|
Rib and Chest X-ray (4 or more views, both sides)
|
$711.60 |
$711.60 |
$711.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$424.20 |
$424.20 |
$424.20 |
$400.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$440.00 |
$440.00 |
$440.00 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$124.20 |
$124.20 |
$124.20 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$518.40 |
$518.40 |
$518.40 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$318.60 |
$318.60 |
$318.60 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,826.40 |
$7,826.40 |
$7,826.40 |
$5,309.20
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$2,111.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$117.60 |
$117.60 |
$117.60 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$24.00 |
$24.00 |
$24.00 |
$8,935.57
|
|
Romiplostim injection
|
$243.00 |
$243.00 |
$243.00 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$11,159.40 |
$11,159.40 |
$11,159.40 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$56.80 |
$56.80 |
$56.80 |
$188.16
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$2,175.36
|
|
Rpl tun cvc wo subq port
|
$3,306.60 |
$3,306.60 |
$3,306.60 |
$3,724.63
|
|
Rubella antibody igg
|
$119.40 |
$119.40 |
$119.40 |
$77.50
|
|
Rubeola antibody igg
|
$235.20 |
$235.20 |
$235.20 |
$80.00
|
|
Russell viper venom diluted
|
$129.60 |
$129.60 |
$129.60 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,043.00 |
$5,043.00 |
$5,043.00 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$424.20 |
$424.20 |
$424.20 |
$314.79
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$658.20 |
$658.20 |
$658.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$415.80 |
$415.80 |
$415.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$436.20 |
$436.20 |
$436.20 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$78.00 |
$78.00 |
$78.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$61.20 |
$61.20 |
$61.20 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,000.00
|
|
Screening hepatitis b non-obstetric high risk
|
$49.80 |
$49.80 |
$49.80 |
$60.00
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$8,454.60 |
$8,454.60 |
$8,454.60 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$608.90
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$91.20 |
$91.20 |
$91.20 |
$96.60
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$345.60 |
$197.00
|
|
Set radiation therapy field
|
$777.60 |
$777.60 |
$777.60 |
$782.61
|
|
Set radiation therapy field
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$1,636.36
|
|
Shot (Injection into Muscle or Under the Skin)
|
$144.60 |
$144.60 |
$144.60 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$424.20 |
$424.20 |
$424.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$424.20 |
$424.20 |
$424.20 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,088.20
|
|
Shoulder X-ray
|
$424.20 |
$424.20 |
$424.20 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$424.20 |
$424.20 |
$424.20 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$4,538.82
|
|
Sialidase enzyme assay
|
$133.80 |
$133.80 |
$133.80 |
$54.99
|
|
Sickling rbc
|
$89.40 |
$89.40 |
$89.40 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$1,446.90
|
|
Sigmoidoscopy for bleeding
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
$1,650.75
|
|
Sigmoidoscopy w/resection
|
$2,564.40 |
$2,564.40 |
$2,564.40 |
$2,997.10
|
|
Sigmoidoscopy w/tumr remove
|
$2,197.80 |
$2,197.80 |
$2,197.80 |
$1,645.43
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,561.40 |
$2,561.40 |
$2,561.40 |
$1,976.25
|
|
Signal avg ecg w or without ecg 93278
|
$325.80 |
$325.80 |
$325.80 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$377.60 |
$377.60 |
$377.60 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$424.20 |
$424.20 |
$424.20 |
$347.10
|
|
Sinus X-ray (limited)
|
$424.20 |
$424.20 |
$424.20 |
$215.75
|
|
Skin Biopsy
|
$823.80 |
$823.80 |
$823.80 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$424.20 |
$424.20 |
$424.20 |
$294.66
|
|
Skull X-ray (complete)
|
$711.60 |
$711.60 |
$711.60 |
$423.15
|
|
Sleep study unattended
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$594.00
|
|
Sling arm deluxe w/pad xs
|
$210.00 |
$210.00 |
$210.00 |
$30.35
|
|
Sling suprapubic suburetheral
|
$2,321.40 |
$2,321.40 |
$2,321.40 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$810.00 |
$810.00 |
$810.00 |
$557.70
|
|
Small bowel endoscopy
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$2,596.41
|
|
Small bowel endoscopy
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,638.57
|
|
Small bowel endoscopy/biopsy
|
$2,362.20 |
$2,362.20 |
$2,362.20 |
$2,490.15
|
|
Smear fluorescent and/or acid fast stain
|
$74.40 |
$74.40 |
$74.40 |
$64.20
|
|
Smear gram stain
|
$55.80 |
$55.80 |
$55.80 |
$55.42
|
|
Smear special stain inclusion bodies/parasites
|
$74.40 |
$74.40 |
$74.40 |
$73.15
|
|
Sodium 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$56.00 |
$56.00 |
$56.00 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$56.00 |
$56.00 |
$56.00 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$56.00 |
$56.00 |
$56.00 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$21.60 |
$21.60 |
$21.60 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$71.60 |
$71.60 |
$71.60 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$93.00 |
$93.00 |
$93.00 |
$46.26
|
|
Spacer bag/reservoir
|
$153.60 |
$153.60 |
$153.60 |
$26.00
|
|
Special radiation treatment
|
$1,986.00 |
$1,986.00 |
$1,986.00 |
$2,052.00
|
|
Specific gravity body fluid
|
$46.20 |
$46.20 |
$46.20 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$225.00 |
$225.00 |
$225.00 |
$385.00
|
|
Speech Therapy Session (one-on-one)
|
$253.20 |
$253.20 |
$253.20 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$424.20 |
$424.20 |
$424.20 |
$251.00
|
|
Splint rstrc wrst/cmc right med
|
$129.60 |
$129.60 |
$129.60 |
$99.04
|
|
Split blood or products
|
$330.00 |
$330.00 |
$330.00 |
$129.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$12,459.00 |
$12,459.00 |
$12,459.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$476.40 |
$476.40 |
$476.40 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$5,124.60 |
$5,124.60 |
$5,124.60 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$13,006.80 |
$13,006.80 |
$13,006.80 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$21,956.40 |
$21,956.40 |
$21,956.40 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$22,029.60 |
$22,029.60 |
$22,029.60 |
$8,948.40
|
|
Sterile needle
|
$34.80 |
$34.80 |
$34.80 |
$190.13
|
|
Sterile water/saline, 10 ml
|
$53.00 |
$53.00 |
$53.00 |
$13.32
|
