|
Rituximab-arrx 10 mg/ml intravenous solution
|
$4,405.85 |
$4,405.85 |
$4,405.85 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$4,405.85 |
$4,405.85 |
$4,405.85 |
|
|
R&l hrt cath chd abnl nt cnj
|
$5,505.20 |
$5,505.20 |
$5,505.20 |
|
|
R&l hrt cath chd nml nt cnj
|
$5,505.20 |
$5,505.20 |
$5,505.20 |
|
|
Rmv implant contraceptive capsule 11976
|
$284.15 |
$284.15 |
$284.15 |
|
|
Rmvl fb upr arm/elbow deep
|
$4,905.45 |
$4,905.45 |
$4,905.45 |
|
|
Rmvl icd by tv extr
|
$4,423.30 |
$4,423.30 |
$4,423.30 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$42,732.75 |
$42,732.75 |
$42,732.75 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$60,906.50 |
$60,906.50 |
$60,906.50 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$41,883.85 |
$41,883.85 |
$41,883.85 |
|
|
Rmvl icd pulse gen only
|
$11,058.35 |
$11,058.35 |
$11,058.35 |
|
|
Rmvl ndwellg tun pleural cath
|
$1,571.95 |
$1,571.95 |
$1,571.95 |
|
|
Rmvl perm pm pulse gen
|
$15,692.55 |
$15,692.55 |
$15,692.55 |
|
|
Rmvl perq right heart vad
|
$1,418.30 |
$1,418.30 |
$1,418.30 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$34,900.50 |
$34,900.50 |
$34,900.50 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$18,598.30 |
$18,598.30 |
$18,598.30 |
|
|
Rmvl pq iabp
|
$3,456.05 |
$3,456.05 |
$3,456.05 |
|
|
Rmvl pq vad left hrt vein sep session
|
$1,418.30 |
$1,418.30 |
$1,418.30 |
|
|
Rmvl sq defib electrode
|
$4,423.30 |
$4,423.30 |
$4,423.30 |
|
|
Rmvl subq card rhythm mntr
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
|
|
Rmvl tv pm lead dual
|
$11,058.35 |
$11,058.35 |
$11,058.35 |
|
|
Rmvl tv pm lead sgl
|
$6,418.05 |
$6,418.05 |
$6,418.05 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$19,758.40 |
$19,758.40 |
$19,758.40 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,830.46 |
$1,830.46 |
$1,830.46 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,585.25 |
$2,585.25 |
$2,585.25 |
|
|
Rp loclzj tum 2+area 1+d img
|
$1,301.85 |
$1,301.85 |
$1,301.85 |
|
|
Rp loclzj tum spect w/ct 1
|
$2,631.00 |
$2,631.00 |
$2,631.00 |
|
|
Rp loclzj tum spect w/ct 2
|
$2,984.55 |
$2,984.55 |
$2,984.55 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,585.25 |
$2,585.25 |
$2,585.25 |
|
|
Rpl tun-cvad w subq port
|
$6,993.00 |
$6,993.00 |
$6,993.00 |
|
|
Rpl tun cvc wo subq port
|
$5,826.15 |
$5,826.15 |
$5,826.15 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$12,440.55 |
$12,440.55 |
$12,440.55 |
|
|
Rubella antibody igg
|
$181.85 |
$181.85 |
$181.85 |
|
|
Rubeola antibody igg
|
$160.90 |
$160.90 |
$160.90 |
|
|
Russell viper venom diluted
|
$120.45 |
$120.45 |
$120.45 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$9,018.80 |
$9,018.80 |
$9,018.80 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$607.60 |
$607.60 |
$607.60 |
|
|
Salivary glnd img serial img
|
$871.70 |
$871.70 |
$871.70 |
|
|
Same day nb discharge 99463
|
$724.00 |
$724.00 |
$724.00 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$353.60 |
$353.60 |
$353.60 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$146.55 |
$146.55 |
$146.55 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$193.65 |
$193.65 |
$193.65 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$96.80 |
$96.80 |
$96.80 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,755.05 |
$2,755.05 |
$2,755.05 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,506.65 |
$1,506.65 |
$1,506.65 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,012.70 |
$1,012.70 |
$1,012.70 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,581.50 |
$1,581.50 |
$1,581.50 |
|
|
Sclerotherapy fluid collection pq w/img
|
$4,631.85 |
