|
Reptilase test
|
$311.00 |
$311.00 |
$311.00 |
$65.65
|
|
Rerepair ing hernia reduce
|
$7,256.74 |
$7,256.74 |
$7,256.74 |
$3,986.00
|
|
Reslizumab 10 mg/ml intravenous solution
|
$382.20 |
$382.20 |
$382.20 |
$2,196.50
|
|
Respirator motion mgmt simul
|
$4,122.00 |
$4,122.00 |
$4,122.00 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$91.00 |
$91.00 |
$91.00 |
$48.00
|
|
Resp virus 6-11 targets
|
$635.00 |
$635.00 |
$635.00 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$5,469.00 |
$5,469.00 |
$5,469.00 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$2,356.00 |
$2,356.00 |
$2,356.00 |
$797.29
|
|
Reticulated platelet assay
|
$28.00 |
$28.00 |
$28.00 |
$63.08
|
|
Reticulocyte automated
|
$112.00 |
$112.00 |
$112.00 |
$54.60
|
|
Revise breast reconst 19380
|
$9,598.61 |
$9,598.61 |
$9,598.61 |
$5,668.64
|
|
Revision of knee joint
|
$8,093.12 |
$8,093.12 |
$8,093.12 |
$12,836.37
|
|
Rheumatoid factor qualitative
|
$150.00 |
$150.00 |
$150.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$145.00 |
$145.00 |
$145.00 |
$58.00
|
|
Rho d immune globulin 50 mcg
|
$115.26 |
$115.26 |
$115.26 |
$124.10
|
|
Rho(d) immune globulin h, sd
|
$1,069.69 |
$1,069.69 |
$1,069.69 |
$1,467.90
|
|
Rho d immune globulin inj
|
$252.46 |
$252.46 |
$252.46 |
$287.82
|
|
Riboflavin 5'phos opth<=3ml
|
$21,000.00 |
$21,000.00 |
$21,000.00 |
$6,477.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$3,541.90 |
$3,541.90 |
$3,541.90 |
$18,265.61
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,226.58 |
$3,226.58 |
$3,226.58 |
$2,453.83
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$328.83 |
$328.83 |
$328.83 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$1,967.35 |
$1,967.35 |
$1,967.35 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$207.75 |
$207.75 |
$207.75 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$173.67 |
$173.67 |
$173.67 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$185.90 |
$185.90 |
$185.90 |
$5,831.80
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$38,457.94 |
$38,457.94 |
$38,457.94 |
$34,798.50
|
|
Rmvl subq card rhythm mntr
|
$27,133.06 |
$27,133.06 |
$27,133.06 |
$1,991.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$11,195.28 |
$11,195.28 |
$11,195.28 |
$7,626.51
|
|
Romiplostim 125 mcg subcutaneous solution
|
$18,351.59 |
$18,351.59 |
$18,351.59 |
$8,971.89
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,744.91 |
$3,744.91 |
$3,744.91 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.59 |
$0.59 |
$0.59 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$3,597.00 |
$3,597.00 |
$3,597.00 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$5,667.00 |
$5,667.00 |
$5,667.00 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$6,428.00 |
$6,428.00 |
$6,428.00 |
$3,074.50
|
|
Rpl tun-cvad w subq port
|
$10,562.00 |
$10,562.00 |
$10,562.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$10,562.00 |
$10,562.00 |
$10,562.00 |
$4,201.80
|
|
Rpr aa hrn 1st > 10 rdc
|
$11,271.38 |
$11,271.38 |
$11,271.38 |
$4,500.75
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$8,962.96 |
$8,962.96 |
$8,962.96 |
$5,419.00
|
|
Rpr aa hrn 1st 3-10 rdc
|
$8,762.23 |
$8,762.23 |
$8,762.23 |
$4,881.00
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$5,751.25 |
$5,751.25 |
$5,751.25 |
$4,176.15
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$7,033.70 |
$7,033.70 |
$7,033.70 |
$5,855.00
|
|
Rubella antibody igg
|
$211.00 |
$211.00 |
$211.00 |
$73.10
|
|
Rubeola antibody igg
|
$250.00 |
$250.00 |
$250.00 |
$79.68
|
|
Russell viper venom diluted
|
$278.00 |
$278.00 |
$278.00 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$8,623.86 |
$8,623.86 |
$8,623.86 |
$6,466.16
|
|
Salivary gland imaging
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$549.70
|
|
Sargramostim injection
|
$1,031.56 |
