|
Revasc lithotrip tibi/perone
|
$17,320.80 |
$17,320.80 |
$17,320.80 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$26,028.00 |
$26,028.00 |
$26,028.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$36,394.40 |
$36,394.40 |
$36,394.40 |
$19,688.49
|
|
Revefenacin inh non-com 1mcg
|
$10.71 |
$10.71 |
$10.71 |
$15.56
|
|
Revision of penis
|
$4,712.00 |
$4,712.00 |
$4,712.00 |
$4,367.48
|
|
Revision tips
|
$11,392.80 |
$11,392.80 |
$11,392.80 |
$10,358.00
|
|
Rev-rem impl neurostim gen-rec
|
$6,273.60 |
$6,273.60 |
$6,273.60 |
$4,534.00
|
|
Rezafungin 200 mg intravenous solution
|
$1,643.76 |
$1,643.76 |
$1,643.76 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$2,403.20 |
$2,403.20 |
$2,403.20 |
$3,188.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$129.92 |
$129.92 |
$129.92 |
$234.12
|
|
Rho d immune globulin inj
|
$125.89 |
$125.89 |
$125.89 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$205.60 |
$205.60 |
$205.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$230.40 |
$230.40 |
$230.40 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$205.60 |
$205.60 |
$205.60 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$327.01 |
$327.01 |
$327.01 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$966.00 |
$966.00 |
$966.00 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$10,136.20 |
$10,136.20 |
$10,136.20 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,303.21 |
$1,303.21 |
$1,303.21 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,996.91 |
$4,996.91 |
$4,996.91 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,262.40 |
$3,262.40 |
$3,262.40 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$1,031.94 |
$1,031.94 |
$1,031.94 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,275.05 |
$3,275.05 |
$3,275.05 |
$5,309.20
|
|
R&l hrt cath chd nml nt cnj
|
$14,084.80 |
$14,084.80 |
$14,084.80 |
$6,104.00
|
|
Rmvl fecal impaction/fb spx under anes
|
$3,491.20 |
$3,491.20 |
$3,491.20 |
$2,111.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$6,196.80 |
$6,196.80 |
$6,196.80 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$26,949.60 |
$26,949.60 |
$26,949.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$28,531.20 |
$28,531.20 |
$28,531.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$48,921.60 |
$48,921.60 |
$48,921.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$6,142.40 |
$6,142.40 |
$6,142.40 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$5,891.20 |
$5,891.20 |
$5,891.20 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$37,191.20 |
$37,191.20 |
$37,191.20 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$21,114.40 |
$21,114.40 |
$21,114.40 |
$10,542.00
|
|
Rmvl pq iabp
|
$3,467.20 |
$3,467.20 |
$3,467.20 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$5,891.20 |
$5,891.20 |
$5,891.20 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$6,064.00 |
$6,064.00 |
$6,064.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$6,492.00 |
$6,492.00 |
$6,492.00 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$6,727.20 |
$6,727.20 |
$6,727.20 |
$4,225.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,495.04 |
$3,495.04 |
$3,495.04 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,129.36 |
$5,129.36 |
$5,129.36 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,491.02 |
$3,491.02 |
$3,491.02 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$62.16 |
$62.16 |
$62.16 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$4,255.20 |
$4,255.20 |
$4,255.20 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,391.20 |
$2,391.20 |
$2,391.20 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,190.40 |
$5,190.40 |
$5,190.40 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$5,005.60 |
$5,005.60 |
$5,005.60 |
$3,724.63
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$2,492.59 |
$2,492.59 |
$2,492.59 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$236.80 |
$236.80 |
$236.80 |
$314.79
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$958.40 |
$958.40 |
$958.40 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$616.80 |
$616.80 |
$616.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$580.00 |
$580.00 |
$580.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$833.60 |
$833.60 |
$833.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$812.80 |
$812.80 |
$812.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$752.80 |
$752.80 |
$752.80 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,033.60 |
$2,033.60 |
$2,033.60 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$6,151.20 |
$6,151.20 |
$6,151.20 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$117.60 |
$117.60 |
$117.60 |
$85.15
|
|
Screening Mammogram
|
$362.40 |
$362.40 |
$362.40 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$48,822.40 |
$48,822.40 |
$48,822.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$527.20 |
$527.20 |
$527.20 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,742.40 |
$7,742.40 |
$7,742.40 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$156.00 |
$156.00 |
$156.00 |
$223.89
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$119.20 |
$119.20 |
$119.20 |
$96.60
|
|
Semen analysis presence/motility
|
$56.00 |
$56.00 |
$56.00 |
$70.40
|
|
Semen analysis w/count
|
$56.00 |
$56.00 |
$56.00 |
$56.44
|
|
Serial casting application 97139app
|
$116.80 |
$116.80 |
$116.80 |
$78.39
|
|
Set radiation therapy field
|
$753.60 |
$753.60 |
$753.60 |
$782.61
|
|
Set radiation therapy field
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,159.03
|
|
Set radiation therapy field
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$200.80 |
$200.80 |
$200.80 |
$311.40
|
|
Shoe heel sach cushion type
|
$59.27 |
$59.27 |
$59.27 |
$228.09
|
|
Shoe post-op mens m
|
$138.01 |
$138.01 |
$138.01 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$172.80 |
$172.80 |
$172.80 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$160.80 |
$160.80 |
$160.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$184.80 |
$184.80 |
$184.80 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,353.60 |
$2,353.60 |
$2,353.60 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$2,088.20
|
|
Shoulder X-ray
|
$172.00 |
$172.00 |
$172.00 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$144.80 |
$144.80 |
$144.80 |
$264.00
|
|
Shrinker prosth above knee
|
$214.41 |
$214.41 |
$214.41 |
$168.89
|
|
Shrinker prosth below knee
|
$205.57 |
$205.57 |
$205.57 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$359.20 |
$359.20 |
$359.20 |
$355.80
|
|
Sialography s&i
|
$481.60 |
$481.60 |
$481.60 |
$499.20
|
|
Sincalide 5 mcg solution for injection
|
$295.20 |
$295.20 |
$295.20 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,189.60 |
$2,189.60 |
$2,189.60 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,597.60 |
$1,597.60 |
$1,597.60 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$212.00 |
$212.00 |
$212.00 |
$347.10
|
|
Sinus X-ray (limited)
|
$160.00 |
$160.00 |
$160.00 |
$215.75
|
|
Sirolimus, oral
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$41.70
|
