|
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
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,864.85 |
$1,864.85 |
$1,864.85 |
$2,217.76
|
|
Rp loclzj tum spect w/ct 1
|
$3,285.10 |
$3,285.10 |
$3,285.10 |
$2,566.53
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,012.40 |
$2,012.40 |
$2,012.40 |
$2,175.36
|
|
Rpl tun cvc wo subq port
|
$6,314.75 |
$6,314.75 |
$6,314.75 |
$3,724.63
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$38,050.82 |
$38,050.82 |
$38,050.82 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$46,260.26 |
$46,260.26 |
$46,260.26 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$40,317.93 |
$40,317.93 |
$40,317.93 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$36,884.88 |
$36,884.88 |
$36,884.88 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$81,569.71 |
$81,569.71 |
$81,569.71 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$50,959.11 |
$50,959.11 |
$50,959.11 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 rdc
|
$33,292.44 |
$33,292.44 |
$33,292.44 |
$4,271.28
|
|
Rpr rem hernia init reduce
|
$41,581.51 |
$41,581.51 |
$41,581.51 |
$3,906.18
|
|
Rsv assay w/optic
|
$84.50 |
$84.50 |
$84.50 |
$75.96
|
|
Rubella antibody igg
|
$67.60 |
$67.60 |
$67.60 |
$77.50
|
|
Rubeola antibody igg
|
$42.25 |
$42.25 |
$42.25 |
$80.00
|
|
Russell viper venom diluted
|
$232.05 |
$232.05 |
$232.05 |
$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 |
$314.79
|
|
Sargramostim injection
|
$1,573.15 |
$1,573.15 |
$1,573.15 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$122.85 |
$122.85 |
$122.85 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$162.50 |
$162.50 |
$162.50 |
$104.00
|
|
Sbrt management
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$1,156.00
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$165.00 |
$165.00 |
$165.00 |
$106.38
|
|
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 |
$67.60
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$662.35 |
$662.35 |
$662.35 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$87.10 |
$87.10 |
$87.10 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$720.85 |
$720.85 |
$720.85 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$367.90 |
$367.90 |
$367.90 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$421.20 |
$421.20 |
$421.20 |
$595.35
|
|
Scan proc cranial extra
|
$54,774.79 |
$54,774.79 |
$54,774.79 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$706.00 |
$706.00 |
$706.00 |
$1,015.00
|
|
Scan proc spinal
|
$89,605.12 |
$89,605.12 |
$89,605.12 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$1,645.15 |
$1,645.15 |
$1,645.15 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$6,118.74 |
$6,118.74 |
$6,118.74 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$13,035.80 |
$13,035.80 |
$13,035.80 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$13,131.60 |
$13,131.60 |
$13,131.60 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$735.00 |
$735.00 |
$735.00 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$49.40 |
$49.40 |
$49.40 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$65.00 |
$65.00 |
$65.00 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$42.30
|
|
Screening Mammogram
|
$281.45 |
$281.45 |
$281.45 |
$310.20
|
|
Screening prostate cancer PSA
|
$122.20 |
$122.20 |
$122.20 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$10.00 |
$10.00 |
$10.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$776,558.25 |
$776,558.25 |
$776,558.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$544.05 |
$544.05 |
$544.05 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,565.00 |
$6,565.00 |
$6,565.00 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$12,724.00 |
$12,724.00 |
$12,724.00 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$50.05 |
$50.05 |
$50.05 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$74.10 |
$74.10 |
$74.10 |
$96.60
|
|
Self-meas bp 2 readg bid 30d
|
$37.00 |
$37.00 |
$37.00 |
$11.30
|
|
Semen analysis presence/motility
|
$41.60 |
$41.60 |
$41.60 |
$70.40
|
|
Semen analysis w/count
|
$68.90 |
$68.90 |
$68.90 |
$56.44
|
|
Set radiation therapy field
|
$835.25 |
$835.25 |
$835.25 |
$782.61
|
|
Set radiation therapy field
|
$1,823.90 |
$1,823.90 |
$1,823.90 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$1.50 |
$1.50 |
$1.50 |
$7.14
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$260.06 |
$260.06 |
$260.06 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$157.95 |
$157.95 |
$157.95 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$260.00 |
$260.00 |
$260.00 |
$436.64
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$157.95 |
$157.95 |
$157.95 |
$268.47
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$1,529.00 |
$1,529.00 |
$1,529.00 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$1,399.00 |
$1,399.00 |
$1,399.00 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$1,189.00 |
$1,189.00 |
$1,189.00 |
$286.89
|
|
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
|
|
Sho arthrs srg bicp tenodsis
|
$77,386.95 |
$77,386.95 |
$77,386.95 |
$4,950.40
|
|
Sho arthrs srg lmtd dbrdmt
|
$63,336.26 |
$63,336.26 |
$63,336.26 |
$4,807.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$60,456.75 |
$60,456.75 |
$60,456.75 |
$5,148.00
|
|
Shoe post-op mens m
|
$42.87 |
$42.87 |
$42.87 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$3,712.30 |
$3,712.30 |
$3,712.30 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$225.55 |
$225.55 |
$225.55 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$70,167.83 |
$70,167.83 |
$70,167.83 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$266.50 |
$266.50 |
$266.50 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,465.45 |
$2,465.45 |
$2,465.45 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$3,214.90 |
$3,214.90 |
$3,214.90 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,550.25 |
$1,550.25 |
$1,550.25 |
$2,088.20
|
|
Shoulder X-ray
|
$782.00 |
$782.00 |
$782.00 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$343.20 |
$343.20 |
$343.20 |
$264.00
|
|
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
|
$33.15 |
$33.15 |
$33.15 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$13,774.50 |
$13,774.50 |
$13,774.50 |
$1,446.90
|
|
Signal avg ecg w or without ecg 93278
|
$232.05 |
$232.05 |
$232.05 |
$280.00
|
|
Simple cystometrogram 51725
|
$1,309.75 |
$1,309.75 |
$1,309.75 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$407.75 |
$407.75 |
$407.75 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,295.45 |
$1,295.45 |
$1,295.45 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,760.85 |
$1,760.85 |
$1,760.85 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,597.70 |
$1,597.70 |
$1,597.70 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,081.00 |
$3,081.00 |
$3,081.00 |
$2,517.48
|
|
Sinusotomy maxillary sinus 31020
|
$56,881.64 |
$56,881.64 |
$56,881.64 |
$2,616.15
|
|
Sinus X-ray (complete)
|
$214.50 |
$214.50 |
$214.50 |
$347.10
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Skin Biopsy
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$361.20
|