|
Revision of eyelid
|
$3,826.20 |
$3,826.20 |
$3,826.20 |
$2,760.73
|
|
Rheumatoid factor quantitative
|
$87.60 |
$87.60 |
$87.60 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$735.06 |
$735.06 |
$735.06 |
$243.11
|
|
Rho d immune globulin inj
|
$735.06 |
$735.06 |
$735.06 |
$217.71
|
|
Rib gusset (elastic) each
|
$206.74 |
$206.74 |
$206.74 |
$161.95
|
|
Ring flange plas/leather mol
|
$753.39 |
$753.39 |
$753.39 |
$669.31
|
|
Ring flange plastic/leather
|
$449.35 |
$449.35 |
$449.35 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$2,311.94 |
$2,311.94 |
$2,311.94 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$54,223.32 |
$54,223.32 |
$54,223.32 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$23,957.76 |
$23,957.76 |
$23,957.76 |
$9,301.22
|
|
Rmvl pq iabp
|
$2,925.60 |
$2,925.60 |
$2,925.60 |
$1,008.04
|
|
Rocker bottom, contact afo
|
$229.85 |
$229.85 |
$229.85 |
$210.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$11,356.98 |
$11,356.98 |
$11,356.98 |
$4,820.04
|
|
Rsv assay w/optic
|
$118.20 |
$118.20 |
$118.20 |
$79.38
|
|
Rubella antibody igg
|
$126.60 |
$126.60 |
$126.60 |
$77.03
|
|
Rubeola antibody igg
|
$76.20 |
$76.20 |
$76.20 |
$80.00
|
|
Russell viper venom diluted
|
$98.40 |
$98.40 |
$98.40 |
$72.54
|
|
Sarscov coronavirus ag ia
|
$49.20 |
$49.20 |
$49.20 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$976.80 |
$976.80 |
$976.80 |
$662.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$889.80 |
$889.80 |
$889.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$802.80 |
$802.80 |
$802.80 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$905.40 |
$905.40 |
$905.40 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$15,351.69 |
$15,351.69 |
$15,351.69 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$83.40 |
$83.40 |
$83.40 |
$85.15
|
|
Screen cerv/vag thin layer
|
$83.40 |
$83.40 |
$83.40 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$4,177.38 |
$4,177.38 |
$4,177.38 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$3,860.10 |
$3,860.10 |
$3,860.10 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$60.00
|
|
Screening Mammogram
|
$391.20 |
$391.20 |
$391.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$147.00 |
$147.00 |
$147.00 |
$100.63
|
|
Screen pap by tech w md supv
|
$29.40 |
$29.40 |
$29.40 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$283,203.20 |
$283,203.20 |
$283,203.20 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$38.40 |
$38.40 |
$38.40 |
$42.00
|
|
Semen analysis presence/motility
|
$172.80 |
$172.80 |
$172.80 |
$71.05
|
|
Sept9 promoter methylation analysis
|
$364.20 |
$364.20 |
$364.20 |
$316.68
|
|
Serpina1 gene
|
$115.80 |
$115.80 |
$115.80 |
$197.00
|
|
Sewho cap design without jnts cf
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$1,685.60
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$399.60 |
$399.60 |
$399.60 |
$314.00
|
|
Sheath below knee
|
$38.15 |
$38.15 |
$38.15 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$8,725.53 |
$8,725.53 |
$8,725.53 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,107.98 |
$13,107.98 |
$13,107.98 |
$7,625.52
|
|
Shoe clubfoot wedge
|
$117.35 |
$117.35 |
$117.35 |
$111.56
|
|
Shoe dennis browne splint bo
|
$102.37 |
$102.37 |
$102.37 |
$93.52
|
|
Shoe heel new leather standa
|
$96.31 |
$96.31 |
$96.31 |
$88.03
|
|
Shoe heel new rubber standar
|
$81.30 |
$81.30 |
$81.30 |
$63.70
|
|
Shoe heel pad & depress for
|
$147.43 |
$147.43 |
$147.43 |
$149.60
|
|
Shoe heel sach cushion type
|
$249.70 |
$249.70 |
