|
Rmvl tv pm lead sgl
|
$2,249.03 |
$2,249.03 |
$2,249.03 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$4,852.76 |
$4,852.76 |
$4,852.76 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$8,596.65 |
$8,596.65 |
$8,596.65 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,110.96 |
$5,110.96 |
$5,110.96 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$47.30 |
$47.30 |
$47.30 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$40,018.52 |
$40,018.52 |
$40,018.52 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$768.51 |
$768.51 |
$768.51 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,040.20 |
$1,040.20 |
$1,040.20 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,406.76 |
$1,406.76 |
$1,406.76 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,423.68 |
$2,423.68 |
$2,423.68 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$2,590.31 |
$2,590.31 |
$2,590.31 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$1,514.80 |
$1,514.80 |
$1,514.80 |
$3,687.00
|
|
Rpr blood vsl grf oth vein lo ex
|
$2,933.43 |
$2,933.43 |
$2,933.43 |
$5,983.35
|
|
Rsv assay w/optic
|
$75.45 |
$75.45 |
$75.45 |
$79.38
|
|
Rubella antibody igg
|
$55.38 |
$55.38 |
$55.38 |
$77.03
|
|
Rubeola ag if
|
$57.63 |
$57.63 |
$57.63 |
$92.31
|
|
Rubeola antibody igg
|
$74.40 |
$74.40 |
$74.40 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$284.81 |
$284.81 |
$284.81 |
$454.72
|
|
Russell viper venom diluted
|
$66.21 |
$66.21 |
$66.21 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$22,453.04 |
$22,453.04 |
$22,453.04 |
$5,174.32
|
|
Salivary glnd img serial img
|
$687.05 |
$687.05 |
$687.05 |
$701.73
|
|
Salmonella antibody
|
$29.46 |
$29.46 |
$29.46 |
$37.58
|
|
Sbrt management
|
$250.97 |
$250.97 |
$250.97 |
$1,189.60
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$949.52 |
$949.52 |
$949.52 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$598.20 |
$598.20 |
$598.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$788.10 |
$788.10 |
$788.10 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$503.25 |
$503.25 |
$503.25 |
$497.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$814.75 |
$814.75 |
$814.75 |
$985.20
|
|
Sclerotherapy fluid collection pq w/img
|
$1,118.11 |
$1,118.11 |
$1,118.11 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,154.68 |
$2,154.68 |
$2,154.68 |
$4,490.64
|
|
Screening Mammogram
|
$347.86 |
$347.86 |
$347.86 |
$312.55
|
|
Screw cortex 2.0 x 10mm
|
$51,965.63 |
$51,965.63 |
$51,965.63 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$142.74 |
$142.74 |
$142.74 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,912.65 |
$1,912.65 |
$1,912.65 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$115.77 |
$115.77 |
$115.77 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$17.35 |
$17.35 |
$17.35 |
$42.00
|
|
Semen analysis presence/motility
|
$51.66 |
$51.66 |
$51.66 |
$71.05
|
|
Serpina1 gene
|
$68.65 |
$68.65 |
$68.65 |
$197.00
|
|
Set radiation therapy field
|
$959.43 |
$959.43 |
$959.43 |
$762.40
|
|
Set radiation therapy field
|
$1,365.96 |
$1,365.96 |
$1,365.96 |
$1,157.38
|
|
Set radiation therapy field
|
$1,951.37 |
$1,951.37 |
$1,951.37 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$131.62 |
$131.62 |
$131.62 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$99.88 |
$99.88 |
$99.88 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$359.72 |
$359.72 |
$359.72 |
$314.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$167.51 |
$167.51 |
$167.51 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$7,512.53 |
$7,512.53 |
$7,512.53 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$7,512.53 |
$7,512.53 |
$7,512.53 |
$7,625.52
|
|
Shoe post-op mens m
|
$61.51 |
$61.51 |
$61.51 |
$52.20
|
|
