|
Repair lip full thkns >one-half vert height/cmplx
|
$3,645.60 |
$3,645.60 |
$3,645.60 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$1,244.09
|
|
Replace duod/jej tube perc
|
$6,743.40 |
$6,743.40 |
$6,743.40 |
$1,360.63
|
|
Replace g/c tube perc
|
$5,879.40 |
$5,879.40 |
$5,879.40 |
$1,382.70
|
|
Replace g-j tube perc
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$1,583.04
|
|
Reposition pm/icd lead
|
$3,602.40 |
$3,602.40 |
$3,602.40 |
$3,802.20
|
|
Reptilase test
|
$50.40 |
$50.40 |
$50.40 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,079.00
|
|
#resp virpnl dfa-adenovirus
|
$121.20 |
$121.20 |
$121.20 |
$48.00
|
|
Resp virus 6-11 targets
|
$968.40 |
$968.40 |
$968.40 |
$479.20
|
|
Reticulocyte automated
|
$16.80 |
$16.80 |
$16.80 |
$52.65
|
|
Revefenacin inh non-com 1mcg
|
$7.80 |
$7.80 |
$7.80 |
$15.56
|
|
Revision of penis
|
$4,719.60 |
$4,719.60 |
$4,719.60 |
$2,739.10
|
|
Rheumatoid factor qualitative
|
$18.00 |
$18.00 |
$18.00 |
$57.07
|
|
Rheumatoid factor quantitative
|
$28.20 |
$28.20 |
$28.20 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$164.80 |
$164.80 |
$164.80 |
$234.12
|
|
Rho d immune globulin inj
|
$513.00 |
$513.00 |
$513.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$215.40 |
$215.40 |
$215.40 |
$359.47
|
|
Rib X-ray (3 views, both sides)
|
$258.00 |
$258.00 |
$258.00 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.20 |
$0.20 |
$0.20 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$571.20 |
$571.20 |
$571.20 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$25.40 |
$25.40 |
$25.40 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$236.00 |
$236.00 |
$236.00 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$394.40 |
$394.40 |
$394.40 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,826.40 |
$7,826.40 |
$7,826.40 |
$5,309.20
|
|
Rmvl ndwellg tun pleural cath
|
$1,423.20 |
$1,423.20 |
$1,423.20 |
$1,172.40
|
|
Rmvl subq card rhythm mntr
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,736.70
|
|
Romiplostim 125 mcg subcutaneous solution
|
$34.60 |
$34.60 |
$34.60 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$480.60 |
$480.60 |
$480.60 |
$188.16
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,926.20 |
$2,926.20 |
$2,926.20 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,760.85
|
|
Rubella antibody igg
|
$56.40 |
$56.40 |
$56.40 |
$77.50
|
|
Rubeola antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$80.00
|
|
Russell viper venom diluted
|
$54.60 |
$54.60 |
$54.60 |
$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)
|
$250.20 |
$250.20 |
$250.20 |
$314.79
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$34.80 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$628.20 |
$628.20 |
$628.20 |
$767.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$425.40 |
$425.40 |
$425.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$256.80 |
$256.80 |
$256.80 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$337.20 |
$337.20 |
$337.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$352.20 |
$352.20 |
$352.20 |
$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 hepatitis b non-obstetric high risk
|
$43.80 |
$43.80 |
$43.80 |
$60.00
|
|
Screening Mammogram
|
$205.20 |
$205.20 |
$205.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$7,299.00 |
$7,299.00 |
$7,299.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$645.60 |
$645.60 |
$645.60 |
$608.90
|
|
Sedimentation rate erythrocyte automated
|
$18.00 |
$18.00 |
$18.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$119.40 |
$119.40 |
$119.40 |
$96.60
|
|
Semen analysis w/count
|
$62.40 |
$62.40 |
$62.40 |
$56.44
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$345.60 |
$197.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$94.80 |
$94.80 |
$94.80 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$215.40 |
$215.40 |
$215.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$215.40 |
$215.40 |
$215.40 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$3,830.40 |
$3,830.40 |
$3,830.40 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$3,155.40 |
$3,155.40 |
$3,155.40 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$2,920.80 |
$2,920.80 |
$2,920.80 |
$2,088.20
|
|
Shoulder X-ray
|
$215.40 |
$215.40 |
$215.40 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$215.40 |
$215.40 |
$215.40 |
$264.00
|
|
Shunt glaucoma baerveldt 350mm
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$4,538.82
|
|
Sickling rbc
|
$53.40 |
$53.40 |
$53.40 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$1,827.60 |
$1,827.60 |
$1,827.60 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$1,650.75
|
|
Sigmoidoscopy w/tumr remove
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$1,645.43
|
|
Signal avg ecg w or without ecg 93278
|
$384.60 |
$384.60 |
$384.60 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$224.80 |
$224.80 |
$224.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$898.20 |
$898.20 |
$898.20 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$739.20 |
$739.20 |
$739.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$616.20 |
$616.20 |
$616.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$215.40 |
$215.40 |
$215.40 |
$347.10
|
|
Sinus X-ray (limited)
|
$215.40 |
$215.40 |
$215.40 |
$215.75
|
|
Skull X-ray (1 to 3 views)
|
$215.40 |
$215.40 |
$215.40 |
$294.66
|
|
Skull X-ray (complete)
|
$266.40 |
$266.40 |
$266.40 |
$423.15
|
|
Sling arm deluxe w/pad xs
|
$171.60 |
$171.60 |
$171.60 |
$30.35
|
|
Sling suprapubic suburetheral
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$287.40 |
$287.40 |
$287.40 |
$557.70
|
|
Small bowel endoscopy
|
$1,842.60 |
$1,842.60 |
$1,842.60 |
$2,596.41
|
|
Small bowel endoscopy
|
$2,012.40 |
$2,012.40 |
$2,012.40 |
$2,244.82
|
|
Small bowel endoscopy
|
$3,080.40 |
$3,080.40 |
$3,080.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,088.00
|
|
Small bowel endoscopy/biopsy
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,490.15
|
|
Smear fluorescent and/or acid fast stain
|
$30.60 |
$30.60 |
$30.60 |
$64.20
|
|
Smear gram stain
|
$25.20 |
$25.20 |
$25.20 |
$55.42
|
|
Smear nasal eosinophil
|
$18.00 |
$18.00 |
$18.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$40.20 |
$40.20 |
$40.20 |
$73.15
|
|
Smear wet mount
|
$49.20 |
$49.20 |
$49.20 |
$67.49
|
|
Sodium 24 hour urine
|
$31.20 |
$31.20 |
$31.20 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$27.60 |
$27.60 |
$27.60 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$7.80 |
$7.80 |
$7.80 |
$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
|
$14.40 |
$14.40 |
$14.40 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,198.40 |
$2,198.40 |
$2,198.40 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$16.20 |
$16.20 |
$16.20 |
$46.26
|
|
Specific gravity body fluid
|
$14.40 |
$14.40 |
$14.40 |
$22.00
|
|
Speech and Language Evaluation (comprehensive)
|
$463.20 |
$463.20 |
$463.20 |
$385.00
|
