|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$27,790.74 |
$27,790.74 |
$27,790.74 |
$15,057.18
|
|
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
|
|
Rmvl icd by tv extr
|
$4,482.75 |
$4,482.75 |
$4,482.75 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$19,711.50 |
$19,711.50 |
$19,711.50 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$3,982.50 |
$3,982.50 |
$3,982.50 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$2,133.75 |
$2,133.75 |
$2,133.75 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$4,606.50 |
$4,606.50 |
$4,606.50 |
$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 sq defib electrode
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$4,189.80
|
|
Rmvl tv pm lead dual
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$4,203.54
|
|
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
|
|
Rp loclzj tum spect w/ct 1
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,556.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$2,733.75 |
$2,733.75 |
$2,733.75 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$124.50 |
$124.50 |
$124.50 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$101.25 |
$101.25 |
$101.25 |
$101.25
|
|
Rubella antibody igg
|
$103.50 |
$103.50 |
$103.50 |
$77.40
|
|
Rubeola antibody igg
|
$195.75 |
$195.75 |
$195.75 |
$80.00
|
|
Russell viper venom diluted
|
$137.25 |
$137.25 |
$137.25 |
$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)
|
$528.75 |
$528.75 |
$528.75 |
$314.26
|
|
Salivary gland imaging
|
$541.50 |
$541.50 |
$541.50 |
$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
|
$54.75 |
$54.75 |
$54.75 |
$60.40
|
|
S bowel endoscope w/stent
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$4,379.25
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$774.75 |
$774.75 |
$774.75 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$707.25 |
$707.25 |
$707.25 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$122.25 |
$122.25 |
$122.25 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$810.00 |
$810.00 |
$810.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$882.75 |
$882.75 |
$882.75 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$946.50 |
$946.50 |
$946.50 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$580.50 |
$580.50 |
$580.50 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$7,863.75 |
$7,863.75 |
$7,863.75 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$2,249.00
|
|
Screening Mammogram
|
$315.00 |
$315.00 |
$315.00 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$28,563.75 |
$28,563.75 |
$28,563.75 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$693.75 |
$693.75 |
$693.75 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$617.25 |
$617.25 |
$617.25 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$76.50 |
$76.50 |
$76.50 |
$42.00
|
|
Select picture audiometry
|
$56.25 |
$56.25 |
$56.25 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$93.75 |
$93.75 |
$93.75 |
$96.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$103.50 |
$103.50 |
$103.50 |
$51.98
|
|
Sertraline (zoloft) - sendout
|
$82.50 |
$82.50 |
$82.50 |
$126.43
|
|
Sevelamer carbonate pdr 20mg
|
$638.94 |
$638.94 |
$638.94 |
$21.42
|
|
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)
|
$141.00 |
$141.00 |
$141.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$444.00 |
$444.00 |
$444.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$323.25 |
$323.25 |
$323.25 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,643.75 |
$2,643.75 |
$2,643.75 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,561.25 |
$2,561.25 |
$2,561.25 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,854.75 |
$1,854.75 |
$1,854.75 |
$2,096.84
|
|
Shoulder X-ray
|
$444.00 |
$444.00 |
$444.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$263.25 |
$263.25 |
$263.25 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$4,538.82
|
|
Sialolithotomy 42330
|
$652.50 |
$652.50 |
$652.50 |
$3,837.72
|
|
Sickling rbc
|
$81.00 |
$81.00 |
$81.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$1,446.90
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,650.75 |
$1,650.75 |
$1,650.75 |
$1,820.00
|
|
Sigmoidoscopy w/ablation
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,266.75 |
$1,266.75 |
$1,266.75 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,692.00
|
|
Sigmoidoscopy w/tumr remove
|
$2,314.50 |
$2,314.50 |
$2,314.50 |
$1,645.43
|
|
Sigmoidoscopy w/ultrasound
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$3,786.75 |
$3,786.75 |
$3,786.75 |
$2,288.00
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,391.00 |
$2,391.00 |
$2,391.00 |
$1,976.25
|
|
Sig w/tndsc balloon dilation
|
$2,581.50 |
$2,581.50 |
$2,581.50 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$456.17 |
$456.17 |
$456.17 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,979.25 |
$1,979.25 |
$1,979.25 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$374.25 |
$374.25 |
$374.25 |
$346.45
|
|
Sinus X-ray (limited)
|
$343.50 |
$343.50 |
$343.50 |
$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
|
$361.50 |
$361.50 |
$361.50 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$27.75 |
$27.75 |
$27.75 |
$16.12
|
|
Skin Biopsy
|
$327.00 |
$327.00 |
$327.00 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$481.50 |
$481.50 |
$481.50 |
$294.45
|
|
Skull X-ray (complete)
|
$666.00 |
$666.00 |
$666.00 |
$417.50
|
|
Skyla, 13.5 mg
|
$3,739.59 |
$3,739.59 |
$3,739.59 |
$1,643.47
|
|
Sleep study attended
|
$292.50 |
$292.50 |
$292.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$5,613.00 |
$5,613.00 |
$5,613.00 |
$3,734.50
|
|
Sleep study unattended
|
$632.25 |
$632.25 |
$632.25 |
$594.00
|
|
Sleeve fing rolyan med
|
$32.25 |
$32.25 |
$32.25 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$30.35 |
$30.35 |
$30.35 |
$30.35
|
|
Sling suprapubic suburetheral
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$9,679.96
|
|
Slp pure tone screening
|
$56.25 |
$56.25 |
$56.25 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$630.75 |
$630.75 |
$630.75 |
$557.70
|
