|
Ring flange plastic/leather
|
$300.50 |
$300.50 |
$300.50 |
$410.59
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,173.95 |
$2,173.95 |
$2,173.95 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$7,187.33 |
$7,187.33 |
$7,187.33 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,846.67 |
$4,846.67 |
$4,846.67 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$4,051.48 |
$4,051.48 |
$4,051.48 |
$5,309.20
|
|
Rocker bottom, contact afo
|
$153.72 |
$153.72 |
$153.72 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$6,014.15 |
$6,014.15 |
$6,014.15 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,929.39 |
$4,929.39 |
$4,929.39 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,210.20 |
$4,210.20 |
$4,210.20 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$57.93 |
$57.93 |
$57.93 |
$188.16
|
|
Rotation wrst with cable lock
|
$838.38 |
$838.38 |
$838.38 |
$798.00
|
|
Round caliper and plate atta
|
$150.70 |
$150.70 |
$150.70 |
$120.40
|
|
Rpl tun-cvad w subq port
|
$2,282.95 |
$2,282.95 |
$2,282.95 |
$4,738.00
|
|
Rsv assay w/optic
|
$48.94 |
$48.94 |
$48.94 |
$76.32
|
|
Rtm 1st set-up&pt educaj eqp
|
$15.57 |
$15.57 |
$15.57 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$46.82 |
$46.82 |
$46.82 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$46.82 |
$46.82 |
$46.82 |
$67.80
|
|
Rubella antibody igg
|
$44.91 |
$44.91 |
$44.91 |
$77.40
|
|
Rubeola antibody igg
|
$69.66 |
$69.66 |
$69.66 |
$80.00
|
|
Russell viper venom diluted
|
$202.05 |
$202.05 |
$202.05 |
$73.03
|
|
Sach foot, replacement
|
$344.34 |
$344.34 |
$344.34 |
$288.40
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$171.81 |
$171.81 |
$171.81 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$214.03 |
$214.03 |
$214.03 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$559.66 |
$559.66 |
$559.66 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$559.66 |
$559.66 |
$559.66 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$497.34 |
$497.34 |
$497.34 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$932.40 |
$932.40 |
$932.40 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$745.98 |
$745.98 |
$745.98 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$559.55 |
$559.55 |
$559.55 |
$597.35
|
|
Scap thorac prosth tiss shap
|
$7,739.31 |
$7,739.31 |
$7,739.31 |
$6,563.20
|
|
Scr c/v cyto,thinlayer,rescr
|
$91.50 |
$91.50 |
$91.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$153.72 |
$153.72 |
$153.72 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$46.09 |
$46.09 |
$46.09 |
$57.60
|
|
Screening Mammogram
|
$286.83 |
$286.83 |
$286.83 |
$310.20
|
|
Screening prostate cancer PSA
|
$87.36 |
$87.36 |
$87.36 |
$101.60
|
|
Scrotal (Testicle) Ultrasound
|
$735.62 |
$735.62 |
$735.62 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$189.11 |
$189.11 |
$189.11 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$46.37 |
$46.37 |
$46.37 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$65.46 |
$65.46 |
$65.46 |
$96.00
|
|
Semen analysis presence/motility
|
$45.25 |
$45.25 |
$45.25 |
$70.40
|
|
Sewhfo airplane without jnts cf
|
$2,419.65 |
$2,419.65 |
$2,419.65 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$2,856.67 |
$2,856.67 |
$2,856.67 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$2,711.74 |
$2,711.74 |
$2,711.74 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$2,419.65 |
$2,419.65 |
$2,419.65 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$2,856.67 |
$2,856.67 |
$2,856.67 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$2,856.67 |
$2,856.67 |
$2,856.67 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$2,419.65 |
$2,419.65 |
