|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$36,434.85 |
$36,434.85 |
$36,434.85 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,986.90 |
$4,986.90 |
$4,986.90 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$938.70 |
$938.70 |
$938.70 |
$1,156.80
|
|
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 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,102.25 |
$17,102.25 |
$17,102.25 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,542.20 |
$2,542.20 |
$2,542.20 |
$1,008.04
|
|
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 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$6,373.35 |
$6,373.35 |
$6,373.35 |
$4,031.69
|
|
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 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,199.20 |
$3,199.20 |
$3,199.20 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$3,794.10 |
$3,794.10 |
$3,794.10 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,286.65 |
$3,286.65 |
$3,286.65 |
$3,687.00
|
|
Rsv assay w/optic
|
$225.45 |
$225.45 |
$225.45 |
$79.38
|
|
Rubella antibody igg
|
$123.30 |
$123.30 |
$123.30 |
$77.03
|
|
Rubeola antibody igg
|
$210.00 |
$210.00 |
$210.00 |
$80.00
|
|
Russell viper venom diluted
|
$372.30 |
$372.30 |
$372.30 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,759.65 |
$4,759.65 |
$4,759.65 |
$5,174.32
|
|
Salivary gland imaging
|
$747.90 |
$747.90 |
$747.90 |
$585.00
|
|
Salivary glnd img serial img
|
$747.90 |
$747.90 |
$747.90 |
$701.73
|
|
Salmonella antibody
|
$124.20 |
$124.20 |
$124.20 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$724.65 |
$724.65 |
$724.65 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$697.20 |
$697.20 |
$697.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$670.35 |
$670.35 |
$670.35 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$697.20 |
$697.20 |
$697.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$953.10 |
$953.10 |
$953.10 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$652.20 |
$652.20 |
$652.20 |
$721.60
|
|
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 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,203.45 |
$1,203.45 |
$1,203.45 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$4,490.64
|
|
Screening Mammogram
|
$313.35 |
$313.35 |
$313.35 |
$312.55
|
|
Screening prostate cancer PSA
|
$154.95 |
$154.95 |
$154.95 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$43,892.40 |
$43,892.40 |
$43,892.40 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,524.55 |
$3,524.55 |
$3,524.55 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$84.00 |
$84.00 |
$84.00 |
$42.00
|
|
Self-adher band w>=3" <5"/yd
|
$3.27 |
$3.27 |
$3.27 |
$2.07
|
|
Serial casting application 97139app
|
$103.50 |
$103.50 |
$103.50 |
$78.39
|
|
Sheath below knee
|
$65.84 |
$65.84 |
$65.84 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$7,908.00 |
$7,908.00 |
$7,908.00 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$8,896.50 |
$8,896.50 |
$8,896.50 |
$7,625.52
|
|
Shoe post-op mens m
|
$319.80 |
$319.80 |
$319.80 |
$52.20
|
|
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 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,065.05
|
|
Shoulder X-ray
|
$282.15 |
$282.15 |
$282.15 |
$339.50
|
|
Shrinker prosth above knee
|
$168.89 |
$168.89 |
$168.89 |
$168.89
|
|
Shrinker prosth below knee
|
$92.35 |
$92.35 |
$92.35 |
$105.12
|
|
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
|
|
Sickling rbc
|
$88.20 |
$88.20 |
$88.20 |
$57.92
|
|
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 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$547.05 |
$547.05 |
$547.05 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$748.50 |
$748.50 |
$748.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$707.55 |
$707.55 |
$707.55 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,692.00
|
|
Sigmoidoscopy w/tumr remove
|
$748.50 |
$748.50 |
$748.50 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$748.50 |
$748.50 |
$748.50 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$748.50 |
$748.50 |
$748.50 |
$2,106.60
|
|
Sig w/tndsc balloon dilation
|
$748.50 |
$748.50 |
$748.50 |
$1,901.90
|
|
Sinus CT scan (with and without contrast)
|
$2,312.25 |
$2,312.25 |
$2,312.25 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,767.90 |
$1,767.90 |
$1,767.90 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,666.95 |
$1,666.95 |
$1,666.95 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$4,833.30 |
$4,833.30 |
$4,833.30 |
$2,489.25
|
|
Sirolimus, oral
|
$41.25 |
$41.25 |
$41.25 |
$41.25
|
|
Skin barrier with flange
|
$1.65 |
$1.65 |
$1.65 |
$1.65
|
|
Sleep study unattended
|
$416.25 |
$416.25 |
$416.25 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$188.84 |
$188.84 |
$188.84 |
$30.35
|
|
Sling pelv split sam med
|
$246.05 |
$246.05 |
$246.05 |
$150.00
|
|
Sling suprapubic suburetheral
|
$14,547.60 |
$14,547.60 |
$14,547.60 |
$9,679.96
|
|
Slitting of prepuce
|
$3,281.10 |
$3,281.10 |
$3,281.10 |
$3,365.50
|
|
Slp pure tone screening
|
$103.50 |
$103.50 |
$103.50 |
$60.48
|
|
Small bowel endoscopy
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$2,463.36
|
|
Small bowel endoscopy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,389.40
|
|
Small bowel endoscopy
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$2,638.57
|
|
Small bowel endoscopy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,842.50
|
|
Small bowel endoscopy/biopsy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$150.15 |
$150.15 |
$150.15 |
$64.20
|
|
Smear gram stain
|
$91.35 |
$91.35 |
$91.35 |
$55.25
|
|
Smear nasal eosinophil
|
$78.30 |
$78.30 |
$78.30 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$206.70 |
$206.70 |
$206.70 |
$73.15
|
|
Smear wet mount
|
$132.15 |
$132.15 |
$132.15 |
$67.49
|
|
Socket insert w lock mech
|
$1,609.98 |
$1,609.98 |
$1,609.98 |
$1,544.50
|
|
Sock fracture or equal each
|
$78.08 |
$78.08 |
$78.08 |
$74.51
|
|
Sock wool above knee
|
$95.50 |
$95.50 |
$95.50 |
$51.18
|
|
Sodium 24 hour urine
|
$127.05 |
$127.05 |
$127.05 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$48.11
|
