|
Rheumatoid factor qualitative
|
$30.60 |
$30.60 |
$30.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$64.80 |
$64.80 |
$64.80 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$289.80 |
$289.80 |
$289.80 |
$243.11
|
|
Rho d immune globulin inj
|
$394.20 |
$394.20 |
$394.20 |
$217.71
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$36,988.20 |
$36,988.20 |
$36,988.20 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$15,661.80 |
$15,661.80 |
$15,661.80 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$16,305.60 |
$16,305.60 |
$16,305.60 |
$5,343.99
|
|
Rmvl fecal impaction/fb spx under anes
|
$329.40 |
$329.40 |
$329.40 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$1,822.05
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$426.00 |
$426.00 |
$426.00 |
$470.40
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,042.60 |
$3,042.60 |
$3,042.60 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$136.20 |
$136.20 |
$136.20 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$48,279.00 |
$48,279.00 |
$48,279.00 |
$15,007.16
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$694.20 |
$694.20 |
$694.20 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$930.00 |
$930.00 |
$930.00 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$835.20 |
$835.20 |
$835.20 |
$4,176.15
|
|
Rsv assay w/optic
|
$39.00 |
$39.00 |
$39.00 |
$79.38
|
|
Rubella antibody igg
|
$107.40 |
$107.40 |
$107.40 |
$77.03
|
|
Rubeola antibody igg
|
$107.40 |
$107.40 |
$107.40 |
$80.00
|
|
Russell viper venom diluted
|
$40.80 |
$40.80 |
$40.80 |
$72.54
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$75.60 |
$75.60 |
$75.60 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$96.60 |
$96.60 |
$96.60 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$53.40 |
$53.40 |
$53.40 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$684.00 |
$684.00 |
$684.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$750.20
|
|
Scan duplex extremity veins unilateral/limited study
|
$721.20 |
$721.20 |
$721.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$797.40 |
$797.40 |
$797.40 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$669.60 |
$669.60 |
$669.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$669.60 |
$669.60 |
$669.60 |
$595.35
|
|
Screening Colonoscopy (average risk)
|
$745.20 |
$745.20 |
$745.20 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$745.20 |
$745.20 |
$745.20 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$37.80 |
$37.80 |
$37.80 |
$57.60
|
|
Screening Mammogram
|
$189.60 |
$189.60 |
$189.60 |
$312.55
|
|
Screw cortex 2.0 x 10mm
|
$19,938.49 |
$19,938.49 |
$19,938.49 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$60.00 |
$60.00 |
$60.00 |
$42.00
|
|
Semen analysis w/count
|
$100.20 |
$100.20 |
$100.20 |
$56.44
|
|
Serpina1 gene
|
$397.20 |
$397.20 |
$397.20 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$7.14
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$80.40 |
$80.40 |
$80.40 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$2,065.05
|
|
Shoulder X-ray
|
$475.20 |
$475.20 |
$475.20 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$3,263.40 |
$3,263.40 |
$3,263.40 |
$4,636.80
|
|
Sickling rbc
|
$79.20 |
$79.20 |
$79.20 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$261.60 |
$261.60 |
$261.60 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$453.00 |
$453.00 |
$453.00 |
$1,078.88
|
|
Sigmoidoscopy/submucosal injection 45335
|
$309.00 |
$309.00 |
$309.00 |
$1,444.83
|
|
Sigmoidoscopy w/tumr remove
|
$434.40 |
$434.40 |
$434.40 |
$1,558.80
|
|
Sincalide 5 mcg solution for injection
|
$545.40 |
$545.40 |
$545.40 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,292.04
|
|
Skin Biopsy
|
$91.20 |
$91.20 |
$91.20 |
$360.34
|
|
Sleep study attended
|
$958.20 |
$958.20 |
$958.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,516.40 |
$2,516.40 |
$2,516.40 |
$3,607.50
|
|
Sling suprapubic suburetheral
|
$3,631.05 |
$3,631.05 |
$3,631.05 |
$9,679.96
|
|
Slp stdy unatnd w/anal
|
$494.40 |
$494.40 |
$494.40 |
$296.34
|
|
Smear fluorescent and/or acid fast stain
|
$80.40 |
$80.40 |
$80.40 |
$64.20
|
|
Smear gram stain
|
$37.20 |
$37.20 |
$37.20 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$120.60 |
$120.60 |
$120.60 |
$73.15
|
|
Sodium 24 hour urine
|
$96.60 |
$96.60 |
$96.60 |
$48.60
|
|
Sodium chloride 0.9 % IV bolus
|
$18.60 |
$18.60 |
$18.60 |
$46.00
|
|
Sodium chloride 3 % ivpb
|
$27.00 |
$27.00 |
$27.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$117.60 |
$117.60 |
$117.60 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$80.40 |
$80.40 |
$80.40 |
$45.60
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$927.00 |
$927.00 |
$927.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$486.60 |
$486.60 |
$486.60 |
$543.26
|
|
Splenectomy total open 38100
|
$1,767.00 |
$1,767.00 |
$1,767.00 |
$2,166.00
|
|
St analysis behavior qualitative voice/resonance
|
$438.00 |
$438.00 |
$438.00 |
$297.60
|
|
St evaluate speech sound production
|
$253.80 |
$253.80 |
$253.80 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$253.80 |
$253.80 |
$253.80 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$438.60 |
$438.60 |
$438.60 |
$399.60
|
|
St evaluation swallow function
|
$333.00 |
$333.00 |
$333.00 |
$314.40
|
|
Strep b dna amp probe
|
$60.00 |
$60.00 |
$60.00 |
$120.90
|
|
Stress test pulmonary
|
$286.80 |
$286.80 |
$286.80 |
$322.85
|
|
St treatment speech individual
|
$156.60 |
$156.60 |
$156.60 |
$248.84
|
|
St treatment swallow dysfunction/oral
|
$130.80 |
$130.80 |
$130.80 |
$240.31
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$64.80 |
$64.80 |
$64.80 |
$52.31
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$637.20 |
$637.20 |
$637.20 |
$7,345.98
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$247.20 |
$247.20 |
$247.20 |
$114.88
|
|
Surg dx exam anorectal
|
$100.20 |
$100.20 |
$100.20 |
$3,245.23
|
|
Surgical pathology level 1 gross examination only
|
$47.40 |
$47.40 |
$47.40 |
$79.50
|
|
Surgical pathology level 2 gross & microscopic examination
|
$54.60 |
$54.60 |
$54.60 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$107.40 |
$107.40 |
$107.40 |
$181.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$88.20 |
$88.20 |
$88.20 |
$239.85
|
|
Surgical pathology level 5 gross & microscopic examination
|
$165.60 |
$165.60 |
$165.60 |
$480.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$325.20 |
$325.20 |
$325.20 |
$718.00
|
|
Susceptibility agar dilution per agent
|
$58.80 |
$58.80 |
$58.80 |
$45.45
|
|
Susceptibility mic per plate
|
$120.60 |
$120.60 |
$120.60 |
$106.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$36.00 |
$36.00 |
$36.00 |
$41.60
|
