|
Rheumatoid factor qualitative
|
$127.20 |
$127.20 |
$127.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$61.20 |
$61.20 |
$61.20 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$21,603.54 |
$21,603.54 |
$21,603.54 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$801.42 |
$801.42 |
$801.42 |
$243.11
|
|
Rho d immune globulin inj
|
$801.42 |
$801.42 |
$801.42 |
$217.71
|
|
Rib gusset (elastic) each
|
$313.04 |
$313.04 |
$313.04 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$910.68 |
$910.68 |
$910.68 |
$455.01
|
|
Ring flange plas/leather mol
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$669.31
|
|
Ring flange plastic/leather
|
$680.41 |
$680.41 |
$680.41 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$3,500.81 |
$3,500.81 |
$3,500.81 |
$1,509.75
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$23,535.00 |
$23,535.00 |
$23,535.00 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$37,655.64 |
$37,655.64 |
$37,655.64 |
$15,057.18
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$17,955.84 |
$17,955.84 |
$17,955.84 |
$5,309.20
|
|
Rmvl ext fixj sys under anes
|
$55,899.07 |
$55,899.07 |
$55,899.07 |
$2,370.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$5,946.90 |
$5,946.90 |
$5,946.90 |
$1,822.05
|
|
Rmvl ndwellg tun pleural cath
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$29,608.72 |
$29,608.72 |
$29,608.72 |
$470.40
|
|
Rmvl tiss expndr without implant insrtn
|
$18,269.36 |
$18,269.36 |
$18,269.36 |
$3,832.40
|
|
Rocker bottom, contact afo
|
$348.05 |
$348.05 |
$348.05 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$16,025.28 |
$16,025.28 |
$16,025.28 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$25,933.38 |
$25,933.38 |
$25,933.38 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$207.60 |
$207.60 |
$207.60 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,163.20 |
$3,163.20 |
$3,163.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,039.60 |
$3,039.60 |
$3,039.60 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,391.60 |
$5,391.60 |
$5,391.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,039.60 |
$3,039.60 |
$3,039.60 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$22,738.23 |
$22,738.23 |
$22,738.23 |
$1,982.40
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$20,414.12 |
$20,414.12 |
$20,414.12 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$33,445.55 |
$33,445.55 |
$33,445.55 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$20,799.70 |
$20,799.70 |
$20,799.70 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$20,085.49 |
$20,085.49 |
$20,085.49 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$22,245.20 |
$22,245.20 |
$22,245.20 |
$2,402.40
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$16,140.14 |
$16,140.14 |
$16,140.14 |
$1,663.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$22,111.13 |
$22,111.13 |
$22,111.13 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$13,740.85 |
$13,740.85 |
$13,740.85 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$19,664.65 |
$19,664.65 |
$19,664.65 |
$7,606.40
|
|
Rsv assay w/optic
|
$112.80 |
$112.80 |
$112.80 |
$79.38
|
|
Rubella antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$77.03
|
|
Rubeola antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$80.00
|
|
Russell viper venom diluted
|
$103.80 |
$103.80 |
$103.80 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$12,843.18 |
$12,843.18 |
$12,843.18 |
$5,174.32
|
|
Salmonella antibody
|
$70.80 |
$70.80 |
$70.80 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$23.40 |
$23.40 |
$23.40 |
$59.25
|
|
Scan proc cranial extra
|
$34,846.82 |
$34,846.82 |
$34,846.82 |
$2,366.00
|
|
Scope uretscp lithovue dig disp
|
$15,351.69 |
$15,351.69 |
$15,351.69 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$76.80 |
$76.80 |
$76.80 |
$85.15
|
|
Screen cerv/vag thin layer
