|
Rituximab-abbs 10 mg/ml intravenous solution
|
$11,250.25 |
$11,250.25 |
$11,250.25 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$9,543.02 |
$9,543.02 |
$9,543.02 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$739.64 |
$739.64 |
$739.64 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,725.50 |
$1,725.50 |
$1,725.50 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$2,093.02
|
|
Rmvl icd by tv extr
|
$9,631.35 |
$9,631.35 |
$9,631.35 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$57,811.05 |
$57,811.05 |
$57,811.05 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$80,687.95 |
$80,687.95 |
$80,687.95 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$57,811.05 |
$57,811.05 |
$57,811.05 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$9,631.35 |
$9,631.35 |
$9,631.35 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$3,739.15 |
$3,739.15 |
$3,739.15 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$47,789.55 |
$47,789.55 |
$47,789.55 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$20,836.90 |
$20,836.90 |
$20,836.90 |
$10,542.00
|
|
Rmvl pq iabp
|
$710.60 |
$710.60 |
$710.60 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$3,860.70 |
$3,860.70 |
$3,860.70 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$9,631.35 |
$9,631.35 |
$9,631.35 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,725.50 |
$1,725.50 |
$1,725.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$9,631.35 |
$9,631.35 |
$9,631.35 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$9,631.35 |
$9,631.35 |
$9,631.35 |
$4,031.69
|
|
Rolapitant, oral, 1mg
|
$346.52 |
$346.52 |
$346.52 |
$580.13
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,240.53 |
$3,240.53 |
$3,240.53 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$14,606.22 |
$14,606.22 |
$14,606.22 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,976.15 |
$6,976.15 |
$6,976.15 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$432.65 |
$432.65 |
$432.65 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$9,497.87 |
$9,497.87 |
$9,497.87 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,928.70 |
$3,928.70 |
$3,928.70 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$6,675.90 |
$6,675.90 |
$6,675.90 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$7,358.45 |
$7,358.45 |
$7,358.45 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,928.70 |
$3,928.70 |
$3,928.70 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$3,687.00
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$12,445.70 |
$12,445.70 |
$12,445.70 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$13,477.60 |
$13,477.60 |
$13,477.60 |
$5,983.35
|
|
Rsv assay w/optic
|
$53.55 |
$53.55 |
$53.55 |
$79.38
|
|
Rsv vacc mrna lipid nano im
|
$304.30 |
$304.30 |
$304.30 |
$509.49
|
|
Rubella antibody igg
|
$58.65 |
$58.65 |
$58.65 |
$77.03
|
|
Rubeola antibody igg
|
$51.85 |
$51.85 |
$51.85 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$1,220.60 |
$1,220.60 |
$1,220.60 |
$454.72
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,802.66 |
$6,802.66 |
$6,802.66 |
$5,174.32
|
|
Salivary gland imaging
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$585.00
|
|
Salmonella antibody
|
$53.55 |
$53.55 |
$53.55 |
$37.58
|
|
Sargramostim injection
|
$838.65 |
$838.65 |
$838.65 |
$609.00
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$180.22 |
$180.22 |
$180.22 |
$222.30
|
|
Sbrt management
|
$7,057.55 |
$7,057.55 |
$7,057.55 |
$1,189.60
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$409.70 |
$409.70 |
$409.70 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$198.90 |
$198.90 |
$198.90 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$288.15 |
$288.15 |
$288.15 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$107.10 |
$107.10 |
$107.10 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$537.20 |
$537.20 |
$537.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$526.15 |
$526.15 |
$526.15 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$442.00 |
$442.00 |
$442.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$537.20 |
$537.20 |
$537.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,027.65 |
$1,027.65 |
$1,027.65 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$537.20 |
$537.20 |
$537.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$537.20 |
$537.20 |
$537.20 |
$595.35
|
|
Scan proc cranial intra 61781
|
$3,452.70 |
$3,452.70 |
$3,452.70 |
$2,067.91
|
|
Sclerotherapy fluid collection pq w/img
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$198.90 |
$198.90 |
$198.90 |
$88.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$73.10 |
$73.10 |
$73.10 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$213.35 |
$213.35 |
$213.35 |
$99.66
|
|
Screening Mammogram
|
$360.40 |
$360.40 |
$360.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$78.20 |
$78.20 |
$78.20 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$34,531.25 |
$34,531.25 |
$34,531.25 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$170.00 |
$170.00 |
$170.00 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,962.70 |
$3,962.70 |
$3,962.70 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$127.50 |
$127.50 |
$127.50 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$11.90 |
$11.90 |
$11.90 |
$42.00
|
|
Semen analysis presence/motility
|
$48.45 |
$48.45 |
$48.45 |
$71.05
|
|
Semen analysis w/count
|
$35.70 |
$35.70 |
$35.70 |
$56.44
|
|
Set radiation therapy field
|
$952.85 |
$952.85 |
$952.85 |
$762.40
|
|
Set radiation therapy field
|
$1,730.60 |
$1,730.60 |
$1,730.60 |
$1,157.38
|
|
Set radiation therapy field
|
$1,928.65 |
$1,928.65 |
$1,928.65 |
$1,636.36
|
|
Sex chromatin identification
|
$92.65 |
$92.65 |
$92.65 |
$45.60
|
|
Sex chromatin identification
|
$40.80 |
$40.80 |
$40.80 |
$20.80
|
|
Sf3b1 gene common variants
|
$715.70 |
$715.70 |
$715.70 |
$248.10
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$491.30 |
$491.30 |
$491.30 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$977.50 |
$977.50 |
$977.50 |
$314.00
|
|
Sheath gldlight lasr 12fx50cm
|
$4,236.40 |
$4,236.40 |
$4,236.40 |
$6,570.70
|
|
Shoulder MRI (with and without contrast)
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,763.80 |
$3,763.80 |
$3,763.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,850.45 |
$1,850.45 |
$1,850.45 |
$2,065.05
|
|
Shoulder X-ray
|
$406.30 |
$406.30 |
$406.30 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,992.00 |
$2,992.00 |
$2,992.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$495.55 |
$495.55 |
$495.55 |
$349.20
|
|
Sialolithotomy 42330
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,837.72
|
|
Sickling rbc
|
$22.95 |
$22.95 |
$22.95 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$1,890.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$1,388.56
|
|
Sincalide 5 mcg solution for injection
|
$350.25 |
$350.25 |
$350.25 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,322.20 |
$2,322.20 |
$2,322.20 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,478.15 |
$1,478.15 |
$1,478.15 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,137.30 |
$1,137.30 |
$1,137.30 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$15,025.45 |
$15,025.45 |
$15,025.45 |
$2,489.25
|
|
Sipuleucel-t - su
|
$166,060.08 |
$166,060.08 |
$166,060.08 |
$100,990.51
|
|
Sirolimus, oral
|
$5,210.90 |
$5,210.90 |
$5,210.90 |
$41.25
|
