|
Revasc evasc fpvt st athrec sf 1st
|
$19,966.80 |
$19,966.80 |
$19,966.80 |
$41,608.00
|
|
Revasc evasc fpvt stent cplx 1st
|
$12,728.45 |
$12,728.45 |
$12,728.45 |
$31,963.48
|
|
Revasc evasc fpvt stent sf 1st
|
$12,728.45 |
$12,728.45 |
$12,728.45 |
$21,980.80
|
|
Revasc evasc ivt angio cplx 1st
|
$5,334.35 |
$5,334.35 |
$5,334.35 |
$18,207.49
|
|
Revasc evasc ivt stent cplx 1st
|
$5,201.70 |
$5,201.70 |
$5,201.70 |
$30,747.13
|
|
Revasc evasc ivt stent sf 1st
|
$5,201.70 |
$5,201.70 |
$5,201.70 |
$23,066.61
|
|
Revasc evasc tpvt angio cplx 1st
|
$8,910.30 |
$8,910.30 |
$8,910.30 |
$24,737.53
|
|
Revasc evasc tpvt angio sf 1st
|
$8,910.30 |
$8,910.30 |
$8,910.30 |
$17,538.40
|
|
Revasc evasc tpvt athrec cplx 1st
|
$12,412.05 |
$12,412.05 |
$12,412.05 |
$34,332.96
|
|
Revasc evasc tpvt athrec sf 1st
|
$12,412.05 |
$12,412.05 |
$12,412.05 |
$27,582.58
|
|
Revise eye socket implant
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$5,008.35
|
|
Revise finger joint each
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,021.04
|
|
Revision of cervix
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,762.53
|
|
Revision of cornea
|
$1,729.35 |
$1,729.35 |
$1,729.35 |
$2,760.73
|
|
Revision of eyelid
|
$1,729.35 |
$1,729.35 |
$1,729.35 |
$2,860.80
|
|
Revision of iris
|
$2,971.85 |
$2,971.85 |
$2,971.85 |
$1,566.75
|
|
Revision of penis
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$2,875.60
|
|
Revision of penis
|
$1,767.50 |
$1,767.50 |
$1,767.50 |
$4,261.44
|
|
Revsc opn/prq tib/pero stent
|
$3,903.55 |
$3,903.55 |
$3,903.55 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$62.65 |
$62.65 |
$62.65 |
$54.60
|
|
Rheumatoid factor quantitative
|
$83.65 |
$83.65 |
$83.65 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$247.55 |
$247.55 |
$247.55 |
$243.11
|
|
Rho d immune globulin inj
|
$78.75 |
$78.75 |
$78.75 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$641.78 |
$641.78 |
$641.78 |
$462.44
|
|
Ring fx reform 11-13x17mm
|
$2,359.39 |
$2,359.39 |
$2,359.39 |
$1,155.09
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,546.22 |
$4,546.22 |
$4,546.22 |
$2,453.83
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$16,886.06 |
$16,886.06 |
$16,886.06 |
$8,485.68
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$9,116.38 |
$9,116.38 |
$9,116.38 |
$4,424.10
|
|
Rmv implant contraceptive capsule 11976
|
$472.85 |
$472.85 |
$472.85 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$896.00 |
$896.00 |
$896.00 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$1,917.33
|
|
Rmvl ndwellg tun pleural cath
|
$928.55 |
$928.55 |
$928.55 |
$1,217.97
|
|
Rmvl tiss expndr without implant insrtn
|
$1,990.80 |
$1,990.80 |
$1,990.80 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$242.20 |
$242.20 |
$242.20 |
$504.90
|
|
Romiplostim 125 mcg subcutaneous solution
|
$21,473.52 |
$21,473.52 |
$21,473.52 |
$8,971.89
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$34.15 |
$34.15 |
$34.15 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,374.05 |
$2,374.05 |
$2,374.05 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,061.90 |
$1,061.90 |
$1,061.90 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,881.95 |
$1,881.95 |
$1,881.95 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$5,959.65
|
|
Rsv assay w/optic
|
$261.45 |
$261.45 |
$261.45 |
$73.80
|
|
Rtm 1st set-up&pt educaj eqp
|
$66.50 |
$66.50 |
$66.50 |
$183.07
|
|
Rubella antibody igg
|
$73.15 |
$73.15 |
$73.15 |
$73.10
|
|
Rubeola antibody igg
|
$73.15 |
$73.15 |
$73.15 |
$79.68
|
|
Russell viper venom diluted
|
$17.55 |
$17.55 |
$17.55 |
$70.16
|
|
Salivary glnd img serial img
|
$1,061.90 |
$1,061.90 |
