|
Reticulated platelet assay
|
$123.60 |
$123.60 |
$123.60 |
$73.20
|
|
Reticulocyte automated
|
$115.65 |
$115.65 |
$115.65 |
$51.37
|
|
Revision of cervix
|
$3,891.90 |
$3,891.90 |
$3,891.90 |
$3,854.76
|
|
Revision tips
|
$11,632.05 |
$11,632.05 |
$11,632.05 |
$9,810.00
|
|
Revj/rmvl nea pn w/int nstim
|
$7,080.45 |
$7,080.45 |
$7,080.45 |
$5,741.00
|
|
Rev-rem impl neurostim gen-rec
|
$2,897.70 |
$2,897.70 |
$2,897.70 |
$4,120.50
|
|
Rev/rmv prph sac/gstr npg/r
|
$7,080.45 |
$7,080.45 |
$7,080.45 |
$4,721.00
|
|
Rf abltj nrv nrvtg si jt
|
$3,138.15 |
$3,138.15 |
$3,138.15 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$180.45 |
$180.45 |
$180.45 |
$56.24
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$226.05 |
$226.05 |
$226.05 |
$247.55
|
|
Rho d immune globulin 50 mcg
|
$75.20 |
$75.20 |
$75.20 |
$106.14
|
|
Rho(d) immune globulin h, sd
|
$10,755.18 |
$10,755.18 |
$10,755.18 |
$3,710.00
|
|
Ring barrier skin cx 1 9/16 adapt
|
$2.60 |
$2.60 |
$2.60 |
$2.60
|
|
Ring fx reform 11-13x17mm
|
$3,019.23 |
$3,019.23 |
$3,019.23 |
$1,509.75
|
|
Ring ostmy barr adapt 48mm
|
$3.81 |
$3.81 |
$3.81 |
$9.40
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$19,415.72 |
$19,415.72 |
$19,415.72 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,433.84 |
$2,433.84 |
$2,433.84 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$9,301.22 |
$9,301.22 |
$9,301.22 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$13,021.63 |
$13,021.63 |
$13,021.63 |
$14,663.39
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$1,674.20 |
$1,674.20 |
$1,674.20 |
$4,847.77
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,419.27 |
$1,419.27 |
$1,419.27 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$946.80 |
$946.80 |
$946.80 |
$863.10
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,020.15 |
$1,020.15 |
$1,020.15 |
$2,107.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,822.05 |
$1,822.05 |
$1,822.05 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$4,320.00
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$36,434.85 |
$36,434.85 |
$36,434.85 |
$26,030.94
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$36,434.85 |
$36,434.85 |
$36,434.85 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$36,434.85 |
$36,434.85 |
$36,434.85 |
$24,530.99
|
|
Rmvl icd pulse gen only
|
$4,986.90 |
$4,986.90 |
$4,986.90 |
$4,028.20
|
|
Rmvl ndwellg tun pleural cath
|
$938.70 |
$938.70 |
$938.70 |
$1,133.00
|
|
Rmvl perm pm pulse gen
|
$7,946.25 |
$7,946.25 |
$7,946.25 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$18,139.20 |
$18,139.20 |
$18,139.20 |
$15,322.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,102.25 |
$17,102.25 |
$17,102.25 |
$10,648.20
|
|
Rmvl sq defib electrode
|
$3,994.80 |
$3,994.80 |
$3,994.80 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,044.15 |
$1,044.15 |
$1,044.15 |
$1,758.00
|
|
Rmvl tv pm lead dual
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$4,031.69
|
|
Rmvl tv pm lead sgl
|
$6,373.35 |
$6,373.35 |
$6,373.35 |
$4,203.54
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$6,333.33 |
$6,333.33 |
$6,333.33 |
$6,333.33
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,820.04 |
$4,820.04 |
$4,820.04 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$534.96 |
$534.96 |
$534.96 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,125.30 |
$1,125.30 |
$1,125.30 |
$1,336.30
|
|
Rp loclzj tum spect w/ct 1
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$3,195.92
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,794.10 |
$3,794.10 |
$3,794.10 |
$4,623.80
|
|
Rpl tun cvc wo subq port
|
$3,286.65 |
$3,286.65 |
$3,286.65 |
$3,706.68
|
|
Rubella antibody igg
|
$123.30 |
$123.30 |
$123.30 |
$76.70
|
|
Rubeola antibody igg
|
$210.00 |
$210.00 |
