|
Rmvl tv pm lead sgl
|
$1,943.47 |
$1,943.47 |
$1,943.47 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$4,193.45 |
$4,193.45 |
$4,193.45 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,428.69 |
$7,428.69 |
$7,428.69 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,416.58 |
$4,416.58 |
$4,416.58 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$40.88 |
$40.88 |
$40.88 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$34,581.52 |
$34,581.52 |
$34,581.52 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$664.10 |
$664.10 |
$664.10 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$898.88 |
$898.88 |
$898.88 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,215.63 |
$1,215.63 |
$1,215.63 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,094.40 |
$2,094.40 |
$2,094.40 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$2,238.39 |
$2,238.39 |
$2,238.39 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$3,687.00
|
|
Rpr blood vsl grf oth vein lo ex
|
$2,534.89 |
$2,534.89 |
$2,534.89 |
$5,983.35
|
|
Rsv assay w/optic
|
$65.20 |
$65.20 |
$65.20 |
$79.38
|
|
Rubella antibody igg
|
$47.86 |
$47.86 |
$47.86 |
$77.03
|
|
Rubeola ag if
|
$49.80 |
$49.80 |
$49.80 |
$92.31
|
|
Rubeola antibody igg
|
$64.29 |
$64.29 |
$64.29 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$246.11 |
$246.11 |
$246.11 |
$454.72
|
|
Russell viper venom diluted
|
$57.22 |
$57.22 |
$57.22 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$19,402.52 |
$19,402.52 |
$19,402.52 |
$5,174.32
|
|
Salivary glnd img serial img
|
$593.71 |
$593.71 |
$593.71 |
$701.73
|
|
Salmonella antibody
|
$25.46 |
$25.46 |
$25.46 |
$37.58
|
|
Sbrt management
|
$216.87 |
$216.87 |
$216.87 |
$1,189.60
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$820.51 |
$820.51 |
$820.51 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$516.93 |
$516.93 |
$516.93 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$681.03 |
$681.03 |
$681.03 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$434.87 |
$434.87 |
$434.87 |
$497.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$704.06 |
$704.06 |
$704.06 |
$985.20
|
|
Sclerotherapy fluid collection pq w/img
|
$966.20 |
$966.20 |
$966.20 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$1,861.94 |
$1,861.94 |
$1,861.94 |
$4,490.64
|
|
Screening Mammogram
|
$300.60 |
$300.60 |
$300.60 |
$312.55
|
|
Screw cortex 2.0 x 10mm
|
$44,905.47 |
$44,905.47 |
$44,905.47 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$123.34 |
$123.34 |
$123.34 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,652.79 |
$1,652.79 |
$1,652.79 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$100.05 |
$100.05 |
$100.05 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$14.99 |
$14.99 |
$14.99 |
$42.00
|
|
Semen analysis presence/motility
|
$44.64 |
$44.64 |
$44.64 |
$71.05
|
|
Serpina1 gene
|
$59.32 |
$59.32 |
$59.32 |
$197.00
|
|
Set radiation therapy field
|
$829.08 |
$829.08 |
$829.08 |
$762.40
|
|
Set radiation therapy field
|
$1,180.38 |
$1,180.38 |
$1,180.38 |
$1,157.38
|
|
Set radiation therapy field
|
$1,686.26 |
$1,686.26 |
$1,686.26 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$113.74 |
$113.74 |
$113.74 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$86.31 |
$86.31 |
$86.31 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$310.85 |
$310.85 |
$310.85 |
$314.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$144.75 |
$144.75 |
$144.75 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$6,491.87 |
$6,491.87 |
$6,491.87 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$6,491.87 |
$6,491.87 |
$6,491.87 |
$7,625.52
|
|
Shoe post-op mens m
|
$53.16 |
$53.16 |
$53.16 |
$52.20
|
|
Shunt glaucoma baerveldt 350mm
|
$17.78 |
$17.78 |
