|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$2,214.32 |
$2,214.32 |
$2,214.32 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$1,307.88 |
$1,307.88 |
$1,307.88 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,592.51 |
$1,592.51 |
$1,592.51 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$807.37 |
$807.37 |
$807.37 |
$656.83
|
|
Relocation skin pocket pm
|
$4,518.02 |
$4,518.02 |
$4,518.02 |
$2,939.25
|
|
Rem endovas vena cava filter
|
$11,990.92 |
$11,990.92 |
$11,990.92 |
$5,819.40
|
|
Removal biliary drg cath
|
$3,002.74 |
$3,002.74 |
$3,002.74 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$3,692.40 |
$3,692.40 |
$3,692.40 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$6,088.99 |
$6,088.99 |
$6,088.99 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$332.34 |
$332.34 |
$332.34 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$406.17 |
$406.17 |
$406.17 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$4,516.96 |
$4,516.96 |
$4,516.96 |
$899.85
|
|
Removal foreign body foot cmplx
|
$8,688.98 |
$8,688.98 |
$8,688.98 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$5,234.95 |
$5,234.95 |
$5,234.95 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,301.60
|
|
Removal of adenoids
|
$16,435.01 |
$16,435.01 |
$16,435.01 |
$3,837.72
|
|
Removal/replacement ppm generator dual lead system
|
$42,859.72 |
$42,859.72 |
$42,859.72 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$10,768.28 |
$10,768.28 |
$10,768.28 |
$4,293.90
|
|
Remove foreign body from eye
|
$10,739.33 |
$10,739.33 |
$10,739.33 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$4,388.13 |
$4,388.13 |
$4,388.13 |
$1,281.75
|
|
Remove stent via transureth
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$3,332.80
|
|
Remove tonsils and adenoids
|
$30,179.24 |
$30,179.24 |
$30,179.24 |
$5,419.00
|
|
Remove tonsils and adenoids
|
$20,753.32 |
$20,753.32 |
$20,753.32 |
$3,780.25
|
|
Renal function panel
|
$449.78 |
$449.78 |
$449.78 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,485.42 |
$3,485.42 |
$3,485.42 |
$1,193.40
|
|
Repair extns tendon finger without grft ea
|
$3,659.74 |
$3,659.74 |
$3,659.74 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$6,846.33 |
$6,846.33 |
$6,846.33 |
$1,928.07
|
|
Repair of nasal septum
|
$16,276.57 |
$16,276.57 |
$16,276.57 |
$3,837.72
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,545.00 |
$2,545.00 |
$2,545.00 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$3,911.17 |
$3,911.17 |
$3,911.17 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$4,478.10 |
$4,478.10 |
$4,478.10 |
$1,383.00
|
|
Replace g/c tube perc
|
$4,478.10 |
$4,478.10 |
$4,478.10 |
$1,413.60
|
|
Replace g-j tube perc
|
$4,478.10 |
$4,478.10 |
$4,478.10 |
$1,600.45
|
|
Reposition pm/icd lead
|
$13,118.77 |
$13,118.77 |
$13,118.77 |
$3,827.46
|
|
Reptilase test
|
$167.58 |
$167.58 |
$167.58 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$72.15 |
$72.15 |
$72.15 |
$48.00
|
|
Resp virus 6-11 targets
|
$1,569.14 |
$1,569.14 |
$1,569.14 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$1,320.04 |
$1,320.04 |
$1,320.04 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$633.30 |
$633.30 |
$633.30 |
$797.29
|
|
Reticulocyte automated
|
$169.18 |
$169.18 |
$169.18 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$30,368.88 |
$30,368.88 |
$30,368.88 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$30,368.88 |
$30,368.88 |
$30,368.88 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$26,082.22 |
$26,082.22 |
$26,082.22 |
$12,393.88
|
|
Revasc lithotrip-stent-ather
|
$53,344.74 |
$53,344.74 |
$53,344.74 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$28,094.28 |
$28,094.28 |
$28,094.28 |
$13,419.98
|
|
Rheumatoid factor qualitative
|
$202.19 |
$202.19 |
$202.19 |
$54.60
|
|
Rheumatoid factor quantitative
|
$184.31 |
$184.31 |
$184.31 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$26.60 |
$26.60 |
$26.60 |
$255.26
|
|
Rho d immune globulin inj
|
$424.56 |
$424.56 |
$424.56 |
$334.53
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$19,468.44 |
