|
Radium ra223 dichl ther/uci
|
$507.10 |
$507.10 |
$507.10 |
$217.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$22,849.50 |
$22,849.50 |
$22,849.50 |
$13,136.04
|
|
Rapid Strep Test
|
$94.25 |
$94.25 |
$94.25 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$16,770.95 |
$16,770.95 |
$16,770.95 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$73,649.25 |
$73,649.25 |
$73,649.25 |
$41,926.70
|
|
Rbc deglycerolized each unit
|
$71.50 |
$71.50 |
$71.50 |
$856.71
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$572.00 |
$572.00 |
$572.00 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$486.20 |
$486.20 |
$486.20 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$425.10 |
$425.10 |
$425.10 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$457.60 |
$457.60 |
$457.60 |
$534.15
|
|
Red blood cells washed each unit
|
$429.00 |
$429.00 |
$429.00 |
$583.68
|
|
Remdesivir 100 mg intravenous powder for solution
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$1,555.39
|
|
Removal foreign body foot subcutaneous right
|
$815.10 |
$815.10 |
$815.10 |
$1,260.80
|
|
Renal function panel
|
$94.25 |
$94.25 |
$94.25 |
$114.37
|
|
Reslizumab 10 mg/ml intravenous solution
|
$5,680.00 |
$5,680.00 |
$5,680.00 |
$2,079.00
|
|
Reticulocyte direct measurement automated
|
$44.85 |
$44.85 |
$44.85 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$45,114.00 |
$45,114.00 |
$45,114.00 |
$23,780.31
|
|
Rezafungin 200 mg intravenous solution
|
$10,657.15 |
$10,657.15 |
$10,657.15 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$54.60 |
$54.60 |
$54.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$70.20 |
$70.20 |
$70.20 |
$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
|
$151.45 |
$151.45 |
$151.45 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$494.00 |
$494.00 |
$494.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$507.65 |
$507.65 |
$507.65 |
$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
|
$997.27 |
$997.27 |
$997.27 |
$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
|
|
Rsv assay w/optic
|
$74.10 |
$74.10 |
$74.10 |
$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
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$119.60 |
$119.60 |
$119.60 |
$109.85
|
|
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
|
|
Scope uretscp lithovue dig disp
|
$2,514.76 |
$2,514.76 |
$2,514.76 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$182.00 |
$182.00 |
$182.00 |
$85.15
|
|
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
|
|
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
|
|
Shoe post-op mens m
|
$42.87 |
$42.87 |
$42.87 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$8,225.65 |
$8,225.65 |
$8,225.65 |
$136.20
|
|
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
|
$178.63 |
$178.63 |
$178.63 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$3,209.23 |
$3,209.23 |
$3,209.23 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$659.10 |
$659.10 |
$659.10 |
$355.80
|
|
Sickling rbc
|
$50.70 |
$50.70 |
$50.70 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$628.40 |
$628.40 |
$628.40 |
$309.14
|
|
Sinus CT scan (with contrast)
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,275.30 |
$1,275.30 |
$1,275.30 |
$1,289.00
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$42,938.50 |
$42,938.50 |
$42,938.50 |
$14,361.10
|
|
Skull X-ray (complete)
|
$301.60 |
$301.60 |
$301.60 |
$417.50
|
|
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 gram stain
|
$35.75 |
$35.75 |
$35.75 |
$55.55
|
|
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
|
$34.50 |
$34.50 |
$34.50 |
$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
|
$292.60 |
$292.60 |
$292.60 |
$80.14
|
|
Sodium serum/plasma/whole blood
|
$173.00 |
$173.00 |
$173.00 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$495.00 |
$495.00 |
$495.00 |
$177.52
|
|
Speech and Language Evaluation (comprehensive)
|
$428.35 |
$428.35 |
$428.35 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$245.70 |
$245.70 |
$245.70 |
$246.87
|
|
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
|