|
Rmvl perm pm pulse gen
|
$4,185.06 |
$4,185.06 |
$4,185.06 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,923.07 |
$6,923.07 |
$6,923.07 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$2,924.13 |
$2,924.13 |
$2,924.13 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$1,889.91 |
$1,889.91 |
$1,889.91 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$654.72 |
$654.72 |
$654.72 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,889.91 |
$1,889.91 |
$1,889.91 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,889.91 |
$1,889.91 |
$1,889.91 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,292.06 |
$3,292.06 |
$3,292.06 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,192.29 |
$6,192.29 |
$6,192.29 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,478.29 |
$1,478.29 |
$1,478.29 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$140.61 |
$140.61 |
$140.61 |
$188.50
|
|
Rotavirus antibody
|
$43.89 |
$43.89 |
$43.89 |
$125.01
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$385.11 |
$385.11 |
$385.11 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$264.00 |
$264.00 |
$264.00 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$385.11 |
$385.11 |
$385.11 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$974.82 |
$974.82 |
$974.82 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$974.82 |
$974.82 |
$974.82 |
$3,687.00
|
|
Rsv assay w/optic
|
$37.95 |
$37.95 |
$37.95 |
$79.38
|
|
Rubella antibody igg
|
$20.13 |
$20.13 |
$20.13 |
$77.03
|
|
Rubeola antibody igg
|
$23.76 |
$23.76 |
$23.76 |
$80.00
|
|
Russell viper venom diluted
|
$37.62 |
$37.62 |
$37.62 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$2,826.49 |
$2,826.49 |
$2,826.49 |
$5,174.32
|
|
Salivary gland imaging
|
$202.29 |
$202.29 |
$202.29 |
$585.00
|
|
Sargramostim injection
|
$278.36 |
$278.36 |
$278.36 |
$609.00
|
|
Sarscov coronavirus ag ia
|
$81.51 |
$81.51 |
$81.51 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$120.78 |
$120.78 |
$120.78 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$81.18 |
$81.18 |
$81.18 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$120.78 |
$120.78 |
$120.78 |
$750.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$64.35 |
$64.35 |
$64.35 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$143.88 |
$143.88 |
$143.88 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$286.77 |
$286.77 |
$286.77 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$143.88 |
$143.88 |
$143.88 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$143.88 |
$143.88 |
$143.88 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$418.77 |
$418.77 |
$418.77 |
$2,114.45
|
|
Screening Mammogram
|
$77.22 |
$77.22 |
$77.22 |
$312.55
|
|
Screening prostate cancer PSA
|
$61.05 |
$61.05 |
$61.05 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$21,657.90 |
$21,657.90 |
$21,657.90 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$36.30 |
$36.30 |
$36.30 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,152.03 |
$1,152.03 |
$1,152.03 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$8.91 |
$8.91 |
$8.91 |
$42.00
|
|
Set radiation therapy field
|
$140.58 |
$140.58 |
$140.58 |
$762.40
|
|
Set radiation therapy field
|
$189.42 |
$189.42 |
$189.42 |
$1,157.38
|
|
Set radiation therapy field
|
$233.64 |
$233.64 |
$233.64 |
$1,636.36
|
|
Sewho erbs palsey design abd
|
$328.02 |
$328.02 |
$328.02 |
$988.40
|
|
Shoulder MRI (with and without contrast)
|
$895.95 |
$895.95 |
$895.95 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$586.41 |
$586.41 |
$586.41 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$583.77 |
$583.77 |
$583.77 |
$2,065.05
|
|
Shoulder X-ray
|
$144.21 |
$144.21 |
$144.21 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$98.34 |
$98.34 |
$98.34 |
$349.20
