|
Rituximab 10 mg/ml concentrate,intravenous
|
$19,729.92 |
$19,729.92 |
$19,729.92 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$9,463.44 |
$9,463.44 |
$9,463.44 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$11,259.57 |
$11,259.57 |
$11,259.57 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$11,229.96 |
$11,229.96 |
$11,229.96 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$499.80 |
$499.80 |
$499.80 |
$846.42
|
|
Rmvl fb upr arm/elbow deep
|
$1,282.68 |
$1,282.68 |
$1,282.68 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$837.48 |
$837.48 |
$837.48 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$517.44 |
$517.44 |
$517.44 |
$1,822.05
|
|
Romiplostim injection
|
$5,008.00 |
$5,008.00 |
$5,008.00 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,520.74 |
$5,520.74 |
$5,520.74 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$376.32 |
$376.32 |
$376.32 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$25,410.00 |
$25,410.00 |
$25,410.00 |
$15,007.16
|
|
Rp loclzj tum 2+area 1+d img
|
$1,519.56 |
$1,519.56 |
$1,519.56 |
$1,310.00
|
|
Rpr aa hrn 1st 3-10 rdc
|
$6,687.24 |
$6,687.24 |
$6,687.24 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$3,890.88 |
$3,890.88 |
$3,890.88 |
$4,500.75
|
|
Rpr fem hernia init blocked
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$4,176.15
|
|
Rpr rem hernia init reduce
|
$1,309.56 |
$1,309.56 |
$1,309.56 |
$3,906.18
|
|
Rsv assay w/optic
|
$30.24 |
$30.24 |
$30.24 |
$79.38
|
|
Rubella antibody igg
|
$148.68 |
$148.68 |
$148.68 |
$77.03
|
|
Rubeola antibody igg
|
$99.12 |
$99.12 |
$99.12 |
$80.00
|
|
Russell viper venom diluted
|
$194.04 |
$194.04 |
$194.04 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$10,348.64 |
$10,348.64 |
$10,348.64 |
$5,174.32
|
|
Sarscov coronavirus ag ia
|
$88.20 |
$88.20 |
$88.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$333.48 |
$333.48 |
$333.48 |
$104.00
|
|
S bowel endoscope w/stent
|
$958.44 |
$958.44 |
$958.44 |
$4,379.25
|
|
Sbsq nursing facil care/day new problem 25 min
|
$214.20 |
$214.20 |
$214.20 |
$144.30
|
|
Sbsq psyc collab care mgmt
|
$93.24 |
$93.24 |
$93.24 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$756.84 |
$756.84 |
$756.84 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,741.32 |
$1,741.32 |
$1,741.32 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$984.48 |
$984.48 |
$984.48 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,180.20 |
$1,180.20 |
$1,180.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,046.64 |
$1,046.64 |
$1,046.64 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,190.28 |
$1,190.28 |
$1,190.28 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$892.92 |
$892.92 |
$892.92 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$682.92 |
$682.92 |
$682.92 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,245.72 |
$1,245.72 |
$1,245.72 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$1,580.04 |
$1,580.04 |
$1,580.04 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$134.40 |
$134.40 |
$134.40 |
$85.15
|
|
Screening Colonoscopy (average risk)
|
$1,794.24 |
$1,794.24 |
$1,794.24 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$819.84 |
$819.84 |
$819.84 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$63.00 |
$63.00 |
$63.00 |
$57.60
|
|
Screening Mammogram
|
$330.96 |
$330.96 |
$330.96 |
$312.55
|
|
Screening prostate cancer PSA
|
$176.40 |
$176.40 |
$176.40 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$25,705.06 |
$25,705.06 |
$25,705.06 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$94.08 |
$94.08 |
$94.08 |
$42.00
|
|
Semen analysis presence/motility
|
$91.56 |
$91.56 |
$91.56 |
$71.05
|
|
Semen analysis w/count
|
$213.36 |
$213.36 |
$213.36 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$280.56 |
$280.56 |
$280.56 |
$126.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$236.04 |
$236.04 |
$236.04 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$178.92 |
$178.92 |
$178.92 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$352.80 |
$352.80 |
$352.80 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$175.56 |
$175.56 |
$175.56 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$256.20 |
$256.20 |
$256.20 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$1,039.92 |
$1,039.92 |
$1,039.92 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$1,145.76 |
$1,145.76 |
$1,145.76 |
$269.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$407.40 |
$407.40 |
$407.40 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$131.04 |
$131.04 |
$131.04 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$633.36 |
$633.36 |
$633.36 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$7,670.63 |
$7,670.63 |
$7,670.63 |
$6,570.70
|
|
Shoe post-op mens m
|
$126.76 |
$126.76 |
$126.76 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$3,617.88 |
$3,617.88 |
$3,617.88 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,180.24 |
$3,180.24 |
$3,180.24 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,917.32 |
$2,917.32 |
$2,917.32 |
$2,065.05
|
|
Shoulder X-ray
|
$330.96 |
$330.96 |
$330.96 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$4,823.28 |
$4,823.28 |
$4,823.28 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$514.08 |
$514.08 |
$514.08 |
$349.20
|
|
Sickling rbc
|
$97.44 |
$97.44 |
$97.44 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$1,871.52 |
$1,871.52 |
$1,871.52 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$267.96 |
$267.96 |
$267.96 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,219.68 |
$1,219.68 |
$1,219.68 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$714.00 |
$714.00 |
$714.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$5,769.12 |
$5,769.12 |
$5,769.12 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$673.68 |
$673.68 |
$673.68 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$360.36 |
$360.36 |
$360.36 |
$3,692.00
|
|
Sigmoidoscopy w/tumr remove
|
$728.28 |
$728.28 |
$728.28 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$290.64 |
$290.64 |
$290.64 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$397.32 |
$397.32 |
$397.32 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,900.08 |
$1,900.08 |
$1,900.08 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$1,132.32 |
$1,132.32 |
$1,132.32 |
$1,901.90
|
|
Sincalide 5 mcg solution for injection
|
$511.18 |
$511.18 |
$511.18 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,963.52 |
$2,963.52 |
$2,963.52 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,516.64 |
$2,516.64 |
$2,516.64 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$1,292.04
|
|
Sirolimus, oral
|
$9,964.76 |
$9,964.76 |
$9,964.76 |
$41.25
|
|
Skin Biopsy
|
$225.12 |
$225.12 |
$225.12 |
$360.34
|
|
Skyla, 13.5 mg
|
$3,058.41 |
$3,058.41 |
$3,058.41 |
$1,643.47
|
|
Sleep study attended
|
$1,636.32 |
$1,636.32 |
$1,636.32 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,494.84 |
$4,494.84 |
$4,494.84 |
$3,607.50
|
|
Sleep study unattended
|
$484.68 |
$484.68 |
$484.68 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$81.65 |
$81.65 |
$81.65 |
$30.35
|
|
Sling suprapubic suburetheral
|
$7,927.71 |
$7,927.71 |
$7,927.71 |
$9,679.96
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$225.12 |
$225.12 |
$225.12 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$280.56 |
$280.56 |
$280.56 |
$285.09
|
|
Slp pure tone screening
|
$29.40 |
$29.40 |
$29.40 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$68.88 |
$68.88 |
$68.88 |
$296.34
|
|
Slp ther svc non-spch gen
|
$581.28 |
$581.28 |
$581.28 |
$188.50
|
|
Sm-153 lexidron ther
|
$35,553.84 |
$35,553.84 |
$35,553.84 |
$7,320.12
|
|
Small bowel endoscopy
|
$336.00 |
$336.00 |
$336.00 |
$2,463.36
|
