|
Red blood cells leukocytes reduced irradiated each unit
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$528.45
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$526.00 |
$526.00 |
$526.00 |
$364.47
|
|
Relocation skin pocket aicd
|
$7,968.00 |
$7,968.00 |
$7,968.00 |
$2,761.55
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$5,162.40 |
$5,162.40 |
$5,162.40 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$2,356.71
|
|
Removal cerclage without anes
|
$192.80 |
$192.80 |
$192.80 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$280.80 |
$280.80 |
$280.80 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$2,960.80 |
$2,960.80 |
$2,960.80 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$35,613.60 |
$35,613.60 |
$35,613.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$207.20 |
$207.20 |
$207.20 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$4,098.40 |
$4,098.40 |
$4,098.40 |
$4,195.00
|
|
Remove renal tube w/fluoro
|
$707.20 |
$707.20 |
$707.20 |
$1,141.31
|
|
Remove ureter stent percut
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$3,612.60
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,025.95
|
|
Repair lip full thkns =<one-half vert height
|
$1,976.80 |
$1,976.80 |
$1,976.80 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$1,928.07
|
|
Repair pm/icd lead sgl
|
$14,596.00 |
$14,596.00 |
$14,596.00 |
$4,339.00
|
|
Replace duod/jej tube perc
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$2,430.40 |
$2,430.40 |
$2,430.40 |
$1,341.50
|
|
Replace g-j tube perc
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$1,498.53
|
|
Reposition pm/icd lead
|
$5,636.00 |
$5,636.00 |
$5,636.00 |
$3,790.00
|
|
Respirator motion mgmt simul
|
$985.60 |
$985.60 |
$985.60 |
$1,197.50
|
|
Resp virus 6-11 targets
|
$907.20 |
$907.20 |
$907.20 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$845.60 |
$845.60 |
$845.60 |
$764.40
|
|
Reticulated platelet assay
|
$185.60 |
$185.60 |
$185.60 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$54.40 |
$54.40 |
$54.40 |
$36.57
|
|
Revasc intravasc lithotripsy
|
$19,484.80 |
$19,484.80 |
$19,484.80 |
$11,320.00
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Rho d immune globulin inj
|
$278.40 |
$278.40 |
$278.40 |
$217.71
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,530.60 |
$2,530.60 |
$2,530.60 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$2,991.60 |
$2,991.60 |
$2,991.60 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,389.80 |
$1,389.80 |
$1,389.80 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$9,683.20 |
$9,683.20 |
$9,683.20 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$75,367.20 |
$75,367.20 |
$75,367.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$113,008.00 |
$113,008.00 |
$113,008.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$73,888.00 |
$73,888.00 |
$73,888.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$8,087.20 |
$8,087.20 |
$8,087.20 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$3,493.60 |
$3,493.60 |
$3,493.60 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$18,047.20 |
$18,047.20 |
$18,047.20 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$58,714.40 |
$58,714.40 |
$58,714.40 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$25,965.60 |
$25,965.60 |
$25,965.60 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$2,741.60 |
$2,741.60 |
$2,741.60 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$10,211.20 |
$10,211.20 |
$10,211.20 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$15,964.80 |
$15,964.80 |
$15,964.80 |
$4,031.69
|
|
Romiplostim 125 mcg subcutaneous solution
|
$8,784.20 |
$8,784.20 |
$8,784.20 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,194.60 |
$4,194.60 |
$4,194.60 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$78.40 |
$78.40 |
$78.40 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,088.80 |
$2,088.80 |
$2,088.80 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$727.20 |
$727.20 |
$727.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$7,909.60 |
$7,909.60 |
$7,909.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,943.20 |
$2,943.20 |
$2,943.20 |
$3,687.00
|
|
Rubella antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$77.03
|
|
Rubeola antibody igg
|
$53.60 |
$53.60 |
$53.60 |
$80.00
|
|
Russell viper venom diluted
|
$67.20 |
$67.20 |
$67.20 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$698.40 |
$698.40 |
$698.40 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$303.20 |
$303.20 |
$303.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$555.20 |
$555.20 |
$555.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$823.20 |
$823.20 |
$823.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$671.20 |
$671.20 |
$671.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$671.20 |
$671.20 |
$671.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$2,114.45
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$92.80 |
$92.80 |
$92.80 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$12,738.00 |
$12,738.00 |
$12,738.00 |
$29,055.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$128.80 |
$128.80 |
$128.80 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$71.05
|
|
Serpina1 gene
|
$181.60 |
$181.60 |
$181.60 |
$197.00
|
|
Set radiation therapy field
|
$1,263.20 |
$1,263.20 |
$1,263.20 |
$762.40
|
|
Set radiation therapy field
|
$3,464.00 |
$3,464.00 |
$3,464.00 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$645.50 |
$645.50 |
$645.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$461.50 |
$461.50 |
$461.50 |
$2,065.05
|
|
Shoulder X-ray
|
$470.40 |
$470.40 |
$470.40 |
$339.50
|
|
Sickling rbc
|
$80.00 |
$80.00 |
$80.00 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$667.20 |
$667.20 |
$667.20 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$335.80 |
$335.80 |
$335.80 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$568.00 |
$568.00 |
$568.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$494.00 |
$494.00 |
$494.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$295.00 |
$295.00 |
$295.00 |
$1,292.04
|
|
Skin Biopsy
|
$617.60 |
$617.60 |
$617.60 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$3,935.20 |
$3,935.20 |
$3,935.20 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$316.00 |
$316.00 |
$316.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$2,990.26 |
$2,990.26 |
$2,990.26 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$26.40 |
$26.40 |
$26.40 |
$64.20
|
|
Smear gram stain
|
$21.60 |
$21.60 |
$21.60 |
$55.25
|
|
Smear nasal eosinophil
|
$24.00 |
$24.00 |
$24.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$29.60 |
$29.60 |
$29.60 |
$73.15
|
|
Sodium 24 hour urine
|
$20.80 |
$20.80 |
$20.80 |
$48.60
|
