|
Revision open av fistula without thromb
|
$8,319.20 |
$8,319.20 |
$8,319.20 |
|
|
Revision tips
|
$11,392.80 |
$11,392.80 |
$13,376.00 |
|
|
Rev-rem impl neurostim gen-rec
|
$6,273.60 |
$6,273.60 |
$6,273.60 |
|
|
Rezafungin 200 mg intravenous solution
|
$1,643.76 |
$1,643.76 |
$1,643.76 |
|
|
Rf abltj nrv nrvtg si jt
|
$1,441.60 |
$1,441.60 |
$2,403.20 |
|
|
Rheumatoid factor qualitative
|
$32.00 |
$32.00 |
$32.00 |
|
|
Rheumatoid factor quantitative
|
$38.40 |
$38.40 |
$38.40 |
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$129.92 |
$129.92 |
$261.42 |
|
|
Rho d immune globulin inj
|
$125.89 |
$125.89 |
$140.00 |
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$192.00 |
$192.00 |
$192.00 |
|
|
R hrt cath chd abnl nt cnj
|
$9,412.00 |
$9,412.00 |
$9,412.00 |
|
|
R hrt cath chd nml nt cnj
|
$9,412.00 |
$9,412.00 |
$9,412.00 |
|
|
Rib and Chest X-ray (3 views, left side)
|
$205.60 |
$260.80 |
$443.20 |
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$230.40 |
$549.60 |
$700.80 |
|
|
Rib X-ray (3 views, both sides)
|
$205.60 |
$468.80 |
$524.80 |
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$327.01 |
$327.01 |
$501.36 |
|
|
Right ventric recording
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
|
|
Ring fx reform 11-13x17mm
|
$966.00 |
$966.00 |
$1,301.00 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$9,116.52 |
$9,116.52 |
$10,136.20 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,303.21 |
$1,303.21 |
$3,012.52 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,043.40 |
$4,996.91 |
$7,553.59 |
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$877.19 |
$877.19 |
$4,474.27 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$1,031.94 |
$1,031.94 |
$1,031.94 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,275.05 |
$3,275.05 |
$4,494.44 |
|
|
R&l hrt cath chd abnl nt cnj
|
$11,286.40 |
$11,286.40 |
$11,286.40 |
|
|
R&l hrt cath chd nml nt cnj
|
$11,286.40 |
$11,286.40 |
$14,084.80 |
|
|
Rmv implant contraceptive capsule 11976
|
$721.60 |
$721.60 |
$721.60 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,743.20 |
$2,743.20 |
$3,491.20 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,425.60 |
$2,425.60 |
$2,576.00 |
|
|
Rmvl icd by tv extr
|
$4,732.00 |
$4,732.00 |
$6,196.80 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$26,949.60 |
$26,949.60 |
$38,720.00 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$28,531.20 |
$28,531.20 |
$55,643.20 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$37,282.40 |
$37,282.40 |
$48,921.60 |
|
|
Rmvl icd pulse gen only
|
$4,869.60 |
$4,869.60 |
$6,142.40 |
|
|
Rmvl ndwellg tun pleural cath
|
$1,392.80 |
$1,392.80 |
$1,664.00 |
|
|
Rmvl perm pm pulse gen
|
$8,215.20 |
$8,215.20 |
$9,948.00 |
|
|
Rmvl perq right heart vad
|
$5,891.20 |
$5,891.20 |
$5,891.20 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$25,560.80 |
$25,560.80 |
$37,191.20 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,203.20 |
$14,203.20 |
$21,114.40 |
|
|
Rmvl pq iabp
|
$3,232.80 |
$3,232.80 |
$3,467.20 |
|
|
Rmvl pq vad left hrt vein sep session
|
$3,038.40 |
$3,038.40 |
$5,891.20 |
|
|
Rmvl sq defib electrode
|
$6,064.00 |
$6,064.00 |
$6,064.00 |
|
|
Rmvl subq card rhythm mntr
|
$2,565.60 |
$2,565.60 |
$2,667.20 |
|
|
Rmvl tv pm lead dual
|
$4,732.00 |
$4,732.00 |
$6,492.00 |
|
|
Rmvl tv pm lead sgl
|
$4,954.40 |
$4,954.40 |
$6,727.20 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,495.04 |
$3,495.04 |
