|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,787.57 |
$5,787.57 |
$6,333.33 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,736.26 |
$4,736.26 |
$4,736.26 |
$8,935.57
|
|
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 |
$912.24 |
$912.24 |
$188.16
|
|
Rotavirus antibody
|
$125.01 |
$125.01 |
$125.01 |
$107.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,414.10 |
$2,590.19 |
$2,590.19 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,125.30 |
$1,603.09 |
$12,591.06 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,006.39 |
$3,006.39 |
$3,429.35 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$3,199.20 |
$3,814.88 |
$8,410.82 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,414.10 |
$2,617.94 |
$5,880.15 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$3,794.10 |
$5,219.37 |
$5,219.37 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$4,440.98 |
$4,440.98 |
$4,440.98 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$3,286.65 |
$4,420.98 |
$4,420.98 |
$3,724.63
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,836.04 |
$5,836.04 |
$5,836.04 |
$5,907.78
|
|
Rp therapy unlisted px
|
$2,430.66 |
$2,430.66 |
$2,430.66 |
$549.50
|
|
Rsv assay w/optic
|
$110.46 |
$110.46 |
$110.46 |
$75.96
|
|
Rubella antibody igg
|
$100.02 |
$100.02 |
$123.30 |
$77.50
|
|
Rubeola antibody igg
|
$99.31 |
$99.31 |
$210.00 |
$80.00
|
|
Russell viper venom diluted
|
$108.05 |
$108.05 |
$799.88 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,759.65 |
$4,759.65 |
$12,154.39 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$170.92 |
$170.92 |
$740.25 |
$314.79
|
|
Salivary gland function exam
|
$5,186.00 |
$5,186.00 |
$5,186.00 |
$753.60
|
|
Salivary glnd img serial img
|
$367.06 |
$367.06 |
$4,828.87 |
$701.73
|
|
Salmonella antibody
|
$54.57 |
$54.57 |
$190.07 |
$37.58
|
|
Sargramostim injection
|
$3,538.22 |
$3,538.22 |
$3,538.22 |
$552.52
|
|
Sars-cov-2 antb quantitative
|
$17.39 |
$17.39 |
$17.39 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$36.69 |
$60.40 |
$60.40 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$44.10 |
$44.10 |
$44.10 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$670.35 |
$815.66 |
$4,831.51 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$509.35 |
$509.35 |
$3,589.59 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$601.48 |
$601.48 |
$3,113.11 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$652.20 |
$803.29 |
$2,967.89 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$743.65 |
$743.65 |
$1,203.45 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$702.13 |
$702.13 |
$1,203.45 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$6,480.00 |
$7,127.71 |
$51,690.00 |
$4,246.72
|
|
Screening Colonoscopy (high risk)
|
$2,265.62 |
$2,265.62 |
$2,265.62 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$41.09 |
$41.09 |
$41.09 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$225.45 |
$225.45 |
$225.45 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$28.90 |
$28.90 |
$28.90 |
$42.30
|
|
Screening Mammogram
|
$227.22 |
$227.22 |
$920.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$147.55 |
$147.55 |
$481.52 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$58.41 |
$58.41 |
$58.41 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$36,885.10 |
$36,885.10 |
$43,892.40 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$568.35 |
$612.55 |
$1,533.04 |
$608.90
|
|
Sc ther infusion reset pump
|
$125.46 |
$125.46 |
$125.46 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,163.45 |
$2,163.45 |
$2,163.45 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,524.55 |
$4,651.60 |
$4,651.60 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$375.34 |
$375.34 |
$375.34 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$67.06 |
