|
Romiplostim 125 mcg subcutaneous solution
|
$11.00 |
$11.00 |
$11.00 |
$6,761.39
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$12.00 |
$12.00 |
$7,141.65
|
|
Rotavirus antibody
|
$18.23 |
$18.23 |
$18.23 |
$38.40
|
|
Routine footcare pt w lops
|
$220.12 |
$220.12 |
$220.12 |
$235.13
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$23.16 |
$23.16 |
$23.16 |
$23,286.44
|
|
Rplcm oi implt sk tc esp<100
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$15,219.83
|
|
Rplcmt oi implt skl prq esp
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,359.08
|
|
Rplc oi implt sk tc esp>=100
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$14,241.77
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,720.93 |
$1,720.93 |
$1,720.93 |
$2,204.24
|
|
Rp loclzj tum 2+area 1+d img
|
$445.16 |
$445.16 |
$445.16 |
$1,462.61
|
|
Rp loclzj tum spect w/ct 1
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$1,615.86 |
$1,615.86 |
$1,615.86 |
$3,055.65
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,720.93 |
$1,720.93 |
$1,720.93 |
$2,171.75
|
|
Rpl tun-cvad w subq port
|
$3,486.86 |
$3,486.86 |
$3,486.86 |
$4,429.16
|
|
Rpl tun-cvad w subq pump
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$3,486.86 |
$3,486.86 |
$3,486.86 |
$3,802.20
|
|
Rpr aa hrn 1st > 10 rdc
|
$6,912.52 |
$6,912.52 |
$6,912.52 |
$4,500.75
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$5,419.00
|
|
Rpr aa hrn 1st 3-10 rdc
|
$6,912.52 |
$6,912.52 |
$6,912.52 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$4,176.15
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$6,311.00
|
|
Rpr aa hrn rcr 3-10 rdc
|
$6,912.52 |
$6,912.52 |
$6,912.52 |
$4,500.75
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$5,339.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$3,986.00
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$4,923.20
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$5,836.04
|
|
Rpr choanal atresia ntranasl
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,339.00
|
|
Rpr choanal atresia trsnpltn
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,311.00
|
|
Rpr fem hernia init blocked
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$3,909.56
|
|
Rpr hern preemie reduc
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$5,074.24
|
|
Rpr hypspad comp dsj & urtp
|
$5,631.74 |
$5,631.74 |
$5,631.74 |
$5,419.00
|
|
Rpr hypspad comp simple
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Rpr ing hernia baby blocked
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$3,919.49
|
|
Rpr ing hernia baby reduc
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$3,919.49
|
|
Rpr ing hernia init blocked
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$6,912.52 |
$6,912.52 |
$6,912.52 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$4,176.15
|
|
Rpr intst excl anrect fist
|
$3,038.07 |
$3,038.07 |
$3,038.07 |
$3,245.23
|
|
Rpr nsl vlv collapse w/implt
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$7,000.36
|
|
Rpr nsl vlv collapse w/rmdlg
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,966.64
|
|
Rpr&refit spct prsth aphakia
|
$65.80 |
$65.80 |
$65.80 |
$65.80
|
|
Rpr rem hernia init reduce
|
$3,909.56 |
$3,909.56 |
$3,909.56 |
$3,856.84
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,110.00
|
|
Rp therapy unlisted px
|
$248.30 |
$248.30 |
$248.30 |
$320.85
|
|
Rrp hypspad comp moblj&urtp
|
$10,244.18 |
$10,244.18 |
$10,244.18 |
$5,339.00
|
|
Rsv assay w/optic
|
$13.10 |
$13.10 |
$13.10 |
$70.85
|
|
Rtm 1st set-up&pt educaj eqp
|
$142.76 |
$142.76 |
$142.76 |
$172.50
|
|
Rtm dev sply mscskl 16-30 d
|
$41.31 |
$41.31 |
$41.31 |
$65.65
|
|
Rtm dev sply resp sys 16-30d
|
$41.31 |
$41.31 |
$41.31 |
$44.13
|
|
