|
Revision of cervix
|
$908.96 |
$908.96 |
$908.96 |
$3,854.76
|
|
Revision tips
|
$4,507.37 |
$4,507.37 |
$4,507.37 |
$9,879.50
|
|
Rev-rem impl neurostim gen-rec
|
$1,260.46 |
$1,260.46 |
$1,260.46 |
$4,534.00
|
|
Revsc opn/prq tib/pero stent
|
$5,369.78 |
$5,369.78 |
$5,369.78 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$1,097.06 |
$1,097.06 |
$1,097.06 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$45.22 |
$45.22 |
$45.22 |
$57.20
|
|
Rheumatoid factor quantitative
|
$56.24 |
$56.24 |
$56.24 |
$57.00
|
|
Rho d immune globulin inj
|
$84.55 |
$84.55 |
$84.55 |
$217.71
|
|
Right ventric recording
|
$416.86 |
$416.86 |
$416.86 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$136.61 |
$136.61 |
$136.61 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,424.52 |
$2,424.52 |
$2,424.52 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$1,409.04 |
$1,409.04 |
$1,409.04 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$391.78 |
$391.78 |
$391.78 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,221.51 |
$1,221.51 |
$1,221.51 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$15,030.33 |
$15,030.33 |
$15,030.33 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,030.33 |
$15,030.33 |
$15,030.33 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,030.33 |
$15,030.33 |
$15,030.33 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,269.39 |
$1,269.39 |
$1,269.39 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$237.88 |
$237.88 |
$237.88 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$2,775.33 |
$2,775.33 |
$2,775.33 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$247.95 |
$247.95 |
$247.95 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,321.40 |
$9,321.40 |
$9,321.40 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,876.23 |
$8,876.23 |
$8,876.23 |
$10,542.00
|
|
Rmvl pq iabp
|
$26.79 |
$26.79 |
$26.79 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$247.95 |
$247.95 |
$247.95 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$385.51 |
$385.51 |
$385.51 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,221.51 |
$1,221.51 |
$1,221.51 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,221.51 |
$1,221.51 |
$1,221.51 |
$4,031.69
|
|
Robot lin-radsurg com, first
|
$973.94 |
$973.94 |
$973.94 |
$12,857.60
|
|
Robt lin-radsurg fractx 2-5
|
$694.83 |
$694.83 |
$694.83 |
$9,934.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$2,768.37 |
$2,768.37 |
$2,768.37 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$485.64 |
$485.64 |
$485.64 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$431.87 |
$431.87 |
$431.87 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$907.44 |
$907.44 |
$907.44 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$799.90 |
$799.90 |
$799.90 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$431.87 |
$431.87 |
$431.87 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,611.58 |
$1,611.58 |
$1,611.58 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$1,184.46 |
$1,184.46 |
$1,184.46 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$986.10 |
$986.10 |
$986.10 |
$3,687.00
|
|
Rsv assay w/optic
|
$79.42 |
$79.42 |
$79.42 |
$79.38
|
|
Rubella antibody igg
|
$32.87 |
$32.87 |
$32.87 |
$77.03
|
|
Rubeola antibody igg
|
$42.75 |
$42.75 |
$42.75 |
$80.00
|
|
Russell viper venom diluted
|
$34.96 |
$34.96 |
$34.96 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$100.89 |
$100.89 |
$100.89 |
$1,008.79
|
|
Salmonella antibody
|
$23.56 |
$23.56 |
$23.56 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$35.34 |
$35.34 |
$35.34 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$95.19 |
$95.19 |
$95.19 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$201.21 |
$201.21 |
$201.21 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$123.69 |
$123.69 |
$123.69 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$345.23 |
$345.23 |
$345.23 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$194.37 |
$194.37 |
$194.37 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$104.88 |
$104.88 |
$104.88 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$125.21 |
$125.21 |
$125.21 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$209.19 |
$209.19 |
$209.19 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$122.55 |
$122.55 |
$122.55 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$114.00 |
$114.00 |
$114.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$383.80 |
$383.80 |
$383.80 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$28.50 |
$28.50 |
$28.50 |
$85.15
|
|
Screening Mammogram
|
$102.22 |
$102.22 |
$102.22 |
$312.55
|
|
Screening prostate cancer PSA
|
$38.19 |
$38.19 |
$38.19 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$320.15 |
$320.15 |
$320.15 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,041.36 |
$2,041.36 |
$2,041.36 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$25.84 |
$25.84 |
$25.84 |
$42.00
|
|
Semen analysis presence/motility
|
$76.95 |
$76.95 |
$76.95 |
$71.05
|
|
Sept9 promoter methylation analysis
|
$88.73 |
$88.73 |
$88.73 |
$316.68
|
|
Set radiation therapy field
|
$73.91 |
$73.91 |
$73.91 |
$762.40
|
|
Set radiation therapy field
|
$142.12 |
$142.12 |
$142.12 |
$1,157.38
|
|
Set radiation therapy field
|
$217.36 |
$217.36 |
$217.36 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$2.46 |
$2.46 |
$2.46 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$4.99 |
$4.99 |
$4.99 |
$21.96
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$93.67 |
$93.67 |
$93.67 |
$284.00
|
|
Shoulder MRI (with and without contrast)
|
$1,644.45 |
$1,644.45 |
$1,644.45 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,018.21 |
$1,018.21 |
$1,018.21 |
$2,065.05
|
|
Shoulder X-ray
|
$100.51 |
$100.51 |
$100.51 |
$339.50
|
|
Sickling rbc
|
$20.14 |
$20.14 |
$20.14 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$218.83 |
$218.83 |
$218.83 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$732.64 |
$732.64 |
$732.64 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$610.66 |
$610.66 |
$610.66 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$610.85 |
$610.85 |
$610.85 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,126.51 |
$1,126.51 |
$1,126.51 |
$2,489.25
|
|
Sirolimus, oral
|
$555.07 |
$555.07 |
$555.07 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$60.99 |
$60.99 |
$60.99 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$70.49 |
$70.49 |
$70.49 |
$16.12
|
|
Skin Biopsy
|
$69.73 |
$69.73 |
$69.73 |
$360.34
|
|
Slitting of prepuce
|
$499.32 |
$499.32 |
$499.32 |
$3,365.50
|
|
Smear fluorescent and/or acid fast stain
|
$25.65 |
$25.65 |
$25.65 |
$64.20
|
|
Smear gram stain
|
$18.43 |
$18.43 |
$18.43 |
$55.25
|
|
Smear nasal eosinophil
|
$9.50 |
$9.50 |
$9.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$7.22 |
$7.22 |
$7.22 |
$73.15
|
|
Smear wet mount
|
$38.38 |
$38.38 |
$38.38 |
$67.49
|
|
Sodium 24 hour urine
|
$53.39 |
$53.39 |
$53.39 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$212.42 |
$212.42 |
$212.42 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$196.08 |
$196.08 |
$196.08 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$73.53 |
$73.53 |
$73.53 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$19.00 |
$19.00 |
$19.00 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$22.91 |
$22.91 |
$22.91 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$9.50 |
$9.50 |
$9.50 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$282.15 |
$282.15 |
$282.15 |
$177.52
|
|
Special physics consult
|
$55.86 |
$55.86 |
$55.86 |
$725.00
|