|
Quest t3 uptake
|
$8.62 |
$8.62 |
$8.62 |
$53.20
|
|
Radiation handling
|
$92.96 |
$92.96 |
$92.96 |
$324.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$347.89 |
$347.89 |
$347.89 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$740.09 |
$740.09 |
$740.09 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$799.45 |
$799.45 |
$799.45 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$436.72 |
$436.72 |
$436.72 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$231.08 |
$231.08 |
$231.08 |
$1,126.32
|
|
Rapid Strep Test
|
$10.05 |
$10.05 |
$10.05 |
$76.00
|
|
Rbc count only automated
|
$1.91 |
$1.91 |
$1.91 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$111.09 |
$111.09 |
$111.09 |
$231.12
|
|
Recon, cta for surg plan
|
$390.42 |
$390.42 |
$390.42 |
$713.50
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$208.60 |
$208.60 |
$208.60 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$212.77 |
$212.77 |
$212.77 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$104.30 |
$104.30 |
$104.30 |
$534.15
|
|
Red blood cells washed each unit
|
$148.11 |
$148.11 |
$148.11 |
$583.68
|
|
Redo endovas vena cava filtr
|
$3,158.10 |
$3,158.10 |
$3,158.10 |
$4,545.10
|
|
Rem endovas vena cava filter
|
$3,170.54 |
$3,170.54 |
$3,170.54 |
$5,509.05
|
|
Removal biliary drg cath
|
$671.18 |
$671.18 |
$671.18 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$546.77 |
$546.77 |
$546.77 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$754.44 |
$754.44 |
$754.44 |
$2,421.09
|
|
Removal clot in graft oth/thn 35875
|
$2,183.55 |
$2,183.55 |
$2,183.55 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$32.92 |
$32.92 |
$32.92 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,268.34 |
$1,268.34 |
$1,268.34 |
$2,771.60
|
|
Removal/replacement ppm generator dual lead system
|
$5,865.45 |
$5,865.45 |
$5,865.45 |
$12,384.25
|
|
Removal sutr and stapl no anes
|
$82.86 |
$82.86 |
$82.86 |
$82.05
|
|
Removal sutr or stapl no anes
|
$66.34 |
$66.34 |
$66.34 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$1,307.58 |
$1,307.58 |
$1,307.58 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$106.25 |
$106.25 |
$106.25 |
$494.00
|
|
Remove renal tube w/fluoro
|
$508.17 |
$508.17 |
$508.17 |
$1,172.80
|
|
Remove ureter stent percut
|
$1,905.39 |
$1,905.39 |
$1,905.39 |
$3,640.89
|
|
Renal cyst study s&i
|
$326.67 |
$326.67 |
$326.67 |
$751.34
|
|
Renal function panel
|
$41.58 |
$41.58 |
$41.58 |
$114.37
|
|
Renal venogram bil s&i
|
$1,023.57 |
$1,023.57 |
$1,023.57 |
$3,615.28
|
|
Repair pm/icd lead dual
|
$1,544.60 |
$1,544.60 |
$1,544.60 |
$4,498.80
|
|
Repair pm/icd lead sgl
|
$1,476.33 |
$1,476.33 |
$1,476.33 |
$4,343.82
|
|
Replace duod/jej tube perc
|
$397.16 |
$397.16 |
$397.16 |
$1,357.60
|
|
Replace g/c tube perc
|
$293.48 |
$293.48 |
$293.48 |
$1,366.30
|
|
Replace g-j tube perc
|
$488.71 |
$488.71 |
$488.71 |
$1,568.05
|
|
Replace tunneled cv cath
|
$1,256.22 |
$1,256.22 |
$1,256.22 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,444.75 |
$1,444.75 |
$1,444.75 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$391.73 |
$391.73 |
$391.73 |
$1,877.20
|
|
Reptilase test
|
$5.73 |
$5.73 |
$5.73 |
$72.15
|
|
#resp virpnl dfa-adenovirus
|
$8.84 |
$8.84 |
$8.84 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$10.05 |
$10.05 |
$10.05 |
$35.20
|
|
Resp virus 6-11 targets
|
$131.66 |
$131.66 |
$131.66 |
$479.20
|
|
Reticulated platelet assay
|
$30.56 |
$30.56 |
$30.56 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$10.89 |
$10.89 |
$10.89 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$8,720.18 |
$8,720.18 |
$8,720.18 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$8,720.18 |
$8,720.18 |
$8,720.18 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$4,360.09 |
$4,360.09 |
$4,360.09 |
$11,101.80
|
|
Revasc lithotr-stent tib/per
|
$7,126.46 |
$7,126.46 |
$7,126.46 |
$20,329.50
|
|
Revision tips
