|
Rem mntr physiol 1st set up pt educaj eqp
|
$308.70 |
$308.70 |
$308.70 |
$153.27
|
|
Removal cerumen impacted (both sides)
|
$98.19 |
$98.19 |
$98.19 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$107.28 |
$107.28 |
$167.13 |
$245.60
|
|
Remove brain canal fluid
|
$544.14 |
$544.14 |
$1,236.90 |
$783.48
|
|
Remove cranial cavity fluid
|
$1,365.88 |
$1,365.88 |
$1,365.88 |
$819.50
|
|
Remove cva lumen obstruct
|
$46.71 |
$46.71 |
$118.65 |
$494.00
|
|
Remove esophagus obstruction
|
$141.21 |
$141.21 |
$510.30 |
$351.20
|
|
Renal function panel
|
$147.33 |
$147.33 |
$460.78 |
$110.10
|
|
Renal venogram bil s&i
|
$4,064.76 |
$4,064.76 |
$5,897.33 |
$3,615.28
|
|
Replace g/c tube perc
|
$2,042.08 |
$2,042.08 |
$2,042.08 |
$1,413.60
|
|
Repos sq defib eltrd
|
$6,368.31 |
$6,368.31 |
$6,403.08 |
$4,776.28
|
|
Reptilase test
|
$76.50 |
$76.50 |
$148.75 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$136.80 |
$136.80 |
$266.00 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$88.02 |
$88.02 |
$171.15 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$585.00 |
$585.00 |
$989.28 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,168.02 |
$1,168.02 |
$2,271.15 |
$797.29
|
|
Reteplase injection
|
$1,593.90 |
$1,593.90 |
$3,099.25 |
$3,155.69
|
|
Reticulocyte automated
|
$54.27 |
$54.27 |
$123.90 |
$54.60
|
|
Revision of cervix
|
$2,276.91 |
$2,276.91 |
$2,276.91 |
$3,762.53
|
|
Rheumatoid factor quantitative
|
$71.37 |
$79.20 |
$138.78 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$17.82 |
$17.82 |
$34.65 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$24.39 |
$24.39 |
$24.39 |
$2,034.31
|
|
Rho d immune globulin inj
|
$334.53 |
$334.53 |
$650.48 |
$334.53
|
|
R hrt cath chd abnl nt cnj
|
$6,242.85 |
$6,242.85 |
$9,577.58 |
$4,880.85
|
|
R hrt cath chd nml nt cnj
|
$6,242.85 |
$6,242.85 |
$9,577.58 |
$4,925.61
|
|
Right ventric recording
|
$1,980.36 |
$1,980.36 |
$2,067.45 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$12.60 |
$12.60 |
$12.60 |
$5.97
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$394.74 |
$394.74 |
$3,946.95 |
$1,612.94
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$6.48 |
$6.48 |
$12.60 |
$2,233.44
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$546.57 |
$546.57 |
$1,062.78 |
$10,693.54
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$1,826.46 |
$1,826.46 |
$3,551.45 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$1,548.27 |
$1,548.27 |
$3,010.53 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$31.05 |
$31.05 |
$60.38 |
$7,582.77
|
|
R&l hrt cath chd abnl nt cnj
|
$6,242.85 |
$6,242.85 |
$9,577.58 |
$5,173.00
|
|
R&l hrt cath chd nml nt cnj
|
$6,242.85 |
$6,242.85 |
$9,577.58 |
$5,173.00
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$68,741.19 |
$68,741.19 |
$69,123.25 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$6,368.31 |
$6,368.31 |
$6,403.08 |
$4,114.00
|
|
Rmvl sq defib electrode
|
$6,403.08 |
$6,476.67 |
$6,476.67 |
$4,306.60
|
|
Romiplostim 125 mcg subcutaneous solution
|
$63.45 |
$63.45 |
$63.45 |
$8,779.01
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$455.40 |
$455.40 |
$885.50 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$31.32 |
$31.32 |
$448.53 |
$180.55
|
|
Routine footcare pt w lops
|
$193.05 |
$244.30 |
$258.12 |
$235.13
|
|
Rp loclzj tum spect w/ct 1
|
$1,880.82 |
$1,880.82 |
$3,199.35 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$3,414.25 |
$3,414.25 |
$3,414.25 |
$3,074.50
|
|
Rsv assay w/optic
|
$89.37 |
$89.37 |
$306.25 |
$73.80
|
|
Rubella antibody igg
|
$118.17 |
$120.33 |
$210.53 |
$73.10
|
|
Rubeola antibody igg
|
$97.02 |
$97.02 |
$188.65 |
$79.68
|
|
Russell viper venom diluted
|
$141.21 |
$156.96 |
$274.58 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$869.40 |
$869.40 |
