|
Repair dental ellis ii fx
|
$229.80 |
$229.80 |
$229.80 |
$442.48
|
|
Repair of eye wound
|
$6,981.00 |
$6,981.00 |
$6,981.00 |
$5,716.03
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$4,942.20 |
$4,942.20 |
$4,942.20 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$1,244.09
|
|
Replace duod/jej tube perc
|
$1,868.40 |
$1,868.40 |
$1,868.40 |
$1,357.60
|
|
Replace g-j tube perc
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$1,568.05
|
|
Reptilase test
|
$87.60 |
$87.60 |
$87.60 |
$72.15
|
|
Rerepair ing hernia reduce
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$4,923.19
|
|
#resp virpnl dfa-adenovirus
|
$162.60 |
$162.60 |
$162.60 |
$48.10
|
|
Reticulocyte automated
|
$75.60 |
$75.60 |
$75.60 |
$53.00
|
|
Revefenacin inh non-com 1mcg
|
$949.80 |
$949.80 |
$949.80 |
$15.56
|
|
Rheumatoid factor qualitative
|
$75.00 |
$75.00 |
$75.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$141.60 |
$141.60 |
$141.60 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$163.20 |
$163.20 |
$163.20 |
$234.12
|
|
Rho d immune globulin inj
|
$728.80 |
$728.80 |
$728.80 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$399.00 |
$399.00 |
$399.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$644.40 |
$644.40 |
$644.40 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$464.40 |
$464.40 |
$464.40 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.20 |
$0.20 |
$0.20 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$422.40 |
$422.40 |
$422.40 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,199.40 |
$4,199.40 |
$4,199.40 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$21,757.20 |
$21,757.20 |
$21,757.20 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$199.20 |
$199.20 |
$199.20 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,876.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$197.60 |
$197.60 |
$197.60 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$44.60 |
$44.60 |
$44.60 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$178.80 |
$178.80 |
$178.80 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,139.20 |
$3,139.20 |
$3,139.20 |
$3,176.00
|
|
Rubella antibody igg
|
$130.20 |
$130.20 |
$130.20 |
$77.40
|
|
Rubeola antibody igg
|
$219.60 |
$219.60 |
$219.60 |
$80.00
|
|
Russell viper venom diluted
|
$424.20 |
$424.20 |
$424.20 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$66.60 |
$66.60 |
$66.60 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$397.80 |
$397.80 |
$397.80 |
$314.26
|
|
Salivary glnd img serial img
|
$1,621.80 |
$1,621.80 |
$1,621.80 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$931.80 |
$931.80 |
$931.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$861.00 |
$861.00 |
$861.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$847.80 |
$847.80 |
$847.80 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$986.40 |
$986.40 |
$986.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$931.80 |
$931.80 |
$931.80 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$82.20 |
$82.20 |
$82.20 |
$85.15
|
|
Screen cerv/vag thin layer
|
$64.20 |
$64.20 |
$64.20 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$241.20 |
$241.20 |
$241.20 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$142.20 |
$142.20 |
$142.20 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$208.20 |
$208.20 |
$208.20 |
$93.60
|
|
Screening Mammogram
|
$237.60 |
$237.60 |
$237.60 |
$310.20
|
|
Screening prostate cancer PSA
|
$100.80 |
$100.80 |
$100.80 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$10,326.60 |
$10,326.60 |
$10,326.60 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$646.20 |
$646.20 |
$646.20 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$57.00 |
$57.00 |
$57.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$130.20 |
$130.20 |
$130.20 |
$96.00
|
|
Semen analysis presence/motility
|
$118.20 |
$118.20 |
$118.20 |
$70.40
|
|
Semen analysis w/count
|
$176.40 |
$176.40 |
$176.40 |
$56.44
|
|
Serpina1 gene
|
$295.20 |
$295.20 |
$295.20 |
$197.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$408.60 |
$408.60 |
$408.60 |
$235.13
|
|
Shot (Injection into Muscle or Under the Skin)
|
$147.00 |
$147.00 |
$147.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$397.80 |
$397.80 |
$397.80 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$304.20 |
$304.20 |
$304.20 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,096.84
|
|
Shoulder X-ray
|
$307.20 |
$307.20 |
$307.20 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$582.60 |
$582.60 |
$582.60 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$5,572.20 |
$5,572.20 |
$5,572.20 |
$4,538.82
|
|
Sialography s&i
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$499.20
|
|
Sickling rbc
|
$81.00 |
$81.00 |
$81.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$3,156.60 |
$3,156.60 |
$3,156.60 |
$1,446.90
|
|
Sigmoidoscopy w/tumr remove
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,645.43
|
|
Sincalide 5 mcg solution for injection
|
$516.00 |
$516.00 |
$516.00 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,590.60 |
$1,590.60 |
$1,590.60 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$448.80 |
$448.80 |
$448.80 |
$346.45
|
|
Sinus X-ray (limited)
|
$318.60 |
$318.60 |
$318.60 |
$215.40
|
|
Sirolimus, oral
|
$180.00 |
$180.00 |
$180.00 |
$41.70
|
|
Skull X-ray (1 to 3 views)
|
$364.20 |
$364.20 |
$364.20 |
$294.45
|
|
Skull X-ray (complete)
|
$440.40 |
$440.40 |
$440.40 |
$417.50
|
|
Sling arm deluxe w/pad xs
|
$201.60 |
$201.60 |
$201.60 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,039.80 |
$4,039.80 |
$4,039.80 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$310.20 |
$310.20 |
$310.20 |
$285.09
|
|
Sm-153 lexidron ther
|
$12,410.40 |
$12,410.40 |
$12,410.40 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$669.60 |
$669.60 |
$669.60 |
$557.70
|
|
Small bowel endoscopy
|
$3,358.20 |
$3,358.20 |
$3,358.20 |
$2,088.00
|
|
Small bowel endoscopy br/wa
|
$3,358.20 |
$3,358.20 |
$3,358.20 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$91.80 |
$91.80 |
$91.80 |
$64.35
|
|
Smear gram stain
|
$91.80 |
$91.80 |
$91.80 |
$55.55
|
|
Smear nasal eosinophil
|
$101.40 |
$101.40 |
$101.40 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$194.40 |
$194.40 |
$194.40 |
$73.50
|
|
Smear wet mount
|
$111.60 |
$111.60 |
$111.60 |
$67.55
|
|
Sodium 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$26.00 |
$26.00 |
$26.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$22.20 |
$22.20 |
$22.20 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$32.40 |
$32.40 |
$32.40 |
$37.64
|
