|
Repair lip full thkns =<one-half vert height
|
$925.14 |
$925.14 |
$925.14 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$1,928.07
|
|
Repair major blood vessel(s) without bypass 33320
|
$1,120.98 |
$1,120.98 |
$1,120.98 |
$2,412.90
|
|
Repair muscles of hand
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$3,839.54
|
|
Repair of ankle ligament
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$7,807.24
|
|
Repair of body cast
|
$295.29 |
$295.29 |
$295.29 |
$203.20
|
|
Repair of digit nerve hand/foot 1 nerve
|
$3,639.36 |
$3,639.36 |
$3,639.36 |
$3,702.07
|
|
Repair of eye socket wound
|
$6,755.46 |
$6,755.46 |
$6,755.46 |
$4,456.89
|
|
Repair of eye wound
|
$4,086.12 |
$4,086.12 |
$4,086.12 |
$2,747.43
|
|
Repair of foot tendon
|
$5,990.46 |
$5,990.46 |
$5,990.46 |
$3,839.54
|
|
Repair of kneecap tendon
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$6,311.00
|
|
Repair of nasal septum
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,837.72
|
|
Repair of rectum
|
$5,202.00 |
$5,202.00 |
$5,202.00 |
$3,316.74
|
|
Repair of toe dislocation
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$3,821.05
|
|
Repair palate
|
$10,809.96 |
$10,809.96 |
$10,809.96 |
$6,966.64
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$423.30 |
$423.30 |
$423.30 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$1,268.80
|
|
Repair tendon extensor foot 1/2 each tendon
|
$6,066.96 |
$6,066.96 |
$6,066.96 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,627.00
|
|
Repair throat wound
|
$2,810.61 |
$2,810.61 |
$2,810.61 |
$1,955.10
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$420.75 |
$420.75 |
$420.75 |
$504.12
|
|
Repair upper arm/elbow tendon/muscle ea
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$8,293.50
|
|
Repair vagina/perineum
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$1,671.27 |
$1,671.27 |
$1,671.27 |
$1,383.00
|
|
Replace g/c tube perc
|
$1,671.27 |
$1,671.27 |
$1,671.27 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,619.76 |
$1,619.76 |
$1,619.76 |
$1,600.45
|
|
Replace tunneled cv cath
|
$6,031.26 |
$6,031.26 |
$6,031.26 |
$4,001.25
|
|
Replantation digit complete
|
$2,920.77 |
$2,920.77 |
$2,920.77 |
$2,609.20
|
|
#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
|
$2,042.04 |
$2,042.04 |
$2,042.04 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,500.42 |
$1,500.42 |
$1,500.42 |
$797.29
|
|
Reticulated platelet assay
|
$47.43 |
$47.43 |
$47.43 |
$63.08
|
|
Reticulocyte automated
|
$93.84 |
$93.84 |
$93.84 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$7.65 |
$7.65 |
$7.65 |
$33.57
|
|
Revise eye socket implant
|
$6,755.46 |
$6,755.46 |
$6,755.46 |
$5,008.35
|
|
Revise finger joint each
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,021.04
|
|
Revision of cervix
|
$5,724.24 |
$5,724.24 |
$5,724.24 |
$3,762.53
|
|
Revision of cornea
|
$4,086.12 |
$4,086.12 |
$4,086.12 |
$2,760.73
|
|
Revision of eyelid
|
$4,086.12 |
$4,086.12 |
$4,086.12 |
$2,860.80
|
|
Revision of penis
|
$918.00 |
$918.00 |
$918.00 |
$2,875.60
|
|
Revision of penis
|
$6,525.45 |
$6,525.45 |
$6,525.45 |
$4,261.44
|
|
Rheumatoid factor qualitative
|
$14.26 |
$14.26 |
$14.26 |
$54.60
|
|
Rheumatoid factor quantitative
|
$54.06 |
$54.06 |
$54.06 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$243.11 |
$243.11 |
$243.11 |
$243.11
|
|
Rho d immune globulin 50 mcg
|
$137.09 |
$137.09 |
$137.09 |
$124.10
|
|
Rho d immune globulin inj
|
$270.97 |
$270.97 |
$270.97 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$563.68 |
$563.68 |
$563.68 |
$462.44
|
|
Ring fx reform 11-13x17mm
|
$2,880.20 |
$2,880.20 |
$2,880.20 |
$1,509.75