$4,631.85 |
$4,631.85 |
|
|
Scope uretscp lithovue dig disp
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
|
|
Screening hepatitis b non-obstetric high risk
|
$833.75 |
$833.75 |
$833.75 |
|
|
Screening Mammogram
|
$1,036.15 |
$1,036.15 |
$1,036.15 |
|
|
Screw cortex 2.0 x 10mm
|
$25,750.00 |
$25,750.00 |
$25,750.00 |
|
|
Scrotal (Testicle) Ultrasound
|
$821.60 |
$821.60 |
$821.60 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,367.05 |
$9,367.05 |
$9,367.05 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$273.00 |
$273.00 |
$273.00 |
|
|
Sedimentation rate erythrocyte automated
|
$118.25 |
$118.25 |
$118.25 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$190.35 |
$190.35 |
$190.35 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$25.30 |
$25.30 |
$25.30 |
|
|
Semen analysis presence/motility
|
$175.10 |
$175.10 |
$175.10 |
|
|
Set radiation therapy field
|
$448.05 |
$448.05 |
$448.05 |
|
|
Set radiation therapy field
|
$1,025.85 |
$1,025.85 |
$1,025.85 |
|
|
Set radiation therapy field
|
$1,238.90 |
$1,238.90 |
$1,238.90 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$347.95 |
$347.95 |
$347.95 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$347.95 |
$347.95 |
$347.95 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$144.00 |
$144.00 |
$144.00 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$400.65 |
$400.65 |
$400.65 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$194.35 |
$194.35 |
$194.35 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$115.75 |
$115.75 |
$115.75 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$115.75 |
$115.75 |
$115.75 |
|
|
Sheath gldlight lasr 12fx50cm
|
$17,773.65 |
$17,773.65 |
$17,773.65 |
|
|
Sheath laser cavaclear 14f
|
$18,485.85 |
$18,485.85 |
$18,485.85 |
|
|
Shoe post-op mens m
|
$149.85 |
$149.85 |
$149.85 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$161.95 |
$161.95 |
$161.95 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$683.75 |
$683.75 |
$683.75 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$503.65 |
$503.65 |
$503.65 |
|
|
Shoulder MRI (with and without contrast)
|
$6,736.70 |
$6,736.70 |
$6,736.70 |
|
|
Shoulder MRI (with contrast)
|
$3,989.15 |
$3,989.15 |
$3,989.15 |
|
|
Shoulder MRI (without contrast)
|
$3,614.95 |
$3,614.95 |
$3,614.95 |
|
|
Shoulder X-ray
|
$411.95 |
$411.95 |
$411.95 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$393.95 |
$393.95 |
$393.95 |
|
|
Shunt glaucoma baerveldt 350mm
|
$795.00 |
$795.00 |
$795.00 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$507.40 |
$507.40 |
$507.40 |
|
|
Sialography s&i
|
$879.05 |
$879.05 |
$879.05 |
|
|
Sickling rbc
|
$89.70 |
$89.70 |
$89.70 |
|
|
Sigmoidoscopy flex decompression 45337
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
|
|
Signal avg ecg w or without ecg 93278
|
$493.35 |
$493.35 |
$493.35 |
|
|
Sincalide 5 mcg solution for injection
|
$1,328.04 |
$1,328.04 |
$1,328.04 |
|
|
Sinus CT scan (with and without contrast)
|
$2,481.90 |
$2,481.90 |
$2,481.90 |
|
|
Sinus CT scan (with contrast)
|
$1,987.35 |
$1,987.35 |
$1,987.35 |
|
|
Sinus CT scan (without contrast)
|
$1,728.30 |
$1,728.30 |
$1,728.30 |
|
|
Sinus/juglr venogram s&i
|
$9,131.70 |
$9,131.70 |
$9,131.70 |
|
|
Sinus X-ray (complete)
|
$534.95 |
$534.95 |
$534.95 |
|
|
Sinus X-ray (limited)
|
$431.85 |
$431.85 |
$431.85 |
|
|
Sirolimus, oral
|
$27.21 |
$27.21 |
$27.21 |
|
|
Skin Biopsy
|
$600.90 |
$600.90 |
$600.90 |
|
|
Skull X-ray (1 to 3 views)
|
$441.85 |
$441.85 |
$441.85 |
|
|
Skull X-ray (complete)
|
$562.75 |
$562.75 |
$562.75 |
|
|
Skyla, 13.5 mg
|
$4,710.04 |
$4,710.04 |
$4,710.04 |
|