|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$36,158.73 |
$36,158.73 |
$36,158.73 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$39,735.10 |
$39,735.10 |
$39,735.10 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$35,761.54 |
$35,761.54 |
$35,761.54 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$3,331.98 |
$3,331.98 |
$3,331.98 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,459.06 |
$1,459.06 |
$1,459.06 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$4,276.58 |
$4,276.58 |
$4,276.58 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$989.11 |
$989.11 |
$989.11 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,848.33 |
$11,848.33 |
$11,848.33 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,586.78 |
$9,586.78 |
$9,586.78 |
$10,427.04
|
|
Rmvl pq iabp
|
$636.44 |
$636.44 |
$636.44 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$520.88 |
$520.88 |
$520.88 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$3,867.84 |
$3,867.84 |
$3,867.84 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,054.83 |
$2,054.83 |
$2,054.83 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$4,190.98 |
$4,190.98 |
$4,190.98 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$4,190.98 |
$4,190.98 |
$4,190.98 |
$4,195.80
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$15,034.36 |
$15,034.36 |
$15,034.36 |
$7,626.51
|
|
Romiplostim 125 mcg subcutaneous solution
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$8,971.89
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,687.03 |
$4,687.03 |
$4,687.03 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$307.74 |
$307.74 |
$307.74 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,834.41 |
$1,834.41 |
$1,834.41 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$2,321.90 |
$2,321.90 |
$2,321.90 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,095.49 |
$2,095.49 |
$2,095.49 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$6,028.81 |
$6,028.81 |
$6,028.81 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$10,498.42 |
$10,498.42 |
$10,498.42 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$3,801.93 |
$3,801.93 |
$3,801.93 |
$4,201.80
|
|
Rubella antibody igg
|
$49.65 |
$49.65 |
$49.65 |
$73.10
|
|
Rubeola antibody igg
|
$6.54 |
$6.54 |
$6.54 |
$79.68
|
|
Russell viper venom diluted
|
$93.30 |
$93.30 |
$93.30 |
$70.16
|
|
Salmonella antibody
|
$5.15 |
$5.15 |
$5.15 |
$37.58
|
|
Sargramostim injection
|
$1,271.59 |
$1,271.59 |
$1,271.59 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$71.48 |
$71.48 |
$71.48 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$142.10 |
$142.10 |
$142.10 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,098.25 |
$1,098.25 |
$1,098.25 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$560.26 |
$560.26 |
$560.26 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$582.08 |
$582.08 |
$582.08 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$627.88 |
$627.88 |
$627.88 |
$509.35
|
|
Scan duplex lower extremity arteries complete bilateral
|
$835.89 |
$835.89 |
$835.89 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$1,272.02 |
$1,272.02 |
$1,272.02 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$4,079.62
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$71.91 |
$71.91 |
$71.91 |
$54.26
|
|
Screening Mammogram
|
$353.10 |
$353.10 |
$353.10 |
$303.55
|
|
Screening prostate cancer PSA
|
$212.29 |
$212.29 |
$212.29 |
$100.80
|
|
Screw cortex 2.0 x 10mm
|
$24,670.35 |
$24,670.35 |
$24,670.35 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,825.94 |
$5,825.94 |
$5,825.94 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$188.32 |
$188.32 |
$188.32 |
$278.00
|
|
Sedimentation rate erythrocyte automated
|
$150.66 |
$150.66 |
$150.66 |
$44.20
|
|
Semen analysis presence/motility
|
$71.05 |