$17.78 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$281.11 |
$281.11 |
$281.11 |
$349.20
|
|
Sialography s&i
|
$357.30 |
$357.30 |
$357.30 |
$499.20
|
|
Sickling rbc
|
$35.60 |
$35.60 |
$35.60 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$188.78 |
$188.78 |
$188.78 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,465.75 |
$1,465.75 |
$1,465.75 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,305.27 |
$1,305.27 |
$1,305.27 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,283.87 |
$1,283.87 |
$1,283.87 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,444.57 |
$1,444.57 |
$1,444.57 |
$2,489.25
|
|
Skin Biopsy
|
$123.88 |
$123.88 |
$123.88 |
$360.34
|
|
Skyla, 13.5 mg
|
$1,720.97 |
$1,720.97 |
$1,720.97 |
$1,643.47
|
|
Sleep study attended
|
$1,475.78 |
$1,475.78 |
$1,475.78 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,246.33 |
$3,246.33 |
$3,246.33 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$76.45 |
$76.45 |
$76.45 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$6.27 |
$6.27 |
$6.27 |
$30.35
|
|
Sling suprapubic suburetheral
|
$15,182.51 |
$15,182.51 |
$15,182.51 |
$9,679.96
|
|
Slitting of prepuce
|
$809.36 |
$809.36 |
$809.36 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$6,748.96 |
$6,748.96 |
$6,748.96 |
$7,320.12
|
|
Smallpox&monkeypox vac 0.5ml
|
$411.49 |
$411.49 |
$411.49 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$43.97 |
$43.97 |
$43.97 |
$64.20
|
|
Smear gram stain
|
$49.77 |
$49.77 |
$49.77 |
$55.25
|
|
Smear nasal eosinophil
|
$43.30 |
$43.30 |
$43.30 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$81.27 |
$81.27 |
$81.27 |
$73.15
|
|
Smear wet mount
|
$40.48 |
$40.48 |
$40.48 |
$67.49
|
|
Smpd1 gene common variants
|
$44.12 |
$44.12 |
$44.12 |
$133.84
|
|
Snrpn/ube3a gene
|
$248.29 |
$248.29 |
$248.29 |
$231.85
|
|
Sodium 24 hour urine
|
$31.29 |
$31.29 |
$31.29 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$56.95 |
$56.95 |
$56.95 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$113.90 |
$113.90 |
$113.90 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$227.80 |
$227.80 |
$227.80 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$40.77 |
$40.77 |
$40.77 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$273.76 |
$273.76 |
$273.76 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$35.16 |
$35.16 |
$35.16 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$363.10 |
$363.10 |
$363.10 |
$177.52
|
|
Somatosensory testing
|
$1,244.55 |
$1,244.55 |
$1,244.55 |
$816.00
|
|
Special radiation dosimetry
|
$275.48 |
$275.48 |
$275.48 |
$392.50
|
|
Special radiation treatment
|
$2,335.05 |
$2,335.05 |
$2,335.05 |
$1,986.00
|
|
Special teletx port plan
|
$891.21 |
$891.21 |
$891.21 |
$1,086.99
|
|
Specific gravity body fluid
|
$9.02 |
$9.02 |
$9.02 |
$22.00
|
|
Speech evaluation complex
|
$452.34 |
$452.34 |
$452.34 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$822.90 |
$822.90 |
$822.90 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$337.93 |
$337.93 |
$337.93 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$239.87 |
$239.87 |
$239.87 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$54.09 |
$54.09 |
$54.09 |
$68.25
|
|
Splint finger frog med
|
$14.72 |
$14.72 |
$14.72 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$64.92 |
$64.92 |
$64.92 |
$99.04
|
|
Split blood or products
|
$58.91 |
$58.91 |
$58.91 |
$127.48
|
|
Sr-89 stront chlor ther / mci
|
$1,985.80 |
$1,985.80 |
$1,985.80 |
$2,667.94
|
|
Srs linear based
|
$6,281.26 |
$6,281.26 |
$6,281.26 |
$13,585.00
|
|
Srs multisource
|
$35,004.79 |
$35,004.79 |
$35,004.79 |
$34,165.20
|
|
Static or dynami afo pre ots
|
$65.83 |
$65.83 |
$65.83 |
$284.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$38,453.61 |
$38,453.61 |
$38,453.61 |
$32,403.15
|