$1,690.50 |
$6,466.16
|
|
Salivary gland function exam
|
$520.10 |
$917.28 |
$917.28 |
$549.70
|
|
Salivary gland imaging
|
$917.28 |
$917.28 |
$1,551.03 |
$549.70
|
|
Salivary glnd img serial img
|
$917.28 |
$917.28 |
$1,783.60 |
$585.00
|
|
Salmonella antibody
|
$10.98 |
$10.98 |
$39.03 |
$37.58
|
|
Sargramostim injection
|
$15.93 |
$15.93 |
$30.98 |
$451.34
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,088.19 |
$1,088.19 |
$2,115.93 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$515.16 |
$515.16 |
$1,089.55 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$788.40 |
$788.40 |
$912.28 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$223.65 |
$223.65 |
$752.85 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$313.65 |
$313.65 |
$739.90 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$577.71 |
$577.71 |
$1,123.33 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,058.94 |
$1,058.94 |
$2,059.05 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$641.07 |
$641.07 |
$1,254.58 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$386.82 |
$386.82 |
$896.53 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$2,732.04 |
$4,705.11 |
$4,705.11 |
$5,235.51
|
|
Screening Mammogram
|
$173.70 |
$192.78 |
$474.25 |
$303.55
|
|
Sc ther infusion reset pump
|
$150.48 |
$165.60 |
$217.88 |
$126.75
|
|
Sedimentation rate erythrocyte automated
|
$31.86 |
$31.86 |
$196.88 |
$44.20
|
|
Select picture audiometry
|
$139.30 |
$139.30 |
$139.30 |
$81.12
|
|
Semen analysis w/count
|
$22.50 |
$24.93 |
$58.45 |
$56.44
|
|
Set radiation therapy field
|
$664.02 |
$664.02 |
$664.02 |
$1,102.40
|
|
Set radiation therapy field
|
$582.93 |
$582.93 |
$582.93 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$2,041.20 |
$2,041.20 |
$3,969.00 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,757.61 |
$1,757.61 |
$3,417.58 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$775.08 |
$775.08 |
$2,146.20 |
$2,051.28
|
|
Shoulder X-ray
|
$570.78 |
$570.78 |
$713.65 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$308.79 |
$308.79 |
$600.43 |
$345.00
|
|
Sialography s&i
|
$527.58 |
$527.58 |
$776.65 |
$462.40
|
|
Sickling rbc
|
$69.03 |
$69.03 |
$134.23 |
$53.55
|
|
Simple cystometrogram 51725
|
$839.48 |
$839.48 |
$839.48 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$48.06 |
$48.06 |
$93.45 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,526.76 |
$1,526.76 |
$2,968.70 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,389.24 |
$1,389.24 |
$2,701.30 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,292.04 |
$1,292.04 |
$2,512.30 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$865.44 |
$865.44 |
$1,906.10 |
$2,489.25
|
|
Sirolimus, oral
|
$17.55 |
$17.55 |
$34.13 |
$31.60
|
|
Skin test unlisted antigen ea
|
$69.30 |
$69.30 |
$108.68 |
$39.77
|
|
Sleep study attended
|
$830.38 |
$830.38 |
$830.38 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$2,971.68 |
$2,971.68 |
$2,971.68 |
$3,936.80
|
|
Sleep study unattended
|
$604.98 |
$604.98 |
$604.98 |
$595.50
|
|
Sleeve fing rolyan med
|
$167.31 |
$167.31 |
$325.33 |
$167.31
|
|
Sling arm deluxe w/pad xs
|
$22.86 |
$25.55 |
$147.60 |
$25.55
|
|
Sling pelv split sam med
|
$78.93 |
$78.93 |
$78.93 |
$124.80
|
|
Slp eval non-spch gen comm dev
|
$135.00 |
$184.68 |
$387.98 |
$285.09
|
|
Slp pure tone screening
|
$18.09 |
$25.38 |
$107.98 |
$67.60
|
|
Slp stdy unatnd w/anal
|
$402.15 |
$402.15 |
$402.15 |
$307.50
|
|
Slp ther svc non-spch gen
|
$139.95 |
$139.95 |
$272.13 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$88.74 |
$98.73 |
$172.55 |
$64.20
|
|
Smear gram stain
|
$58.05 |
$64.44 |
$112.88 |
$57.85
|
|
Smear nasal eosinophil
|
$22.86 |
$58.05 |
$60.20 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$35.28 |
$39.15 |
$123.03 |
$64.35
|
