|
Revasc intra lithotrip-ather
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$6,298.50 |
$6,298.50 |
$6,298.50 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$18,697.66
|
|
Revasc lithotrip-stent-ather
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$6,154.95 |
$6,154.95 |
$6,154.95 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$9,841.35 |
$9,841.35 |
$9,841.35 |
$18,472.02
|
|
Revision tips
|
$1,857.15 |
$1,857.15 |
$1,857.15 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$4,021.65 |
$4,021.65 |
$4,021.65 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$13.05 |
$13.05 |
$13.05 |
$54.60
|
|
Rheumatoid factor quantitative
|
$28.20 |
$28.20 |
$28.20 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$505.99 |
$505.99 |
$505.99 |
$255.26
|
|
Rho(d) immune globulin h, sd
|
$902.12 |
$902.12 |
$902.12 |
$2,034.31
|
|
Rho d immune globulin inj
|
$315.16 |
$315.16 |
$315.16 |
$334.53
|
|
Right ventric recording
|
$2,524.79 |
$2,524.79 |
$2,524.79 |
$1,980.36
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$326.05 |
$326.05 |
$326.05 |
$10,693.54
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$293.44 |
$293.44 |
$293.44 |
$6,877.90
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$248.76 |
$248.76 |
$248.76 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$404.40 |
$404.40 |
$404.40 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$1,071.75 |
$1,071.75 |
$1,071.75 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,964.25 |
$7,964.25 |
$7,964.25 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$8,296.05 |
$8,296.05 |
$8,296.05 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,715.40 |
$7,715.40 |
$7,715.40 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$990.15 |
$990.15 |
$990.15 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$145.65 |
$145.65 |
$145.65 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$1,399.50 |
$1,399.50 |
$1,399.50 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$779.36 |
$779.36 |
$779.36 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,195.90 |
$6,195.90 |
$6,195.90 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,611.35 |
$5,611.35 |
$5,611.35 |
$10,427.04
|
|
Rmvl pq vad left hrt vein sep session
|
$983.25 |
$983.25 |
$983.25 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$1,153.35 |
$1,153.35 |
$1,153.35 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$297.00 |
$297.00 |
$297.00 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$730.20 |
$730.20 |
$730.20 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$730.20 |
$730.20 |
$730.20 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,413.24 |
$5,413.24 |
$5,413.24 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$422.01 |
$422.01 |
$422.01 |
$180.55
|
|
Rp loclzj tum 2+area 1+d img
|
$425.85 |
$425.85 |
$425.85 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$750.15 |
$750.15 |
$750.15 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$322.05 |
$322.05 |
$322.05 |
$2,182.05
|
|
Rubella antibody igg
|
$24.18 |
$24.18 |
$24.18 |
$73.10
|
|
Rubeola antibody igg
|
$47.55 |
$47.55 |
$47.55 |
$79.68
|
|
Russell viper venom diluted
|
$44.55 |
$44.55 |
$44.55 |
$70.16
|
|
Salivary gland imaging
|
$175.35 |
$175.35 |
$175.35 |
$549.70
|
|
Salmonella antibody
|
$25.10 |
$25.10 |
$25.10 |
$37.58
|
|
Sarscov & inf vir a&b ag ia
|
$30.15 |
$30.15 |
$30.15 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$512.85 |
$512.85 |
$512.85 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$307.80 |
$307.80 |
$307.80 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$348.75 |
$348.75 |
$348.75 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$374.40 |
$374.40 |
$374.40 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$398.40 |
$398.40 |
$398.40 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$465.45 |
$465.45 |
$465.45 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$279.30 |
$279.30 |
$279.30 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$218.70 |
$218.70 |
$218.70 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$501.60 |
$501.60 |
$501.60 |
$2,114.45
|
|
Screening Mammogram
|
$118.35 |
$118.35 |
$118.35 |
$303.55
|
|
Screening prostate cancer PSA
|
$63.29 |
$63.29 |
$63.29 |
$81.31
|
|
Screen pap by tech w md supv
|
$9.45 |
$9.45 |
$9.45 |
$27.65
|
|
Screw cortex 2.0 x 10mm
|
$25,424.28 |
$25,424.28 |
$25,424.28 |
$28,440.67
|
|
Sec art mech thrmbc non-intracranial add-on
|
$689.25 |
$689.25 |
$689.25 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$3.45 |
$3.45 |
$3.45 |
$44.20
|
|
Semen analysis presence/motility
|
$10.65 |
$10.65 |
$10.65 |
$70.85
|
|
Serial casting application 97139app
|
$43.65 |
$43.65 |
$43.65 |
$67.42
|
|
Serpina1 gene
|
$105.27 |
$105.27 |
$105.27 |
$191.73
|
|
Set radiation therapy field
|
$462.60 |
$462.60 |
$462.60 |
$731.50
|
|
Set radiation therapy field
|
$763.20 |
$763.20 |
$763.20 |
$1,102.40
|
|
Set radiation therapy field
|
$771.00 |
$771.00 |
$771.00 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$131.04 |
$131.04 |
$131.04 |
$7,076.25
|
|
Shoulder MRI (with and without contrast)
|
$2,739.30 |
$2,739.30 |
$2,739.30 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,434.15 |
$1,434.15 |
$1,434.15 |
$2,051.28
|
|
Shoulder X-ray
|
$188.10 |
$188.10 |
$188.10 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$1,171.96 |
$1,171.96 |
$1,171.96 |
$4,709.25
|
|
Sialography s&i
|
$144.90 |
$144.90 |
$144.90 |
$462.40
|
|
Sickling rbc
|
$12.75 |
$12.75 |
$12.75 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$47.70 |
$47.70 |
$47.70 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,363.35 |
$1,363.35 |
$1,363.35 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,126.65 |
$1,126.65 |
$1,126.65 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$946.80 |
$946.80 |
$946.80 |
$1,279.50
|
|
Sirolimus, oral
|
$65.70 |
$65.70 |
$65.70 |
$31.60
|
|
Skin Biopsy
|
$105.60 |
$105.60 |
$105.60 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$1,122.51 |
$1,122.51 |
$1,122.51 |
$3,936.80
|
|
Sleeve fing rolyan med
|
$118.60 |
$118.60 |
$118.60 |
$167.31
|
|
Sling suprapubic suburetheral
|
$10,941.21 |
$10,941.21 |
$10,941.21 |
$10,395.47
|
|
Slitting of prepuce
|
$751.23 |
$751.23 |
$751.23 |
$2,983.40
|
|
Sm-153 lexidron ther
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$33.00 |
$33.00 |
$33.00 |
$64.20
|
|
Smear gram stain
|
$37.95 |
$37.95 |
$37.95 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$16.05 |
$16.05 |
$16.05 |
$64.35
|
|
Smear wet mount
|
$26.85 |
$26.85 |
$26.85 |
$68.63
|
|
Sodium 24 hour urine
|
$30.57 |
$30.57 |
$30.57 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$47.66 |
$47.66 |
$47.66 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$217.62 |
$217.62 |
$217.62 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$47.66 |
$47.66 |
$47.66 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$17.07 |
$17.07 |
$17.07 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$220.72 |
$220.72 |
$220.72 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$25.88 |
$25.88 |
$25.88 |
$42.70
|
|
Special physics consult
|
$490.50 |
$490.50 |
$490.50 |
$700.74
|
|
Special radiation dosimetry
|
$169.50 |
$169.50 |
$169.50 |
$445.50
|
|
Special radiation treatment
|
$391.50 |
$391.50 |
$391.50 |
$1,934.03
|
