|
Reticulocyte automated
|
$84.60 |
$84.60 |
$84.60 |
$53.00
|
|
Revefenacin inh non-com 1mcg
|
$7.80 |
$7.80 |
$7.80 |
$15.56
|
|
Rf abltj nrv nrvtg si jt
|
$3,989.40 |
$3,989.40 |
$3,989.40 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$83.40 |
$83.40 |
$83.40 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$208.80 |
$208.80 |
$208.80 |
$234.12
|
|
Rho(d) immune globulin h, sd
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$3,228.05
|
|
Rho d immune globulin inj
|
$357.00 |
$357.00 |
$357.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$436.20 |
$436.20 |
$436.20 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$732.60 |
$732.60 |
$732.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$436.20 |
$436.20 |
$436.20 |
$397.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$333.60 |
$333.60 |
$333.60 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$536.80 |
$536.80 |
$536.80 |
$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
|
$7,826.40 |
$7,826.40 |
$7,826.40 |
$5,309.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$51,008.40 |
$51,008.40 |
$51,008.40 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$51,008.40 |
$51,008.40 |
$51,008.40 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$51,008.40 |
$51,008.40 |
$51,008.40 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,805.40 |
$1,805.40 |
$1,805.40 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,753.20 |
$1,753.20 |
$1,753.20 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$30,141.60 |
$30,141.60 |
$30,141.60 |
$15,399.00
|
|
Rmvl subq card rhythm mntr
|
$2,162.40 |
$2,162.40 |
$2,162.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,786.80 |
$4,786.80 |
$4,786.80 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$5,021.40 |
$5,021.40 |
$5,021.40 |
$4,225.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$34.60 |
$34.60 |
$34.60 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$8,341.20 |
$8,341.20 |
$8,341.20 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$85.20 |
$85.20 |
$85.20 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,203.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$2,556.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$3,278.40 |
$3,278.40 |
$3,278.40 |
$3,724.63
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$6,904.15
|
|
Rubella antibody igg
|
$203.40 |
$203.40 |
$203.40 |
$77.40
|
|
Rubeola antibody igg
|
$136.20 |
$136.20 |
$136.20 |
$80.00
|
|
Russell viper venom diluted
|
$201.00 |
$201.00 |
$201.00 |
$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)
|
$436.20 |
$436.20 |
$436.20 |
$314.26
|
|
Salmonella antibody
|
$205.80 |
$205.80 |
$205.80 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$873.00 |
$873.00 |
$873.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$543.60 |
$543.60 |
$543.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$495.00 |
$495.00 |
$495.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$505.20 |
$505.20 |
$505.20 |
$597.35
|
|
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 |
$1,816.36
|
|
Screening hepatitis b non-obstetric high risk
|
$49.80 |
$49.80 |
$49.80 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$42.00 |
$42.00 |
$42.00 |
$93.60
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$31,777.20 |
$31,777.20 |
$31,777.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$966.00 |
$966.00 |
$966.00 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,215.60 |
$7,215.60 |
$7,215.60 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$85.20 |
$85.20 |
$85.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$87.60 |
$87.60 |
$87.60 |
$96.00
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$345.60 |
$197.00
|
|
Set radiation therapy field
|
$830.40 |
$830.40 |
$830.40 |
$782.61
|
|
Set radiation therapy field
|
$1,715.40 |
$1,715.40 |
$1,715.40 |
$1,159.03
|
|
Set radiation therapy field
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$3,418.80 |
$3,418.80 |
$3,418.80 |
$2,288.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$183.60 |
$183.60 |
$183.60 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$2,096.84
|
|
Shoulder X-ray
|
$436.20 |
$436.20 |
$436.20 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$436.20 |
$436.20 |
$436.20 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$4,636.80 |
$4,636.80 |
$4,636.80 |
$4,538.82
|
|
Sickling rbc
|
$70.80 |
$70.80 |
$70.80 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$2,282.40 |
$2,282.40 |
$2,282.40 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,976.60 |
$2,976.60 |
$2,976.60 |
$1,820.00
|
|
Sigmoidoscopy w/ablation
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$2,604.00
|
|
Sigmoidoscopy w/plcmt stent
|
$1,713.00 |
$1,713.00 |
$1,713.00 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$3,418.80 |
$3,418.80 |
$3,418.80 |
$3,035.44
|
|
Sigmoidoscopy w/tumr remove
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,645.43
|
|
Signal avg ecg w or without ecg 93278
|
$322.20 |
$322.20 |
$322.20 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$578.40 |
$578.40 |
$578.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$436.20 |
$436.20 |
$436.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$436.20 |
$436.20 |
$436.20 |
$215.40
|
|
Sirolimus, oral
|
$72.00 |
$72.00 |
$72.00 |
$41.70
|
|
Skin test unlisted antigen ea
|
$39.00 |
$39.00 |
$39.00 |
$48.57
|
|
Skull X-ray (1 to 3 views)
|
$436.20 |
$436.20 |
$436.20 |
$294.45
|
|
Skull X-ray (complete)
|
$732.60 |
$732.60 |
$732.60 |
$417.50
|
|
Sling arm deluxe w/pad xs
|
$325.20 |
$325.20 |
$325.20 |
$30.35
|
|
Sling suprapubic suburetheral
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$832.80 |
$832.80 |
$832.80 |
$557.70
|
|
Small bowel endoscopy
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,596.41
|
|
Small bowel endoscopy
|
$3,706.20 |
$3,706.20 |
$3,706.20 |
$2,399.20
|
|
Small bowel endoscopy
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,951.65
|
|
Small bowel endoscopy
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,590.33
|
|
Small bowel endoscopy
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$2,088.00
|
|
Small bowel endoscopy/biopsy
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,490.15
|