$1,031.56 |
$1,031.56 |
$708.27
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$616.74 |
$616.74 |
$616.74 |
$207.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,373.00 |
$1,373.00 |
$1,373.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,373.00 |
$1,373.00 |
$1,373.00 |
$670.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$3,976.00 |
$3,976.00 |
$3,976.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,655.00 |
$3,655.00 |
$3,655.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$601.70
|
|
Screening Colonoscopy (average risk)
|
$4,362.69 |
$4,362.69 |
$4,362.69 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$4,361.57 |
$4,361.57 |
$4,361.57 |
$1,575.00
|
|
Screening HIV antigen/antibody combination assay
|
$125.00 |
$125.00 |
$125.00 |
$28.90
|
|
Screening Mammogram
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$303.55
|
|
Screening prostate cancer PSA
|
$194.00 |
$194.00 |
$194.00 |
$100.80
|
|
Sedimentation rate erythrocyte automated
|
$87.00 |
$87.00 |
$87.00 |
$44.20
|
|
Semen analysis w/count
|
$112.00 |
$112.00 |
$112.00 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$720.00 |
$720.00 |
$720.00 |
$316.68
|
|
Serpina1 gene
|
$126.00 |
$126.00 |
$126.00 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$97.00 |
$97.00 |
$97.00 |
$173.16
|
|
Set radiation therapy field
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$731.50
|
|
Set radiation therapy field
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$1,102.40
|
|
Set radiation therapy field
|
$5,011.00 |
$5,011.00 |
$5,011.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$19.37 |
$19.37 |
$19.37 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$58.41 |
$58.41 |
$58.41 |
$21.42
|
|
Sho arthrs srg capsulorraphy
|
$7,543.50 |
$7,543.50 |
$7,543.50 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$6,683.22 |
$6,683.22 |
$6,683.22 |
$3,839.54
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$8,370.18 |
$8,370.18 |
$8,370.18 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$2,051.28
|
|
Shoulder X-ray
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$426.00 |
$426.00 |
$426.00 |
$345.00
|
|
Sialography s&i
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$462.40
|
|
Sickling rbc
|
$96.00 |
$96.00 |
$96.00 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$4,371.22 |
$4,371.22 |
$4,371.22 |
$1,351.63
|
|
Sincalide 5 mcg solution for injection
|
$426.94 |
$426.94 |
$426.94 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$6,228.00 |
$6,228.00 |
$6,228.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,341.00 |
$3,341.00 |
$3,341.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,896.00 |
$2,896.00 |
$2,896.00 |
$1,279.50
|
|
Sipuleucel-t - su
|
$1,023.15 |
$1,023.15 |
$1,023.15 |
$95,750.46
|
|
Sirolimus, oral
|
$35.72 |
$35.72 |
$35.72 |
$42.11
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$23,744.00 |
$23,744.00 |
$23,744.00 |
$114.21
|
|
Skin Biopsy
|
$467.00 |
$467.00 |
$467.00 |
$382.80
|
|
Skyla, 13.5 mg
|
$3,371.27 |
$3,371.27 |
$3,371.27 |
$1,801.20
|
|
Sleep study attended
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$3,936.80
|
|
Sleep study unattended
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$595.50
|
|
Slitting of prepuce
|
$6,576.00 |
$6,576.00 |
$6,576.00 |
$2,983.40
|
|
Sm-153 lexidron ther
|
$53,776.45 |
$53,776.45 |
$53,776.45 |
$11,563.30
|
|
Smallpox&monkeypox vac 0.5ml
|
$1,833.30 |
$1,833.30 |
$1,833.30 |
$318.64
|
|
Smear fluorescent and/or acid fast stain
|
$156.00 |
$156.00 |
$156.00 |
$64.20
|
|
Smear gram stain
|
$206.00 |
$206.00 |
$206.00 |
$57.85
|
|
Smear nasal eosinophil
|
$96.00 |
$96.00 |
$96.00 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$190.00 |
$190.00 |
$190.00 |
$64.35
|
|
Smear wet mount
|
$140.00 |
$140.00 |
$140.00 |
$68.63
|
