|
Replace picvad cath
|
$1,593.90 |
$1,593.90 |
$1,593.90 |
$3,724.63
|
|
Replace tunneled cv cath
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,394.93 |
$1,394.93 |
$1,394.93 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$378.22 |
$378.22 |
$378.22 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$1,850.46 |
$1,850.46 |
$1,850.46 |
$3,802.20
|
|
Repos sq defib eltrd
|
$1,357.97 |
$1,357.97 |
$1,357.97 |
$4,306.60
|
|
Reptilase test
|
$5.52 |
$5.52 |
$5.52 |
$72.15
|
|
Respirator motion mgmt simul
|
$621.57 |
$621.57 |
$621.57 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$11.13 |
$11.13 |
$11.13 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$12.65 |
$12.65 |
$12.65 |
$35.20
|
|
Resp virus 6-11 targets
|
$165.72 |
$165.72 |
$165.72 |
$479.20
|
|
Reticulated platelet assay
|
$29.44 |
$29.44 |
$29.44 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$10.49 |
$10.49 |
$10.49 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$8,419.49 |
$8,419.49 |
$8,419.49 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$8,419.49 |
$8,419.49 |
$8,419.49 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$4,209.74 |
$4,209.74 |
$4,209.74 |
$11,101.80
|
|
Revasc lithotrip-stent-ather
|
$11,225.98 |
$11,225.98 |
$11,225.98 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$4,309.23 |
$4,309.23 |
$4,309.23 |
$13,925.00
|
|
Revision of mitral valve
|
$3,195.81 |
$3,195.81 |
$3,195.81 |
$4,015.51
|
|
Revision tips
|
$3,259.26 |
$3,259.26 |
$3,259.26 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$4,209.74 |
$4,209.74 |
$4,209.74 |
$9,196.55
|
|
Rheumatoid factor qualitative
|
$10.43 |
$10.43 |
$10.43 |
$57.20
|
|
Rheumatoid factor quantitative
|
$8.20 |
$8.20 |
$8.20 |
$57.50
|
|
R hrt cath chd abnl nt cnj
|
$1,673.28 |
$1,673.28 |
$1,673.28 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$1,338.54 |
$1,338.54 |
$1,338.54 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$84.74 |
$84.74 |
$84.74 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$118.27 |
$118.27 |
$118.27 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$86.78 |
$86.78 |
$86.78 |
$397.60
|
|
Right ventric recording
|
$1,156.87 |
$1,156.87 |
$1,156.87 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$156.22 |
$156.22 |
$156.22 |
$1,509.75
|
|
R&l hrt cath chd abnl nt cnj
|
$2,584.68 |
$2,584.68 |
$2,584.68 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$6,104.00
|
|
Rmvl fb upr arm/elbow deep
|
$1,972.43 |
$1,972.43 |
$1,972.43 |
$3,650.00
|
|
Rmvl icd by tv extr
|
$1,972.12 |
$1,972.12 |
$1,972.12 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,647.72 |
$8,647.72 |
$8,647.72 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$9,008.08 |
$9,008.08 |
$9,008.08 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,811.50 |
$7,811.50 |
$7,811.50 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$513.13 |
$513.13 |
$513.13 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,534.15 |
$1,534.15 |
$1,534.15 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$432.43 |
$432.43 |
$432.43 |
$1,784.51
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,002.92 |
$6,002.92 |
$6,002.92 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,436.51 |
$5,436.51 |
$5,436.51 |
$10,542.00
|
|
Rmvl pq iabp
|
$975.74 |
$975.74 |
$975.74 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$432.43 |
$432.43 |
$432.43 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$1,590.82 |
$1,590.82 |
$1,590.82 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$807.88 |
$807.88 |
$807.88 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,301.07 |
$2,301.07 |
$2,301.07 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$1,840.92 |
$1,840.92 |
$1,840.92 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$869.48 |
$869.48 |
$869.48 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$294.24 |
$294.24 |
$294.24 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$625.00 |
$625.00 |
$625.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$1,197.56 |
$1,197.56 |
$1,197.56 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$974.82 |
$974.82 |
$974.82 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,420.19 |
$1,420.19 |
$1,420.19 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$2,108.26 |
$2,108.26 |
$2,108.26 |
$5,988.54
|
|
Rpl tun cvc wo subq port
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$3,724.63
|
|
Rsv assay w/optic
|
$10.12 |
$10.12 |
$10.12 |
$76.32
|
|
Rubella antibody igg
|
$8.34 |
$8.34 |
$8.34 |
$77.40
|
|
Rubeola antibody igg
|
$8.94 |
$8.94 |
$8.94 |
$80.00
|
|
Russell viper venom diluted
|
$11.04 |
$11.04 |
$11.04 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$597.18 |
$597.18 |
$597.18 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$92.67 |
$92.67 |
$92.67 |
$314.26
|
|
Salivary gland imaging
|
$416.26 |
$416.26 |
$416.26 |
$585.00
|
|
Salivary glnd img serial img
|
$250.64 |
$250.64 |
$250.64 |
$701.73
|
|
Salmonella antibody
|
$10.88 |
$10.88 |
$10.88 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$296.84 |
$296.84 |
$296.84 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$146.22 |
$146.22 |
$146.22 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$241.63 |
$241.63 |
$241.63 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$297.99 |
$297.99 |
$297.99 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$340.03 |
$340.03 |
$340.03 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$295.22 |
$295.22 |
$295.22 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$716.10 |
$716.10 |
$716.10 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$4,246.72
|
|
Screw cortex 2.0 x 10mm
|
$34,559.25 |
$34,559.25 |
$34,559.25 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$295.60 |
$295.60 |
$295.60 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,981.98 |
$1,981.98 |
$1,981.98 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$1.66 |
$1.66 |
$1.66 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$33.46 |
$33.46 |
$33.46 |
$96.00
|
|
Semen analysis w/count
|
$5.43 |
$5.43 |
$5.43 |
$56.44
|
|
Serpina1 gene
|
$75.08 |
$75.08 |
$75.08 |
$197.00
|
|
Set radiation therapy field
|
$485.30 |
$485.30 |
$485.30 |
$782.61
|
|
Set radiation therapy field
|
$777.48 |
$777.48 |
$777.48 |
$1,159.03
|
|
Set radiation therapy field
|
$866.51 |
$866.51 |
$866.51 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$6,570.70
|
|
Shot (Injection into Muscle or Under the Skin)
|
$58.81 |
$58.81 |
$58.81 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$77.06 |
$77.06 |
$77.06 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$92.93 |
$92.93 |
$92.93 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$752.72 |
$752.72 |
$752.72 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$627.27 |
$627.27 |
$627.27 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$501.82 |
$501.82 |
$501.82 |
$2,096.84
|
|
Shoulder X-ray
|
$99.33 |
$99.33 |
$99.33 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$71.42 |
$71.42 |
$71.42 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$83.46 |
$83.46 |
$83.46 |
$355.80
|
|
Sialography s&i
|
$176.13 |
$176.13 |
$176.13 |
$499.20
|
|
Sickling rbc
|
$10.30 |
$10.30 |
$10.30 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$208.13 |
$208.13 |
$208.13 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$445.58 |
$445.58 |
$445.58 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$371.28 |
$371.28 |
$371.28 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$296.98 |
$296.98 |
$296.98 |
$1,289.00
|
