|
Rmvl pq iabp
|
$358.20 |
$358.20 |
$3,052.80 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$988.80 |
$988.80 |
$1,467.60 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$6,136.20 |
$7,275.60 |
$8,967.60 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,114.80 |
$1,912.80 |
$2,560.20 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$2,550.00 |
$3,231.00 |
$7,094.40 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$2,862.00 |
$3,023.40 |
$5,581.80 |
$4,225.20
|
|
Robot lin-radsurg com, first
|
$6,321.60 |
$6,321.60 |
$6,321.60 |
$12,857.60
|
|
Rolapitant, oral, 1mg
|
$12.00 |
$12.00 |
$12.00 |
$580.13
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$127.20 |
$127.20 |
$12,642.00 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$25.95 |
$25.95 |
$34.60 |
$8,935.57
|
|
Romiplostim injection
|
$259.20 |
$259.20 |
$9,351.00 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$46.80 |
$8,341.20 |
$12,093.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2.70 |
$268.80 |
$1,503.60 |
$188.16
|
|
Rotavirus antibody
|
$87.60 |
$87.60 |
$87.60 |
$107.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,587.20 |
$3,546.60 |
$3,610.80 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$2,070.60 |
$2,070.60 |
$2,070.60 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,764.20 |
$2,929.80 |
$3,906.60 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$3,135.00 |
$3,322.20 |
$4,430.40 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,890.60 |
$2,587.20 |
$4,245.60 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$4,873.20 |
$5,743.20 |
$6,799.20 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$4,233.60 |
$4,233.60 |
$4,233.60 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$2,558.40 |
$2,645.40 |
$5,031.60 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$209.40 |
$211.20 |
$317.40 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$156.60 |
$158.40 |
$238.80 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$10,089.00 |
$10,089.00 |
$10,089.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$10,089.00 |
$10,089.00 |
$10,089.00 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$10,089.00 |
$10,089.00 |
$13,452.60 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$10,089.00 |
$10,089.00 |
$10,089.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$10,089.00 |
$10,089.00 |
$10,089.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$10,089.00 |
$10,089.00 |
$10,089.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$6,856.20 |
$6,856.20 |
$7,267.80 |
$4,271.28
|
|
Rubella antibody igg
|
$71.40 |
$114.60 |
$358.80 |
$77.50
|
|
Rubeola antibody igg
|
$59.40 |
$128.40 |
$255.60 |
$80.00
|
|
Russell viper venom diluted
|
$86.40 |
$192.60 |
$2,118.60 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,043.00 |
$5,043.00 |
$6,723.60 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$405.00 |
$456.60 |
$686.40 |
$314.79
|
|
Salivary gland imaging
|
$999.00 |
$999.00 |
$999.00 |
$585.00
|
|
Salmonella antibody
|
$125.40 |
$985.80 |
$4,265.40 |
$37.58
|
|
Sargramostim injection
|
$820.80 |
$952.20 |
$21,867.60 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$34.80 |
$34.80 |
$39.00 |
$60.40
|
|
Sbrt w/positron emission del
|
$14,509.80 |
$14,509.80 |
$14,509.80 |
$4,438.19
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$850.80 |
$1,109.40 |
$1,246.80 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$603.60 |
$715.80 |
$859.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$421.80 |
$754.80 |
$2,028.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$670.20 |
$985.80 |
$1,609.20 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$301.20 |
$952.20 |
$1,647.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$306.00 |
$500.40 |
$1,647.60 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,754.60 |
$2,901.00 |
$18,498.60 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$78.00 |
$78.00 |
$90.60 |
$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 |
$1,800.00 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,500.00 |
$1,500.00 |
$1,800.00 |
$2,000.00
|
|
Screening hepatitis b non-obstetric high risk
|
$42.60 |
$50.40 |
$63.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$34.80 |
$40.20 |
$46.80 |
$93.60
|
|
Screening Mammogram
|
$205.20 |
$205.20 |
$262.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$96.00 |
$96.00 |
$96.00 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$357.00 |
$357.00 |
$357.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$8,883.00 |
$38,478.00 |
$53,770.80 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$741.60 |
$963.00 |
$1,214.40 |
$608.90
|
|
Sc ther infusion reset pump
|
$477.60 |
$477.60 |
$477.60 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$6,807.00 |
$9,201.00 |
$13,372.80 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,416.80 |
$14,101.80 |
$20,158.80 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$45.00 |
$52.80 |
$110.40 |
$42.00
|
|
Self-adher band w>=3" <5"/yd
|
$25.20 |
$25.20 |
$25.20 |
$2.07
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$96.60 |
$126.60 |
$181.80 |
$96.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$330.00 |
$330.00 |
$330.00 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$330.00 |
$330.00 |
$330.00 |
$33.04
|
|
Semen analysis w/count
|
$62.40 |
$64.20 |
$67.20 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$554.40 |
$554.40 |
$602.40 |
$316.68
|
|
Serpina1 gene
|
$345.60 |
$345.60 |
$921.60 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$126.43
|
|
Set radiation therapy field
|
$573.00 |
$1,019.40 |
$1,212.00 |
$782.61
|
|
Set radiation therapy field
|
$1,413.60 |
$1,413.60 |
$1,642.80 |
$1,159.03
|
|
Set radiation therapy field
|
$1,000.80 |
$1,696.20 |
$4,732.20 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$625.80 |
$625.80 |
$928.80 |
$373.29
|
|
Sgmdsc w/band ligation
|
$2,563.80 |
$2,564.40 |
$3,600.00 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$636.60 |
$636.60 |
$722.40 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$615.00 |
$636.60 |
$722.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$880.20 |
$880.20 |
$1,168.20 |
$436.64
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,830.60 |
$1,830.60 |
$1,830.60 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$542.40 |
$636.60 |
$742.80 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$535.80 |
$643.20 |
$742.80 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$933.00 |
$1,000.20 |
$1,047.00 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,638.60 |
$1,847.40 |
$2,521.80 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$615.00 |
$636.60 |
$722.40 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$615.00 |
$636.60 |
$722.40 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$966.00 |
$1,000.20 |
$1,263.00 |
$286.89
|
|
Sheath gldlight lasr 12fx50cm
|
$16,812.60 |
$16,812.60 |
$16,812.60 |
$6,570.70
|
|
Shoe post-op mens m
|
$315.60 |
$526.20 |
$561.00 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$125.40 |
$134.40 |
$163.80 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$405.00 |
$456.60 |
$686.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$405.00 |
$456.60 |
$686.40 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$4,621.20 |
$5,191.20 |
$8,004.00 |
$2,483.00
|