|
$84.60 |
$84.60 |
$84.60 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$7,110.54 |
$7,110.54 |
$7,110.54 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$5,062.26 |
$5,062.26 |
$5,062.26 |
$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
|
$45.00 |
$45.00 |
$45.00 |
$60.00
|
|
Screening prostate cancer PSA
|
$70.20 |
$70.20 |
$70.20 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$428,835.57 |
$428,835.57 |
$428,835.57 |
$29,055.00
|
|
Semen analysis presence/motility
|
$164.40 |
$164.40 |
$164.40 |
$71.05
|
|
Serpina1 gene
|
$178.80 |
$178.80 |
$178.80 |
$197.00
|
|
Set radiation therapy field
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$762.40
|
|
Set radiation therapy field
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,157.38
|
|
Set radiation therapy field
|
$1,880.40 |
$1,880.40 |
$1,880.40 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$3.00 |
$3.00 |
$3.00 |
$7.14
|
|
Sewho cap design without jnts cf
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$280.80 |
$280.80 |
$280.80 |
$248.10
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$221.40 |
$221.40 |
$221.40 |
$235.13
|
|
Sheath below knee
|
$57.78 |
$57.78 |
$57.78 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$8,725.53 |
$8,725.53 |
$8,725.53 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,107.98 |
$13,107.98 |
$13,107.98 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$32,112.89 |
$32,112.89 |
$32,112.89 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$20,991.86 |
$20,991.86 |
$20,991.86 |
$6,311.00
|
|
Sho arthrs srg rpr slap les
|
$15,171.83 |
$15,171.83 |
$15,171.83 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$25,630.43 |
$25,630.43 |
$25,630.43 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$177.70 |
$177.70 |
$177.70 |
$111.56
|
|
Shoe dennis browne splint bo
|
$155.02 |
$155.02 |
$155.02 |
$93.52
|
|
Shoe heel new leather standa
|
$145.84 |
$145.84 |
$145.84 |
$88.03
|
|
Shoe heel new rubber standar
|
$123.10 |
$123.10 |
$123.10 |
$63.70
|
|
Shoe heel pad & depress for
|
$223.24 |
$223.24 |
$223.24 |
$149.60
|
|
Shoe heel sach cushion type
|
$378.10 |
$378.10 |
$378.10 |
$228.09
|
|
Shoe heel thomas extend to b
|
$223.24 |
$223.24 |
$223.24 |
$134.68
|
|
Shoe heel thomas with wedge
|
$209.73 |
$209.73 |
$209.73 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$265.28 |
$265.28 |
$265.28 |
$175.04
|
|
Shoe metatarsal bar between
|
$332.60 |
$332.60 |
$332.60 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$145.84 |
$145.84 |
$145.84 |
$69.03
|
|
Shoe outflare wedge
|
$177.70 |
$177.70 |
$177.70 |
$107.24
|
|
Shoe post-op mens m
|
$437.11 |
$437.11 |
$437.11 |
$52.20
|
|
Shoe sole wedge between sole
|
$177.70 |
$177.70 |
$177.70 |
$107.24
|
|
Shoe sole wedge outside sole
|
$127.55 |
$127.55 |
$127.55 |
$77.00
|
|
Shoe wedge sach
|
$305.38 |
$305.38 |
$305.38 |
$171.44
|
|
Sho heel count plast reinfor
|
$574.16 |
$574.16 |
$574.16 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,854.00 |
$1,854.00 |
$1,854.00 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$186.84 |
$186.84 |
$186.84 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$26,639.48 |
$26,639.48 |
$26,639.48 |
$7,807.24
|
|
Shoulder X-ray
|
$523.20 |
$523.20 |
$523.20 |
$339.50
|
|
Shrinker prosth above knee
|
$302.56 |
$302.56 |
$302.56 |
$168.89
|
|
Shrinker prosth below knee
|
$291.60 |
$291.60 |
$291.60 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$11,523.67 |
$11,523.67 |
$11,523.67 |
$4,636.80
|
|
Sialidase enzyme assay
|
$61.80 |
$61.80 |
$61.80 |
$54.60
|
|
Sickling rbc
|
$40.20 |
$40.20 |
$40.20 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$6,724.14 |
$6,724.14 |
$6,724.14 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$4,998.06 |
$4,998.06 |
$4,998.06 |
$1,444.83
|
|
Sigmoidoscopy w/resection
|
$9,841.98 |
$9,841.98 |
$9,841.98 |
$2,564.40
|