$210.00 |
$80.00
|
|
Russell viper venom diluted
|
$372.30 |
$372.30 |
$372.30 |
$71.82
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,759.65 |
$4,759.65 |
$4,759.65 |
$5,051.50
|
|
Salivary gland imaging
|
$747.90 |
$747.90 |
$747.90 |
$585.00
|
|
Salmonella antibody
|
$124.20 |
$124.20 |
$124.20 |
$39.60
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$724.65 |
$724.65 |
$724.65 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$697.20 |
$697.20 |
$697.20 |
$661.20
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$670.35 |
$670.35 |
$670.35 |
$757.02
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$697.20 |
$697.20 |
$697.20 |
$475.24
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$953.10 |
$953.10 |
$953.10 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$652.20 |
$652.20 |
$652.20 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$985.20 |
$985.20 |
$985.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,203.45 |
$1,203.45 |
$1,203.45 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,203.45 |
$1,203.45 |
$1,203.45 |
$570.00
|
|
Sclerotherapy fluid collection pq w/img
|
$1,898.10 |
$1,898.10 |
$1,898.10 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$4,800.00
|
|
Screening hepatitis c antibody high risk
|
$225.45 |
$225.45 |
$225.45 |
$93.60
|
|
Screening Mammogram
|
$313.35 |
$313.35 |
$313.35 |
$313.35
|
|
Screening prostate cancer PSA
|
$154.95 |
$154.95 |
$154.95 |
$98.28
|
|
Screw cortex 2.0 x 10mm
|
$43,892.40 |
$43,892.40 |
$43,892.40 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,524.55 |
$3,524.55 |
$3,524.55 |
$4,415.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$219.60 |
$219.60 |
$219.60 |
$244.52
|
|
Sedimentation rate erythrocyte automated
|
$84.00 |
$84.00 |
$84.00 |
$42.25
|
|
Self-adher band w>=3" <5"/yd
|
$3.27 |
$3.27 |
$3.27 |
$2.07
|
|
Serial casting application 97139app
|
$99.45 |
$99.45 |
$99.45 |
$78.39
|
|
Sertraline (zoloft) - sendout
|
$106.95 |
$106.95 |
$106.95 |
$126.43
|
|
Sgmdsc w/band ligation
|
$748.50 |
$748.50 |
$748.50 |
$1,645.43
|
|
Sheath below knee
|
$65.84 |
$65.84 |
$65.84 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$7,908.00 |
$7,908.00 |
$7,908.00 |
$6,739.20
|
|
Sheath laser cavaclear 14f
|
$8,896.50 |
$8,896.50 |
$8,896.50 |
$8,264.23
|
|
Shoe post-op mens m
|
$319.80 |
$319.80 |
$319.80 |
$49.25
|
|
Shoe wedge sach
|
$171.44 |
$171.44 |
$171.44 |
$171.44
|
|
Sho insert w arch toe filler
|
$1,343.14 |
$1,343.14 |
$1,343.14 |
$1,224.38
|
|
Shoulder MRI (with and without contrast)
|
$3,700.05 |
$3,700.05 |
$3,700.05 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,088.20
|
|
Shoulder X-ray
|
$282.15 |
$282.15 |
$282.15 |
$340.10
|
|
Shrinker prosth above knee
|
$168.89 |
$168.89 |
$168.89 |
$168.89
|
|
Shrinker prosth below knee
|
$92.35 |
$92.35 |
$92.35 |
$103.41
|
|
Shrinker upper limb
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$4,740.00 |
$4,740.00 |
$4,740.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$453.15 |
$453.15 |
$453.15 |
$355.80
|
|
Sickling rbc
|
$88.20 |
$88.20 |
$88.20 |
$56.00
|
|
Sigmoidoscopy and biopsy
|
$547.05 |
$547.05 |
$547.05 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$547.05 |
$547.05 |
$547.05 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$748.50 |
$748.50 |
$748.50 |
$1,836.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$547.05 |
$547.05 |
$547.05 |
$1,287.33
|
|
Sigmoidoscopy w/ablation
|
$748.50 |
$748.50 |
$748.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$707.55 |
$707.55 |
$707.55 |
$1,374.75
|
|
Sigmoidoscopy w/plcmt stent
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$1,671.30 |
$1,671.30 |
$1,671.30 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$748.50 |
$748.50 |
$748.50 |
$1,398.60
|