|
Reticulocyte automated
|
$19.07 |
$19.07 |
$19.07 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$3,101.24 |
$3,101.24 |
$3,101.24 |
$20,329.50
|
|
Revasc intra lithotrip-stent
|
$3,101.24 |
$3,101.24 |
$3,101.24 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$3,532.37 |
$3,532.37 |
$3,532.37 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$4,960.72 |
$4,960.72 |
$4,960.72 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$4,960.72 |
$4,960.72 |
$4,960.72 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$3,101.24 |
$3,101.24 |
$3,101.24 |
$14,318.70
|
|
Revasc lithotr-stent tib/per
|
$4,960.72 |
$4,960.72 |
$4,960.72 |
$20,865.50
|
|
Revasc lith-sten-ath tib/per
|
$4,960.72 |
$4,960.72 |
$4,960.72 |
$20,300.00
|
|
Revision of iris
|
$459.85 |
$459.85 |
$459.85 |
$1,566.75
|
|
Revision of penis
|
$762.10 |
$762.10 |
$762.10 |
$2,875.60
|
|
Revsc opn/prq tib/pero stent
|
$3,899.18 |
$3,899.18 |
$3,899.18 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$22.88 |
$22.88 |
$22.88 |
$54.60
|
|
Rheumatoid factor quantitative
|
$6.61 |
$6.61 |
$6.61 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$1.21 |
$1.21 |
$1.21 |
$243.11
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$333.55 |
$333.55 |
$333.55 |
$462.44
|
|
Right ventric recording
|
$2,866.87 |
$2,866.87 |
$2,866.87 |
$1,980.36
|
|
Ring fx reform 11-13x17mm
|
$54.91 |
$54.91 |
$54.91 |
$1,155.09
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$294.62 |
$294.62 |
$294.62 |
$1,917.33
|
|
Rmvl ndwellg tun pleural cath
|
$463.41 |
$463.41 |
$463.41 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$736.68 |
$736.68 |
$736.68 |
$1,991.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$2,448.91 |
$2,448.91 |
$2,448.91 |
$8,971.89
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$52.71 |
$52.71 |
$52.71 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$995.71 |
$995.71 |
$995.71 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$713.29 |
$713.29 |
$713.29 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$1,435.47 |
$1,435.47 |
$1,435.47 |
$4,201.80
|
|
Rubella antibody igg
|
$52.12 |
$52.12 |
$52.12 |
$73.10
|
|
Rubeola antibody igg
|
$46.27 |
$46.27 |
$46.27 |
$79.68
|
|
Russell viper venom diluted
|
$27.71 |
$27.71 |
$27.71 |
$70.16
|
|
Salivary glnd img serial img
|
$212.26 |
$212.26 |
$212.26 |
$585.00
|
|
Salmonella antibody
|
$9.41 |
$9.41 |
$9.41 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$63.30 |
$63.30 |
$63.30 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$142.36 |
$142.36 |
$142.36 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$225.99 |
$225.99 |
$225.99 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$164.98 |
$164.98 |
$164.98 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$223.96 |
$223.96 |
$223.96 |
$815.66
|
|
Scan duplex extremity veins unilateral/limited study
|
$195.74 |
$195.74 |
$195.74 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$302.50 |
$302.50 |
$302.50 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$178.71 |
$178.71 |
$178.71 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$103.21 |
$103.21 |
$103.21 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$806.33 |
$806.33 |
$806.33 |
$2,114.45
|
|
Screening Mammogram
|
$122.28 |
$122.28 |
$122.28 |
$303.55
|
|
Screening prostate cancer PSA
|
$75.25 |
$75.25 |
$75.25 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$18,694.13 |
$18,694.13 |
$18,694.13 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,339.89 |
$1,339.89 |
$1,339.89 |
$4,565.60
|
|
Set radiation therapy field
|
$290.81 |
$290.81 |
$290.81 |
$731.50
|
|
Set radiation therapy field
|
$333.52 |
$333.52 |
$333.52 |
$1,102.40
|
|
Set radiation therapy field
|
$563.82 |
$563.82 |
