|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$32.63 |
$32.63 |
$32.63 |
$5,309.20
|
|
Rmvl fb upr arm/elbow deep
|
$2,562.61 |
$2,562.61 |
$2,562.61 |
$3,638.88
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$30,032.74 |
$30,032.74 |
$30,032.74 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$16,518.19 |
$16,518.19 |
$16,518.19 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$14,415.52 |
$14,415.52 |
$14,415.52 |
$24,844.79
|
|
Rmvl ndwellg tun pleural cath
|
$552.05 |
$552.05 |
$552.05 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$8,627.23 |
$8,627.23 |
$8,627.23 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,957.26 |
$5,957.26 |
$5,957.26 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$7,598.16 |
$7,598.16 |
$7,598.16 |
$10,542.00
|
|
Rmvl pq iabp
|
$400.16 |
$400.16 |
$400.16 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,184.60 |
$4,184.60 |
$4,184.60 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$940.01 |
$940.01 |
$940.01 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,861.72 |
$1,861.72 |
$1,861.72 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,737.89 |
$1,737.89 |
$1,737.89 |
$4,031.69
|
|
Romiplostim injection
|
$727.36 |
$727.36 |
$727.36 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$685.32 |
$685.32 |
$685.32 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.64 |
$0.64 |
$0.64 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$1,845.25 |
$1,845.25 |
$1,845.25 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,791.57 |
$1,791.57 |
$1,791.57 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,343.22 |
$1,343.22 |
$1,343.22 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,156.96 |
$2,156.96 |
$2,156.96 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,623.80 |
$4,623.80 |
$4,623.80 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,211.04 |
$3,211.04 |
$3,211.04 |
$3,687.00
|
|
Rubella antibody igg
|
$60.39 |
$60.39 |
$60.39 |
$77.03
|
|
Rubeola antibody igg
|
$50.63 |
$50.63 |
$50.63 |
$80.00
|
|
Russell viper venom diluted
|
$71.98 |
$71.98 |
$71.98 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$1,503.02 |
$1,503.02 |
$1,503.02 |
$5,174.32
|
|
Salmonella antibody
|
$35.99 |
$35.99 |
$35.99 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$67.10 |
$67.10 |
$67.10 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$256.20 |
$256.20 |
$256.20 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$932.69 |
$932.69 |
$932.69 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$550.22 |
$550.22 |
$550.22 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$522.16 |
$522.16 |
$522.16 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$410.53 |
$410.53 |
$410.53 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$336.72 |
$336.72 |
$336.72 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,216.34 |
$1,216.34 |
$1,216.34 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,053.47 |
$1,053.47 |
$1,053.47 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$927.20 |
$927.20 |
$927.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$397.11 |
$397.11 |
$397.11 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,182.18 |
$1,182.18 |
$1,182.18 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,058.75 |
$2,058.75 |
$2,058.75 |
$4,490.64
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$76.86 |
$76.86 |
$76.86 |
$57.60
|
|
Screening Mammogram
|
$241.56 |
$241.56 |
$241.56 |
$312.55
|
|
Screening prostate cancer PSA
|
$87.84 |
$87.84 |
$87.84 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$18,666.77 |
$18,666.77 |
$18,666.77 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$89.06 |
$89.06 |
$89.06 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$745.42 |
$745.42 |
$745.42 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$40.87 |
$40.87 |
$40.87 |
$42.00
|
|
Semen analysis presence/motility
|
$231.80 |
$231.80 |
$231.80 |
$71.05
|
|
Set radiation therapy field
|
$1,297.47 |
$1,297.47 |
$1,297.47 |
$762.40
|
|
Set radiation therapy field
|
$1,598.81 |
$1,598.81 |
$1,598.81 |
$1,157.38
|
|
Set radiation therapy field
|
$2,294.21 |
$2,294.21 |
$2,294.21 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$5,570.34 |
$5,570.34 |
$5,570.34 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$2,347.89 |
$2,347.89 |
$2,347.89 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,189.90 |
$2,189.90 |
$2,189.90 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,751.92 |
$1,751.92 |
$1,751.92 |
$2,065.05
|
|
Shoulder X-ray
|
$330.01 |
$330.01 |
$330.01 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$3,502.62 |
$3,502.62 |
$3,502.62 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$744.81 |
$744.81 |
$744.81 |
$349.20
|
|
Sialography s&i
|
$512.40 |
$512.40 |
$512.40 |
$499.20
|
|
Sickling rbc
|
$15.86 |
$15.86 |
$15.86 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$331.84 |
$331.84 |
$331.84 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$74.25 |
$74.25 |
$74.25 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,806.21 |
$1,806.21 |
$1,806.21 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,778.15 |
$1,778.15 |
$1,778.15 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,389.58 |
$1,389.58 |
$1,389.58 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$499.59 |
$499.59 |
$499.59 |
$2,489.25
|
|
Sirolimus, oral
|
$18.10 |
$18.10 |
$18.10 |
$41.25
|
|
Skin split graft addl 100sq cm 15101
|
$2,629.10 |
$2,629.10 |
$2,629.10 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$555.25 |
$555.25 |
$555.25 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$3,078.06 |
$3,078.06 |
$3,078.06 |
$3,607.50
|
|
Sleep study unattended
|
$373.32 |
$373.32 |
$373.32 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$10.51 |
$10.51 |
$10.51 |
$30.35
|
|
Sling suprapubic suburetheral
|
$5,757.03 |
$5,757.03 |
$5,757.03 |
$9,679.96
|
|
Slp pure tone screening
|
$131.76 |
$131.76 |
$131.76 |
$60.48
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$48.80 |
$48.80 |
$48.80 |
$64.20
|
|
Smear gram stain
|
$32.33 |
$32.33 |
$32.33 |
$55.25
|
|
Smear nasal eosinophil
|
$32.94 |
$32.94 |
$32.94 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$82.96 |
$82.96 |
$82.96 |
$73.15
|
|
Smear wet mount
|
$24.40 |
$24.40 |
$24.40 |
$67.49
|
|
Sock fracture or equal each
|
$26.17 |
$26.17 |
$26.17 |
$74.51
|
|
Sodium 24 hour urine
|
$45.75 |
$45.75 |
$45.75 |
$48.60
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$0.01 |
$0.01 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$0.01 |
$0.01 |
$0.01 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$0.01 |
$0.01 |
$0.01 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$3.55 |
$3.55 |
$3.55 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$55.16 |
$55.16 |
$55.16 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$17.69 |
$17.69 |
$17.69 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$1.21 |
$1.21 |
$1.21 |
$177.52
|
|
Somatropin injection
|
$170.71 |
$170.71 |
$170.71 |
$2,381.48
|
|
Special physics consult
|
$1,331.63 |
$1,331.63 |
$1,331.63 |
$725.00
|
|
Special radiation treatment
|
$2,627.88 |
$2,627.88 |
$2,627.88 |
$1,986.00
|
|
Special teletx port plan
|
$1,484.74 |
$1,484.74 |
$1,484.74 |
$1,086.99
|
|
Specific gravity body fluid
|
$16.47 |
$16.47 |
$16.47 |
$22.00
|
|
Specimen fat stain
|
$48.80 |
$48.80 |
$48.80 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$875.96 |
$875.96 |
$875.96 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$563.64 |
$563.64 |
$563.64 |
$543.26
|
|
Split blood or products
|
$150.67 |
$150.67 |
$150.67 |
$127.48
|
|
Srs linear based
|
$15,552.56 |
$15,552.56 |
$15,552.56 |
$13,585.00
|