|
Repair tendon extensor foot 1/2 each tendon
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$4,627.00
|
|
Repair throat wound
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$1,955.10
|
|
Repair upper arm/elbow tendon/muscle ea
|
$8,846.46 |
$8,846.46 |
$8,846.46 |
$8,293.50
|
|
Repair vagina/perineum
|
$3,605.19 |
$3,605.19 |
$3,605.19 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$1,104.15 |
$1,104.15 |
$1,104.15 |
$1,383.00
|
|
Replace g/c tube perc
|
$1,104.15 |
$1,104.15 |
$1,104.15 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,522.86 |
$1,522.86 |
$1,522.86 |
$1,600.45
|
|
Replace tunneled cv cath
|
$3,984.63 |
$3,984.63 |
$3,984.63 |
$4,001.25
|
|
Replantation digit complete
|
$1,829.37 |
$1,829.37 |
$1,829.37 |
$2,609.20
|
|
Reposition pm/icd lead
|
$5,193.84 |
$5,193.84 |
$5,193.84 |
$3,827.46
|
|
#resp virpnl dfa-adenovirus
|
$24.48 |
$24.48 |
$24.48 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$7.65 |
$7.65 |
$7.65 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$915.96 |
$915.96 |
$915.96 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,110.27 |
$1,110.27 |
$1,110.27 |
$797.29
|
|
Reticulated platelet assay
|
$36.72 |
$36.72 |
$36.72 |
$63.08
|
|
Reticulocyte direct measurement automated
|
$7.65 |
$7.65 |
$7.65 |
$33.57
|
|
Revise eye socket implant
|
$4,456.89 |
$4,456.89 |
$4,456.89 |
$5,008.35
|
|
Revise finger joint each
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,021.04
|
|
Revision of cervix
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,762.53
|
|
Revision of cornea
|
$2,695.86 |
$2,695.86 |
$2,695.86 |
$2,760.73
|
|
Revision of eyelid
|
$2,695.86 |
$2,695.86 |
$2,695.86 |
$2,860.80
|
|
Revision of penis
|
$2,074.68 |
$2,074.68 |
$2,074.68 |
$2,875.60
|
|
Revision of penis
|
$4,086.63 |
$4,086.63 |
$4,086.63 |
$4,261.44
|
|
Rheumatoid factor qualitative
|
$14.26 |
$14.26 |
$14.26 |
$54.60
|
|
Rheumatoid factor quantitative
|
$88.23 |
$88.23 |
$88.23 |
$58.00
|
|
Rho d immune globulin inj
|
$298.84 |
$298.84 |
$298.84 |
$287.82
|
|
Ring fx reform 11-13x17mm
|
$2,414.62 |
$2,414.62 |
$2,414.62 |
$1,509.75
|
|
Rmv implant contraceptive capsule 11976
|
$868.02 |
$868.02 |
$868.02 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,448.91 |
$1,448.91 |
$1,448.91 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$38,537.64 |
$38,537.64 |
$38,537.64 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$59,601.66 |
$59,601.66 |
$59,601.66 |
$34,798.50
|
|
Rmvl ndwellg tun pleural cath
|
$774.18 |
$774.18 |
$774.18 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$14,804.28 |
$14,804.28 |
$14,804.28 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$33,793.62 |
$33,793.62 |
$33,793.62 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,474.38 |
$10,474.38 |
$10,474.38 |
$10,427.04
|
|
Rmvl subq card rhythm mntr
|
$1,840.08 |
$1,840.08 |
$1,840.08 |
$1,991.00
|
|
Rmvl tiss expndr without implant insrtn
|
$3,294.09 |
$3,294.09 |
$3,294.09 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$504.90 |
$504.90 |
$504.90 |
$504.90
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$178.97 |
$178.97 |
$178.97 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,676.48 |
$2,676.48 |
$2,676.48 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,990.02 |
$1,990.02 |
$1,990.02 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$3,984.63 |
$3,984.63 |
$3,984.63 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$8,846.46 |
$8,846.46 |
$8,846.46 |
$5,959.65
|
|
Rsv assay w/optic
|
$21.42 |
$21.42 |
$21.42 |
$73.80
|
|
Rtm 1st set-up&pt educaj eqp
|
$214.20 |
$214.20 |
$214.20 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$214.20 |
$214.20 |
$214.20 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$214.20 |
