|
Removal duct glbldr calculi
|
$1,220.63 |
$1,220.63 |
$1,220.63 |
$2,771.60
|
|
Removal of infusion pump
|
$1,392.86 |
$1,392.86 |
$1,392.86 |
$3,054.44
|
|
Removal/replacement ppm generator dual lead system
|
$6,282.11 |
$6,282.11 |
$6,282.11 |
$12,384.25
|
|
Removal sutr and stapl no anes
|
$106.39 |
$106.39 |
$106.39 |
$82.05
|
|
Removal sutr or stapl no anes
|
$85.18 |
$85.18 |
$85.18 |
$90.04
|
|
Removal tunnled intprtnl cath
|
$1,258.39 |
$1,258.39 |
$1,258.39 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$135.43 |
$135.43 |
$135.43 |
$494.00
|
|
Remove esophagus obstruction
|
$204.34 |
$204.34 |
$204.34 |
$538.85
|
|
Remove renal tube w/fluoro
|
$489.05 |
$489.05 |
$955.96 |
$1,172.80
|
|
Remove ureter stent percut
|
$1,833.71 |
$1,833.71 |
$1,833.71 |
$3,742.31
|
|
Renal cyst study s&i
|
$416.39 |
$416.39 |
$416.39 |
$751.34
|
|
Renal function panel
|
$44.82 |
$44.82 |
$155.48 |
$113.52
|
|
Renal venogram bil s&i
|
$1,304.72 |
$1,304.72 |
$1,304.72 |
$3,615.28
|
|
Repair pm/icd lead dual
|
$3,560.12 |
$3,560.12 |
$3,560.12 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$2,451.64 |
$2,451.64 |
$2,451.64 |
$4,343.82
|
|
Replace aortic valve open axillry 33363
|
$5,353.70 |
$5,353.70 |
$5,353.70 |
$17,009.00
|
|
Replace aortic valve open iliac 33364
|
$5,593.31 |
$5,593.31 |
$5,593.31 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$7,458.48 |
$7,458.48 |
$7,458.48 |
$14,593.50
|
|
Replace duod/jej tube perc
|
$382.21 |
$382.21 |
$382.21 |
$1,360.63
|
|
Replace g/c tube perc
|
$282.44 |
$282.44 |
$668.88 |
$1,382.70
|
|
Replace g-j tube perc
|
$470.32 |
$470.32 |
$712.91 |
$1,583.04
|
|
Replace picvad cath
|
$1,588.72 |
$1,588.72 |
$1,588.72 |
$3,724.63
|
|
Replace tunneled cv cath
|
$1,208.97 |
$1,208.97 |
$1,208.97 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,765.55 |
$1,765.55 |
$1,765.55 |
$3,802.20
|
|
Repos sq defib eltrd
|
$4,754.69 |
$4,754.69 |
$4,754.69 |
$4,306.60
|
|
Reptilase test
|
$5.19 |
$5.19 |
$5.19 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,154.72 |
$2,154.72 |
$2,154.72 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$686.99 |
$686.99 |
$686.99 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$7.17 |
$7.17 |
$14.27 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$8.15 |
$8.15 |
$16.24 |
$35.20
|
|
Resp virus 6-11 targets
|
$106.76 |
$106.76 |
$214.58 |
$479.20
|
|
Reticulated platelet assay
|
$27.68 |
$27.68 |
$35.17 |
$74.20
|
|
Reticulocyte automated
|
$37.89 |
$37.89 |
$37.89 |
$52.65
|
|
Reticulocyte direct measurement automated
|
$9.86 |
$9.86 |
$9.86 |
$36.57
|
|
Revasc lithotrip-stent-ather
|
$18,821.22 |
$18,821.22 |
$18,821.22 |
$21,249.26
|
|
Revision of infusion pump
|
$1,392.86 |
$1,392.86 |
$1,392.86 |
$4,285.86
|
|
Revision tips
|
$3,248.67 |
$3,248.67 |
$3,248.67 |
$10,358.00
|
|
Revita, per sq cm
|
$11,244.17 |
$11,244.17 |
$11,244.17 |
$389.83
|
|
Revsc opn/prq tib/pero stent
|
$2,960.37 |
$2,960.37 |
$4,196.08 |
$9,196.55
|
|
Rheumatoid factor qualitative
|
$10.29 |
$10.29 |
$111.44 |
$57.07
|
|
Rheumatoid factor quantitative
|
$8.08 |
$8.08 |
$24.60 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$419.43 |
$419.43 |
$419.43 |
$234.12
|
|
Rho d immune globulin inj
|
$49.45 |
$49.45 |
$49.45 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$98.31 |
$98.31 |
$98.31 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$137.21 |
$137.21 |
$542.19 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$100.68 |
$100.68 |
$100.68 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$448.22 |
$448.22 |
$448.22 |
$455.01
|
|
Right ventric recording
|
$1,892.24 |
$1,892.24 |
$1,892.24 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$1,375.39 |
$1,375.39 |
$1,375.39 |
$1,509.75
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,368.23 |
$4,368.23 |
$4,368.23 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$3,703.04 |
