|
Repair rpr lip full thickness vermilion only
|
$329.40 |
$329.40 |
$329.40 |
$1,224.63
|
|
Repair tendon extensor foot 1/2 each tendon
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$4,350.00
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$150.00 |
$150.00 |
$150.00 |
$478.00
|
|
Replace duod/jej tube perc
|
$594.60 |
$594.60 |
$594.60 |
$1,354.54
|
|
Replace g/c tube perc
|
$594.60 |
$594.60 |
$594.60 |
$1,326.24
|
|
Repl trach puncture dilator
|
$368.08 |
$368.08 |
$368.08 |
$244.05
|
|
Reptilase test
|
$36.60 |
$36.60 |
$36.60 |
$72.00
|
|
Restorigin 1 sq cm
|
$9,498.96 |
$9,498.96 |
$9,498.96 |
$171.12
|
|
Resuscitation cardiopulmonary
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$764.40
|
|
Reticulocyte automated
|
$16.20 |
$16.20 |
$16.20 |
$52.00
|
|
Revision of cervix
|
$2,035.80 |
$2,035.80 |
$2,035.80 |
$3,721.00
|
|
Revision of eyelid
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,760.73
|
|
Revision of penis
|
$2,308.20 |
$2,308.20 |
$2,308.20 |
$4,350.00
|
|
Rheumatoid factor quantitative
|
$22.20 |
$22.20 |
$22.20 |
$57.00
|
|
Rho d immune globulin inj
|
$199.26 |
$199.26 |
$199.26 |
$217.71
|
|
Rib gusset (elastic) each
|
$311.80 |
$311.80 |
$311.80 |
$161.95
|
|
Ring flange plas/leather mol
|
$1,136.27 |
$1,136.27 |
$1,136.27 |
$669.31
|
|
Ring flange plastic/leather
|
$677.71 |
$677.71 |
$677.71 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$3,486.91 |
$3,486.91 |
$3,486.91 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$19,137.64 |
$19,137.64 |
$19,137.64 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,090.89 |
$2,090.89 |
$2,090.89 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$8,455.68 |
$8,455.68 |
$8,455.68 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$13,528.96 |
$13,528.96 |
$13,528.96 |
$15,057.18
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$6,451.20 |
$6,451.20 |
$6,451.20 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$6,451.20 |
$6,451.20 |
$6,451.20 |
$5,309.20
|
|
Rocker bottom, contact afo
|
$346.67 |
$346.67 |
$346.67 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,757.57 |
$5,757.57 |
$5,757.57 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$8,919.76 |
$8,919.76 |
$8,919.76 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,258.85 |
$4,258.85 |
$4,258.85 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$69.46 |
$69.46 |
$69.46 |
$188.50
|
|
Rubella antibody igg
|
$54.60 |
$54.60 |
$54.60 |
$77.03
|
|
Rubeola antibody igg
|
$148.80 |
$148.80 |
$148.80 |
$80.00
|
|
Russell viper venom diluted
|
$35.40 |
$35.40 |
$35.40 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,614.30 |
$4,614.30 |
$4,614.30 |
$5,174.32
|
|
Salmonella antibody
|
$39.60 |
$39.60 |
$39.60 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$106.20 |
$106.20 |
$106.20 |
$59.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$561.60 |
$561.60 |
$561.60 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$327.60 |
$327.60 |
$327.60 |
$662.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$329.40 |
$329.40 |
$329.40 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$447.00 |
$447.00 |
$447.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$298.20 |
$298.20 |
$298.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$383.40 |
$383.40 |
$383.40 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$23,153.72 |
$23,153.72 |
$23,153.72 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$2,698.09 |
$2,698.09 |
$2,698.09 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$2,546.28 |
$2,546.28 |
$2,546.28 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$84.60 |
$84.60 |
$84.60 |
$60.00
|
|
Screening Mammogram
|
$262.20 |
$262.20 |
$262.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$58.20 |