|
$3,375.66 |
$3,375.66 |
$3,375.66 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$4,360.09 |
$4,360.09 |
$4,360.09 |
$9,196.55
|
|
Rheumatoid factor quantitative
|
$7.20 |
$7.20 |
$7.20 |
$57.50
|
|
R hrt cath chd abnl nt cnj
|
$1,458.14 |
$1,458.14 |
$1,458.14 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$1,166.44 |
$1,166.44 |
$1,166.44 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$77.12 |
$77.12 |
$77.12 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$107.65 |
$107.65 |
$107.65 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$78.99 |
$78.99 |
$78.99 |
$397.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,956.56 |
$8,956.56 |
$8,956.56 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$9,329.79 |
$9,329.79 |
$9,329.79 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$8,090.48 |
$8,090.48 |
$8,090.48 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$1,447.30 |
$1,447.30 |
$1,447.30 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$531.45 |
$531.45 |
$531.45 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$1,588.94 |
$1,588.94 |
$1,588.94 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$447.88 |
$447.88 |
$447.88 |
$1,784.51
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,217.31 |
$6,217.31 |
$6,217.31 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,630.67 |
$5,630.67 |
$5,630.67 |
$10,542.00
|
|
Rmvl pq vad left hrt vein sep session
|
$447.88 |
$447.88 |
$447.88 |
$2,553.60
|
|
Rmvl subq card rhythm mntr
|
$836.74 |
$836.74 |
$836.74 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,383.25 |
$2,383.25 |
$2,383.25 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$1,906.66 |
$1,906.66 |
$1,906.66 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$900.54 |
$900.54 |
$900.54 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$254.61 |
$254.61 |
$254.61 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$540.81 |
$540.81 |
$540.81 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$1,036.26 |
$1,036.26 |
$1,036.26 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,009.64 |
$1,009.64 |
$1,009.64 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,470.91 |
$1,470.91 |
$1,470.91 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$1,256.22 |
$1,256.22 |
$1,256.22 |
$3,724.63
|
|
Rsv assay w/optic
|
$8.04 |
$8.04 |
$8.04 |
$76.32
|
|
Rubella antibody igg
|
$7.34 |
$7.34 |
$7.34 |
$77.40
|
|
Rubeola antibody igg
|
$7.86 |
$7.86 |
$7.86 |
$80.00
|
|
Russell viper venom diluted
|
$11.46 |
$11.46 |
$11.46 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$489.86 |
$489.86 |
$489.86 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$84.35 |
$84.35 |
$84.35 |
$314.26
|
|
Salmonella antibody
|
$9.56 |
$9.56 |
$9.56 |
$37.58
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$276.28 |
$276.28 |
$276.28 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$136.10 |
$136.10 |
$136.10 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$224.89 |
$224.89 |
$224.89 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$277.35 |
$277.35 |
$277.35 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$316.48 |
$316.48 |
$316.48 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$274.77 |
$274.77 |
$274.77 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$741.68 |
$741.68 |
$741.68 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$2,153.72 |
$2,153.72 |
$2,153.72 |
$4,246.72
|
|
Screening Mammogram
|
$156.48 |
$156.48 |
$156.48 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$34,165.04 |
$34,165.04 |
$34,165.04 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$246.33 |
$246.33 |
$246.33 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,052.76 |
$2,052.76 |
$2,052.76 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$1.72 |
$1.72 |
$1.72 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$29.73 |
$29.73 |
$29.73 |
$96.00
|