|
|
Sialography s&i
|
$124.41 |
$124.41 |
$124.41 |
$499.20
|
|
Sickling rbc
|
$45.54 |
$45.54 |
$45.54 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$146.72 |
$146.72 |
$146.72 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$570.90 |
$570.90 |
$570.90 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$381.15 |
$381.15 |
$381.15 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$381.15 |
$381.15 |
$381.15 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,596.87 |
$1,596.87 |
$1,596.87 |
$2,489.25
|
|
Sirolimus, oral
|
$11.58 |
$11.58 |
$11.58 |
$41.25
|
|
Skin Biopsy
|
$205.59 |
$205.59 |
$205.59 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$519.09 |
$519.09 |
$519.09 |
$1,793.40
|
|
Skin test unlisted antigen ea
|
$31.35 |
$31.35 |
$31.35 |
$48.57
|
|
Sleep Study (Polysomnography)
|
$931.26 |
$931.26 |
$931.26 |
$3,607.50
|
|
Sleep study unattended
|
$109.23 |
$109.23 |
$109.23 |
$580.87
|
|
Sleeve fing rolyan med
|
$81.51 |
$81.51 |
$81.51 |
$203.58
|
|
Sling suprapubic suburetheral
|
$4,344.45 |
$4,344.45 |
$4,344.45 |
$9,679.96
|
|
Slp pure tone screening
|
$15.51 |
$15.51 |
$15.51 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$15.51 |
$15.51 |
$15.51 |
$64.20
|
|
Smear gram stain
|
$14.19 |
$14.19 |
$14.19 |
$55.25
|
|
Smear nasal eosinophil
|
$13.53 |
$13.53 |
$13.53 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$19.80 |
$19.80 |
$19.80 |
$73.15
|
|
Smear wet mount
|
$13.53 |
$13.53 |
$13.53 |
$67.49
|
|
Sodium 24 hour urine
|
$16.17 |
$16.17 |
$16.17 |
$48.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$20.49 |
$20.49 |
$20.49 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$266.78 |
$266.78 |
$266.78 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$15.84 |
$15.84 |
$15.84 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$206.21 |
$206.21 |
$206.21 |
$177.52
|
|
Somatropin injection
|
$913.58 |
$913.58 |
$913.58 |
$2,381.48
|
|
Special physics consult
|
$182.49 |
$182.49 |
$182.49 |
$725.00
|
|
Special radiation dosimetry
|
$73.92 |
$73.92 |
$73.92 |
$392.50
|
|
Special radiation treatment
|
$428.01 |
$428.01 |
$428.01 |
$1,986.00
|
|
Special teletx port plan
|
$218.79 |
$218.79 |
$218.79 |
$1,086.99
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$357.06 |
$357.06 |
$357.06 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$188.76 |
$188.76 |
$188.76 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$161.04 |
$161.04 |
$161.04 |
$392.09
|
|
Splint finger frog med
|
$13.20 |
$13.20 |
$13.20 |
$38.08
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$1,812.03 |
$1,812.03 |
$1,812.03 |
$4,619.65
|
|
Split blood or products
|
$13.86 |
$13.86 |
$13.86 |
$127.48
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$519.09 |
$519.09 |
$519.09 |
$1,612.78
|
|
St analysis behavior qualitative voice/resonance
|
$60.06 |
$60.06 |
$60.06 |
$297.60
|
|
Static or dynami afo pre ots
|
$664.29 |
$664.29 |
$664.29 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$44.55 |
$44.55 |
$44.55 |
$286.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$11,393.25 |
$11,393.25 |
$11,393.25 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$528.25 |
$528.25 |
$528.25 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$4,187.24 |
$4,187.24 |
$4,187.24 |
$20,962.50
|
|
St evaluate speech sound production
|
$60.06 |
$60.06 |
$60.06 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$60.06 |
$60.06 |
$60.06 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$99.33 |
$99.33 |
$99.33 |
$399.60
|
|
St evaluation swallow function
|
$60.06 |
$60.06 |
$60.06 |
$314.40
|
|
Stress test pulmonary
|
$72.27 |
$72.27 |
$72.27 |
$322.85
|
|
Stress tte complete
|
$443.85 |
$443.85 |
$443.85 |
$1,870.50
|
|
St treatment speech individual
|
$55.11 |
$55.11 |
$55.11 |
$248.84
|
