|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$692.80 |
$692.80 |
$692.80 |
$41,926.70
|
|
Rbc count only automated
|
$9.00 |
$9.00 |
$9.00 |
$20.40
|
|
Rbc o2 co2 reduced
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$576.41
|
|
Red blood cells each unit
|
$273.00 |
$273.00 |
$273.00 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$253.80 |
$253.80 |
$253.80 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$321.00 |
$321.00 |
$321.00 |
$535.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$889.20 |
$889.20 |
$889.20 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$17.00 |
$17.00 |
$17.00 |
$1,524.70
|
|
Remote 30 day ecg tech supp
|
$190.20 |
$190.20 |
$190.20 |
$683.25
|
|
Removal central venous catheter tunneled without port/pump
|
$666.60 |
$666.60 |
$666.60 |
$1,591.20
|
|
Removal cerumen impacted (both sides)
|
$42.00 |
$42.00 |
$42.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$42.00 |
$42.00 |
$42.00 |
$255.97
|
|
Removal foreign body foot subcutaneous right
|
$521.40 |
$521.40 |
$521.40 |
$1,260.95
|
|
Removal mamma implant mat 19330
|
$3,195.60 |
$3,195.60 |
$3,195.60 |
$3,933.64
|
|
Removal of hip foreign body 27087
|
$4,595.40 |
$4,595.40 |
$4,595.40 |
$4,326.00
|
|
Removal/replacement ppm generator dual lead system
|
$9,066.60 |
$9,066.60 |
$9,066.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$52.20 |
$52.20 |
$52.20 |
$292.50
|
|
Removal sutr and stapl no anes
|
$33.60 |
$33.60 |
$33.60 |
$82.05
|
|
Removal sutr or stapl no anes
|
$23.40 |
$23.40 |
$23.40 |
$90.04
|
|
Removal tunnled intprtnl cath
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$4,284.80
|
|
Remove renal tube w/fluoro
|
$231.60 |
$231.60 |
$231.60 |
$1,172.80
|
|
Renal function panel
|
$21.00 |
$21.00 |
$21.00 |
$113.52
|
|
Repair blood vessel dir lower extr
|
$509.40 |
$509.40 |
$509.40 |
$1,731.55
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$217.80 |
$217.80 |
$217.80 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$391.20 |
$391.20 |
$391.20 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$2,353.50
|
|
Repair lip full thkns =<one-half vert height
|
$4,639.80 |
$4,639.80 |
$4,639.80 |
$1,308.00
|
|
Replace duod/jej tube perc
|
$6,361.80 |
$6,361.80 |
$6,361.80 |
$1,360.63
|
|
Replace g/c tube perc
|
$393.00 |
$393.00 |
$393.00 |
$1,382.70
|
|
Replace g-j tube perc
|
$205.80 |
$205.80 |
$205.80 |
$1,583.04
|
|
Replace tunneled cv cath
|
$4,131.00 |
$4,131.00 |
$4,131.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,779.00 |
$1,779.00 |
$1,779.00 |
$3,802.20
|
|
Reptilase test
|
$52.80 |
$52.80 |
$52.80 |
$72.15
|
|
Resp virus 6-11 targets
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$479.20
|
|
Reticulocyte automated
|
$9.60 |
$9.60 |
$9.60 |
$52.65
|
|
Revefenacin inh non-com 1mcg
|
$7.80 |
$7.80 |
$7.80 |
$15.56
|
|
Revision of penis
|
$5,661.00 |
$5,661.00 |
$5,661.00 |
$4,367.48
|
|
Rf abltj nrv nrvtg si jt
|
$3,763.80 |
$3,763.80 |
$3,763.80 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$13.80 |
$13.80 |
$13.80 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$164.80 |
$164.80 |
$164.80 |
$234.12
|
|
Rho d immune globulin inj
|
$736.00 |
$736.00 |
$736.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$191.40 |
$191.40 |
$191.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$134.40 |
$134.40 |
$134.40 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$226.20 |
$226.20 |
$226.20 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1.68 |
$1.68 |
$1.68 |
$455.01
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$222.40 |
$222.40 |
$222.40 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$372.00 |
$372.00 |
$372.00 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$186.60 |
$186.60 |
$186.60 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,383.60 |
$7,383.60 |
$7,383.60 |
$5,309.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$22,299.60 |
$22,299.60 |
$22,299.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$22,299.60 |
$22,299.60 |
$22,299.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$22,299.60 |
$22,299.60 |
$22,299.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,487.40 |
$1,487.40 |
$1,487.40 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,779.00 |
$1,779.00 |
$1,779.00 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,066.60 |
$9,066.60 |
$9,066.60 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$7,300.80 |
$7,300.80 |
$7,300.80 |
$10,542.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$89.60 |
$89.60 |
$89.60 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$22.20 |
$22.20 |
$22.20 |
$8,935.57
|
|
Romiplostim injection
|
$244.80 |
$244.80 |
$244.80 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,147.80 |
$7,147.80 |
$7,147.80 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$18.60 |
$18.60 |
$18.60 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$666.60 |
$666.60 |
$666.60 |
$2,217.76
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$666.60 |
$666.60 |
$666.60 |
$2,175.36
|
|
Rpl tun cvc wo subq port
|
$1,719.60 |
$1,719.60 |
$1,719.60 |
$3,724.63
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$6,856.20 |
$6,856.20 |
$6,856.20 |
$4,500.75
|
|
Rubella antibody igg
|
$35.40 |
$35.40 |
$35.40 |
$77.50
|
|
Rubeola antibody igg
|
$23.40 |
$23.40 |
$23.40 |
$80.00
|
|
Russell viper venom diluted
|
$23.40 |
$23.40 |
$23.40 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,757.40 |
$4,757.40 |
$4,757.40 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$145.80 |
$145.80 |
$145.80 |
$314.79
|
|
Salmonella antibody
|
$144.60 |
$144.60 |
$144.60 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$825.00 |
$825.00 |
$825.00 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$211.80 |
$211.80 |
$211.80 |
$497.68
|
|
Scan duplex extremity veins unilateral/limited study
|
$222.60 |
$222.60 |
$222.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$222.60 |
$222.60 |
$222.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$222.60 |
$222.60 |
$222.60 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$99.00 |
$99.00 |
$99.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$61.20 |
$61.20 |
$61.20 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$2,000.00
|
|
Screening hepatitis b non-obstetric high risk
|
$63.00 |
$63.00 |
$63.00 |
$60.00
|
|
Screening Mammogram
|
$205.20 |
$205.20 |
$205.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$4,946.40 |
$4,946.40 |
$4,946.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$181.80 |
$181.80 |
$181.80 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$4,336.20
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$96.00 |
$96.00 |
$96.00 |
$96.60
|
|
Semen analysis presence/motility
|
$21.00 |
$21.00 |
$21.00 |
$70.40
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$345.60 |
$197.00
|
|
Set radiation therapy field
|
$487.80 |
$487.80 |
$487.80 |
$782.61
|
|
Set radiation therapy field
|
$910.20 |
$910.20 |
$910.20 |
$1,636.36
|
|
Shot (Injection into Muscle or Under the Skin)
|
$42.60 |
$42.60 |
$42.60 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$133.80 |
$133.80 |
$133.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$122.40 |
$122.40 |
$122.40 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$979.20 |
$979.20 |
$979.20 |
$2,821.65
|
