|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$15,666.72 |
$15,666.72 |
$15,666.72 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,148.28 |
$4,148.28 |
$4,148.28 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,405.68 |
$3,405.68 |
$3,405.68 |
$5,004.42
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,033.73 |
$3,033.73 |
$3,033.73 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,152.55 |
$3,152.55 |
$3,152.55 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$78.40 |
$78.40 |
$78.40 |
$188.16
|
|
Rsv assay w/optic
|
$130.40 |
$130.40 |
$130.40 |
$76.32
|
|
Rubella antibody igg
|
$124.00 |
$124.00 |
$124.00 |
$77.40
|
|
Rubeola antibody igg
|
$101.60 |
$101.60 |
$101.60 |
$80.00
|
|
Russell viper venom diluted
|
$89.60 |
$89.60 |
$89.60 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$420.80 |
$420.80 |
$420.80 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,133.60 |
$1,133.60 |
$1,133.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$735.20 |
$735.20 |
$735.20 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$802.40 |
$802.40 |
$802.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$982.40 |
$982.40 |
$982.40 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$823.20 |
$823.20 |
$823.20 |
$597.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$128.80 |
$128.80 |
$128.80 |
$85.15
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$504.80 |
$504.80 |
$504.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$148.80 |
$148.80 |
$148.80 |
$101.60
|
|
Screen pap by tech w md supv
|
$99.20 |
$99.20 |
$99.20 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$5,359.20 |
$5,359.20 |
$5,359.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$717.60 |
$717.60 |
$717.60 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$27.20 |
$27.20 |
$27.20 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$128.00 |
$128.00 |
$128.00 |
$96.00
|
|
Semen analysis presence/motility
|
$101.60 |
$101.60 |
$101.60 |
$70.40
|
|
Shot (Injection into Muscle or Under the Skin)
|
$141.60 |
$141.60 |
$141.60 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$363.20 |
$363.20 |
$363.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$390.40 |
$390.40 |
$390.40 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,070.40 |
$4,070.40 |
$4,070.40 |
$2,743.02
|
|
Shoulder MRI (without contrast)
|
$3,198.40 |
$3,198.40 |
$3,198.40 |
$2,096.84
|
|
Shoulder X-ray
|
$378.40 |
$378.40 |
$378.40 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$282.40 |
$282.40 |
$282.40 |
$263.25
|
|
Sickling rbc
|
$81.60 |
$81.60 |
$81.60 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$2,796.80 |
$2,796.80 |
$2,796.80 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,392.80 |
$2,392.80 |
$2,392.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$488.80 |
$488.80 |
$488.80 |
$346.45
|
|
Sinus X-ray (limited)
|
$328.80 |
$328.80 |
$328.80 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$413.60 |
$413.60 |
$413.60 |
$294.45
|
|
Skull X-ray (complete)
|
$564.80 |
$564.80 |
$564.80 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,141.60 |
$4,141.60 |
$4,141.60 |
$3,734.50
|
|
Sling suprapubic suburetheral
|
$4,407.20 |
$4,407.20 |
$4,407.20 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$76.00 |
$76.00 |
$76.00 |
$64.35
|
|
Smear gram stain
|
$74.40 |
$74.40 |
$74.40 |
$55.55
|
|
Smear nasal eosinophil
|
$66.40 |
$66.40 |
$66.40 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$98.40 |
$98.40 |
$98.40 |
$73.50
|
|
Smear wet mount
|
$72.80 |
$72.80 |
$72.80 |
$67.55
|
|
Sodium 24 hour urine
|
$80.80 |
$80.80 |
$80.80 |
$48.98
|
|
Sodium chloride 0.9 % intravenous solution
|
$120.00 |
$120.00 |
