|
Rib X-ray (3 views, both sides)
|
$94.92 |
$97.63 |
$140.68 |
$397.60
|
|
Right ventric recording
|
$400.46 |
$1,156.87 |
$1,302.49 |
$2,345.00
|
|
R&l hrt cath chd abnl nt cnj
|
$2,486.22 |
$2,486.22 |
$2,486.22 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$2,205.84 |
$2,205.84 |
$2,205.84 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$338.42 |
$338.42 |
$338.42 |
$846.42
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$360.37 |
$360.37 |
$360.37 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$1,812.05 |
$2,189.83 |
$2,266.66 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,945.79 |
$9,602.33 |
$9,939.26 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$8,276.90 |
$10,002.47 |
$10,353.44 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,177.45 |
$8,673.80 |
$8,978.15 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,283.97 |
$1,551.65 |
$1,606.10 |
$4,039.56
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,159.45 |
$1,159.45 |
$1,401.17 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$471.48 |
$569.77 |
$589.76 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,409.62 |
$1,703.50 |
$1,763.27 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$397.33 |
$480.17 |
$497.02 |
$1,784.51
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,515.67 |
$6,665.58 |
$6,899.46 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,995.23 |
$6,036.64 |
$6,248.45 |
$10,542.00
|
|
Rmvl pq iabp
|
$896.54 |
$1,083.46 |
$1,121.47 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$397.33 |
$480.17 |
$497.02 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$1,461.69 |
$1,766.43 |
$1,828.41 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$742.31 |
$897.07 |
$928.54 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,114.29 |
$2,555.08 |
$2,644.73 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$1,691.49 |
$2,044.13 |
$2,115.86 |
$4,225.20
|
|
Romiplostim injection
|
$51.55 |
$51.55 |
$51.55 |
$1,740.51
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$24.46 |
$24.46 |
$24.46 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$798.91 |
$965.47 |
$999.34 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$160.93 |
$336.28 |
$377.11 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$341.83 |
$714.28 |
$801.01 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$654.99 |
$1,368.64 |
$1,534.83 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$895.69 |
$1,082.43 |
$1,567.96 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,304.91 |
$1,576.96 |
$1,632.29 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$1,937.13 |
$2,340.99 |
$2,423.13 |
$5,988.54
|
|
Rpl tun cvc wo subq port
|
$1,114.45 |
$1,346.80 |
$1,394.05 |
$3,724.63
|
|
Rsv assay w/optic
|
$6.56 |
$8.92 |
$9.76 |
$76.32
|
|
Rubella antibody igg
|
$9.41 |
$10.36 |
$56.32 |
$77.40
|
|
Rubeola antibody igg
|
$10.08 |
$11.10 |
$43.72 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$435.16 |
$435.16 |
$435.16 |
$454.72
|
|
Russell viper venom diluted
|
$3.84 |
$11.34 |
$45.70 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$184.38 |
$599.94 |
$1,210.88 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$101.36 |
$104.26 |
$150.23 |
$314.26
|
|
Salivary gland function exam
|
$175.81 |
$367.36 |
$411.97 |
$753.60
|
|
Salivary gland imaging
|
$227.67 |
$227.67 |
$533.49 |
$585.00
|
|
Salivary glnd img serial img
|
$137.08 |
$286.44 |
$321.22 |
$701.73
|
|
Salmonella antibody
|
$12.26 |
$13.50 |
$88.18 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$14.82 |
$14.82 |
$14.82 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$69.41 |
$69.41 |
$69.41 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$230.01 |
$257.00 |
$498.20 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$113.31 |
$126.60 |
$159.32 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$187.23 |
$209.20 |
$256.27 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$230.91 |
$258.00 |
$423.86 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$263.49 |
$294.40 |
$364.58 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$228.76 |
$236.88 |
$313.11 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$795.15 |
$795.15 |
$823.05 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$1,436.08 |
$1,436.08 |
$3,237.54 |
$4,246.72
|
|
Screening Mammogram
|
$189.73 |
$189.73 |
$189.73 |
$310.20
|
|
Screening prostate cancer PSA
|
$62.74 |
$62.74 |
$62.74 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$8,151.00 |
$31,668.36 |
$35,741.89 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$99.96 |
$228.48 |
$417.43 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,821.10 |
$2,200.77 |
$2,277.99 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$0.58 |
$1.70 |
$39.52 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$35.24 |
$46.64 |
$51.38 |
$96.00
|
|
Semen analysis w/count
|
$5.17 |
$5.17 |
$5.17 |
$56.44
|
|
Serpina1 gene
|
$23.18 |
$75.43 |
$152.24 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$31.20 |
$31.20 |
$31.20 |
$126.43
|
|
Set radiation therapy field
|
$554.96 |
$554.96 |
$554.96 |
$782.61
|
|
Set radiation therapy field
|
$889.08 |
$889.08 |
$889.08 |
$1,159.03
|
|
Set radiation therapy field
|
$990.89 |
$990.89 |
$990.89 |
$1,636.36
|
|
Sheath gldlight lasr 12fx50cm
|
$2,153.72 |
$2,306.57 |
$3,237.54 |
$6,570.70
|
|
Shoe post-op mens m
|
$4.70 |
$4.70 |
$4.70 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$42.75 |
$54.47 |
$124.25 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$84.28 |
$86.69 |
$151.91 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$101.64 |
$104.54 |
$199.33 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$646.76 |
$884.27 |
$952.68 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$538.96 |
$736.89 |
$1,094.46 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$431.17 |
$589.51 |
$807.45 |
$2,096.84
|
|
Shoulder X-ray
|
$108.64 |
$111.74 |
$403.11 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$78.12 |
$80.35 |
$158.58 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$91.28 |
$93.89 |
$251.70 |
$355.80
|
|
Sialography s&i
|
$192.64 |
$198.14 |
$285.52 |
$499.20
|
|
Sickling rbc
|
$3.58 |
$10.58 |
$28.16 |
$59.40
|
|
Signal avg ecg w or without ecg 93278
|
$190.11 |
$198.22 |
$207.23 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$210.20 |
$210.20 |
$210.20 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$265.06 |
$381.60 |
$1,380.49 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$220.86 |
$317.97 |
$1,165.10 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$176.67 |
$254.34 |
$742.24 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$1,147.72 |
$1,180.51 |
$1,701.08 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$94.92 |
$97.63 |
$140.68 |
$346.45
|
|
Sinus X-ray (limited)
|
$79.80 |
$82.08 |
$118.27 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$12.94 |
$19.56 |
$23.10 |
$83.85
|
|
Skin Biopsy
|
$112.07 |
$112.07 |
$152.06 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$94.64 |
$97.34 |
$203.29 |
$294.45
|
|
Skull X-ray (complete)
|
$120.40 |
$123.84 |
$211.68 |
$417.50
|
|
Slco1b1 gene com variants
|
$35.18 |
$114.45 |
$231.00 |
$241.24
|
|
Sleep study attended
|
$1,407.53 |
$1,407.53 |
$1,407.53 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,175.76 |
$3,175.76 |
$3,175.76 |
$3,734.50
|
|
Sleep study unattended
|
$485.72 |
$485.72 |
$485.72 |
$594.00
|
|
Sling suprapubic suburetheral
|
$1,577.84 |
$5,278.86 |
$8,340.61 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$4,943.05 |
$5,589.81 |
$16,611.85 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$153.72 |
$158.11 |
$227.83 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$11.15 |
$15.16 |
$70.65 |
$64.35
|
