|
Rheumatoid factor quantitative
|
$73.50 |
$73.50 |
$73.50 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$122.27 |
$122.27 |
$122.27 |
$243.11
|
|
Rho d immune globulin inj
|
$248.15 |
$248.15 |
$248.15 |
$287.82
|
|
R hrt cath chd abnl nt cnj
|
$4,608.10 |
$4,608.10 |
$4,608.10 |
$4,880.85
|
|
R hrt cath chd nml nt cnj
|
$2,897.65 |
$2,897.65 |
$2,897.65 |
$4,925.61
|
|
Right ventric recording
|
$1,143.80 |
$1,143.80 |
$1,143.80 |
$1,980.36
|
|
Ring fx reform 11-13x17mm
|
$2,642.59 |
$2,642.59 |
$2,642.59 |
$1,509.75
|
|
Ring ostmy barr adapt 48mm
|
$38.22 |
$38.22 |
$38.22 |
$5.97
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$831.15 |
$831.15 |
$831.15 |
$2,453.83
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$6,940.86 |
$6,940.86 |
$6,940.86 |
$8,485.68
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,339.13 |
$3,339.13 |
$3,339.13 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$3,475.50 |
$3,475.50 |
$3,475.50 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$4,304.98 |
$4,304.98 |
$4,304.98 |
$5,831.80
|
|
R&l hrt cath chd abnl nt cnj
|
$4,648.35 |
$4,648.35 |
$4,648.35 |
$5,173.00
|
|
R&l hrt cath chd nml nt cnj
|
$4,740.75 |
$4,740.75 |
$4,740.75 |
$5,173.00
|
|
Rmvl fecal impaction/fb spx under anes
|
$926.80 |
$926.80 |
$926.80 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$1,468.25 |
$1,468.25 |
$1,468.25 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,778.85 |
$12,778.85 |
$12,778.85 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$19,072.55 |
$19,072.55 |
$19,072.55 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,778.85 |
$12,778.85 |
$12,778.85 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$2,109.80 |
$2,109.80 |
$2,109.80 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$6,608.00 |
$6,608.00 |
$6,608.00 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$2,355.85 |
$2,355.85 |
$2,355.85 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,900.80 |
$9,900.80 |
$9,900.80 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,574.75 |
$6,574.75 |
$6,574.75 |
$10,427.04
|
|
Rmvl pq iabp
|
$294.00 |
$294.00 |
$294.00 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$2,722.30 |
$2,722.30 |
$2,722.30 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$3,237.85 |
$3,237.85 |
$3,237.85 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$1,096.55 |
$1,096.55 |
$1,096.55 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$3,237.85 |
$3,237.85 |
$3,237.85 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,237.85 |
$3,237.85 |
$3,237.85 |
$4,195.80
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,510.72 |
$7,510.72 |
$7,510.72 |
$7,626.51
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$404.80 |
$404.80 |
$404.80 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$23,286.44 |
$23,286.44 |
$23,286.44 |
$36,766.28
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$830.55 |
$830.55 |
$830.55 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,531.95 |
$1,531.95 |
$1,531.95 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$2,659.65 |
$2,659.65 |
$2,659.65 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$5,042.80 |
$5,042.80 |
$5,042.80 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,171.75 |
$2,171.75 |
$2,171.75 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$9,171.40 |
$9,171.40 |
$9,171.40 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$5,841.50 |
$5,841.50 |
$5,841.50 |
$4,201.80
|
|
Rpr blood vsl grf oth vein lo ex
|
$3,246.95 |
$3,246.95 |
$3,246.95 |
$5,836.04
|
|
Rp therapy unlisted px
|
$89.95 |
$89.95 |
$89.95 |
$320.85
|
|
Rsv assay w/optic
|
$50.75 |
$50.75 |
$50.75 |
$73.80
|
|
Rubella antibody igg
|
$104.30 |
$104.30 |
$104.30 |
$73.10
|
|
Rubeola antibody igg
|
$42.70 |
$42.70 |
$42.70 |
$79.68