$58.20 |
$58.20 |
$99.20
|
|
Screw cortex 2.0 x 10mm
|
$427,132.61 |
$427,132.61 |
$427,132.61 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$10.20 |
$10.20 |
$10.20 |
$42.00
|
|
Serpina1 gene
|
$161.40 |
$161.40 |
$161.40 |
$195.65
|
|
Sewho cap design without jnts cf
|
$5,456.64 |
$5,456.64 |
$5,456.64 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$579.60 |
$579.60 |
$579.60 |
$248.10
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$268.80 |
$268.80 |
$268.80 |
$314.00
|
|
Sheath below knee
|
$57.55 |
$57.55 |
$57.55 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$13,160.02 |
$13,160.02 |
$13,160.02 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$19,769.71 |
$19,769.71 |
$19,769.71 |
$7,625.52
|
|
Shoe clubfoot wedge
|
$177.00 |
$177.00 |
$177.00 |
$111.56
|
|
Shoe dennis browne splint bo
|
$154.40 |
$154.40 |
$154.40 |
$93.52
|
|
Shoe heel new leather standa
|
$145.25 |
$145.25 |
$145.25 |
$88.03
|
|
Shoe heel new rubber standar
|
$122.62 |
$122.62 |
$122.62 |
$63.70
|
|
Shoe heel pad & depress for
|
$222.35 |
$222.35 |
$222.35 |
$149.60
|
|
Shoe heel sach cushion type
|
$376.60 |
$376.60 |
$376.60 |
$228.09
|
|
Shoe heel thomas extend to b
|
$222.35 |
$222.35 |
$222.35 |
$134.68
|
|
Shoe heel thomas with wedge
|
$208.90 |
$208.90 |
$208.90 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$264.23 |
$264.23 |
$264.23 |
$175.04
|
|
Shoe metatarsal bar between
|
$331.28 |
$331.28 |
$331.28 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$145.25 |
$145.25 |
$145.25 |
$69.03
|
|
Shoe outflare wedge
|
$177.00 |
$177.00 |
$177.00 |
$107.24
|
|
Shoe post-op mens m
|
$435.37 |
$435.37 |
$435.37 |
$52.20
|
|
Shoe sole wedge between sole
|
$177.00 |
$177.00 |
$177.00 |
$107.24
|
|
Shoe sole wedge outside sole
|
$127.05 |
$127.05 |
$127.05 |
$77.00
|
|
Shoe wedge sach
|
$304.16 |
$304.16 |
$304.16 |
$171.44
|
|
Sho heel count plast reinfor
|
$571.88 |
$571.88 |
$571.88 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,846.64 |
$1,846.64 |
$1,846.64 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$186.10 |
$186.10 |
$186.10 |
$111.14
|
|
Shoulder MRI (without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,065.05
|
|
Shoulder X-ray
|
$240.00 |
$240.00 |
$240.00 |
$339.50
|
|
Shrinker prosth above knee
|
$301.36 |
$301.36 |
$301.36 |
$168.89
|
|
Shrinker prosth below knee
|
$211.99 |
$211.99 |
$211.99 |
$104.95
|
|
Shunt glaucoma baerveldt 350mm
|
$11,477.91 |
$11,477.91 |
$11,477.91 |
$4,636.80
|
|
Sickling rbc
|
$55.20 |
$55.20 |
$55.20 |
$57.00
|
|
Sincalide 5 mcg solution for injection
|
$506.45 |
$506.45 |
$506.45 |
$309.04
|
|
Sinus CT scan (with and without contrast)
|
$862.20 |
$862.20 |
$862.20 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$781.20 |
$781.20 |
$781.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$576.00 |
$576.00 |
$576.00 |
$1,292.04
|
|
Sio flex pelvisacral custom
|
$953.81 |
$953.81 |
$953.81 |
$561.79
|
|
Sio rig pnl pelv/sac pre ots
|
$631.56 |
$631.56 |
$631.56 |
$418.75
|
|
Sipuleucel-t - su
|
$112,684.50 |
$112,684.50 |
$112,684.50 |
$100,990.51
|
|
Skin Biopsy
|
$130.20 |
$130.20 |
$130.20 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,598.50
|
|
Sleeve fing rolyan med
|
$692.99 |
$692.99 |
$692.99 |
$203.58
|
|
Sling pelv split sam med
|
$307.69 |
$307.69 |
$307.69 |
$150.00
|
|
Sling suprapubic suburetheral
|
$26,910.87 |
$26,910.87 |
$26,910.87 |
$9,679.96
|
|
Smear fluorescent and/or acid fast stain
|
$20.40 |
$20.40 |
$20.40 |
$64.20
|
|
Smear gram stain
|
$18.00 |
$18.00 |
$18.00 |
$55.25
|
|
Smear nasal eosinophil
|
$19.80 |
$19.80 |
$19.80 |
$46.15
|
|
Smear special stain inclusion bodies/parasites
|
$22.80 |
$22.80 |
$22.80 |
$73.15
|
|
Smear wet mount
|
$18.00 |
$18.00 |
$18.00 |
$66.72
|