$1,061.90 |
$585.00
|
|
Sarscov coronavirus ag ia
|
$128.80 |
$128.80 |
$128.80 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$509.60 |
$509.60 |
$509.60 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$404.25 |
$404.25 |
$404.25 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$477.40 |
$477.40 |
$477.40 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$453.95 |
$453.95 |
$453.95 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$497.00 |
$497.00 |
$497.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$889.70 |
$889.70 |
$889.70 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$370.30 |
$370.30 |
$370.30 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$370.30 |
$370.30 |
$370.30 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$5,235.51 |
$5,235.51 |
$5,235.51 |
$4,079.62
|
|
Screening Mammogram
|
$203.00 |
$203.00 |
$203.00 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$55,884.64 |
$55,884.64 |
$55,884.64 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$154.35 |
$154.35 |
$154.35 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$3,226.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$115.85 |
$115.85 |
$115.85 |
$273.00
|
|
Sedimentation rate erythrocyte automated
|
$63.35 |
$63.35 |
$63.35 |
$44.20
|
|
Serial tonometry
|
$76.65 |
$76.65 |
$76.65 |
$144.33
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$242.20 |
$242.20 |
$242.20 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$242.20 |
$242.20 |
$242.20 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$242.20 |
$242.20 |
$242.20 |
$311.25
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$275.80 |
$275.80 |
$275.80 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$9,459.45 |
$9,459.45 |
$9,459.45 |
$6,108.01
|
|
Sheath laser cavaclear 14f
|
$4,666.27 |
$4,666.27 |
$4,666.27 |
$6,331.24
|
|
Shoe post-op mens m
|
$11.05 |
$11.05 |
$11.05 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$2,165.10 |
$2,165.10 |
$2,165.10 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,874.95 |
$1,874.95 |
$1,874.95 |
$2,051.28
|
|
Shoulder X-ray
|
$248.85 |
$248.85 |
$248.85 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,501.75 |
$3,501.75 |
$3,501.75 |
$4,709.25
|
|
Sialography s&i
|
$384.30 |
$384.30 |
$384.30 |
$462.40
|
|
Sialolithotomy 42330
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,837.72
|
|
Sickling rbc
|
$13.12 |
$13.12 |
$13.12 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$651.00 |
$651.00 |
$651.00 |
$1,993.08
|
|
Signal avg ecg w or without ecg 93278
|
$361.90 |
$361.90 |
$361.90 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$478.29 |
$478.29 |
$478.29 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,291.45 |
$2,291.45 |
$2,291.45 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,794.10 |
$1,794.10 |
$1,794.10 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,449.70 |
$1,449.70 |
$1,449.70 |
$2,489.25
|
|
Sirolimus, oral
|
$4.58 |
$4.58 |
$4.58 |
$42.11
|
|
Skeletal muscle relaxant 1/2
|
$8.97 |
$8.97 |
$8.97 |
$85.14
|
|
Skin Biopsy
|
$242.20 |
$242.20 |
$242.20 |
$382.80
|
|
Sleeve fing rolyan med
|
$8.75 |
$8.75 |
$8.75 |
$197.40
|
|
Sling arm deluxe w/pad xs
|
$7.95 |
$7.95 |
$7.95 |
$25.55
|
|
Sling pelv split sam med
|
$53.03 |
$53.03 |
$53.03 |
$115.20
|
|
Sling suprapubic suburetheral
|
$10,395.47 |
$10,395.47 |
$10,395.47 |
$10,328.15
|
|
Slitting of prepuce
|
$1,547.35 |
$1,547.35 |
$1,547.35 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$140.35 |
$140.35 |
$140.35 |
$64.20
|
|
Smear gram stain
|
$170.45 |
$170.45 |
$170.45 |
$57.85
|
|
Smear nasal eosinophil
|
$84.70 |
$84.70 |
$84.70 |
$49.50
|