|
|
Russell viper venom diluted
|
$77.35 |
$77.35 |
$77.35 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,466.16 |
$6,466.16 |
$6,466.16 |
$6,466.16
|
|
Sargramostim injection
|
$426.68 |
$426.68 |
$426.68 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$73.85 |
$73.85 |
$73.85 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$86.10 |
$86.10 |
$86.10 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,012.55 |
$1,012.55 |
$1,012.55 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$597.45 |
$597.45 |
$597.45 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$921.55 |
$921.55 |
$921.55 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$324.10 |
$324.10 |
$324.10 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$331.10 |
$331.10 |
$331.10 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$908.95 |
$908.95 |
$908.95 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,085.35 |
$1,085.35 |
$1,085.35 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$759.85 |
$759.85 |
$759.85 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$595.35 |
$595.35 |
$595.35 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$3,317.43 |
$3,317.43 |
$3,317.43 |
$4,079.62
|
|
Screening Mammogram
|
$297.50 |
$297.50 |
$297.50 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$78,428.18 |
$78,428.18 |
$78,428.18 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$945.00 |
$945.00 |
$945.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$48.30 |
$48.30 |
$48.30 |
$44.20
|
|
Serial casting application 97139app
|
$57.75 |
$57.75 |
$57.75 |
$67.42
|
|
Serpina1 gene
|
$700.70 |
$700.70 |
$700.70 |
$191.73
|
|
Set radiation therapy field
|
$2,797.20 |
$2,797.20 |
$2,797.20 |
$731.50
|
|
Set radiation therapy field
|
$4,615.45 |
$4,615.45 |
$4,615.45 |
$1,102.40
|
|
Set radiation therapy field
|
$4,662.00 |
$4,662.00 |
$4,662.00 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$143.85 |
$143.85 |
$143.85 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$5,212.99 |
$5,212.99 |
$5,212.99 |
$7,076.25
|
|
Shoulder MRI (with and without contrast)
|
$3,419.50 |
$3,419.50 |
$3,419.50 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,775.15 |
$2,775.15 |
$2,775.15 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,790.25 |
$1,790.25 |
$1,790.25 |
$2,051.28
|
|
Shoulder X-ray
|
$558.60 |
$558.60 |
$558.60 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$9,378.60 |
$9,378.60 |
$9,378.60 |
$4,709.25
|
|
Sialography s&i
|
$348.25 |
$348.25 |
$348.25 |
$462.40
|
|
Sickling rbc
|
$48.65 |
$48.65 |
$48.65 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$723.80 |
$723.80 |
$723.80 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$723.80 |
$723.80 |
$723.80 |
$1,374.60
|
|
Signal avg ecg w or without ecg 93278
|
$279.30 |
$279.30 |
$279.30 |
$309.52
|
|
Sim ang w/prs cath rad emb
|
$9,938.95 |
$9,938.95 |
$9,938.95 |
$13,001.06
|
|
Sincalide 5 mcg solution for injection
|
$195.02 |
$195.02 |
$195.02 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,300.90 |
$2,300.90 |
$2,300.90 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$2,881.55 |
$2,881.55 |
$2,881.55 |
$2,489.25
|
|
Sirolimus, oral
|
$2,566.06 |
$2,566.06 |
$2,566.06 |
$42.11
|
|
Skin Biopsy
|
$285.95 |
$285.95 |
$285.95 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$2,948.75 |
$2,948.75 |
$2,948.75 |
$3,936.80
|
|
Sleep study unattended
|
$301.70 |
$301.70 |
$301.70 |
$595.50
|
|
Sling suprapubic suburetheral
|
$26,511.45 |
$26,511.45 |
$26,511.45 |
$10,328.15
|
|
Sm-153 lexidron ther
|
$11,563.30 |
$11,563.30 |
$11,563.30 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$105.00 |
$105.00 |
$105.00 |
$64.20
|
|
Smear gram stain
|
$147.00 |
$147.00 |
$147.00 |
$57.85
|
|
Smear nasal eosinophil
|
$38.50 |
$38.50 |
$38.50 |
$49.50
|
