|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,141.92 |
$1,141.92 |
$1,141.92 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,950.88 |
$12,950.88 |
$12,950.88 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$18,407.04 |
$18,407.04 |
$18,407.04 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,950.88 |
$12,950.88 |
$12,950.88 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,342.08 |
$1,342.08 |
$1,342.08 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$5,392.32 |
$5,392.32 |
$5,392.32 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$489.12 |
$489.12 |
$489.12 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$12,890.88 |
$12,890.88 |
$12,890.88 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,315.84 |
$6,315.84 |
$6,315.84 |
$10,427.04
|
|
Rmvl pq iabp
|
$1,177.92 |
$1,177.92 |
$1,177.92 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$414.72 |
$414.72 |
$414.72 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$3,580.80 |
$3,580.80 |
$3,580.80 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$648.00 |
$648.00 |
$648.00 |
$1,991.00
|
|
Rmvl tiss expndr without implant insrtn
|
$4,631.04 |
$4,631.04 |
$4,631.04 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$387.36 |
$387.36 |
$387.36 |
$504.90
|
|
Rmvl tv pm lead dual
|
$1,702.56 |
$1,702.56 |
$1,702.56 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$1,702.56 |
$1,702.56 |
$1,702.56 |
$4,195.80
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,573.55 |
$6,573.55 |
$6,573.55 |
$8,971.89
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$81.60 |
$81.60 |
$81.60 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$2,315.52 |
$2,315.52 |
$2,315.52 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,457.60 |
$2,457.60 |
$2,457.60 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,448.96 |
$2,448.96 |
$2,448.96 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$8,258.88 |
$8,258.88 |
$8,258.88 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$6,412.80 |
$6,412.80 |
$6,412.80 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$4,006.08 |
$4,006.08 |
$4,006.08 |
$5,959.65
|
|
Rtm 1st set-up&pt educaj eqp
|
$67.68 |
$67.68 |
$67.68 |
$183.07
|
|
Rubella antibody igg
|
$107.04 |
$107.04 |
$107.04 |
$73.10
|
|
Rubeola antibody igg
|
$134.88 |
$134.88 |
$134.88 |
$79.68
|
|
Russell viper venom diluted
|
$78.72 |
$78.72 |
$78.72 |
$70.16
|
|
Salmonella antibody
|
$4.80 |
$4.80 |
$4.80 |
$37.58
|
|
Sargramostim injection
|
$840.77 |
$840.77 |
$840.77 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$62.40 |
$62.40 |
$62.40 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,271.04 |
$1,271.04 |
$1,271.04 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$672.48 |
$672.48 |
$672.48 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$387.36 |
$387.36 |
$387.36 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$481.44 |
$481.44 |
$481.44 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$916.32 |
$916.32 |
$916.32 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,013.28 |
$1,013.28 |
$1,013.28 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$717.60 |
$717.60 |
$717.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$666.72 |
$666.72 |
$666.72 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$3,985.92 |
$3,985.92 |
$3,985.92 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$7,800.84 |
$7,800.84 |
$7,800.84 |
$4,079.62
|
|
Screening Mammogram
|
$326.40 |
$326.40 |
$326.40 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$47,106.66 |
$47,106.66 |
$47,106.66 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$117.60 |
$117.60 |
$117.60 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$845.28 |
$845.28 |
$845.28 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,270.72 |
$3,270.72 |
$3,270.72 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$51.84 |
$51.84 |
$51.84 |
$44.20
|
|
Serpina1 gene
|
$43.20 |
$43.20 |
$43.20 |
$191.73
|
|
Set radiation therapy field
|
$2,950.56 |
$2,950.56 |
$2,950.56 |
$731.50
|
|
Set radiation therapy field
|
$3,156.48 |
$3,156.48 |
$3,156.48 |
$1,102.40
|
|
Set radiation therapy field
|
$4,032.00 |
$4,032.00 |
$4,032.00 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$489.60 |
$489.60 |
$489.60 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$489.60 |
$489.60 |
$489.60 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$566.40 |
$566.40 |
$566.40 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$11,922.77 |
$11,922.77 |
$11,922.77 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$6,952.68 |
$6,952.68 |
$6,952.68 |
$6,331.24
|
|
Shoe post-op mens m
|
$24.00 |
$24.00 |
$24.00 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$4,949.76 |
$4,949.76 |
$4,949.76 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,873.44 |
$4,873.44 |
$4,873.44 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,798.08 |
$4,798.08 |
$4,798.08 |
$2,051.28
|
|
Shoulder X-ray
|
$468.48 |
$468.48 |
$468.48 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$5,696.64 |
$5,696.64 |
$5,696.64 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$544.80 |
$544.80 |
$544.80 |
$345.00
|
|
Sialolithotomy 42330
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$3,837.72
|
|
Sickling rbc
|
$55.20 |
$55.20 |
$55.20 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,925.28 |
$1,925.28 |
$1,925.28 |
$1,993.08
|
|
Sinus CT scan (with and without contrast)
|
$711.36 |
$711.36 |
$711.36 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$621.60 |
$621.60 |
$621.60 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$605.76 |
$605.76 |
$605.76 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$2,489.25
|
|
Sirolimus, oral
|
$50.94 |
$50.94 |
$50.94 |
$42.11
|
|
Skin Biopsy
|
$489.60 |
$489.60 |
$489.60 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,442.08 |
$3,442.08 |
$3,442.08 |
$3,936.80
|
|
Sleep study unattended
|
$643.20 |
$643.20 |
$643.20 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$17.28 |
$17.28 |
$17.28 |
$25.55
|
|
Sling pelv split sam med
|
$115.20 |
$115.20 |
$115.20 |
$115.20
|
|
Sling suprapubic suburetheral
|
$13,102.54 |
$13,102.54 |
$13,102.54 |
$10,328.15
|
|
Slitting of prepuce
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$62.88 |
$62.88 |
$62.88 |
$64.20
|
|
Smear gram stain
|
$58.56 |
$58.56 |
$58.56 |
$57.85
|
|
Smear nasal eosinophil
|
$40.32 |
$40.32 |
$40.32 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$54.24 |
$54.24 |
$54.24 |
$64.35
|
|
Smear wet mount
|
$66.72 |
$66.72 |
$66.72 |
$68.63
|
|
Sodium 24 hour urine
|
$44.16 |
$44.16 |
$44.16 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$61.49 |
$61.49 |
$61.49 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$61.49 |
$61.49 |
$61.49 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$44.76 |
$44.76 |
$44.76 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$47.52 |
$47.52 |
$47.52 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$195.48
|
|
Special physics consult
|
$2,028.48 |
$2,028.48 |
$2,028.48 |
$700.74
|
|
Special radiation dosimetry
|
$1,151.04 |
$1,151.04 |
$1,151.04 |
$445.50
|
|
Special radiation treatment
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$1,934.03
|