$71.05 |
$71.05 |
$70.85
|
|
Serpina1 gene
|
$138.68 |
$138.68 |
$138.68 |
$191.73
|
|
Set radiation therapy field
|
$308.16 |
$308.16 |
$308.16 |
$731.50
|
|
Set radiation therapy field
|
$811.49 |
$811.49 |
$811.49 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$20.12 |
$20.12 |
$20.12 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$92.02 |
$92.02 |
$92.02 |
$21.42
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$258.09 |
$258.09 |
$258.09 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$6,108.01
|
|
Shoe post-op mens m
|
$9.85 |
$9.85 |
$9.85 |
$42.87
|
|
Shunt glaucoma baerveldt 350mm
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$447.26 |
$447.26 |
$447.26 |
$345.00
|
|
Sickling rbc
|
$37.75 |
$37.75 |
$37.75 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$428.86 |
$428.86 |
$428.86 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$4,855.24 |
$4,855.24 |
$4,855.24 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,439.41 |
$3,439.41 |
$3,439.41 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,247.86 |
$2,247.86 |
$2,247.86 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$2,489.25
|
|
Sipuleucel-t - su
|
$23,882.40 |
$23,882.40 |
$23,882.40 |
$95,750.46
|
|
Skin Biopsy
|
$1,110.24 |
$1,110.24 |
$1,110.24 |
$382.80
|
|
Slco1b1 gene com variants
|
$61.68 |
$61.68 |
$61.68 |
$192.29
|
|
Sleep Study (Polysomnography)
|
$2,736.21 |
$2,736.21 |
$2,736.21 |
$3,936.80
|
|
Sleeve fing rolyan med
|
$86.89 |
$86.89 |
$86.89 |
$191.10
|
|
Sling arm deluxe w/pad xs
|
$150.23 |
$150.23 |
$150.23 |
$25.55
|
|
Sling suprapubic suburetheral
|
$13,212.36 |
$13,212.36 |
$13,212.36 |
$10,328.15
|
|
Smear fluorescent and/or acid fast stain
|
$95.26 |
$95.26 |
$95.26 |
$64.20
|
|
Smear gram stain
|
$104.01 |
$104.01 |
$104.01 |
$57.85
|
|
Smear nasal eosinophil
|
$89.03 |
$89.03 |
$89.03 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$32.96 |
$32.96 |
$32.96 |
$64.35
|
|
Smear wet mount
|
$105.29 |
$105.29 |
$105.29 |
$68.63
|
|
Smpd1 gene common variants
|
$119.59 |
$119.59 |
$119.59 |
$140.00
|
|
Snrpn/ube3a gene
|
$143.38 |
$143.38 |
$143.38 |
$228.80
|
|
Sodium 24 hour urine
|
$93.31 |
$93.31 |
$93.31 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$23.12 |
$23.12 |
$23.12 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$23.12 |
$23.12 |
$23.12 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$23.12 |
$23.12 |
$23.12 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$23.12 |
$23.12 |
$23.12 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$379.64 |
$379.64 |
$379.64 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$44.94 |
$44.94 |
$44.94 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$77.04 |
$77.04 |
$77.04 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$457.96 |
$457.96 |
$457.96 |
$195.48
|
|
Special physics consult
|
$312.87 |
$312.87 |
$312.87 |
$700.74
|
|
Special pump services
|
$918.49 |
$918.49 |
$918.49 |
$928.00
|
|
Special pump services
|
$708.34 |
$708.34 |
$708.34 |
$649.60
|
|
Special pump services
|
$478.51 |
$478.51 |
$478.51 |
$464.80
|
|
Special radiation dosimetry
|
$243.11 |
$243.11 |
$243.11 |
$445.50
|
|
Special radiation treatment
|
$1,081.13 |
$1,081.13 |
$1,081.13 |
$1,934.03
|
|
Special teletx port plan
|
$663.83 |
$663.83 |
$663.83 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$851.30 |
$851.30 |
$851.30 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$636.44 |
$636.44 |
$636.44 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$150.23 |
$150.23 |
$150.23 |
$380.00
|
|
Splint extn xsm w sof-stretch rolyan
|
$86.89 |
$86.89 |
$86.89 |
$52.65
|
|
Splint finger frog med
|
$9.85 |
$9.85 |
$9.85 |
$27.95
|
|
Splint func pos polyflex ii med
|
$52.22 |
$52.22 |
$52.22 |
$52.22
|
|
Splint rstrc wrst/cmc right med
|
$67.63 |
$67.63 |
$67.63 |
$101.18
|
