|
Replace pretibial shell
|
$387.60 |
$387.60 |
$387.60 |
$700.00
|
|
Reposition pm/icd lead
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$2,835.20 |
$2,835.20 |
$2,835.20 |
$3,724.63
|
|
Reptilase test
|
$20.00 |
$20.00 |
$20.00 |
$72.00
|
|
Respirator motion mgmt simul
|
$129.20 |
$129.20 |
$129.20 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$502.00 |
$502.00 |
$502.00 |
$764.40
|
|
Reticulated platelet assay
|
$35.60 |
$35.60 |
$35.60 |
$75.00
|
|
Reticulocyte automated
|
$34.80 |
$34.80 |
$34.80 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$12.00 |
$12.00 |
$12.00 |
$36.57
|
|
Revasc evasc fpvt angio cplx 1st
|
$8,703.20 |
$8,703.20 |
$8,703.20 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$6,962.80 |
$6,962.80 |
$6,962.80 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$8,159.60 |
$8,159.60 |
$8,159.60 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$6,527.60 |
$6,527.60 |
$6,527.60 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$23,107.20 |
$23,107.20 |
$23,107.20 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$8,703.20 |
$8,703.20 |
$8,703.20 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$6,962.80 |
$6,962.80 |
$6,962.80 |
$20,474.72
|
|
Revasc evasc imvt angio sf 1st
|
$16,513.20 |
$16,513.20 |
$16,513.20 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$8,703.20 |
$8,703.20 |
$8,703.20 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$6,817.60 |
$6,817.60 |
$6,817.60 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$8,612.80 |
$8,612.80 |
$8,612.80 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$6,890.00 |
$6,890.00 |
$6,890.00 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$8,612.80 |
$8,612.80 |
$8,612.80 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$6,890.00 |
$6,890.00 |
$6,890.00 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$24,810.00 |
$24,810.00 |
$24,810.00 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$23,628.40 |
$23,628.40 |
$23,628.40 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$12,759.20 |
$12,759.20 |
$12,759.20 |
$11,320.00
|
|
Revasc lithotrip-stent-ather
|
$37,569.20 |
$37,569.20 |
$37,569.20 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$22,374.40 |
$22,374.40 |
$22,374.40 |
$13,925.00
|
|
Revasc lith-sten-ath tib/per
|
$23,517.60 |
$23,517.60 |
$23,517.60 |
$19,385.85
|
|
Revision of cervix
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$3,854.76
|
|
Revision open av fistula without thromb
|
$8,858.00 |
$8,858.00 |
$8,858.00 |
$8,037.35
|
|
Rf abltj nrv nrvtg si jt
|
$2,238.80 |
$2,238.80 |
$2,238.80 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$25.60 |
$25.60 |
$25.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$35.60 |
$35.60 |
$35.60 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$66.98 |
$66.98 |
$66.98 |
$243.11
|
|
Rib gusset (elastic) each
|
$52.40 |
$52.40 |
$52.40 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.21 |
$0.21 |
$0.21 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$666.00 |
$666.00 |
$666.00 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.66 |
$27.66 |
$27.66 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$175.75 |
$175.75 |
$175.75 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$158.56 |
$158.56 |
$158.56 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$135.02 |
$135.02 |
$135.02 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$186.69 |
$186.69 |
$186.69 |
$5,309.20
|
|
Rmvl icd by tv extr
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$4,138.40 |
$4,138.40 |
$4,138.40 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,110.80 |
$6,110.80 |
$6,110.80 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,560.80 |
$5,560.80 |
$5,560.80 |
$10,542.00
|
|
Rmvl pq iabp
|
$410.00 |
$410.00 |
$410.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$798.40 |
$798.40 |
$798.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$6,454.80 |
$6,454.80 |
$6,454.80 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$6,454.80 |
$6,454.80 |
$6,454.80 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$60.80 |
$60.80 |
$60.80 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$21.02 |
$21.02 |
$21.02 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$22.00 |
$22.00 |
$22.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.37 |
$0.37 |
$0.37 |
$188.50
|
|
Rotavirus antibody
|
$37.20 |
$37.20 |
$37.20 |
$125.01
|
|
Rp loclzj tum 2+area 1+d img
|
$802.00 |
$802.00 |
$802.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,706.40 |
$2,706.40 |
$2,706.40 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$2,306.00 |
$2,306.00 |
$2,306.00 |
$3,687.00
|
|
Rubella antibody igg
|
$33.60 |
$33.60 |
$33.60 |
$77.03
|
|
Rubeola antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$80.00
|
|
Russell viper venom diluted
|
$75.20 |
$75.20 |
$75.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$52.74 |
$52.74 |
$52.74 |
$5,174.32
|
|
Sarscov coronavirus ag ia
|
$48.40 |
$48.40 |
$48.40 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$435.20 |
$435.20 |
$435.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$257.60 |
$257.60 |
$257.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$368.40 |
$368.40 |
$368.40 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$260.00 |
$260.00 |
$260.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$266.40 |
$266.40 |
$266.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$570.80 |
$570.80 |
$570.80 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$468.00 |
$468.00 |
$468.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$262.00 |
$262.00 |
$262.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$221.60 |
$221.60 |
$221.60 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$5,011.20 |
$5,011.20 |
$5,011.20 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$42.40 |
$42.40 |
$42.40 |
$85.15
|
|
Screening hepatitis b non-obstetric high risk
|
$43.20 |
$43.20 |
$43.20 |
$60.00
|
|
Screening HIV antigen/antibody combination assay
|
$47.20 |
$47.20 |
$47.20 |
$42.30
|
|
Screening Mammogram
|
$150.00 |
$150.00 |
$150.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$30.40 |
$30.40 |
$30.40 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$25,017.20 |
$25,017.20 |
$25,017.20 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$38.00 |
$38.00 |
$38.00 |
$42.00
|
|
Set radiation therapy field
|
$334.80 |
$334.80 |
$334.80 |
$762.40
|
|
Set radiation therapy field
|
$683.20 |
$683.20 |
$683.20 |
$1,157.38
|
|
Set radiation therapy field
|
$683.20 |
$683.20 |
$683.20 |
$1,636.36
|
|
Sewhfo airplane without jnts cf
|
$935.20 |
$935.20 |
$935.20 |
$1,685.60
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$935.20 |
$935.20 |
$935.20 |
$1,685.60
|