$2,419.65 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$2,711.74 |
$2,711.74 |
$2,711.74 |
$1,890.00
|
|
Sewho erbs palsey design abd
|
$1,038.86 |
$1,038.86 |
$1,038.86 |
$988.40
|
|
Sheath above knee
|
$32.65 |
$32.65 |
$32.65 |
$30.80
|
|
Sheath below knee
|
$24.86 |
$24.86 |
$24.86 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$5,054.11 |
$5,054.11 |
$5,054.11 |
$6,570.70
|
|
Sheath upper limb
|
$33.82 |
$33.82 |
$33.82 |
$28.00
|
|
Shlder disart int lock elbow
|
$6,803.16 |
$6,803.16 |
$6,803.16 |
$5,586.00
|
|
Shldr disar prosth tiss shap
|
$6,932.58 |
$6,932.58 |
$6,932.58 |
$5,717.60
|
|
Shoe clubfoot wedge
|
$78.51 |
$78.51 |
$78.51 |
$111.56
|
|
Shoe dennis browne splint bo
|
$68.43 |
$68.43 |
$68.43 |
$93.52
|
|
Shoe heel new leather standa
|
$64.46 |
$64.46 |
$64.46 |
$88.03
|
|
Shoe heel new rubber standar
|
$54.38 |
$54.38 |
$54.38 |
$63.70
|
|
Shoe heel pad & depress for
|
$170.30 |
$170.30 |
$170.30 |
$149.60
|
|
Shoe heel sach cushion type
|
$166.99 |
$166.99 |
$166.99 |
$228.09
|
|
Shoe heel thomas extend to b
|
$98.56 |
$98.56 |
$98.56 |
$134.68
|
|
Shoe heel thomas with wedge
|
$92.62 |
$92.62 |
$92.62 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$128.80 |
$128.80 |
$128.80 |
$175.04
|
|
Shoe metatarsal bar between
|
$146.83 |
$146.83 |
$146.83 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$64.46 |
$64.46 |
$64.46 |
$69.03
|
|
Shoe outflare wedge
|
$78.51 |
$78.51 |
$78.51 |
$107.24
|
|
Shoe post-op mens m
|
$25.20 |
$25.20 |
$25.20 |
$53.20
|
|
Shoe sole wedge between sole
|
$78.51 |
$78.51 |
$78.51 |
$107.24
|
|
Shoe sole wedge outside sole
|
$56.28 |
$56.28 |
$56.28 |
$66.00
|
|
Shoe wedge sach
|
$134.90 |
$134.90 |
$134.90 |
$171.44
|
|
Sho heel count plast reinfor
|
$253.57 |
$253.57 |
$253.57 |
$346.47
|
|
Sho insert w arch toe filler
|
$908.71 |
$908.71 |
$908.71 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$82.49 |
$82.49 |
$82.49 |
$111.14
|
|
Shot (Injection into Muscle or Under the Skin)
|
$58.63 |
$58.63 |
$58.63 |
$136.20
|
|
Shoulder abduction joint pai
|
$533.79 |
$533.79 |
$533.79 |
$316.40
|
|
Shoulder AC Joint X-ray (both sides)
|
$171.81 |
$171.81 |
$171.81 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$171.81 |
$171.81 |
$171.81 |
$286.89
|
|
Shoulder flexion-abduction j
|
$577.30 |
$577.30 |
$577.30 |
$478.80
|
|
Shoulder lock actuator
|
$823.37 |
$823.37 |
$823.37 |
$574.00
|
|
Shoulder MRI (with and without contrast)
|
$2,825.93 |
$2,825.93 |
$2,825.93 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,825.93 |
$2,825.93 |
$2,825.93 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,018.46 |
$2,018.46 |
$2,018.46 |
$2,096.84
|
|
Shoulder universal joint
|
$626.14 |
$626.14 |
$626.14 |
$509.60
|
|
Shoulder X-ray
|
$245.45 |
$245.45 |
$245.45 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$245.45 |
$245.45 |
$245.45 |
$263.25
|
|
Shrinker prosth above knee
|
$105.11 |
$105.11 |
$105.11 |
$168.89
|
|
Shrinker prosth below knee
|
$73.86 |
$73.86 |
$73.86 |
$105.12
|
|
Shrinker upper limb
|
$97.10 |
$97.10 |
$97.10 |
$109.50
|
|
Sickling rbc
|
$170.58 |
$170.58 |
$170.58 |
$59.40
|
|
Sincalide 5 mcg solution for injection
|
$268.84 |
$268.84 |
$268.84 |
$309.14
|
|
Single pivot hinge pair
|
$370.16 |
$370.16 |
$370.16 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,192.13 |
$1,192.13 |
$1,192.13 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$171.81 |
$171.81 |
$171.81 |
$346.45
|
|
Sinus X-ray (limited)
|
$171.81 |
$171.81 |
$171.81 |
$215.40
|
|
Sio flex pelvisacral custom
|
$422.91 |
$422.91 |
$422.91 |
$561.79
|
|
Skin Biopsy
|
$353.19 |
$353.19 |
$353.19 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$257.66 |
$257.66 |
$257.66 |
$294.45
|