$120.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$360.00 |
$360.00 |
$360.00 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$600.00 |
$600.00 |
$600.00 |
$37.64
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$404.53 |
$404.53 |
$404.53 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$58.40 |
$58.40 |
$58.40 |
$46.26
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$94.28 |
$94.28 |
$94.28 |
$177.52
|
|
Specimen fat stain
|
$56.00 |
$56.00 |
$56.00 |
$37.40
|
|
Speech and Language Evaluation (comprehensive)
|
$502.40 |
$502.40 |
$502.40 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$280.00 |
$280.00 |
$280.00 |
$246.87
|
|
Spine X-ray (single view, one level)
|
$348.80 |
$348.80 |
$348.80 |
$251.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$225.60 |
$225.60 |
$225.60 |
$388.80
|
|
St analysis behavior qualitative voice/resonance
|
$389.60 |
$389.60 |
$389.60 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$342.40 |
$342.40 |
$342.40 |
$286.00
|
|
St evaluate speech sound production
|
$382.40 |
$382.40 |
$382.40 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$496.00 |
$496.00 |
$496.00 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,345.40
|
|
Strapping of hand or finger
|
$180.00 |
$180.00 |
$180.00 |
$177.45
|
|
Stress test pulmonary
|
$325.60 |
$325.60 |
$325.60 |
$324.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$76.24 |
$76.24 |
$76.24 |
$54.80
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$114.88 |
$114.88 |
$114.88 |
$129.89
|
|
Support clav 29.6-40.5in med
|
$35.20 |
$35.20 |
$35.20 |
$94.08
|
|
Surgical pathology level 1 gross examination only
|
$91.20 |
$91.20 |
$91.20 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$149.60 |
$149.60 |
$149.60 |
$143.55
|
|
Surgical pathology level 3 gross & microscopic examination
|
$212.00 |
$212.00 |
$212.00 |
$184.21
|
|
Surgical pathology level 4 gross & microscopic examination
|
$252.00 |
$252.00 |
$252.00 |
$250.20
|
|
Surgical pathology level 5 gross & microscopic examination
|
$555.20 |
$555.20 |
$555.20 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$740.80 |
$740.80 |
$740.80 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$84.00 |
$84.00 |
$84.00 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$87.20 |
$87.20 |
$87.20 |
$35.89
|
|
Susceptibility mic per plate
|
$110.40 |
$110.40 |
$110.40 |
$106.00
|
|
Swallowing Evaluation (Bedside)
|
$375.20 |
$375.20 |
$375.20 |
$316.80
|
|
Swallowing Therapy Session
|
$298.40 |
$298.40 |
$298.40 |
$232.56
|
|
Synvisc or synvisc-one
|
$997.20 |
$997.20 |
$997.20 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$12.00 |
$12.00 |
$12.00 |
$42.24
|
|
T3 (triiodothyronine) free
|
$146.40 |
$146.40 |
$146.40 |
$100.32
|
|
T3 (triiodothyronine) total
|
$166.40 |
$166.40 |
$166.40 |
$93.52
|
|
T4 (thyroxine) free
|
$116.00 |
$116.00 |
$116.00 |
$89.60
|
|
T4 (thyroxine) total
|
$91.20 |
$91.20 |
$91.20 |
$70.20
|
|
Tacrolimus 1 mg capsule, immediate-release
|
$4.03 |
$4.03 |
$4.03 |
$9.93
|
|
Tacrolimus therapeutic drug level
|
$315.20 |
$315.20 |
$315.20 |
$122.50
|
|
Tailbone (Sacrum and Coccyx) X-ray
|
$356.00 |
$356.00 |
$356.00 |
$289.20
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$418.87 |
$418.87 |
$418.87 |
$937.50
|
|
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells
|
$305.60 |
$305.60 |
$305.60 |
$200.00
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$180.80 |
$180.80 |
$180.80 |
$179.95
|
|
Tc-99m bicisate
|
$3,134.40 |
$3,134.40 |
$3,134.40 |
$2,070.00
|
|
Tc-99m labeled rbc
|
$428.00 |
$428.00 |
$428.00 |
$306.00
|
|
Tc-99m maa
|
$936.80 |
$936.80 |
$936.80 |
$312.06
|
|
Tc-99m mebrofenin
|
$178.40 |
$178.40 |
$178.40 |
$157.65
|