
|
|
Sock wool above knee
|
$158.68 |
$158.68 |
$158.68 |
$51.18
|
|
Sodium 24 hour urine
|
$74.10 |
$74.10 |
$74.10 |
$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
|
$17.50 |
$17.50 |
$17.50 |
$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
|
$39.65 |
$39.65 |
$39.65 |
$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
|
$30.55 |
$30.55 |
$30.55 |
$22.00
|
|
Speech Therapy Session (one-on-one)
|
$245.70 |
$245.70 |
$245.70 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$182.65 |
$182.65 |
$182.65 |
$251.00
|
|
Splint arm vnyl coated padded lft med
|
$16.25 |
$16.25 |
$16.25 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$43.09 |
$43.09 |
$43.09 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$50.38 |
$50.38 |
$50.38 |
$71.44
|
|
Splint finger 4 prong foam sm
|
$0.55 |
$0.55 |
$0.55 |
$34.00
|
|
Splint finger fold over sm
|
$0.44 |
$0.44 |
$0.44 |
$146.88
|
|
Splint finger frog med
|
$0.54 |
$0.54 |
$0.54 |
$38.08
|
|
Splint fing stax assort 1-7in
|
$1.04 |
$1.04 |
$1.04 |
$5.60
|
|
Splint func pos polyflex ii med
|
$33.60 |
$33.60 |
$33.60 |
$61.64
|
|
Splint rstrc wrst/cmc right med
|
$101.18 |
$101.18 |
$101.18 |
$99.04
|
|
Sr-89 stront chlor ther / mci
|
$40,862.00 |
$40,862.00 |
$40,862.00 |
$2,515.15
|
|
Stent axios caut enh 15x10mm electrocaut
|
$32,403.15 |
$32,403.15 |
$32,403.15 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$6,063.30 |
$6,063.30 |
$6,063.30 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$18,714.49 |
$18,714.49 |
$18,714.49 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$4,918.86 |
$4,918.86 |
$4,918.86 |
$4,631.82
|
|
St evaluate speech sound production
|
$336.70 |
$336.70 |
$336.70 |
$292.95
|
|
Strap chin dlx f/cpap
|
$34.90 |
$34.90 |
$34.90 |
$34.90
|
|
Strap montgmry ns 8 hl sht 7.25 x 11.25in
|
$0.25 |
$0.25 |
$0.25 |
$5.04
|
|
Strep a ag ia
|
$37.00 |
$37.00 |
$37.00 |
$75.40
|