$67.06 |
$256.61 |
$42.00
|
|
Self-adher band w>=3" <5"/yd
|
$3.27 |
$3.27 |
$3.27 |
$2.07
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$111.60 |
$118.90 |
$118.90 |
$96.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$51.98 |
$51.98 |
$51.98 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$31.92 |
$31.92 |
$31.92 |
$33.04
|
|
Semen analysis presence/motility
|
$79.92 |
$79.92 |
$79.92 |
$70.40
|
|
Semen analysis w/count
|
$85.80 |
$85.80 |
$85.80 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$376.58 |
$376.58 |
$376.58 |
$316.68
|
|
Serial casting application 97139app
|
$67.42 |
$67.42 |
$103.50 |
$78.39
|
|
Serpina1 gene
|
$335.18 |
$335.18 |
$335.18 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$106.95 |
$306.00 |
$306.00 |
$126.43
|
|
Set radiation therapy field
|
$796.48 |
$834.76 |
$834.76 |
$782.61
|
|
Set radiation therapy field
|
$669.97 |
$669.97 |
$1,334.95 |
$1,159.03
|
|
Set radiation therapy field
|
$1,334.95 |
$1,636.36 |
$1,636.36 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$373.29 |
$373.29 |
$373.29 |
$373.29
|
|
Sevelamer carbonate 800 mg tablet
|
$7.14 |
$7.14 |
$7.14 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$10.55 |
$21.42 |
$21.42 |
$21.42
|
|
Sf3b1 gene common variants
|
$115.95 |
$115.95 |
$115.95 |
$248.10
|
|
Sgmdsc w/band ligation
|
$748.50 |
$748.50 |
$748.50 |
$2,288.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$232.20 |
$232.20 |
$232.20 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$370.92 |
$370.92 |
$370.92 |
$400.40
|
|
Sheath below knee
|
$65.84 |
$65.84 |
$65.84 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$6,108.01 |
$6,108.01 |
$7,908.00 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$6,108.01 |
$6,108.01 |
$8,896.50 |
$7,143.32
|
|
Shoe post-op mens m
|
$229.82 |
$229.82 |
$319.80 |
$53.20
|
|
Shoe wedge sach
|
$171.44 |
$225.00 |
$225.00 |
$171.44
|
|
Sho insert w arch toe filler
|
$1,343.14 |
$1,343.14 |
$1,343.14 |
$1,224.38
|
|
Shot (Injection into Muscle or Under the Skin)
|
$146.85 |
$192.72 |
$192.72 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$199.75 |
$199.75 |
$1,195.10 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$223.85 |
$223.85 |
$270.00 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,354.00 |
$2,354.00 |
$3,700.05 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$2,857.68 |
$2,857.68 |
$3,482.70 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,788.37 |
$1,788.37 |
$3,264.90 |
$2,088.20
|
|
Shoulder prosthesis removal
|
$2,808.74 |
$2,808.74 |
$2,808.74 |
$3,870.38
|
|
Shoulder X-ray
|
$282.15 |
$306.88 |
$306.88 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$268.60 |
$268.60 |
$307.05 |
$264.00
|
|
Shrinker prosth above knee
|
$168.89 |
$168.89 |
$168.89 |
$168.89
|
|
Shrinker prosth below knee
|
$92.35 |
$92.35 |
$2,955.00 |
$105.12
|
|
Shrinker upper limb
|
$109.50 |
$109.50 |
$109.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$4,740.00 |
$5,047.52 |
$5,047.52 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$453.15 |
$697.07 |
$1,312.53 |
$355.80
|
|
Sialography s&i
|
$295.76 |
$295.76 |
$1,795.62 |
$499.20
|
|
Sialolithotomy 42330
|
$2,436.84 |
$2,436.84 |
$2,436.84 |
$3,837.72
|
|
Sickling rbc
|
$71.95 |
$71.95 |
$258.17 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$547.05 |
$547.05 |
$547.05 |
$1,446.90
|
|
Sigmoidoscopy flex decompression 45337
|
$547.05 |
$547.05 |
$547.05 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$748.50 |
$748.50 |
$748.50 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$547.05 |
$547.05 |
$547.05 |
$1,650.75
|
|
Sigmoidoscopy w/ablation
|
$748.50 |
$748.50 |
$748.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$707.55 |
$707.55 |
$707.55 |
$1,395.28
|