$214.20 |
$214.20 |
$58.80
|
|
Rubella antibody igg
|
$271.32 |
$271.32 |
$271.32 |
$73.10
|
|
Rubeola antibody igg
|
$166.26 |
$166.26 |
$166.26 |
$79.68
|
|
Russell viper venom diluted
|
$22.95 |
$22.95 |
$22.95 |
$70.16
|
|
Salmonella antibody
|
$5.10 |
$5.10 |
$5.10 |
$37.58
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$46.92 |
$46.92 |
$46.92 |
$133.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$957.27 |
$957.27 |
$957.27 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,161.78 |
$1,161.78 |
$1,161.78 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$772.14 |
$772.14 |
$772.14 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$107.10 |
$107.10 |
$107.10 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$831.81 |
$831.81 |
$831.81 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,027.14 |
$1,027.14 |
$1,027.14 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$751.23 |
$751.23 |
$751.23 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$792.54 |
$792.54 |
$792.54 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$5,151.28 |
$5,151.28 |
$5,151.28 |
$4,079.62
|
|
Screening Mammogram
|
$394.23 |
$394.23 |
$394.23 |
$303.55
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.12 |
$6.12 |
$6.12 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$43,695.17 |
$43,695.17 |
$43,695.17 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$86.19 |
$86.19 |
$86.19 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$13,613.43 |
$13,613.43 |
$13,613.43 |
$3,226.60
|
|
Sedimentation rate erythrocyte automated
|
$26.52 |
$26.52 |
$26.52 |
$44.20
|
|
Serpina1 gene
|
$45.90 |
$45.90 |
$45.90 |
$191.73
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$292.23 |
$292.23 |
$292.23 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$248.88 |
$248.88 |
$248.88 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$499.29 |
$499.29 |
$499.29 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$292.23 |
$292.23 |
$292.23 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$292.23 |
$292.23 |
$292.23 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$7,974.90 |
$7,974.90 |
$7,974.90 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$4,591.20 |
$4,591.20 |
$4,591.20 |
$6,331.24
|
|
Shoe post-op mens m
|
$27.09 |
$27.09 |
$27.09 |
$42.87
|
|
Shoulder MRI (without contrast)
|
$1,970.13 |
$1,970.13 |
$1,970.13 |
$2,051.28
|
|
Shoulder X-ray
|
$932.79 |
$932.79 |
$932.79 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,765.33 |
$3,765.33 |
$3,765.33 |
$4,709.25
|
|
Sialolithotomy 42330
|
$3,805.11 |
$3,805.11 |
$3,805.11 |
$3,837.72
|
|
Sickling rbc
|
$12.04 |
$12.04 |
$12.04 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,657.50 |
$1,657.50 |
$1,657.50 |
$1,993.08
|
|
Sinus CT scan (with and without contrast)
|
$3,029.91 |
$3,029.91 |
$3,029.91 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,462.28 |
$2,462.28 |
$2,462.28 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,105.79 |
$2,105.79 |
$2,105.79 |
$1,279.50
|
|
Skin Biopsy
|
$292.23 |
$292.23 |
$292.23 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$1,778.88 |
$1,778.88 |
$1,778.88 |
$3,936.80
|
|
Sling arm deluxe w/pad xs
|
$19.51 |
$19.51 |
$19.51 |
$25.55
|
|
Sling pelv split sam med
|
$130.05 |
$130.05 |
$130.05 |
$115.20
|
|
Sling suprapubic suburetheral
|
$8,764.02 |
$8,764.02 |
$8,764.02 |
$10,328.15
|
|
Slitting of prepuce
|
$2,481.15 |
$2,481.15 |
$2,481.15 |
$2,983.40
|
|
Slp pure tone screening
|
$15.30 |
$15.30 |
$15.30 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$112.20 |
$112.20 |
$112.20 |
$64.20
|
|
Smear gram stain
|
$125.46 |
$125.46 |
$125.46 |
$57.85
|
|
Smear nasal eosinophil
|
$82.11 |
$82.11 |
$82.11 |
$49.50
|