Shunt glaucoma baerveldt 350mm
|
$20.57 |
$20.57 |
$20.57 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$325.31 |
$325.31 |
$325.31 |
$349.20
|
|
Sialography s&i
|
$413.48 |
$413.48 |
$413.48 |
$499.20
|
|
Sickling rbc
|
$41.20 |
$41.20 |
$41.20 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$218.45 |
$218.45 |
$218.45 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,510.49 |
$1,510.49 |
$1,510.49 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,485.73 |
$1,485.73 |
$1,485.73 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,671.69 |
$1,671.69 |
$1,671.69 |
$2,489.25
|
|
Skin Biopsy
|
$143.35 |
$143.35 |
$143.35 |
$360.34
|
|
Skyla, 13.5 mg
|
$1,991.54 |
$1,991.54 |
$1,991.54 |
$1,643.47
|
|
Sleep study attended
|
$1,707.80 |
$1,707.80 |
$1,707.80 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,756.73 |
$3,756.73 |
$3,756.73 |
$3,607.50
|
|
Sleeve fing rolyan med
|
$88.47 |
$88.47 |
$88.47 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$7.25 |
$7.25 |
$7.25 |
$30.35
|
|
Sling suprapubic suburetheral
|
$17,569.54 |
$17,569.54 |
$17,569.54 |
$9,679.96
|
|
Slitting of prepuce
|
$936.61 |
$936.61 |
$936.61 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$7,810.05 |
$7,810.05 |
$7,810.05 |
$7,320.12
|
|
Smallpox&monkeypox vac 0.5ml
|
$476.18 |
$476.18 |
$476.18 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$50.88 |
$50.88 |
$50.88 |
$64.20
|
|
Smear gram stain
|
$57.60 |
$57.60 |
$57.60 |
$55.25
|
|
Smear nasal eosinophil
|
$50.11 |
$50.11 |
$50.11 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$94.04 |
$94.04 |
$94.04 |
$73.15
|
|
Smear wet mount
|
$46.85 |
$46.85 |
$46.85 |
$67.49
|
|
Smpd1 gene common variants
|
$51.06 |
$51.06 |
$51.06 |
$133.84
|
|
Snrpn/ube3a gene
|
$287.33 |
$287.33 |
$287.33 |
$231.85
|
|
Sodium 24 hour urine
|
$36.21 |
$36.21 |
$36.21 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$65.91 |
$65.91 |
$65.91 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$131.81 |
$131.81 |
$131.81 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$263.61 |
$263.61 |
$263.61 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$47.18 |
$47.18 |
$47.18 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$316.80 |
$316.80 |
$316.80 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$40.69 |
$40.69 |
$40.69 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$420.19 |
$420.19 |
$420.19 |
$177.52
|
|
Somatosensory testing
|
$1,440.22 |
$1,440.22 |
$1,440.22 |
$816.00
|
|
Special radiation dosimetry
|
$318.79 |
$318.79 |
$318.79 |
$392.50
|
|
Special radiation treatment
|
$2,702.17 |
$2,702.17 |
$2,702.17 |
$1,986.00
|
|
Special teletx port plan
|
$1,031.33 |
$1,031.33 |
$1,031.33 |
$1,086.99
|
|
Specific gravity body fluid
|
$10.44 |
$10.44 |
$10.44 |
$22.00
|
|
Speech evaluation complex
|
$523.45 |
$523.45 |
$523.45 |
$527.06
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$952.27 |
$952.27 |
$952.27 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$391.06 |
$391.06 |
$391.06 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$277.58 |
$277.58 |
$277.58 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$62.59 |
$62.59 |
$62.59 |
$68.25
|
|
Splint finger frog med
|
$17.04 |
$17.04 |
$17.04 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$75.13 |
$75.13 |
$75.13 |
$99.04
|
|
Split blood or products
|
$68.17 |
$68.17 |
$68.17 |
$127.48
|
|
Sr-89 stront chlor ther / mci
|
$2,298.01 |
$2,298.01 |
$2,298.01 |
$2,667.94
|
|
Srs linear based
|
$7,268.82 |
$7,268.82 |
$7,268.82 |
$13,585.00
|
|
Srs multisource
|
$40,508.34 |
$40,508.34 |
$40,508.34 |
$34,165.20
|
|
Static or dynami afo pre ots
|
$76.18 |
$76.18 |
$76.18 |
$284.60
|
|
Stent axios caut enh 15x10mm electrocaut
|
$44,499.38 |
$44,499.38 |
$44,499.38 |
$32,403.15
|