|
Rpr aa hrn 1st 3-10 rdc
|
$1,019.49 |
$1,019.49 |
$1,019.49 |
$4,881.00
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$565.08 |
$565.08 |
$565.08 |
$4,176.15
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$782.85 |
$782.85 |
$782.85 |
$5,855.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$753.78 |
$753.78 |
$753.78 |
$3,986.00
|
|
Rpr fem hernia init blocked
|
$1,088.85 |
$1,088.85 |
$1,088.85 |
$3,909.56
|
|
Rpr rem hernia init reduce
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$3,856.84
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$5,959.65
|
|
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
|
$155.04 |
$155.04 |
$155.04 |
$73.10
|
|
Sarscov coronavirus ag ia
|
$36.21 |
$36.21 |
$36.21 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$57.12 |
$57.12 |
$57.12 |
$91.14
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$214.71 |
$214.71 |
$214.71 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$139.74 |
$139.74 |
$139.74 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$161.67 |
$161.67 |
$161.67 |
$174.60
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$78.03 |
$78.03 |
$78.03 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,334.67 |
$1,334.67 |
$1,334.67 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$661.47 |
$661.47 |
$661.47 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,133.73 |
$1,133.73 |
$1,133.73 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$258.06 |
$258.06 |
$258.06 |
$509.35
|
|
Scan duplex extremity veins unilateral/limited study
|
$543.66 |
$543.66 |
$543.66 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$661.47 |
$661.47 |
$661.47 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$467.16 |
$467.16 |
$467.16 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$467.16 |
$467.16 |
$467.16 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$5,703.84 |
$5,703.84 |
$5,703.84 |
$4,079.62
|
|
Screening Colonoscopy (average risk)
|
$640.56 |
$640.56 |
$640.56 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$640.56 |
$640.56 |
$640.56 |
$1,575.00
|
|
Screening Mammogram
|
$349.86 |
$349.86 |
$349.86 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$49,653.60 |
$49,653.60 |
$49,653.60 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$68.85 |
$68.85 |
$68.85 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,967.69 |
$2,967.69 |
$2,967.69 |
$3,226.60
|
|
Sedimentation rate erythrocyte automated
|
$16.83 |
$16.83 |
$16.83 |
$44.20
|
|
Semen analysis presence/motility
|
$90.27 |
$90.27 |
$90.27 |
$70.85
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$221.85 |
$221.85 |
$221.85 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$221.85 |
$221.85 |
$221.85 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$458.49 |
$458.49 |
$458.49 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$9,517.37 |
$9,517.37 |
$9,517.37 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$5,083.68 |
$5,083.68 |
$5,083.68 |
$6,331.24
|
|
Sho arthrs srg bicp tenodsis
|
$1,443.30 |
$1,443.30 |
$1,443.30 |
$5,419.00
|
|
Sho arthrs srg capsulorraphy
|
$1,655.97 |
$1,655.97 |
$1,655.97 |
$5,419.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$923.10 |
$923.10 |
$923.10 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$1,614.66 |
$1,614.66 |
$1,614.66 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$1,291.32 |
$1,291.32 |
$1,291.32 |
$3,839.54
|
|
Shoe post-op mens m
|
$20.40 |
$20.40 |
$20.40 |
$42.87
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,671.78 |
$1,671.78 |
$1,671.78 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$2,993.70 |
$2,993.70 |
$2,993.70 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,076.72 |
$2,076.72 |
$2,076.72 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,788.57 |
$1,788.57 |
$1,788.57 |
$2,051.28
|
|
Shoulder X-ray
|
$425.85 |
$425.85 |
$425.85 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,988.20 |
$3,988.20 |
$3,988.20 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$420.75 |
$420.75 |
$420.75 |
$345.00
|
|
Sialolithotomy 42330
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
Sigmoidoscopy and biopsy
|
$245.31 |
$245.31 |
$245.31 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$1,104.66 |
$1,104.66 |
$1,104.66 |
$1,993.08
|
|
Sigmoidoscopy w/tumr remove
|
$207.57 |
$207.57 |
$207.57 |
$1,395.28
|
|
Sinus CT scan (with and without contrast)
|
$1,914.03 |
$1,914.03 |
$1,914.03 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$676.26 |
$676.26 |
$676.26 |
$1,279.50
|
|
Skin Biopsy
|
$442.68 |
$442.68 |
$442.68 |
$382.80
|
|
Sling arm deluxe w/pad xs
|
$14.69 |
$14.69 |
$14.69 |
$25.55
|
|
Sling pelv split sam med
|
$97.92 |
$97.92 |
$97.92 |
$115.20
|
|
Sling suprapubic suburetheral
|
$10,459.12 |
$10,459.12 |
$10,459.12 |
$10,328.15
|
|
Slitting of prepuce
|
$2,279.70 |
$2,279.70 |
$2,279.70 |
$2,983.40
|
|
Slp pure tone screening
|
$28.05 |
$28.05 |
$28.05 |
$67.60
|
|
Smear gram stain
|
$51.51 |
$51.51 |
$51.51 |
$57.85
|
|
Smear nasal eosinophil
|
$70.38 |
$70.38 |
$70.38 |
$49.50
|
|
Smear wet mount
|
$34.68 |
$34.68 |
$34.68 |
$68.63
|
|
Sodium 24 hour urine
|
$39.78 |
$39.78 |
$39.78 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$65.33 |
$65.33 |
$65.33 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$65.33 |
$65.33 |
$65.33 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$84.15 |
$84.15 |
$84.15 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$39.78 |
$39.78 |
$39.78 |
$42.70
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,715.13 |
$1,715.13 |
$1,715.13 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$357.51 |
$357.51 |
$357.51 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$63.38 |
$63.38 |
$63.38 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$3,318.06 |
$3,318.06 |
$3,318.06 |
$4,560.66
|
|
St analysis behavior qualitative voice/resonance
|
$328.95 |
$328.95 |
$328.95 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$293.76 |
$293.76 |
$293.76 |
$313.96
|
|
Stent axios caut enh 15x10mm electrocaut
|
$44,625.00 |
$44,625.00 |
$44,625.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$24,784.62 |
$24,784.62 |
$24,784.62 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$23,128.09 |
$23,128.09 |
$23,128.09 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$5,577.77 |
$5,577.77 |
$5,577.77 |
$5,943.00
|
|
St evaluate speech sound production
|
$211.14 |
$211.14 |
$211.14 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$439.11 |
$439.11 |
$439.11 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$208.59 |
$208.59 |
$208.59 |
$406.40
|
|
St evaluation swallow function
|
$199.92 |
$199.92 |
$199.92 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$179.52 |
$179.52 |
$179.52 |
$248.05
|
|
Strapping of chest
|
$179.52 |
$179.52 |
$179.52 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$70.89 |
$70.89 |
$70.89 |
$171.00
|
|
Strapping of hand or finger
|
$70.89 |
$70.89 |
$70.89 |
$194.40
|
|
Strapping of hip
|
$142.80 |
$142.80 |
$142.80 |
$170.08
|
|
Strapping of knee
|
$142.80 |
$142.80 |
$142.80 |
$224.80
|
|
Strapping of toes 29550
|
$95.37 |
$95.37 |
$95.37 |
$185.36
|
|
Stress test pulmonary
|
$154.02 |
$154.02 |
$154.02 |
$327.20
|
|
Stress tte complete
|
$909.33 |
$909.33 |
$909.33 |
$1,964.95
|
|
St treatment speech individual
|
$181.56 |
$181.56 |
$181.56 |
$254.15
|
