|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$28.50 |
$28.50 |
$28.50 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.50 |
$0.50 |
$0.50 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$1,702.50 |
$1,702.50 |
$1,702.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,104.50 |
$3,104.50 |
$3,104.50 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$3,687.00
|
|
Rsv assay w/optic
|
$26.00 |
$26.00 |
$26.00 |
$79.38
|
|
Rubella antibody igg
|
$54.50 |
$54.50 |
$54.50 |
$77.03
|
|
Rubeola antibody igg
|
$75.00 |
$75.00 |
$75.00 |
$80.00
|
|
Russell viper venom diluted
|
$56.00 |
$56.00 |
$56.00 |
$72.54
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$105.00 |
$105.00 |
$105.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$57.00 |
$57.00 |
$57.00 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$113.00 |
$113.00 |
$113.00 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$159.00 |
$159.00 |
$159.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$676.00 |
$676.00 |
$676.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$486.00 |
$486.00 |
$486.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$276.50 |
$276.50 |
$276.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$363.00 |
$363.00 |
$363.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$482.50 |
$482.50 |
$482.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$349.00 |
$349.00 |
$349.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$486.00 |
$486.00 |
$486.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$399.00 |
$399.00 |
$399.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$275.00 |
$275.00 |
$275.00 |
$595.35
|
|
Scan proc spinal
|
$295.50 |
$295.50 |
$295.50 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$1,994.00 |
$1,994.00 |
$1,994.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.00 |
$30.00 |
$30.00 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$70.50 |
$70.50 |
$70.50 |
$54.40
|
|
Screen cerv/vag thin layer
|
$70.50 |
$70.50 |
$70.50 |
$84.60
|
|
Screening HIV antigen/antibody combination assay
|
$78.00 |
$78.00 |
$78.00 |
$42.30
|
|
Screening Mammogram
|
$299.50 |
$299.50 |
$299.50 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$129.00 |
$129.00 |
$129.00 |
$100.63
|
|
Screen pap by tech w md supv
|
$70.50 |
$70.50 |
$70.50 |
$52.65
|
|
Screen/visual acuity/bilat/quant 99173
|
$25.00 |
$25.00 |
$25.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$788.00 |
$788.00 |
$788.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$12,608.50 |
$12,608.50 |
$12,608.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$15.50 |
$15.50 |
$15.50 |
$42.00
|
|
Semen analysis presence/motility
|
$88.50 |
$88.50 |
$88.50 |
$71.05
|
|
Sensorimotor examination
|
$9.50 |
$9.50 |
$9.50 |
$109.50
|
|
Set radiation therapy field
|
$580.00 |
$580.00 |
$580.00 |
$762.40
|
|
Set radiation therapy field
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$231.00 |
$231.00 |
$231.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$231.00 |
$231.00 |
$231.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$467.50 |
$467.50 |
$467.50 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$467.50 |
$467.50 |
$467.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$231.00 |
$231.00 |
$231.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$231.00 |
$231.00 |
$231.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$467.50 |
$467.50 |
$467.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$467.50 |
$467.50 |
$467.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$230.50 |
$230.50 |
$230.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$231.00 |
$231.00 |
$231.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$6,570.70
|
|
Shoe outflare wedge
|
$113.50 |
$113.50 |
$113.50 |
$107.24
|
|
Shoe post-op mens m
|
$19.00 |
$19.00 |
$19.00 |
$52.20
|
|
Sho lift taper to metatarsal
|
$119.00 |
$119.00 |
$119.00 |
$111.14
|
|
Shoulder MRI (with and without contrast)
|
$2,309.50 |
$2,309.50 |
$2,309.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,065.05
|
|
Shoulder X-ray
|
$179.00 |
$179.00 |
$179.00 |
$339.50
|
|
Shrinker prosth below knee
|
$98.50 |
$98.50 |
$98.50 |
$105.12
|
|
Shrinker upper limb
|
$134.50 |
$134.50 |
$134.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$4,636.80
|
|
Sialography s&i
|
$698.00 |
$698.00 |
$698.00 |
$499.20
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Simple cystometrogram 51725
|
$287.50 |
$287.50 |
$287.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$248.50 |
$248.50 |
$248.50 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,328.50 |
$1,328.50 |
$1,328.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$560.00 |
$560.00 |
$560.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$2,489.25
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$467.50 |
$467.50 |
$467.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,371.50
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Sleep study attended
|
$680.50 |
$680.50 |
$680.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$3,607.50
|
|
Sleep study unattended
|
$443.50 |
$443.50 |
$443.50 |
$580.87
|
|
Sleeve fing rolyan med
|
$241.00 |
$241.00 |
$241.00 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$6.50 |
$6.50 |
$6.50 |
$30.35
|
|
Sling suprapubic suburetheral
|
$4,337.00 |
$4,337.00 |
$4,337.00 |
$9,679.96
|
|
Slp pure tone screening
|
$24.00 |
$24.00 |
$24.00 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$530.00 |
$530.00 |
$530.00 |
$296.34
|
|
Slp ther svc non-spch gen
|
$154.00 |
$154.00 |
$154.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$34.50 |
$34.50 |
$34.50 |
$64.20
|
|
Smear gram stain
|
$23.00 |
$23.00 |
$23.00 |
$55.25
|
|
Smear nasal eosinophil
|
$25.00 |
$25.00 |
$25.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$23.00 |
$23.00 |
$23.00 |
$73.15
|
|
Smear wet mount
|
$38.50 |
$38.50 |
$38.50 |
$67.49
|
|
Snrpn/ube3a gene
|
$178.00 |
$178.00 |
$178.00 |
$231.85
|
|
Socket insert without lock mech
|
$1,192.50 |
$1,192.50 |
$1,192.50 |
$1,192.50
|
|
Socket insert w lock mech
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$1,544.50
|
|
Sodium 24 hour urine
|
$34.50 |
$34.50 |
$34.50 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$59.50 |
$59.50 |
$59.50 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$75.00 |
$75.00 |
$75.00 |
$46.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$4.00 |
$4.00 |
$4.00 |
$77.77
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$541.00 |
$541.00 |
$541.00 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$34.50 |
$34.50 |
$34.50 |
$45.60
|