$5,143.44 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$1,580.10 |
$4,660.87 |
$8,807.64 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,856.82 |
$3,491.02 |
$7,741.88 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$62.16 |
$62.16 |
$328.80 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,193.60 |
$2,193.60 |
$2,548.00 |
|
|
Rp loclzj tum 2+area 1+d img
|
$1,591.20 |
$1,591.20 |
$1,940.00 |
|
|
Rp loclzj tum spect w/ct 1
|
$2,757.60 |
$2,757.60 |
$3,231.20 |
|
|
Rp loclzj tum spect w/ct 2
|
$3,176.00 |
$3,176.00 |
$4,255.20 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,236.00 |
$2,236.00 |
$2,391.20 |
|
|
Rpl tun-cvad w subq port
|
$4,937.60 |
$4,937.60 |
$5,190.40 |
|
|
Rpl tun cvc wo subq port
|
$4,616.80 |
$4,616.80 |
$5,005.60 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,431.20 |
$6,431.20 |
$6,431.20 |
|
|
Rsv assay w/optic
|
$73.60 |
$73.60 |
$73.60 |
|
|
Rubella antibody igg
|
$72.80 |
$72.80 |
$72.80 |
|
|
Rubeola antibody igg
|
$83.20 |
$83.20 |
$83.20 |
|
|
Russell viper venom diluted
|
$56.80 |
$56.80 |
$56.80 |
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$2,492.59 |
$2,492.59 |
$2,492.59 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$236.80 |
$363.20 |
$368.80 |
|
|
Sargramostim injection
|
$934.70 |
$934.70 |
$934.70 |
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$958.40 |
$958.40 |
$1,116.80 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$616.80 |
$616.80 |
$856.00 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$580.00 |
$647.20 |
$724.80 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$604.00 |
$604.00 |
$961.60 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$812.80 |
$812.80 |
$958.40 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$752.80 |
$752.80 |
$796.80 |
|
|
Sclerotherapy fluid collection pq w/img
|
$2,033.60 |
$2,033.60 |
$2,067.20 |
|
|
Scope uretscp lithovue dig disp
|
$3,360.00 |
$3,360.00 |
$6,151.20 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$84.80 |
$84.80 |
$117.60 |
|
|
Screening Colonoscopy (average risk)
|
$1,792.00 |
$1,792.00 |
$2,427.20 |
|
|
Screening Colonoscopy (high risk)
|
$1,864.80 |
$1,864.80 |
$2,427.20 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
|
|
Screening Mammogram
|
$362.40 |
$403.20 |
$403.20 |
|
|
Screening prostate cancer PSA
|
$136.00 |
$136.00 |
$136.00 |
|
|
Screw cortex 2.0 x 10mm
|
$48,822.40 |
$48,822.40 |
$53,260.80 |
|
|
Scrotal (Testicle) Ultrasound
|
$527.20 |
$554.40 |
$739.20 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,017.60 |
$7,017.60 |
$7,742.40 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$156.00 |
$156.00 |
$214.40 |
|
|
Sedimentation rate erythrocyte automated
|
$18.40 |
$18.40 |
$18.40 |
|
|
Select picture audiometry
|
$149.60 |
$149.60 |
$149.60 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$119.20 |
$119.20 |
$120.80 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$65.60 |
$65.60 |
$65.60 |
|
|
Semen analysis presence/motility
|
$56.00 |
$56.00 |
$60.80 |
|
|
Semen analysis w/count
|
$56.00 |
$56.00 |
$59.20 |
|
|
Serial casting application 97139app
|
$52.80 |
$52.80 |
$116.80 |
|
|
Serial tonometry
|
$211.20 |
$211.20 |
$211.20 |
|
|
Set radiation therapy field
|
$753.60 |
$753.60 |
$1,495.20 |
|
|
Set radiation therapy field
|
$1,284.00 |
$1,284.00 |
$1,747.20 |
|
|
Set radiation therapy field
|
$1,170.40 |
$1,170.40 |
$2,710.40 |
|
|
Sgmdsc w/band ligation
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$258.40 |
$258.40 |
$258.40 |
|