$3,703.04 |
$3,703.04 |
$6,287.16
|
|
Rmv implant contraceptive capsule 11976
|
$657.07 |
$657.07 |
$657.07 |
$846.42
|
|
Rmvl icd by tv extr
|
$3,043.52 |
$3,043.52 |
$3,043.52 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$29,847.18 |
$29,847.18 |
$29,847.18 |
$24,844.79
|
|
Rmvl ndwellg tun pleural cath
|
$511.46 |
$511.46 |
$511.46 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$4,614.96 |
$4,614.96 |
$4,614.96 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,973.12 |
$6,973.12 |
$6,973.12 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,339.68 |
$5,339.68 |
$5,339.68 |
$10,542.00
|
|
Rmvl tv pm lead sgl
|
$2,755.70 |
$2,755.70 |
$2,755.70 |
$4,225.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$10.86 |
$10.86 |
$10.86 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,114.63 |
$1,114.63 |
$1,114.63 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$639.60 |
$639.60 |
$866.66 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$347.09 |
$347.09 |
$347.09 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$737.24 |
$737.24 |
$737.24 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$1,412.63 |
$1,412.63 |
$1,412.63 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$971.66 |
$971.66 |
$971.66 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$1,415.58 |
$1,415.58 |
$1,415.58 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$2,101.42 |
$2,101.42 |
$2,101.42 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$1,208.97 |
$1,208.97 |
$1,208.97 |
$3,724.63
|
|
Rsv assay w/optic
|
$6.52 |
$6.52 |
$6.52 |
$75.96
|
|
Rubella antibody igg
|
$8.23 |
$8.23 |
$67.65 |
$77.50
|
|
Rubeola antibody igg
|
$8.82 |
$8.82 |
$80.94 |
$80.00
|
|
Russell viper venom diluted
|
$9.43 |
$9.43 |
$10.38 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$487.10 |
$487.10 |
$487.10 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$107.51 |
$107.51 |
$303.81 |
$314.79
|
|
Salivary gland function exam
|
$379.17 |
$379.17 |
$379.17 |
$753.60
|
|
Salivary gland imaging
|
$491.01 |
$491.01 |
$491.01 |
$585.00
|
|
Salivary glnd img serial img
|
$295.65 |
$295.65 |
$295.65 |
$701.73
|
|
Salmonella antibody
|
$10.73 |
$10.73 |
$59.19 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$36.17 |
$36.17 |
$36.17 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$71.84 |
$71.84 |
$71.84 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$327.68 |
$327.68 |
$442.56 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$161.42 |
$161.42 |
$279.95 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$266.73 |
$266.73 |
$266.73 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$328.95 |
$328.95 |
$328.95 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$375.36 |
$375.36 |
$375.36 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$325.89 |
$325.89 |
$471.34 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$713.78 |
$713.78 |
$1,660.50 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$2,570.57 |
$2,570.57 |
$3,934.04 |
$4,246.72
|
|
Screening Mammogram
|
$167.28 |
$167.28 |
$254.28 |
$310.20
|
|
Screening prostate cancer PSA
|
$20.67 |
$20.67 |
$20.67 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$30,025.29 |
$30,025.29 |
$39,421.20 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$247.04 |
$247.04 |
$348.34 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,975.55 |
$1,975.55 |
$3,528.38 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$1.56 |
$1.56 |
$53.14 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$66.39 |
$66.39 |
$66.39 |
$96.60
|
|
Semen analysis w/count
|
$4.29 |
$4.29 |
$4.29 |
$56.44
|
|
Serpina1 gene
|
$42.96 |
$42.96 |
$61.24 |
$197.00
|
|
Set radiation therapy field
|
$536.38 |
$536.38 |
$536.38 |
$782.61
|
|
Set radiation therapy field
|
$859.32 |
$859.32 |
$859.32 |
$1,159.03
|