Rubella antibody igg
|
$14.39 |
$14.39 |
$14.39 |
$73.10
|
|
Rubeola antibody igg
|
$12.88 |
$12.88 |
$12.88 |
$80.00
|
|
Russell viper venom diluted
|
$9.58 |
$9.58 |
$9.58 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$917.08 |
$917.08 |
$917.08 |
$1,100.50
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$36.26 |
$36.26 |
$36.26 |
$5,468.53
|
|
Salivary gland function exam
|
$445.16 |
$445.16 |
$445.16 |
$549.70
|
|
Salivary gland imaging
|
$445.16 |
$445.16 |
$445.16 |
$549.70
|
|
Salivary glnd img serial img
|
$445.16 |
$445.16 |
$445.16 |
$585.00
|
|
Salmonella antibody
|
$13.19 |
$13.19 |
$13.19 |
$37.77
|
|
Salpingostomy 58770
|
$3,522.35 |
$3,522.35 |
$3,522.35 |
$3,840.20
|
|
Same day nb discharge 99463
|
$142.76 |
$142.76 |
$142.76 |
$183.07
|
|
Sargramostim injection
|
$56.09 |
$56.09 |
$56.09 |
$451.34
|
|
Sars-cov-2 antb quantitative
|
$51.43 |
$51.43 |
$51.43 |
$51.43
|
|
Sarscov coronavirus ag ia
|
$35.33 |
$35.33 |
$35.33 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$70.29 |
$70.29 |
$70.29 |
$92.93
|
|
S bowel endoscope w/stent
|
$6,594.64 |
$6,594.64 |
$6,594.64 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$267.78 |
$267.78 |
$267.78 |
$1,000.00
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$117.81 |
$117.81 |
$117.81 |
$653.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$267.78 |
$267.78 |
$267.78 |
$799.42
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$117.81 |
$117.81 |
$117.81 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$117.81 |
$117.81 |
$117.81 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$117.81 |
$117.81 |
$117.81 |
$735.80
|
|
Scan duplex lower extremity arteries complete bilateral
|
$267.78 |
$267.78 |
$267.78 |
$975.00
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$117.81 |
$117.81 |
$117.81 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$117.81 |
$117.81 |
$117.81 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,743.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$43.97 |
$43.97 |
$43.97 |
$43.97
|
|
Scr c/v cyto,thinlayer,rescr
|
$26.49 |
$26.49 |
$26.49 |
$66.30
|
|
Screen cerv/vag thin layer
|
$20.26 |
$20.26 |
$20.26 |
$39.51
|
|
Screening Colonoscopy (average risk)
|
$1,010.01 |
$1,010.01 |
$1,010.01 |
$1,440.00
|
|
Screening Colonoscopy (high risk)
|
$1,010.01 |
$1,010.01 |
$1,010.01 |
$1,615.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$18.05 |
$18.05 |
$18.05 |
$30.24
|
|
Screening hepatitis b non-obstetric high risk
|
$28.27 |
$28.27 |
$28.27 |
$31.10
|
|
Screening hepatitis c antibody high risk
|
$46.35 |
$46.35 |
$46.35 |
$46.35
|
|
Screening HIV antigen/antibody combination assay
|
$24.08 |
$24.08 |
$24.08 |
$26.49
|
|
Screening Mammogram
|
$169.06 |
$169.06 |
$169.06 |
$297.50
|
|
Screening prostate cancer PSA
|
$19.31 |
$19.31 |
$19.31 |
$81.31
|
|
Screen pap by tech w md supv
|
$18.19 |
$18.19 |
$18.19 |
$27.65
|
|
Sc ther infusion reset pump
|
$78.84 |
$78.84 |
$78.84 |
$125.46
|
|
Sedimentation rate erythrocyte automated
|
$2.70 |
$2.70 |
$2.70 |
$44.20
|
|
Select picture audiometry
|
$65.80 |
$65.80 |
$65.80 |
$81.12
|
|
Self-meas bp pt educaj/train
|
$27.13 |
$27.13 |
$27.13 |
$39.77
|
|
Semen analysis presence/motility
|
$12.05 |
$12.05 |
$12.05 |
$71.05
|
|
Semen analysis w/count
|
$8.61 |
$8.61 |
$8.61 |
$56.44
|
|
Sensorimotor examination
|
$65.80 |
$65.80 |
$65.80 |
$81.12
|
|
Sensorineural acuity lvl tst
|
$43.48 |
$43.48 |
$43.48 |
$51.36
|
|
Separate eyelid adhesions
|
$2,584.50 |
$2,584.50 |
$2,584.50 |
$2,760.73
|
|
Sept9 promoter methylation analysis
|
$192.00 |
$192.00 |
$192.00 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,855.00
|
|
Sequestrectomy radial h/n
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
