|
Rituximab-abbs 10 mg/ml intravenous solution
|
$9,097.89 |
$9,097.89 |
$9,097.89 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$8,464.14 |
$8,464.14 |
$8,464.14 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$846.42
|
|
Rmvl icd by tv extr
|
$2,884.50 |
$2,884.50 |
$2,884.50 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$31,260.00 |
$31,260.00 |
$31,260.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$21,319.50 |
$21,319.50 |
$21,319.50 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$2,562.75 |
$2,562.75 |
$2,562.75 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$762.00 |
$762.00 |
$762.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$4,150.50 |
$4,150.50 |
$4,150.50 |
$6,097.00
|
|
Rmvl phrnc nrv stim pg only
|
$3,353.25 |
$3,353.25 |
$3,353.25 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$3,353.25 |
$3,353.25 |
$3,353.25 |
$5,419.00
|
|
Rmvl phrnc nrv stim transvns
|
$3,287.25 |
$3,287.25 |
$3,287.25 |
$5,917.50
|
|
Rmvl pq vad left hrt vein sep session
|
$3,118.50 |
$3,118.50 |
$3,118.50 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$3,794.25 |
$3,794.25 |
$3,794.25 |
$4,189.80
|
|
Rmvl tv pm lead dual
|
$2,460.75 |
$2,460.75 |
$2,460.75 |
$4,203.54
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$13,161.00 |
$13,161.00 |
$13,161.00 |
$15,321.63
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$36,000.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$11,827.02 |
$11,827.02 |
$11,827.02 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$20,356.48 |
$20,356.48 |
$20,356.48 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$8,372.44 |
$8,372.44 |
$8,372.44 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$184.88 |
$184.88 |
$184.88 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,865.25 |
$1,865.25 |
$1,865.25 |
$2,203.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,531.25 |
$2,531.25 |
$2,531.25 |
$2,556.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,849.75 |
$3,849.75 |
$3,849.75 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$3,632.25 |
$3,632.25 |
$3,632.25 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$135.00 |
$135.00 |
$135.00 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$109.50 |
$109.50 |
$109.50 |
$101.25
|
|
Rubella antibody igg
|
$83.25 |
$83.25 |
$83.25 |
$77.40
|
|
Rubeola antibody igg
|
$166.50 |
$166.50 |
$166.50 |
$80.00
|
|
Russell viper venom diluted
|
$81.00 |
$81.00 |
$81.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$9,478.55 |
$9,478.55 |
$9,478.55 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$269.25 |
$269.25 |
$269.25 |
$314.26
|
|
Salivary gland imaging
|
$262.50 |
$262.50 |
$262.50 |
$585.00
|
|
Salmonella antibody
|
$29.25 |
$29.25 |
$29.25 |
$37.58
|
|
Sargramostim injection
|
$1,092.15 |
$1,092.15 |
$1,092.15 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$59.25 |
$59.25 |
$59.25 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$134.25 |
$134.25 |
$134.25 |
$104.00
|
|
S bowel endoscope w/stent
|
$6,608.25 |
$6,608.25 |
$6,608.25 |
$4,379.25
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$734.25 |
$734.25 |
$734.25 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$855.75 |
$855.75 |
$855.75 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$127.50 |
$127.50 |
$127.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$810.75 |
$810.75 |
$810.75 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$612.00 |
$612.00 |
$612.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$855.75 |
$855.75 |
$855.75 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$7,863.75 |
$7,863.75 |
$7,863.75 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$2,478.75 |
$2,478.75 |
$2,478.75 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$1,761.75 |
$1,761.75 |
$1,761.75 |
$2,249.00
|
|
Screening Mammogram
|
$444.00 |
$444.00 |
$444.00 |
$310.20
|
|
Screen/visual acuity/bilat/quant 99173
|
$26.25 |
$26.25 |
$26.25 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$28,563.75 |
$28,563.75 |
$28,563.75 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$736.50 |
$736.50 |
$736.50 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,255.25 |
$8,255.25 |
$8,255.25 |
$4,332.68
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$667.50 |
$667.50 |
$667.50 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$39.00 |
$39.00 |
$39.00 |
$42.00
|
|
Select picture audiometry
|
$56.25 |
$56.25 |
$56.25 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$106.50 |
$106.50 |
$106.50 |
$96.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$112.50 |
$112.50 |
$112.50 |
$51.98
|
|
Sertraline (zoloft) - sendout
|
$88.50 |
$88.50 |
$88.50 |
$126.43
|
|
Sevelamer carbonate pdr 20mg
|
$638.94 |
$638.94 |
$638.94 |
$21.42
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$206.25 |
$206.25 |
$206.25 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$7,076.25 |
$7,076.25 |
$7,076.25 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$11,238.75 |
$11,238.75 |
$11,238.75 |
$7,143.32
|
|
Shoe post-op mens m
|
$29.76 |
$29.76 |
$29.76 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$99.75 |
$99.75 |
$99.75 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$283.50 |
$283.50 |
$283.50 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$236.25 |
$236.25 |
$236.25 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,769.75 |
$2,769.75 |
$2,769.75 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,096.84
|
|
Shoulder X-ray
|
$276.00 |
$276.00 |
$276.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$216.75 |
$216.75 |
$216.75 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$4,538.82
|
|
Sialolithotomy 42330
|
$8,793.00 |
$8,793.00 |
$8,793.00 |
$3,837.72
|
|
Sickling rbc
|
$102.75 |
$102.75 |
$102.75 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$882.75 |
$882.75 |
$882.75 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,594.50 |
$1,594.50 |
$1,594.50 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,365.75 |
$1,365.75 |
$1,365.75 |
$1,820.00
|
|
Sigmoidoscopy w/ablation
|
$2,029.50 |
$2,029.50 |
$2,029.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,370.25 |
$1,370.25 |
$1,370.25 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$5,678.25 |
$5,678.25 |
$5,678.25 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$2,712.75 |
$2,712.75 |
$2,712.75 |
$3,035.44
|
|
Sigmoidoscopy w/tumr remove
|
$1,848.75 |
$1,848.75 |
$1,848.75 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$2,314.50 |
$2,314.50 |
$2,314.50 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,976.25 |
$1,976.25 |
$1,976.25 |
$1,976.25
|
|
Sig w/tndsc balloon dilation
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$456.17 |
$456.17 |
$456.17 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,931.25 |
$1,931.25 |
$1,931.25 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,689.75 |
$1,689.75 |
$1,689.75 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,914.75 |
$1,914.75 |
$1,914.75 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$377.25 |
$377.25 |
$377.25 |
$346.45
|
|
Sinus X-ray (limited)
|
$267.00 |
$267.00 |
$267.00 |
$215.40
|
|
Sipuleucel-t - su
|
$95,750.46 |
$95,750.46 |
$95,750.46 |
$100,990.51
|
|
Sirolimus, oral
|
$12,667.27 |
$12,667.27 |
$12,667.27 |
$41.70
|
|
Skeletal muscle relaxant 1/2
|
$375.75 |
$375.75 |
$375.75 |
$83.85
|
