|
Quest t3 uptake
|
$48.00 |
$48.00 |
$48.00 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$728.70 |
$728.70 |
$728.70 |
$2,756.77
|
|
Radiation physics consult
|
$303.00 |
$303.00 |
$303.00 |
$606.50
|
|
Radiation therapy dose plan
|
$303.00 |
$303.00 |
$303.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$319.00 |
$319.00 |
$319.00 |
$520.00
|
|
Radiation treatment aid(s)
|
$790.50 |
$790.50 |
$790.50 |
$1,076.78
|
|
Radiation treatment delivery
|
$290.00 |
$290.00 |
$290.00 |
$552.40
|
|
Radiation treatment delivery
|
$562.00 |
$562.00 |
$562.00 |
$920.00
|
|
Radiology port images(s)
|
$47.00 |
$47.00 |
$47.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$13,629.46 |
$13,629.46 |
$13,629.46 |
$215.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,254.00 |
$3,254.00 |
$3,254.00 |
$2,177.00
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$9,469.14 |
$9,469.14 |
$9,469.14 |
$13,136.04
|
|
Rapid Strep Test
|
$111.00 |
$111.00 |
$111.00 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,396.88 |
$1,396.88 |
$1,396.88 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$30,525.74 |
$30,525.74 |
$30,525.74 |
$41,926.70
|
|
Rbc count only automated
|
$30.00 |
$30.00 |
$30.00 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$412.50 |
$412.50 |
$412.50 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$489.00 |
$489.00 |
$489.00 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$23.42 |
$23.42 |
$23.42 |
$364.47
|
|
Remdesivir 100 mg intravenous powder for solution
|
$869.25 |
$869.25 |
$869.25 |
$1,524.70
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,797.50 |
$2,797.50 |
$2,797.50 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$38.00 |
$38.00 |
$38.00 |
$163.20
|
|
Removal/replacement ppm generator dual lead system
|
$16,845.00 |
$16,845.00 |
$16,845.00 |
$12,384.25
|
|
Renal function panel
|
$59.50 |
$59.50 |
$59.50 |
$113.52
|
|
Repair dental ellis ii fx
|
$354.00 |
$354.00 |
$354.00 |
$442.48
|
|
Repair pm/icd lead sgl
|
$5,387.00 |
$5,387.00 |
$5,387.00 |
$4,339.00
|
|
Reposition pm/icd lead
|
$4,345.00 |
$4,345.00 |
$4,345.00 |
$3,790.00
|
|
Reslizumab 10 mg/ml intravenous solution
|
$1,392.30 |
$1,392.30 |
$1,392.30 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$656.00 |
$656.00 |
$656.00 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$559.50 |
$559.50 |
$559.50 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$770.00 |
$770.00 |
$770.00 |
$780.42
|
|
Reticulated platelet assay
|
$172.50 |
$172.50 |
$172.50 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$40.00 |
$40.00 |
$40.00 |
$36.57
|
|
Revision of leg vein 37780
|
$501.00 |
$501.00 |
$501.00 |
$3,724.63
|
|
Rev-rem impl neurostim gen-rec
|
$4,728.00 |
$4,728.00 |
$4,728.00 |
$4,534.00
|
|
Rf abltj nrv nrvtg si jt
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$38.00 |
$38.00 |
$38.00 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$35.92 |
$35.92 |
$35.92 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$546.93 |
$546.93 |
$546.93 |
$3,709.00
|
|
Rho d immune globulin inj
|
$140.11 |
$140.11 |
$140.11 |
$217.71
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$12,257.10 |
$12,257.10 |
$12,257.10 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,229.90 |
$1,229.90 |
$1,229.90 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$6,106.88 |
$6,106.88 |
$6,106.88 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$9,800.08 |
$9,800.08 |
$9,800.08 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,878.10 |
$3,878.10 |
$3,878.10 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$2,967.96 |
$2,967.96 |
$2,967.96 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,470.22 |
$3,470.22 |
$3,470.22 |
$5,309.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$37,299.00 |
$37,299.00 |
