|
Replace g-j tube perc
|
$424.36 |
$424.36 |
$424.36 |
$1,568.05
|
|
Replace picvad cath
|
$1,433.48 |
$1,433.48 |
$1,433.48 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,254.53 |
$1,254.53 |
$1,254.53 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$1,664.22 |
$1,664.22 |
$1,664.22 |
$3,802.20
|
|
Reptilase test
|
$6.36 |
$6.36 |
$6.36 |
$72.15
|
|
#resp virpnl dfa-adenovirus
|
$9.11 |
$9.11 |
$9.11 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$10.35 |
$10.35 |
$10.35 |
$35.20
|
|
Resp virus 6-11 targets
|
$135.58 |
$135.58 |
$135.58 |
$479.20
|
|
Reticulated platelet assay
|
$33.92 |
$33.92 |
$33.92 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$12.08 |
$12.08 |
$12.08 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$7,572.07 |
$7,572.07 |
$7,572.07 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$7,572.07 |
$7,572.07 |
$7,572.07 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$3,786.04 |
$3,786.04 |
$3,786.04 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$7,572.07 |
$7,572.07 |
$7,572.07 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$10,096.10 |
$10,096.10 |
$10,096.10 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$3,875.51 |
$3,875.51 |
$3,875.51 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$6,188.18 |
$6,188.18 |
$6,188.18 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$7,000.34 |
$7,000.34 |
$7,000.34 |
$19,624.54
|
|
Revision tips
|
$2,931.21 |
$2,931.21 |
$2,931.21 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$3,786.04 |
$3,786.04 |
$3,786.04 |
$9,196.55
|
|
Rheumatoid factor qualitative
|
$11.90 |
$11.90 |
$11.90 |
$57.20
|
|
Rheumatoid factor quantitative
|
$9.35 |
$9.35 |
$9.35 |
$57.50
|
|
R hrt cath chd abnl nt cnj
|
$1,123.49 |
$1,123.49 |
$1,123.49 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$898.73 |
$898.73 |
$898.73 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$71.16 |
$71.16 |
$71.16 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$99.33 |
$99.33 |
$99.33 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$72.89 |
$72.89 |
$72.89 |
$397.60
|
|
R&l hrt cath chd abnl nt cnj
|
$1,735.43 |
$1,735.43 |
$1,735.43 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$1,539.72 |
$1,539.72 |
$1,539.72 |
$6,104.00
|
|
Rmvl icd by tv extr
|
$1,773.63 |
$1,773.63 |
$1,773.63 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,777.33 |
$7,777.33 |
$7,777.33 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$8,101.42 |
$8,101.42 |
$8,101.42 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,025.27 |
$7,025.27 |
$7,025.27 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,256.75 |
$1,256.75 |
$1,256.75 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$461.48 |
$461.48 |
$461.48 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,379.74 |
$1,379.74 |
$1,379.74 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,398.73 |
$5,398.73 |
$5,398.73 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,889.33 |
$4,889.33 |
$4,889.33 |
$10,542.00
|
|
Rmvl pq iabp
|
$877.54 |
$877.54 |
$877.54 |
$969.10
|
|
Rmvl subq card rhythm mntr
|
$726.57 |
$726.57 |
$726.57 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,069.47 |
$2,069.47 |
$2,069.47 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$1,655.63 |
$1,655.63 |
$1,655.63 |
$4,225.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3.37 |
$3.37 |
$3.37 |
$4,820.04
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$781.97 |
$781.97 |
$781.97 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$236.60 |
$236.60 |
$236.60 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$502.55 |
$502.55 |
$502.55 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$962.94 |
$962.94 |
$962.94 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$876.70 |
$876.70 |
$876.70 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,277.25 |
$1,277.25 |
$1,277.25 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$1,090.83 |
$1,090.83 |
$1,090.83 |
$3,724.63
|
|
Rsv assay w/optic
|
$8.28 |
$8.28 |
$8.28 |
$76.32
|
|
Rubella antibody igg
|
$9.52 |
$9.52 |
$9.52 |
$77.40
|
|
Rubeola antibody igg
|
$10.20 |
$10.20 |
$10.20 |
$80.00
|
|
Russell viper venom diluted
|
$12.72 |
$12.72 |
$12.72 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$434.82 |
$434.82 |
$434.82 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$77.83 |
$77.83 |
$77.83 |
$314.26
|
|
Salivary gland imaging
|
$334.70 |
$334.70 |
$334.70 |
$585.00
|
|
Salmonella antibody
|
$12.41 |
$12.41 |
$12.41 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$263.42 |
$263.42 |
$263.42 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$129.76 |
$129.76 |
$129.76 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$214.43 |
$214.43 |
$214.43 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$264.45 |
$264.45 |
$264.45 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$301.76 |
$301.76 |
$301.76 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$261.99 |
$261.99 |
$261.99 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$1,843.74 |
$1,843.74 |
$1,843.74 |
$4,246.72
|
|
Screw cortex 2.0 x 10mm
|
$13,951.28 |
$13,951.28 |
$13,951.28 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$194.92 |
$194.92 |
$194.92 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$1.91 |
$1.91 |
$1.91 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$32.04 |
$32.04 |
$32.04 |
$96.00
|
|
Semen analysis w/count
|
$7.46 |
$7.46 |
$7.46 |
$56.44
|
|
Serpina1 gene
|
$54.67 |
$54.67 |
$54.67 |
$197.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$50.13 |
$50.13 |
$50.13 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$64.72 |
$64.72 |
$64.72 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$78.04 |
$78.04 |
$78.04 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$723.49 |
$723.49 |
$723.49 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$602.91 |
$602.91 |
$602.91 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$482.33 |
$482.33 |
$482.33 |
$2,096.84
|
|
Shoulder X-ray
|
$83.42 |
$83.42 |
$83.42 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$59.98 |
$59.98 |
$59.98 |
$263.25
|
|
Sialography s&i
|
$147.92 |
$147.92 |
$147.92 |
$499.20
|
|
Sickling rbc
|
$19.29 |
$19.29 |
$19.29 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$313.04 |
$313.04 |
$313.04 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$260.85 |
$260.85 |
$260.85 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$208.65 |
$208.65 |
$208.65 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$881.28 |
$881.28 |
$881.28 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$72.89 |
$72.89 |
$72.89 |
$346.45
|
|
Sinus X-ray (limited)
|
$61.27 |
$61.27 |
$61.27 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$17.40 |
$17.40 |
$17.40 |
$83.85
|
|
Skin Biopsy
|
$178.20 |
$178.20 |
$178.20 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$1,460.70 |
$1,460.70 |
$1,460.70 |
$1,793.40
|
|
Skull X-ray (1 to 3 views)
|
$72.67 |
$72.67 |
$72.67 |
$294.45
|
|
Skull X-ray (complete)
|
$92.45 |
$92.45 |
$92.45 |
$417.50
|
|
Slco1b1 gene com variants
|
$82.95 |
$82.95 |
$82.95 |
$241.24
|
|
Sling suprapubic suburetheral
|
$6,439.58 |
$6,439.58 |
$6,439.58 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$83.39 |
$83.39 |
$83.39 |
$285.09
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$118.03 |
$118.03 |
$118.03 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$14.08 |
$14.08 |
$14.08 |
$64.35
|
|
Smear gram stain
|
$26.29 |
$26.29 |
$26.29 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$14.90 |
$14.90 |
$14.90 |
$73.50
|
|
Smear wet mount
|
$10.97 |
$10.97 |
$10.97 |
$67.55
|
