|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$19.80 |
$19.80 |
$19.80 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$2,567.40 |
$2,567.40 |
$2,567.40 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$116.40 |
$116.40 |
$116.40 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$354.40 |
$354.40 |
$354.40 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$213.60 |
$213.60 |
$213.60 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,463.40 |
$7,463.40 |
$7,463.40 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$10,107.60 |
$10,107.60 |
$10,107.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$10,107.60 |
$10,107.60 |
$10,107.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$40,435.80 |
$40,435.80 |
$40,435.80 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,747.00 |
$3,747.00 |
$3,747.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$717.00 |
$717.00 |
$717.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,816.40 |
$5,816.40 |
$5,816.40 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,816.40 |
$5,816.40 |
$5,816.40 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$4,673.40 |
$4,673.40 |
$4,673.40 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$2,013.00 |
$2,013.00 |
$2,013.00 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$4,225.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$63.60 |
$63.60 |
$63.60 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$33.60 |
$33.60 |
$33.60 |
$8,935.57
|
|
Romiplostim injection
|
$246.00 |
$246.00 |
$246.00 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$42.40 |
$42.40 |
$42.40 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$72.00 |
$72.00 |
$72.00 |
$188.16
|
|
Rp loclzj tum spect w/ct 1
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,566.53
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,757.00 |
$5,757.00 |
$5,757.00 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$2,323.80 |
$2,323.80 |
$2,323.80 |
$3,724.63
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$9,805.80 |
$9,805.80 |
$9,805.80 |
$6,904.15
|
|
Rubella antibody igg
|
$111.60 |
$111.60 |
$111.60 |
$77.50
|
|
Rubeola antibody igg
|
$82.20 |
$82.20 |
$82.20 |
$80.00
|
|
Russell viper venom diluted
|
$71.40 |
$71.40 |
$71.40 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,810.20 |
$4,810.20 |
$4,810.20 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$222.60 |
$222.60 |
$222.60 |
$314.79
|
|
Salmonella antibody
|
$25.20 |
$25.20 |
$25.20 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$210.60 |
$210.60 |
$210.60 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$710.40 |
$710.40 |
$710.40 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$475.80 |
$475.80 |
$475.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$679.20 |
$679.20 |
$679.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$679.20 |
$679.20 |
$679.20 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$99.00 |
$99.00 |
$99.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$70.20 |
$70.20 |
$70.20 |
$86.56
|
|
Screening hepatitis b non-obstetric high risk
|
$142.20 |
$142.20 |
$142.20 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$48.00 |
$48.00 |
$48.00 |
$93.60
|
|
Screening Mammogram
|
$345.00 |
$345.00 |
$345.00 |
$310.20
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$20.40 |
$20.40 |
$20.40 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$9,851.40 |
$9,851.40 |
$9,851.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$556.80 |
$556.80 |
$556.80 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,609.20 |
$7,609.20 |
$7,609.20 |
$4,336.20
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$81.00 |
$81.00 |
$81.00 |
$96.60
|
|
Semen analysis presence/motility
|
$85.20 |
$85.20 |
$85.20 |
$70.40
|
|
Serpina1 gene
|
$330.00 |
$330.00 |
$330.00 |
$197.00
|
|
Set radiation therapy field
|
$621.60 |
$621.60 |
$621.60 |
$782.61
|
|
Set radiation therapy field
|
$904.20 |
$904.20 |
$904.20 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$52.20 |
$52.20 |
$52.20 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$436.64
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$836.40 |
$836.40 |
$836.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$52.20 |
$52.20 |
$52.20 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$52.20 |
$52.20 |
$52.20 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$52.20 |
$52.20 |
$52.20 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$52.20 |
$52.20 |
$52.20 |
$286.89
|
|
Shot (Injection into Muscle or Under the Skin)
|
$163.20 |
$163.20 |
$163.20 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$153.60 |
$153.60 |
$153.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$73.20 |
$73.20 |
$73.20 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$2,088.20
|
|
Shoulder X-ray
|
$172.80 |
$172.80 |
$172.80 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$144.00 |
$144.00 |
$144.00 |
$264.00
|
|
Sickling rbc
|
$44.40 |
$44.40 |
$44.40 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$1,395.28
|
|
Sigmoidoscopy w/tumr remove
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,645.43
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$422.40 |
$422.40 |
$422.40 |
$280.00
|
|
Sig w/tndsc balloon dilation
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$2,288.00
|
|
Sincalide 5 mcg solution for injection
|
$430.40 |
$430.40 |
$430.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$3,778.20 |
$3,778.20 |
$3,778.20 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$295.20 |
$295.20 |
$295.20 |
$347.10
|
|
Sirolimus, oral
|
$3,582.60 |
$3,582.60 |
$3,582.60 |
$41.70
|
|
Sirolimus-protein bound 100 mg intravenous suspension
|
$148.80 |
$148.80 |
$148.80 |
$14,361.10
|
|
Skin Biopsy
|
$613.80 |
$613.80 |
$613.80 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$219.60 |
$219.60 |
$219.60 |
$294.66
|
|
Skull X-ray (complete)
|
$262.80 |
$262.80 |
$262.80 |
$423.15
|
|
Skyla, 13.5 mg
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$1,643.47
|
