|
Red blood cells each unit
|
$299.00 |
$299.00 |
$299.00 |
$380.25
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$956.15 |
$956.15 |
$956.15 |
$537.70
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$624.65 |
$624.65 |
$624.65 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$421.20 |
$421.20 |
$421.20 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$475.80 |
$475.80 |
$475.80 |
$645.45
|
|
Red blood cells washed each unit
|
$536.25 |
$536.25 |
$536.25 |
$561.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$97.50 |
$97.50 |
$97.50 |
$115.07
|
|
Rem/biv cast full arm/leg
|
$139.10 |
$139.10 |
$139.10 |
$320.25
|
|
Removal central venous catheter tunneled without port/pump
|
$539.50 |
$539.50 |
$539.50 |
$1,538.15
|
|
Removal cerumen impacted (both sides)
|
$266.50 |
$266.50 |
$266.50 |
$161.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$217.10 |
$217.10 |
$217.10 |
$236.64
|
|
Removal embedded foreign body vestibule mouth smpl
|
$579.80 |
$579.80 |
$579.80 |
$838.33
|
|
Removal foreign body foot subcutaneous right
|
$924.30 |
$924.30 |
$924.30 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$790.40 |
$790.40 |
$790.40 |
$1,735.00
|
|
Removal of breast lesion
|
$3,428.75 |
$3,428.75 |
$3,428.75 |
$4,631.50
|
|
Removal of foreign body
|
$1,101.75 |
$1,101.75 |
$1,101.75 |
$4,149.00
|
|
Removal of hydrocele
|
$13,000.90 |
$13,000.90 |
$13,000.90 |
$3,909.56
|
|
Removal of urethra gland
|
$5,132.35 |
$5,132.35 |
$5,132.35 |
$3,820.84
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$283.40 |
$283.40 |
$283.40 |
$313.53
|
|
Remove foreign body from eye
|
$2,565.55 |
$2,565.55 |
$2,565.55 |
$3,173.34
|
|
Remove hip foreign body 27086
|
$576.55 |
$576.55 |
$576.55 |
$1,496.00
|
|
Remove nerve lesion
|
$7,654.84 |
$7,654.84 |
$7,654.84 |
$2,232.80
|
|
Remove skin nerve lesion 64788
|
$1,431.95 |
$1,431.95 |
$1,431.95 |
$2,161.44
|
|
Renal function panel
|
$156.00 |
$156.00 |
$156.00 |
$95.76
|
|
Repair blood vessel dir lower extr
|
$2,161.25 |
$2,161.25 |
$2,161.25 |
$2,000.88
|
|
Repair blood vessel dir upper extr
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$4,341.66
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$6,234.18 |
$6,234.18 |
$6,234.18 |
$1,156.00
|
|
Repair dental ellis ii fx
|
$282.75 |
$282.75 |
$282.75 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$2,479.03
|
|
Repair eyelid wound
|
$724.75 |
$724.75 |
$724.75 |
$2,675.25
|
|
Repair eyelid wound
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$2,947.20
|
|
Repair finger/hand tendon
|
$3,319.55 |
$3,319.55 |
$3,319.55 |
$3,545.97
|
|
Repair lip full thkns =<one-half vert height
|
$899.60 |
$899.60 |
$899.60 |
$1,245.60
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$1,810.85
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,096.25 |
$2,096.25 |
$2,096.25 |
$3,398.40
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$744.25 |
$744.25 |
$744.25 |
$1,026.40
|
|
Repair rpr lip full thickness vermilion only
|
$995.15 |
$995.15 |
$995.15 |
$1,255.30
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,162.85 |
$1,162.85 |
$1,162.85 |
$3,469.79
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,107.95 |
$2,107.95 |
$2,107.95 |
$4,410.60
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$432.25 |
$432.25 |
$432.25 |
$504.12
|
|
Replace tunneled cv cath
|
$1,493.05 |
$1,493.05 |
$1,493.05 |
$3,768.90
|
|
Reptilase test
|
$70.20 |
$70.20 |
$70.20 |
$65.72
|
|
#resp virpnl dfa-adenovirus
|
$60.45 |
$60.45 |
$60.45 |
$62.40
|
|
#resp virpnl dfa-parainfluenza
|
$59.80 |
$59.80 |
$59.80 |
$44.40
|
|
Resuscitation cardiopulmonary
|
$742.30 |
$742.30 |
$742.30 |
$895.44
|
|
Resuscitation delivery/birthing room
|
$508.95 |
$508.95 |
$508.95 |
$726.60
|
|
Reticulated platelet assay
|
$75.40 |
$75.40 |
$75.40 |
$68.69
|
|
Reticulocyte automated
|
$52.65 |
$52.65 |
$52.65 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$69.55 |
$69.55 |
$69.55 |
$32.50
|
|
Rf abltj nrv nrvtg si jt
|
$3,460.60 |
$3,460.60 |
$3,460.60 |