$37,299.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$53,010.50 |
$53,010.50 |
$53,010.50 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$37,299.00 |
$37,299.00 |
$37,299.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,904.50 |
$4,904.50 |
$4,904.50 |
$3,977.32
|
|
Rmvl perm pm pulse gen
|
$12,561.00 |
$12,561.00 |
$12,561.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$12,561.00 |
$12,561.00 |
$12,561.00 |
$10,542.00
|
|
Rmvl tv pm lead dual
|
$7,624.50 |
$7,624.50 |
$7,624.50 |
$4,028.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$4,012.71 |
$4,012.71 |
$4,012.71 |
$6,333.33
|
|
Romiplostim injection
|
$10,488.00 |
$10,488.00 |
$10,488.00 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,627.44 |
$1,627.44 |
$1,627.44 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$35.40 |
$35.40 |
$35.40 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$7,872.86 |
$7,872.86 |
$7,872.86 |
$15,007.16
|
|
Rp loclzj tum 2+area 1+d img
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 2
|
$3,904.50 |
$3,904.50 |
$3,904.50 |
$3,139.20
|
|
Rubella antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$77.03
|
|
Rubeola antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$80.00
|
|
Russell viper venom diluted
|
$51.50 |
$51.50 |
$51.50 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,203.23 |
$3,203.23 |
$3,203.23 |
$5,174.32
|
|
Sarscov coronavirus ag ia
|
$152.00 |
$152.00 |
$152.00 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,053.50 |
$1,053.50 |
$1,053.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$523.00 |
$523.00 |
$523.00 |
$662.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$219.50 |
$219.50 |
$219.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$513.00 |
$513.00 |
$513.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$928.50 |
$928.50 |
$928.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$513.00 |
$513.00 |
$513.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$513.00 |
$513.00 |
$513.00 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,490.64
|
|
Screening prostate cancer PSA
|
$77.50 |
$77.50 |
$77.50 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$55,015.00 |
$55,015.00 |
$55,015.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$30.00 |
$30.00 |
$30.00 |
$42.00
|
|
Semen analysis presence/motility
|
$38.50 |
$38.50 |
$38.50 |
$71.05
|
|
Set radiation therapy field
|
$303.00 |
$303.00 |
$303.00 |
$762.40
|
|
Set radiation therapy field
|
$790.50 |
$790.50 |
$790.50 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$4,970.00 |
$4,970.00 |
$4,970.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$2,065.05
|
|
Shoulder X-ray
|
$266.50 |
$266.50 |
$266.50 |
$339.50
|
|
Sincalide 5 mcg solution for injection
|
$122.42 |
$122.42 |
$122.42 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,220.50 |
$1,220.50 |
$1,220.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$816.50 |
$816.50 |
$816.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$539.00 |
$539.00 |
$539.00 |
$1,292.04
|
|
Sipuleucel-t - su
|
$95,896.78 |
$95,896.78 |
$95,896.78 |
$100,990.51
|
|
Sirolimus, oral
|
$10.61 |
$10.61 |
$10.61 |
$41.25
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$9,925.45 |
$9,925.45 |
$9,925.45 |
$14,361.10
|
|
Sleep Study (Polysomnography)
|
$3,412.50 |
$3,412.50 |
$3,412.50 |
$3,607.50
|
|
Sling suprapubic suburetheral
|
$3,851.90 |
$3,851.90 |
$3,851.90 |
$9,679.96
|
|
Smallpox&monkeypox vac 0.5ml
|
$236.25 |
$236.25 |
$236.25 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$55.50 |
$55.50 |
$55.50 |
$64.20
|
|
Smear gram stain
|
$41.50 |
$41.50 |
$41.50 |
$55.25
|
|
Smear wet mount
|
$55.50 |
$55.50 |
$55.50 |
$67.49
|
|
Sodium 24 hour urine
|
$34.00 |
$34.00 |
$34.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$40.00 |
$40.00 |
$40.00 |
$48.11
|