$563.82 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$135.24 |
$135.24 |
$135.24 |
$235.13
|
|
Sheath gldlight lasr 12fx50cm
|
$2,055.72 |
$2,055.72 |
$2,055.72 |
$6,108.01
|
|
Shoulder MRI (with and without contrast)
|
$1,244.31 |
$1,244.31 |
$1,244.31 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,192.46 |
$1,192.46 |
$1,192.46 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,036.89 |
$1,036.89 |
$1,036.89 |
$2,051.28
|
|
Shoulder X-ray
|
$116.43 |
$116.43 |
$116.43 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$271.49 |
$271.49 |
$271.49 |
$345.00
|
|
Sialolithotomy 42330
|
$1,135.26 |
$1,135.26 |
$1,135.26 |
$3,837.72
|
|
Sickling rbc
|
$17.80 |
$17.80 |
$17.80 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$82.62 |
$82.62 |
$82.62 |
$309.52
|
|
Sinus CT scan (with and without contrast)
|
$897.33 |
$897.33 |
$897.33 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$828.95 |
$828.95 |
$828.95 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$760.32 |
$760.32 |
$760.32 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$924.53 |
$924.53 |
$924.53 |
$2,489.25
|
|
Sirolimus, oral
|
$54.62 |
$54.62 |
$54.62 |
$42.11
|
|
Sleep Study (Polysomnography)
|
$1,213.81 |
$1,213.81 |
$1,213.81 |
$3,936.80
|
|
Sleep study unattended
|
$152.27 |
$152.27 |
$152.27 |
$595.50
|
|
Sling suprapubic suburetheral
|
$5,483.61 |
$5,483.61 |
$5,483.61 |
$10,328.15
|
|
Sm-153 lexidron ther
|
$1,630.19 |
$1,630.19 |
$1,630.19 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$22.63 |
$22.63 |
$22.63 |
$64.20
|
|
Smear gram stain
|
$22.37 |
$22.37 |
$22.37 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$19.83 |
$19.83 |
$19.83 |
$64.35
|
|
Smear wet mount
|
$17.54 |
$17.54 |
$17.54 |
$68.63
|
|
Sodium 24 hour urine
|
$19.83 |
$19.83 |
$19.83 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$25.17 |
$25.17 |
$25.17 |
$42.70
|
|
Special physics consult
|
$557.47 |
$557.47 |
$557.47 |
$700.74
|
|
Special radiation dosimetry
|
$104.48 |
$104.48 |
$104.48 |
$445.50
|
|
Special radiation treatment
|
$735.15 |
$735.15 |
$735.15 |
$1,934.03
|
|
Special teletx port plan
|
$186.08 |
$186.08 |
$186.08 |
$1,046.65
|
|
Specific gravity body fluid
|
$4.07 |
$4.07 |
$4.07 |
$23.63
|
|
Specimen fat stain
|
$14.49 |
$14.49 |
$14.49 |
$32.76
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$461.12 |
$461.12 |
$461.12 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$157.61 |
$157.61 |
$157.61 |
$559.96
|
|
Split blood or products
|
$212.52 |
$212.52 |
$212.52 |
$148.98
|
|
Sputum specimen collection
|
$223.19 |
$223.19 |
$223.19 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$1,385.65 |
$1,385.65 |
$1,385.65 |
$4,588.65
|
|
St cognitve performance testing healthcare professional each hour
|
$83.38 |
$83.38 |
$83.38 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$10,230.28 |
$10,230.28 |
$10,230.28 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$14,489.40 |
$14,489.40 |
$14,489.40 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$2,094.13 |
$2,094.13 |
$2,094.13 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$15,201.16 |
$15,201.16 |
$15,201.16 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$355.99 |
$355.99 |
$355.99 |
$5,943.00
|
|
Stent placemt retro carotid
|
$1,640.10 |
$1,640.10 |
$1,640.10 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$5,686.20 |
$5,686.20 |
$5,686.20 |
$19,765.20
|
|
Strapping of ankle and/or ft 29540
|
$85.16 |
$85.16 |
$85.16 |
$248.05
|
|
Strapping of chest
|
$101.94 |
$101.94 |
$101.94 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$85.16 |
$85.16 |
$85.16 |
$171.00
|
|
Strapping of hand or finger
|
$85.16 |
$85.16 |
$85.16 |
$194.40
|
|
Strapping of hip
|
$85.16 |
$85.16 |
$85.16 |
$170.08
|
|
Strapping of knee
|
$88.72 |
$88.72 |
$88.72 |
$224.80
|