|
#resp virpnl dfa-adenovirus
|
$65.00 |
$65.00 |
$65.00 |
$48.10
|
|
Resuscitation delivery/birthing room
|
$2,934.75 |
$2,934.75 |
$2,934.75 |
$802.00
|
|
Reticulated platelet assay
|
$160.55 |
$160.55 |
$160.55 |
$75.00
|
|
Reticulocyte automated
|
$18.20 |
$18.20 |
$18.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$24.70 |
$24.70 |
$24.70 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$2,299.91 |
$2,299.91 |
$2,299.91 |
$23,780.31
|
|
Revasc evasc fpvt angio cplx 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$28,092.75
|
|
Revasc evasc fpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$26,819.25
|
|
Rezafungin 200 mg intravenous solution
|
$4,987.55 |
$4,987.55 |
$4,987.55 |
$4,987.55
|
|
Rheumatoid factor quantitative
|
$25.35 |
$25.35 |
$25.35 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$207.05 |
$207.05 |
$207.05 |
$234.12
|
|
Rho d immune globulin inj
|
$287.82 |
$287.82 |
$287.82 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$477.10 |
$477.10 |
$477.10 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$477.10 |
$477.10 |
$477.10 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$477.10 |
$477.10 |
$477.10 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$417.83 |
$417.83 |
$417.83 |
$455.01
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$52,377.37 |
$52,377.37 |
$52,377.37 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,020.16 |
$3,020.16 |
$3,020.16 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$293.12 |
$293.12 |
$293.12 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$1,753.75 |
$1,753.75 |
$1,753.75 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$263.82 |
$263.82 |
$263.82 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$167.74 |
$167.74 |
$167.74 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$223.65 |
$223.65 |
$223.65 |
$5,309.20
|
|
Rmvl ndwellg tun pleural cath
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,172.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$9,979.79 |
$9,979.79 |
$9,979.79 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$12,884.08 |
$12,884.08 |
$12,884.08 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,628.91 |
$2,628.91 |
$2,628.91 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2.65 |
$2.65 |
$2.65 |
$188.16
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$7,256.57 |
$7,256.57 |
$7,256.57 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,203.00
|
|
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 |
$77.91
|
|
Rsv assay w/optic
|
$58.50 |
$58.50 |
$58.50 |
$76.32
|
|
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 |
$314.26
|
|
Salmonella antibody
|
$59.15 |
$59.15 |
$59.15 |
$37.58
|
|
Sargramostim injection
|
$736.22 |
$736.22 |
$736.22 |
$552.52
|
|
Scan duplex extremity veins unilateral/limited study
|
$397.15 |
$397.15 |
$397.15 |
$726.18
|
|
Screening hepatitis c antibody high risk
|
$152.10 |
$152.10 |
$152.10 |
$93.60
|
|
Screening Mammogram
|
$395.85 |
$395.85 |
$395.85 |
$310.20
|
|
Scrotal (Testicle) Ultrasound
|
$477.10 |
$477.10 |
$477.10 |
$611.91
|
|
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
|
|
Serpina1 gene
|
$195.65 |
$195.65 |
$195.65 |
$197.00
|
|
Shoe post-op mens m
|
$29.90 |
$29.90 |
$29.90 |
$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 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,476.20
|
|
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 |
$340.10
|
|
Sialidase enzyme assay
|
$54.60 |
$54.60 |
$54.60 |
$54.99
|
|
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 |
$1,796.30
|
|
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 X-ray (complete)
|
$395.20 |
$395.20 |
$395.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$395.20 |
$395.20 |
$395.20 |
$215.40
|
|
Sipuleucel-t - su
|
$585.96 |
$585.96 |
$585.96 |
$100,990.51
|
|
Sirolimus, oral
|
$56.88 |
$56.88 |
$56.88 |
$41.70
|
|
Skull X-ray (1 to 3 views)
|
$477.10 |
$477.10 |
$477.10 |
$294.45
|
|
Skull X-ray (complete)
|
$477.10 |
$477.10 |
$477.10 |
$417.50
|
|
Skyla, 13.5 mg
|
$1,577.76 |
$1,577.76 |
$1,577.76 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,734.50
|
|
Sleeve fing rolyan med
|
$18.20 |
$18.20 |
$18.20 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$20.15 |
$20.15 |
$20.15 |
$30.35
|
|
Sling pelv split sam med
|
$113.75 |
$113.75 |
$113.75 |
$150.00
|
|
Slp pure tone screening
|
$41.60 |
$41.60 |
$41.60 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$798.20 |
$798.20 |
$798.20 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$24.05 |
$24.05 |
$24.05 |
$64.35
|
|
Smear gram stain
|
$18.85 |
$18.85 |
$18.85 |
$55.55
|
|
Smear nasal eosinophil
|
$26.00 |
$26.00 |
$26.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$26.65 |
$26.65 |
$26.65 |
$73.50
|
|
Smear wet mount
|
$26.00 |
$26.00 |
$26.00 |
$67.55
|
|
Sodium 24 hour urine
|
$22.75 |
$22.75 |
$22.75 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$0.25 |
$0.25 |
$0.25 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$0.35 |
$0.35 |
$0.35 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$0.60 |
$0.60 |
$0.60 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$14.88 |
$14.88 |
$14.88 |
$80.14
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$222.30 |
$222.30 |
$222.30 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$21.45 |
$21.45 |
$21.45 |
$46.26
|
