|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$7,256.57 |
$7,256.57 |
$7,256.57 |
$15,007.16
|
|
Rplcm oi implt sk tc esp<100
|
$33,453.55 |
$33,453.55 |
$33,453.55 |
$22,958.00
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,204.24
|
|
Rp loclzj tum 2+area 1+d img
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$6,541.60 |
$6,541.60 |
$6,541.60 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$46.80 |
$46.80 |
$46.80 |
$73.60
|
|
Rpr nsl vlv collapse w/rmdlg
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$8,139.99
|
|
Rsv assay w/optic
|
$58.50 |
$58.50 |
$58.50 |
$76.30
|
|
Rtm 1st set-up&pt educaj eqp
|
$385.45 |
$385.45 |
$385.45 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$72.80 |
$72.80 |
$72.80 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$111.80 |
$111.80 |
$111.80 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$46.80 |
$46.80 |
$46.80 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$46.80 |
$46.80 |
$46.80 |
$70.85
|
|
Rubella antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$77.40
|
|
Rubeola antibody igg
|
$57.85 |
$57.85 |
$57.85 |
$80.00
|
|
Russell viper venom diluted
|
$42.90 |
$42.90 |
$42.90 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,998.12 |
$7,998.12 |
$7,998.12 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$477.10 |
$477.10 |
$477.10 |
$314.40
|
|
Salivary gland function exam
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$719.16
|
|
Salivary glnd img serial img
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$701.73
|
|
Sargramostim injection
|
$736.22 |
$736.22 |
$736.22 |
$552.52
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$903.50 |
$903.50 |
$903.50 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$397.15 |
$397.15 |
$397.15 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$397.15 |
$397.15 |
$397.15 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$397.15 |
$397.15 |
$397.15 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$397.15 |
$397.15 |
$397.15 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$397.15 |
$397.15 |
$397.15 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,144.48
|
|
Screening Colonoscopy (average risk)
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$1,815.60
|
|
Screening Colonoscopy (high risk)
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$2,041.38
|
|
Screening Mammogram
|
$395.85 |
$395.85 |
$395.85 |
$310.20
|
|
Screen pap by tech w md supv
|
$81.90 |
$81.90 |
$81.90 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$117.00 |
$117.00 |
$117.00 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$477.10 |
$477.10 |
$477.10 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$455.65 |
$455.65 |
$455.65 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$12.35 |
$12.35 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$178.10 |
$178.10 |
$178.10 |
$96.00
|
|
Self-meas bp pt educaj/train
|
$109.85 |
$109.85 |
$109.85 |
$29.55
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$61.75 |
$61.75 |
$61.75 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$54.60 |
$54.60 |
$54.60 |
$33.04
|
|
Semen analysis
|
$29.25 |
$29.25 |
$29.25 |
$13.60
|
|
Semen analysis presence/motility
|
$124.15 |
$124.15 |
$124.15 |
$70.40
|
|
Serpina1 gene
|
$195.65 |
$195.65 |
$195.65 |
$197.00
|
|
Set radiation therapy field
|
$595.40 |
$595.40 |
$595.40 |
$782.61
|
|
Set radiation therapy field
|
$1,641.90 |
$1,641.90 |
$1,641.90 |
$1,159.03
|
|
Set radiation therapy field
|
$1,641.90 |
$1,641.90 |
$1,641.90 |
$1,636.36
|
|
Sf3b1 gene common variants
|
$866.45 |
$866.45 |
$866.45 |
$248.10
|
|
Sgmdsc w/band ligation
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$387.40 |
$387.40 |
$387.40 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$387.40 |
$387.40 |
$387.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$779.35 |
$779.35 |
$779.35 |
$436.64
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$779.35 |
$779.35 |
$779.35 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$387.40 |
$387.40 |
$387.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$387.40 |
$387.40 |
$387.40 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$387.40 |
$387.40 |
$387.40 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$779.35 |
$779.35 |
$779.35 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$779.35 |
$779.35 |
$779.35 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$387.40 |
$387.40 |
$387.40 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$387.40 |
$387.40 |
$387.40 |
$286.89
|
|
Shoe post-op mens m
|
$99.45 |
$99.45 |
$99.45 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$319.15 |
$319.15 |
$319.15 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$477.10 |
$477.10 |
$477.10 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,761.80
|
|
Shoulder MRI (with contrast)
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,096.84
|
|
Shoulder X-ray
|
$395.20 |
$395.20 |
$395.20 |
$340.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$395.20 |
$395.20 |
$395.20 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$477.10 |
$477.10 |
$477.10 |
$355.80
|
|
Sialidase enzyme assay
|
$54.60 |
$54.60 |
$54.60 |
$54.99
|
|
Sickling rbc
|
$24.70 |
$24.70 |
$24.70 |
$59.40
|
|
Sigmoidoscopy for bleeding
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,604.00
|
|
Sigmoidoscopy w/plcmt stent
|
$17,798.95 |
$17,798.95 |
$17,798.95 |
$3,692.00
|
|
Sigmoidoscopy w/us guide bx
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,976.25
|
|
Sim ang w/prs cath rad emb
|
$20,094.75 |
$20,094.75 |
$20,094.75 |
$18,145.20
|
|
Simple cystometrogram 51725
|
$727.35 |
$727.35 |
$727.35 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$305.29 |
$305.29 |
$305.29 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$14,116.70 |
$14,116.70 |
$14,116.70 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$395.20 |
$395.20 |
$395.20 |
$347.10
|
|
Sinus X-ray (limited)
|
$395.20 |
$395.20 |
$395.20 |
$215.66
|
|
Sipuleucel-t - su
|
$585.96 |
$585.96 |
$585.96 |
$100,990.51
|
|
Sirolimus, oral
|
$56.88 |
$56.88 |
$56.88 |
$41.70
|
|
Skel musc relaxant 3 or more
|
$49.40 |
$49.40 |
$49.40 |
$16.12
|
|
Skin Biopsy
|
$387.40 |
$387.40 |
$387.40 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$477.10 |
$477.10 |
$477.10 |
$294.66
|
|
Skull X-ray (complete)
|
$477.10 |
$477.10 |
$477.10 |
$423.15
|
|
Skyla, 13.5 mg
|
$1,577.76 |
$1,577.76 |
$1,577.76 |
$1,643.47
|
|
Sleep study attended
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,734.50
|