$19,468.44 |
$19,468.44 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$21,565.06 |
$21,565.06 |
$21,565.06 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$8,918.91 |
$8,918.91 |
$8,918.91 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$8,484.81 |
$8,484.81 |
$8,484.81 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$8,825.91 |
$8,825.91 |
$8,825.91 |
$7,582.77
|
|
Rmvl fb upr arm/elbow deep
|
$14,586.47 |
$14,586.47 |
$14,586.47 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$12,533.08 |
$12,533.08 |
$12,533.08 |
$2,111.46
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$14,389.03 |
$14,389.03 |
$14,389.03 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$81,185.25 |
$81,185.25 |
$81,185.25 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$14,389.09 |
$14,389.09 |
$14,389.09 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$6,670.41 |
$6,670.41 |
$6,670.41 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$3,628.22 |
$3,628.22 |
$3,628.22 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$5,551.15 |
$5,551.15 |
$5,551.15 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$42,859.72 |
$42,859.72 |
$42,859.72 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$39,109.74 |
$39,109.74 |
$39,109.74 |
$10,427.04
|
|
Rmvl pq iabp
|
$16,539.55 |
$16,539.55 |
$16,539.55 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$5,124.75 |
$5,124.75 |
$5,124.75 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$26,420.24 |
$26,420.24 |
$26,420.24 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,244.70 |
$2,244.70 |
$2,244.70 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$5,726.65 |
$5,726.65 |
$5,726.65 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$5,726.41 |
$5,726.41 |
$5,726.41 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$9,045.53 |
$9,045.53 |
$9,045.53 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,237.87 |
$1,237.87 |
$1,237.87 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$8,950.19 |
$8,950.19 |
$8,950.19 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$4,070.67 |
$4,070.67 |
$4,070.67 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$6,666.68 |
$6,666.68 |
$6,666.68 |
$2,531.25
|
|
Rpl tun-cvad w subq port
|
$11,111.11 |
$11,111.11 |
$11,111.11 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$2,198.87 |
$2,198.87 |
$2,198.87 |
$4,201.80
|
|
Rsv assay w/optic
|
$409.50 |
$409.50 |
$409.50 |
$73.80
|
|
Rubella antibody igg
|
$235.18 |
$235.18 |
$235.18 |
$73.10
|
|
Rubeola antibody igg
|
$102.67 |
$102.67 |
$102.67 |
$79.68
|
|
Russell viper venom diluted
|
$147.59 |
$147.59 |
$147.59 |
$70.16
|
|
Salmonella antibody
|
$153.12 |
$153.12 |
$153.12 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,883.99 |
$2,883.99 |
$2,883.99 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,855.83 |
$1,855.83 |
$1,855.83 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,385.29 |
$1,385.29 |
$1,385.29 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$583.58 |
$583.58 |
$583.58 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,510.39 |
$1,510.39 |
$1,510.39 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,011.01 |
$2,011.01 |
$2,011.01 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,468.23 |
$1,468.23 |
$1,468.23 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,445.32 |
$1,445.32 |
$1,445.32 |
$601.70
|
|
Screening Mammogram
|
$1,204.42 |
$1,204.42 |
$1,204.42 |
$303.55
|
|
Sec art mech thrmbc non-intracranial add-on
|
$20,012.43 |
$20,012.43 |
$20,012.43 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$191.56 |
$191.56 |
$191.56 |
$44.20
|
|
Serpina1 gene
|
$460.81 |
$460.81 |
$460.81 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$32.86 |
$32.86 |
$32.86 |
$173.16
|
|
Shoulder MRI (with and without contrast)
|
$4,802.80 |
$4,802.80 |
$4,802.80 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,635.24 |
$4,635.24 |
$4,635.24 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,097.34 |
$4,097.34 |
$4,097.34 |
$2,051.28
|
