|
Romiplostim 125 mcg subcutaneous solution
|
$10.11 |
$10.11 |
$10.11 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$11.17 |
$11.17 |
$11.17 |
$4,820.04
|
|
Rotavirus antibody
|
$18.23 |
$18.23 |
$18.23 |
$107.50
|
|
Routine footcare pt w lops
|
$235.13 |
$235.13 |
$235.13 |
$223.08
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$22.80 |
$22.80 |
$22.80 |
$15,007.16
|
|
Rplcm oi implt sk tc esp<100
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$22,958.00
|
|
Rplcmt oi implt skl prq esp
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Rplc oi implt sk tc esp>=100
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$475.51 |
$475.51 |
$475.51 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,544.85 |
$1,544.85 |
$1,544.85 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$1,726.04 |
$1,726.04 |
$1,726.04 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 rdc
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 rdc
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,396.89 |
$6,396.89 |
$6,396.89 |
$5,907.78
|
|
Rpr choanal atresia ntranasl
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Rpr fem hernia init blocked
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,839.00
|
|
Rpr hypspad comp dsj & urtp
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$7,383.87 |
$7,383.87 |
$7,383.87 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$4,691.20
|
|
Rpr intst excl anrect fist
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,245.23
|
|
Rpr nsl vlv collapse w/implt
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$8,139.99
|
|
Rpr&refit spct prsth aphakia
|
$70.29 |
$70.29 |
$70.29 |
$81.12
|
|
Rpr rem hernia init reduce
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,959.65
|
|
Rp therapy unlisted px
|
$265.23 |
$265.23 |
$265.23 |
$549.50
|
|
Rrp hypspad comp moblj&urtp
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$10,106.03
|
|
Rsect hip tum incl femur
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$10,735.20
|
|
Rsv assay w/optic
|
$13.10 |
$13.10 |
$13.10 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$152.50 |
$152.50 |
$152.50 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$44.13 |
$44.13 |
$44.13 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$44.13 |
$44.13 |
$44.13 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$44.13 |
$44.13 |
$44.13 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$32.91 |
$32.91 |
$32.91 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$32.18 |
$32.18 |
$32.18 |
$70.85
|
|
Rubella antibody igg
|
$14.39 |
$14.39 |
$14.39 |
$77.80
|
|
Rubeola ag if
|
$60.80 |
$60.80 |
$60.80 |
$83.90
|
|
Rubeola antibody igg
|
$12.88 |
$12.88 |
$12.88 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$329.51 |
$329.51 |
$329.51 |
$454.72
|
|
Russell viper venom diluted
|
$9.58 |
$9.58 |
$9.58 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$917.08 |
$917.08 |
$917.08 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$34.67 |
$34.67 |
$34.67 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$125.84 |
$125.84 |
$125.84 |
$313.66
|
|
Safety plan interven
|
$44.77 |
$44.77 |
$44.77 |
$47.60
|
|
Salivary gland function exam
|
$475.51 |
$475.51 |
$475.51 |
$719.16
|
|
Salivary gland imaging
|
$475.51 |
$475.51 |
$475.51 |
$585.00
|
|
Salivary glnd img serial img
|
$475.51 |
$475.51 |
$475.51 |
$701.73
|
|
Salmonella antibody
|
$13.19 |
$13.19 |
$13.19 |
$37.58
|
|
Salpingostomy 58770
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$4,304.00
|
|
Same day nb discharge 99463
|
$152.50 |
$152.50 |
$152.50 |
$183.07
|
|
Sargramostim injection
|
$60.28 |
$60.28 |
$60.28 |
$552.52
|
|
Sars-cov-2 antb quantitative
|
$51.43 |
$51.43 |
$51.43 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$35.33 |
$35.33 |
$35.33 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$70.29 |
$70.29 |
$70.29 |
$104.00
|
|
S bowel endoscope w/stent
|
$7,044.32 |
$7,044.32 |
$7,044.32 |
$4,379.25
|
|
Sbrt w/positron emission del
|
$4,438.19 |
$4,438.19 |
$4,438.19 |
$4,438.19
|
|
Sbsq psyc collab care mgmt
|
$109.46 |
$109.46 |
$109.46 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$286.04 |
$286.04 |
$286.04 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$125.84 |
$125.84 |
$125.84 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$125.84 |
$125.84 |
$125.84 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$125.84 |
$125.84 |
$125.84 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$125.84 |
$125.84 |
$125.84 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$125.84 |
$125.84 |
$125.84 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Scr c/v cyto, automated sys
|
$18.54 |
$18.54 |
$18.54 |
$36.80
|
|
Scr c/v cyto, autosys, rescr
|
$31.94 |
$31.94 |
$31.94 |
$59.28
|
|
Scr c/v cyto,thinlayer,rescr
|
$43.97 |
$43.97 |
$43.97 |
$88.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$26.49 |
$26.49 |
$26.49 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$27.05 |
$27.05 |
$27.05 |
$54.40
|
|
Screen cerv/vag thin layer
|
$20.26 |
$20.26 |
$20.26 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$18.05 |
$18.05 |
$18.05 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$28.27 |
$28.27 |
$28.27 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$46.35 |
$46.35 |
$46.35 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$24.08 |
$24.08 |
$24.08 |
$42.30
|
|
Screening Mammogram
|
$146.75 |
$146.75 |
$146.75 |
$310.20
|
|
Screening prostate cancer PSA
|
$19.31 |
$19.31 |
$19.31 |
$101.60
|
|
Screen pap by tech w md supv
|
$18.54 |
$18.54 |
$18.54 |
$53.46
|
|
Scrotal (Testicle) Ultrasound
|
$125.84 |
$125.84 |
$125.84 |
$612.55
|
|
Sc ther infusion reset pump
|
$84.22 |
$84.22 |
$84.22 |
$140.15
|