|
|
Rmv implant contraceptive capsule 11976
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,222.07 |
$2,222.07 |
$2,222.07 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$1,917.33
|
|
Rmvl ndwellg tun pleural cath
|
$1,171.47 |
$1,171.47 |
$1,171.47 |
$1,217.97
|
|
Rmvl tiss expndr without implant insrtn
|
$5,259.12 |
$5,259.12 |
$5,259.12 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$764.49 |
$764.49 |
$764.49 |
$504.90
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$151.70 |
$151.70 |
$151.70 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,012.57 |
$3,012.57 |
$3,012.57 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,012.57 |
$3,012.57 |
$3,012.57 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$6,031.26 |
$6,031.26 |
$6,031.26 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$13,391.07 |
$13,391.07 |
$13,391.07 |
$5,959.65
|
|
Rtm 1st set-up&pt educaj eqp
|
$269.28 |
$269.28 |
$269.28 |
$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
|
$114.75 |
$114.75 |
$114.75 |
$73.10
|
|
Rubeola antibody igg
|
$485.52 |
$485.52 |
$485.52 |
$79.68
|
|
Russell viper venom diluted
|
$22.95 |
$22.95 |
$22.95 |
$70.16
|
|
Salmonella antibody
|
$5.10 |
$5.10 |
$5.10 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,523.37 |
$1,523.37 |
$1,523.37 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,120.98 |
$1,120.98 |
$1,120.98 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,474.92 |
$1,474.92 |
$1,474.92 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,090.89 |
$1,090.89 |
$1,090.89 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$949.62 |
$949.62 |
$949.62 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,432.08 |
$1,432.08 |
$1,432.08 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$956.25 |
$956.25 |
$956.25 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,006.23 |
$1,006.23 |
$1,006.23 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$10,944.24 |
$10,944.24 |
$10,944.24 |
$4,079.62
|
|
Screening Mammogram
|
$709.41 |
$709.41 |
$709.41 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$119,168.64 |
$119,168.64 |
$119,168.64 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$137.19 |
$137.19 |
$137.19 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$6,023.10 |
$6,023.10 |
$6,023.10 |
$3,226.60
|
|
Sedimentation rate erythrocyte automated
|
$85.17 |
$85.17 |
$85.17 |
$44.20
|
|
Semen analysis presence/motility
|
$72.42 |
$72.42 |
$72.42 |
$70.85
|
|
Serpina1 gene
|
$45.90 |
$45.90 |
$45.90 |
$191.73
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$365.67 |
$365.67 |
$365.67 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$365.67 |
$365.67 |
$365.67 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$755.82 |
$755.82 |
$755.82 |
$311.25
|
|
Sheath gldlight lasr 12fx50cm
|
$19,953.65 |
$19,953.65 |
$19,953.65 |
$7,076.25
|
|
Sheath laser cavaclear 14f
|
$9,754.31 |
$9,754.31 |
$9,754.31 |
$6,331.24
|
|
Shoe post-op mens m
|
$31.88 |
$31.88 |
$31.88 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$6,093.48 |
$6,093.48 |
$6,093.48 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,896.62 |
$5,896.62 |
$5,896.62 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$5,078.07 |
$5,078.07 |
$5,078.07 |
$2,051.28
|
|
Shoulder X-ray
|
$895.56 |
$895.56 |
$895.56 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$7,249.14 |
$7,249.14 |
$7,249.14 |
$4,709.25
|
|
Sialolithotomy 42330
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,837.72
|
|
Sickling rbc
|
$53.55 |
$53.55 |
$53.55 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,993.08 |
$1,993.08 |
$1,993.08 |
$1,993.08
|
