|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,016.32 |
$15,016.32 |
$15,016.32 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$11,482.68 |
$11,482.68 |
$11,482.68 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$427.50 |
$427.50 |
$1,285.02 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$2,544.96 |
$2,544.96 |
$2,544.96 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$7,155.06 |
$7,155.06 |
$7,155.06 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,592.28 |
$4,592.28 |
$4,592.28 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,075.70 |
$2,075.70 |
$2,075.70 |
$1,008.04
|
|
Rmvl subq card rhythm mntr
|
$1,197.24 |
$1,197.24 |
$1,197.24 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,031.69
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$27.86 |
$27.86 |
$27.86 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.73 |
$0.73 |
$0.73 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,125.00 |
$1,125.00 |
$2,373.36 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,650.00 |
$1,650.00 |
$1,791.90 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$910.00 |
$910.00 |
$2,175.36 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,905.00 |
$2,905.00 |
$5,536.74 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,245.00 |
$2,245.00 |
$3,657.72 |
$3,687.00
|
|
Rsv assay w/optic
|
$99.00 |
$99.00 |
$105.00 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$70.00 |
$70.00 |
$70.00 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$72.50 |
$72.50 |
$72.50 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$115.00 |
$115.00 |
$115.00 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$115.00 |
$115.00 |
$115.00 |
$67.80
|
|
Rubella antibody igg
|
$80.00 |
$80.00 |
$99.00 |
$77.03
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$89.10 |
$80.00
|
|
Russell viper venom diluted
|
$68.64 |
$68.64 |
$87.50 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$77.23 |
$77.23 |
$77.23 |
$5,174.32
|
|
Salmonella antibody
|
$27.50 |
$27.50 |
$66.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$73.92 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$575.00 |
$575.00 |
$805.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$385.00 |
$385.00 |
$699.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$590.00 |
$590.00 |
$601.26 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$395.00 |
$395.00 |
$461.34 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$498.30 |
$498.30 |
$685.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$628.32 |
$628.32 |
$675.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$965.00 |
$965.00 |
$1,058.64 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$592.68 |
$592.68 |
$645.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$475.00 |
$475.00 |
$531.30 |
$595.35
|
|
Scan proc cranial extra
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,366.00
|
|
Sclerotherapy fluid collection pq w/img
|
$2,373.36 |
$2,373.36 |
$3,125.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$519.42 |
$519.42 |
$519.42 |
$4,490.64
|
|
Screen cerv/vag thin layer
|
$125.40 |
$125.40 |
$125.40 |
$84.60
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$110.22 |
$110.22 |
$110.22 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$99.66 |
$99.66 |
$99.66 |
$99.66
|
|
Screening Mammogram
|
$310.20 |
$310.20 |
$310.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$117.48 |
$117.48 |
$117.48 |
$100.63
|
|
Screen pap by tech w md supv
|
$53.46 |
$53.46 |
$53.46 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$10,935.00 |
$10,935.00 |
$10,935.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,237.96 |
$3,237.96 |
$5,150.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$36.96 |
$36.96 |
$47.50 |
$42.00
|
|
Semen analysis presence/motility
|
$70.00 |
$70.00 |
$207.90 |
$71.05
|
|
Semen analysis w/count
|
$229.68 |
$229.68 |
$229.68 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$290.00 |
$290.00 |
$290.00 |
$316.68
|
|
Serial casting application 97139app
|
$80.00 |
$80.00 |
$80.00 |
$78.39
|
|
Serpina1 gene
|
$663.30 |
$663.30 |
$663.30 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$97.02 |
$97.02 |
$135.00 |
$126.43
|
|
Set radiation therapy field
|
$867.24 |
$867.24 |
$1,080.00 |
$762.40
|
|
Set radiation therapy field
|
$1,056.00 |
$1,056.00 |
$1,615.00 |
$1,157.38
|
|
Set radiation therapy field
|
$2,170.00 |
$2,170.00 |
$2,221.56 |
$1,636.36
|
|
Shoe post-op mens m
|
$55.53 |
$55.53 |
$55.53 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$2,669.70 |
$2,669.70 |
$3,265.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,542.32 |
$2,542.32 |
$4,420.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,420.88 |
$2,420.88 |
$4,220.00 |
$2,065.05
|
|
Shoulder X-ray
|
$315.48 |
$315.48 |
$550.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$302.50 |
$302.50 |
$522.72 |
$349.20
|
|
Sialography s&i
|
$519.42 |
$519.42 |
$519.42 |
$499.20
|
|
Sickling rbc
|
$59.40 |
$59.40 |
$187.50 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$408.01 |
$408.01 |
$408.01 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,679.04 |
$1,679.04 |
$2,305.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,624.92 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,271.16 |
$1,271.16 |
$1,470.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,315.00 |
$1,315.00 |
$3,635.28 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$37.50 |
$37.50 |
$37.50 |
$83.85
|
|
Skin Biopsy
|
$230.00 |
$230.00 |
$306.24 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$3,385.00 |
$3,385.00 |
$4,039.86 |
$3,607.50
|
|
Sleep study unattended
|
$518.76 |
$518.76 |
$518.76 |
$580.87
|
|
Sleeve fing rolyan med
|
$140.00 |
$140.00 |
$296.34 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$20.00 |
$20.00 |
$20.00 |
$30.35
|
|
Sling pelv split sam med
|
$138.84 |
$138.84 |
$138.84 |
$150.00
|
|
Sling suprapubic suburetheral
|
$2,353.47 |
$2,353.47 |
$2,353.47 |
$9,679.96
|
|
Slp stdy unatnd w/anal
|
$296.34 |
$296.34 |
$296.34 |
$296.34
|
|
Smear fluorescent and/or acid fast stain
|
$55.00 |
$55.00 |
$118.14 |
$64.20
|
|
Smear gram stain
|
$40.00 |
$40.00 |
$65.34 |
$55.25
|
|
Smear nasal eosinophil
|
$33.00 |
$33.00 |
$33.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$67.50 |
$67.50 |
$129.36 |
$73.15
|
|
Smear wet mount
|
$37.50 |
$37.50 |
$39.60 |
$67.49
|
|
Smpd1 gene common variants
|
$160.00 |
$160.00 |
$160.00 |
$133.84
|
|
Snrpn/ube3a gene
|
$327.36 |
$327.36 |
$327.36 |
$231.85
|
|
So cap design without jnts cf
|
$590.00 |
$590.00 |
$590.00 |
$606.35
|
|
Sodium 24 hour urine
|
$25.00 |
$25.00 |
$29.70 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$69.96 |
$69.96 |
$96.67 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$69.96 |
$69.96 |
$80.53 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$25.38 |
$25.38 |
$79.35 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$0.45 |
$0.45 |
$0.45 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$30.98 |
$30.98 |
$30.98 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$20.46 |
$20.46 |
$22.50 |
$45.60
|
|
So neo gsap dna mcrstl ins
|
$2,972.64 |
$2,972.64 |
$2,972.64 |
$2,296.00
|