$249.70 |
$228.09
|
|
Shoe heel thomas extend to b
|
$147.43 |
$147.43 |
$147.43 |
$134.68
|
|
Shoe heel thomas with wedge
|
$138.50 |
$138.50 |
$138.50 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$175.19 |
$175.19 |
$175.19 |
$175.04
|
|
Shoe metatarsal bar between
|
$219.65 |
$219.65 |
$219.65 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$96.31 |
$96.31 |
$96.31 |
$69.03
|
|
Shoe outflare wedge
|
$117.35 |
$117.35 |
$117.35 |
$107.24
|
|
Shoe post-op mens m
|
$288.67 |
$288.67 |
$288.67 |
$52.20
|
|
Shoe sole wedge between sole
|
$117.35 |
$117.35 |
$117.35 |
$107.24
|
|
Shoe sole wedge outside sole
|
$84.24 |
$84.24 |
$84.24 |
$77.00
|
|
Shoe wedge sach
|
$201.67 |
$201.67 |
$201.67 |
$171.44
|
|
Sho heel count plast reinfor
|
$379.18 |
$379.18 |
$379.18 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,224.38 |
$1,224.38 |
$1,224.38 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$123.39 |
$123.39 |
$123.39 |
$111.14
|
|
Shoulder MRI (with and without contrast)
|
$2,829.60 |
$2,829.60 |
$2,829.60 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,433.00 |
$2,433.00 |
$2,433.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,179.80 |
$2,179.80 |
$2,179.80 |
$2,065.05
|
|
Shoulder X-ray
|
$459.00 |
$459.00 |
$459.00 |
$339.50
|
|
Shrinker prosth above knee
|
$199.81 |
$199.81 |
$199.81 |
$168.89
|
|
Shrinker prosth below knee
|
$140.56 |
$140.56 |
$140.56 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$7,610.24 |
$7,610.24 |
$7,610.24 |
$4,636.80
|
|
Sickling rbc
|
$49.20 |
$49.20 |
$49.20 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$616.50 |
$616.50 |
$616.50 |
$307.58
|
|
Sinus CT scan (with contrast)
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$991.80 |
$991.80 |
$991.80 |
$1,292.04
|
|
Sio flex pelvisacral custom
|
$632.41 |
$632.41 |
$632.41 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$418.75 |
$418.75 |
$418.75 |
$418.75
|
|
Sirolimus, oral
|
$41.70 |
$41.70 |
$41.70 |
$41.25
|
|
Skin Biopsy
|
$250.80 |
$250.80 |
$250.80 |
$360.34
|
|
Sleep study attended
|
$3,273.00 |
$3,273.00 |
$3,273.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,072.20 |
$4,072.20 |
$4,072.20 |
$3,607.50
|
|
Sleep study unattended
|
$513.00 |
$513.00 |
$513.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$459.47 |
$459.47 |
$459.47 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$28.39 |
$28.39 |
$28.39 |
$30.35
|
|
Sling pelv split sam med
|
$204.01 |
$204.01 |
$204.01 |
$150.00
|
|
Sling suprapubic suburetheral
|
$17,842.81 |
$17,842.81 |
$17,842.81 |
$9,679.96
|
|
Slp ther svc non-spch gen
|
$108.00 |
$108.00 |
$108.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$43.20 |
$43.20 |
$43.20 |
$64.20
|
|
Smear gram stain
|
$36.60 |
$36.60 |
$36.60 |
$55.25
|
|
Smear nasal eosinophil
|
$60.60 |
$60.60 |
$60.60 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$49.80 |
$49.80 |
$49.80 |
$73.15
|
|
Smear wet mount
|
$37.80 |
$37.80 |
$37.80 |
$67.49
|
|
Smpd1 gene common variants
|
$330.60 |
$330.60 |
$330.60 |
$133.84
|
|
Snrpn/ube3a gene
|
$252.60 |
$252.60 |
$252.60 |
$231.85
|
|
So airplane w/wo joint cf
|
$2,545.34 |
$2,545.34 |
$2,545.34 |
$1,276.80
|
|
So cap design without jnts cf
|
$1,940.30 |
$1,940.30 |
$1,940.30 |
$606.35
|
|
Socket insert without lock mech
|
$1,286.05 |
$1,286.05 |
$1,286.05 |
$1,192.50
|
|
Sock fracture or equal each
|
$71.96 |
$71.96 |
$71.96 |
$74.51
|
|
Sodium 24 hour urine
|
$43.20 |
$43.20 |
$43.20 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$37.80 |
$37.80 |
$37.80 |
$46.00
|