$2,509.91
|
|
Rheumatoid factor qualitative
|
$72.80 |
$72.80 |
$72.80 |
$54.60
|
|
Rheumatoid factor quantitative
|
$74.75 |
$74.75 |
$74.75 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$431.34 |
$431.34 |
$431.34 |
$345.07
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$28,483.16 |
$28,483.16 |
$28,483.16 |
$20.29
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$2,462.12 |
$2,462.12 |
$2,462.12 |
$201.92
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$17,191.76 |
$17,191.76 |
$17,191.76 |
$17,105.60
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$2,216.58 |
$2,216.58 |
$2,216.58 |
$1,848.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$1,880.15 |
$1,880.15 |
$1,880.15 |
$196.20
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,880.15 |
$1,880.15 |
$1,880.15 |
$31.05
|
|
Rmv implant contraceptive capsule 11976
|
$312.00 |
$312.00 |
$312.00 |
$846.42
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$12,983.75 |
$12,983.75 |
$12,983.75 |
$498.40
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,046.01 |
$7,046.01 |
$7,046.01 |
$25.95
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,728.40 |
$6,728.40 |
$6,728.40 |
$5,400.67
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$8.12 |
$8.12 |
$8.12 |
$60.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$601.25 |
$601.25 |
$601.25 |
$2,193.60
|
|
Rp loclzj tum spect w/ct 1
|
$3,523.00 |
$3,523.00 |
$3,523.00 |
$2,505.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$1,212.25 |
$1,212.25 |
$1,212.25 |
$4,115.61
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$10,333.97 |
$10,333.97 |
$10,333.97 |
$3,849.30
|
|
Rpr aa hrn 1st 3-10 rdc
|
$10,354.78 |
$10,354.78 |
$10,354.78 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$9,094.68 |
$9,094.68 |
$9,094.68 |
$4,000.83
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$8,493.43 |
$8,493.43 |
$8,493.43 |
$6,397.53
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$29,533.53 |
$29,533.53 |
$29,533.53 |
$3,104.80
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$12,983.75 |
$12,983.75 |
$12,983.75 |
$2,148.00
|
|
Rsv assay w/optic
|
$116.35 |
$116.35 |
$116.35 |
$64.13
|
|
Rtm 1st set-up&pt educaj eqp
|
$208.65 |
$208.65 |
$208.65 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$65.65 |
$65.65 |
$65.65 |
$78.65
|
|
Rubella antibody igg
|
$110.50 |
$110.50 |
$110.50 |
$73.05
|
|
Rubeola antibody igg
|
$131.30 |
$131.30 |
$131.30 |
$80.00
|
|
Russell viper venom diluted
|
$104.65 |
$104.65 |
$104.65 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,839.55 |
$6,839.55 |
$6,839.55 |
$1,441.80
|
|
Sargramostim injection
|
$710.18 |
$710.18 |
$710.18 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$68.90 |
$68.90 |
$68.90 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$134.55 |
$134.55 |
$134.55 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$998.40 |
$998.40 |
$998.40 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$703.30 |
$703.30 |
$703.30 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$943.15 |
$943.15 |
$943.15 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$563.55 |
$563.55 |
$563.55 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$53.30 |
$53.30 |
$53.30 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$897.65 |
$897.65 |
$897.65 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$635.05 |
$635.05 |
$635.05 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$603.20 |
$603.20 |
$603.20 |
$527.80
|
|
Scr c/v cyto,thinlayer,rescr
|
$87.10 |
$87.10 |
$87.10 |
$76.70
|
|
Screening Mammogram
|
$289.90 |
$289.90 |
$289.90 |
$287.12
|
|
Screening prostate cancer PSA
|
$109.20 |
$109.20 |
$109.20 |
$96.00
|
|
Sedimentation rate erythrocyte automated
|
$44.20 |
$44.20 |
$44.20 |
$37.80
|
|
Semen analysis presence/motility
|
$118.95 |
$118.95 |
$118.95 |
$79.92
|
|
Sertraline (zoloft) - sendout
|
$234.65 |
$234.65 |
$234.65 |
$178.33
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$196.95 |
$196.95 |
$196.95 |
$284.88
|
