|
Rituximab-arrx 10 mg/ml intravenous solution
|
$30,535.68 |
$30,535.68 |
$30,535.68 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$30,535.68 |
$30,535.68 |
$30,535.68 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$9,789.60 |
$9,789.60 |
$9,789.60 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$9,789.60 |
$9,789.60 |
$9,789.60 |
$6,104.00
|
|
Rmvl ext fixj sys under anes
|
$28,143.48 |
$28,143.48 |
$28,143.48 |
$2,370.00
|
|
Rmvl icd by tv extr
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$39,956.40 |
$39,956.40 |
$39,956.40 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$48,546.00 |
$48,546.00 |
$48,546.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$39,956.40 |
$39,956.40 |
$39,956.40 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$690.60 |
$690.60 |
$690.60 |
$1,156.80
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,275.60 |
$16,275.60 |
$16,275.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,267.40 |
$14,267.40 |
$14,267.40 |
$10,542.00
|
|
Rmvl pq iabp
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$3,271.80 |
$3,271.80 |
$3,271.80 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$264.50 |
$264.50 |
$264.50 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$27,252.54 |
$27,252.54 |
$27,252.54 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$88,536.84 |
$88,536.84 |
$88,536.84 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$42,273.06 |
$42,273.06 |
$42,273.06 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$739.98 |
$739.98 |
$739.98 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,638.40 |
$3,638.40 |
$3,638.40 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,556.60 |
$2,556.60 |
$2,556.60 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,320.60 |
$4,320.60 |
$4,320.60 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$24,356.00 |
$24,356.00 |
$24,356.00 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$12,002.40 |
$12,002.40 |
$12,002.40 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$28,390.67 |
$28,390.67 |
$28,390.67 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$80,013.19 |
$80,013.19 |
$80,013.19 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$75,334.33 |
$75,334.33 |
$75,334.33 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$92,493.25 |
$92,493.25 |
$92,493.25 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$81,797.59 |
$81,797.59 |
$81,797.59 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$68,390.78 |
$68,390.78 |
$68,390.78 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$61,922.67 |
$61,922.67 |
$61,922.67 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 rdc
|
$76,698.16 |
$76,698.16 |
$76,698.16 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$27,396.30 |
$27,396.30 |
$27,396.30 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$73,602.79 |
$73,602.79 |
$73,602.79 |
$4,176.15
|
|
Rsv assay w/optic
|
$218.40 |
$218.40 |
$218.40 |
$79.38
|
|
Rubella antibody igg
|
$100.20 |
$100.20 |
$100.20 |
$77.03
|
|
Rubeola antibody igg
|
$135.00 |
$135.00 |
$135.00 |
$80.00
|
|
Russell viper venom diluted
|
$130.80 |
$130.80 |
$130.80 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$21,841.02 |
$21,841.02 |
$21,841.02 |
$5,174.32
|
|
Salmonella antibody
|
$55.80 |
$55.80 |
$55.80 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$49.20 |
$49.20 |
$49.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$55.80 |
$55.80 |
$55.80 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,558.00 |
$3,558.00 |
$3,558.00 |
$662.00
|
|
Scan proc cranial extra
|
$35,287.77 |
$35,287.77 |
$35,287.77 |
$2,366.00
|
|
Scan proc spinal
|
$120,550.70 |
$120,550.70 |
$120,550.70 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$30,278.17 |
$30,278.17 |
$30,278.17 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$17,665.48 |
$17,665.48 |
$17,665.48 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$134.40 |
$134.40 |
$134.40 |
$85.15
|
|
Screen cerv/vag thin layer
|
$91.80 |
$91.80 |
$91.80 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$12,311.22 |
$12,311.22 |
$12,311.22 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$14,862.66 |
$14,862.66 |
$14,862.66 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$12.00 |
$12.00 |
$12.00 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$84.60 |
$84.60 |
$84.60 |
$99.66
|
|
Screening Mammogram
|
$962.40 |
$962.40 |
$962.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$112.80 |
$112.80 |
$112.80 |
$100.63
|
|
Screen pap by tech w md supv
|
$78.00 |
$78.00 |
$78.00 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$325,887.32 |
$325,887.32 |
$325,887.32 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,564.20 |
$4,564.20 |
$4,564.20 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$58.80 |
$58.80 |
$58.80 |
$42.00
|
|
Semen analysis presence/motility
|
$190.80 |
$190.80 |
$190.80 |
$71.05
|
|
Serpina1 gene
|
$95.40 |
$95.40 |
$95.40 |
$197.00
|
|
Set radiation therapy field
|
$87.60 |
$87.60 |
$87.60 |
$762.40
|
|
Set radiation therapy field
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$1,157.38
|
|
Set radiation therapy field
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$19.62 |
$19.62 |
$19.62 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$34.08 |
$34.08 |
$34.08 |
$21.96
|
|
Sewho cap design without jnts cf
|
$4,163.23 |
$4,163.23 |
$4,163.23 |
$1,685.60
|
|
Sgmdsc w/band ligation
|
$9,832.84 |
$9,832.84 |
$9,832.84 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$209.40 |
$209.40 |
$209.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$15,381.00 |
$15,381.00 |
$15,381.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$9,613.56 |
$9,613.56 |
$9,613.56 |
$223.00
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$712.80 |
$712.80 |
$712.80 |
$314.00
|
|
Sheath below knee
|
$43.91 |
$43.91 |
$43.91 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$10,040.63 |
$10,040.63 |
$10,040.63 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$15,083.60 |
$15,083.60 |
$15,083.60 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$58,779.16 |
$58,779.16 |
$58,779.16 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$58,392.89 |
$58,392.89 |
$58,392.89 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$58,561.10 |
$58,561.10 |
$58,561.10 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$26,531.79 |
$26,531.79 |
$26,531.79 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$62,841.02 |
$62,841.02 |
$62,841.02 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$59,711.94 |
$59,711.94 |
$59,711.94 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$135.04 |
$135.04 |
$135.04 |
$111.56
|
|
Shoe dennis browne splint bo
|
$117.80 |
$117.80 |
$117.80 |
$93.52
|
|
Shoe heel new leather standa
|
$110.83 |
$110.83 |
$110.83 |
$88.03
|
|
Shoe heel new rubber standar
|
$93.55 |
$93.55 |
$93.55 |
$63.70
|
|
Shoe heel pad & depress for
|
$169.65 |
$169.65 |
$169.65 |
$149.60
|
|
Shoe heel sach cushion type
|
$287.33 |
$287.33 |
$287.33 |
$228.09
|
|
Shoe heel thomas extend to b
|
$169.65 |
$169.65 |
$169.65 |
$134.68
|
|
Shoe heel thomas with wedge
|
$159.38 |
$159.38 |
$159.38 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$201.60 |
$201.60 |
$201.60 |
$175.04
|
|
Shoe metatarsal bar between
|
$252.75 |
$252.75 |
$252.75 |
$200.76
|
