|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$244.46 |
$244.46 |
$244.46 |
$539.70
|
|
Right ventric recording
|
$2,993.25 |
$2,993.25 |
$2,993.25 |
$1,980.36
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$28,068.59 |
$28,068.59 |
$28,068.59 |
$1,612.94
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$12,719.40 |
$12,719.40 |
$12,719.40 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$17,785.56 |
$17,785.56 |
$17,785.56 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$8,074.20 |
$8,074.20 |
$8,074.20 |
$6,877.90
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,579.47 |
$1,579.47 |
$1,579.47 |
$7,582.77
|
|
Rmv implant contraceptive capsule 11976
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$846.42
|
|
Rmvl hpglsl nstim ary pg
|
$5,710.25 |
$5,710.25 |
$5,710.25 |
$6,839.00
|
|
Rmvl icd by tv extr
|
$8,596.90 |
$8,596.90 |
$8,596.90 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,949.20 |
$8,949.20 |
$8,949.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$8,764.60 |
$8,764.60 |
$8,764.60 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$9,077.25 |
$9,077.25 |
$9,077.25 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$8,596.90 |
$8,596.90 |
$8,596.90 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,944.15 |
$1,944.15 |
$1,944.15 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$9,768.20 |
$9,768.20 |
$9,768.20 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$395.20 |
$395.20 |
$395.20 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$7,699.90 |
$7,699.90 |
$7,699.90 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,316.10 |
$8,316.10 |
$8,316.10 |
$10,427.04
|
|
Rmvl pq iabp
|
$421.85 |
$421.85 |
$421.85 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$395.20 |
$395.20 |
$395.20 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$8,596.90 |
$8,596.90 |
$8,596.90 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,839.85 |
$2,839.85 |
$2,839.85 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$8,122.40 |
$8,122.40 |
$8,122.40 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$8,825.70 |
$8,825.70 |
$8,825.70 |
$4,195.80
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17,878.74 |
$17,878.74 |
$17,878.74 |
$8,779.01
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,141.65 |
$7,141.65 |
$7,141.65 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$370.40 |
$370.40 |
$370.40 |
$180.55
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$30,194.26 |
$30,194.26 |
$30,194.26 |
$22.80
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,470.65 |
$2,470.65 |
$2,470.65 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$2,107.30 |
$2,107.30 |
$2,107.30 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$2,848.30 |
$2,848.30 |
$2,848.30 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,518.75 |
$2,518.75 |
$2,518.75 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$5,760.95 |
$5,760.95 |
$5,760.95 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$5,620.55 |
$5,620.55 |
$5,620.55 |
$4,201.80
|
|
Rsv assay w/optic
|
$48.75 |
$48.75 |
$48.75 |
$73.80
|
|
Rubella antibody igg
|
$23.40 |
$23.40 |
$23.40 |
$73.10
|
|
Rubeola antibody igg
|
$99.45 |
$99.45 |
$99.45 |
$79.68
|
|
Russell viper venom diluted
|
$341.90 |
$341.90 |
$341.90 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$4,378.40 |
$4,378.40 |
$4,378.40 |
$1,100.50
|
|
Salivary gland imaging
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$549.70
|
|
Salmonella antibody
|
$33.80 |
$33.80 |
$33.80 |
$37.58
|
|
S bowel endoscope w/stent
|
$5,232.50 |
$5,232.50 |
$5,232.50 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$955.50 |
$955.50 |
$955.50 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$484.25 |
$484.25 |
$484.25 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$850.85 |
$850.85 |
$850.85 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$460.20 |
$460.20 |
$460.20 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$752.70 |
$752.70 |
$752.70 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$587.60 |
$587.60 |
$587.60 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$802.75 |
$802.75 |
$802.75 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$557.05 |
$557.05 |
$557.05 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$518.70 |
$518.70 |
$518.70 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$3,150.38 |
$3,150.38 |
$3,150.38 |
$5,235.51
|
|
Scr c/v cyto,thinlayer,rescr
|
$39.00 |
$39.00 |
$39.00 |
$68.60
|
|
Screening Colonoscopy (average risk)
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$92.95 |
$92.95 |
$92.95 |
$27.44
|
|
Screening Mammogram
|
$160.55 |
$160.55 |
$160.55 |
$303.55
|
|
Screening prostate cancer PSA
|
$33.15 |
$33.15 |
$33.15 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$10,152.47 |
$10,152.47 |
$10,152.47 |
$28,440.67
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,341.10 |
$7,341.10 |
$7,341.10 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$25.35 |
$25.35 |
$25.35 |
$44.20
|
|
Semen analysis w/count
|
$230.75 |
$230.75 |
$230.75 |
$56.44
|
|
Serpina1 gene
|
$142.35 |
$142.35 |
$142.35 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$180.05 |
$180.05 |
$180.05 |
$173.16
|
|
Set radiation therapy field
|
$665.60 |
$665.60 |
$665.60 |
$731.50
|
|
Set radiation therapy field
|
$1,213.55 |
$1,213.55 |
$1,213.55 |
$1,102.40
|
|
Set radiation therapy field
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$2,593.50 |
$2,593.50 |
$2,593.50 |
$1,645.43
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$249.60 |
$249.60 |
$249.60 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$269.10 |
$269.10 |
$269.10 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$3,919.50 |
$3,919.50 |
$3,919.50 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,461.90 |
$3,461.90 |
$3,461.90 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$2,051.28
|
|
Shoulder X-ray
|
$553.80 |
$553.80 |
$553.80 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$815.75 |
$815.75 |
$815.75 |
$345.00
|
|
Sialography s&i
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$462.40
|
|
Sickling rbc
|
$83.85 |
$83.85 |
$83.85 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$2,616.25 |
$2,616.25 |
$2,616.25 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,791.10 |
$2,791.10 |
$2,791.10 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$2,891.20 |
$2,891.20 |
$2,891.20 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,694.25 |
$2,694.25 |
$2,694.25 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$4,849.00 |
$4,849.00 |
$4,849.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,780.70 |
$2,780.70 |
$2,780.70 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$4,849.00 |
$4,849.00 |
$4,849.00 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$4,871.10 |
$4,871.10 |
$4,871.10 |
$3,245.23
|
|
Sigmoidoscopy w/tumr remove
|
$3,753.10 |
$3,753.10 |
$3,753.10 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$4,432.35 |
$4,432.35 |
$4,432.35 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$3,002.35 |
$3,002.35 |
$3,002.35 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$670.80 |
$670.80 |
$670.80 |
$309.52
|
|
Sig w/tndsc balloon dilation
|
$3,753.10 |
$3,753.10 |
$3,753.10 |
$1,813.80
|
|
Sincalide 5 mcg solution for injection
|
$422.50 |
$422.50 |
$422.50 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,187.55 |
$1,187.55 |
$1,187.55 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,079.65 |
$1,079.65 |
$1,079.65 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$938.60 |
$938.60 |
$938.60 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$2,489.25
|
|
Skin Biopsy
|
$288.60 |
$288.60 |
$288.60 |
$382.80
|