|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$9,903.95 |
$9,903.95 |
$9,903.95 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$9,903.95 |
$9,903.95 |
$9,903.95 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$2,073.40 |
$2,073.40 |
$2,073.40 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$2,441.95 |
$2,441.95 |
$2,441.95 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$2,749.25 |
$2,749.25 |
$2,749.25 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,053.25 |
$6,053.25 |
$6,053.25 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,188.75 |
$5,188.75 |
$5,188.75 |
$10,427.04
|
|
Rmvl pq iabp
|
$611.80 |
$611.80 |
$611.80 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$2,073.40 |
$2,073.40 |
$2,073.40 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$1,434.30 |
$1,434.30 |
$1,434.30 |
$1,991.00
|
|
Rmvl tiss expndr without implant insrtn
|
$1,475.60 |
$1,475.60 |
$1,475.60 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$372.40 |
$372.40 |
$372.40 |
$504.90
|
|
Rmvl tv pm lead dual
|
$4,288.20 |
$4,288.20 |
$4,288.20 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,476.20 |
$3,476.20 |
$3,476.20 |
$4,195.80
|
|
Romiplostim 125 mcg subcutaneous solution
|
$10,736.80 |
$10,736.80 |
$10,736.80 |
$8,971.89
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$10,252.84 |
$10,252.84 |
$10,252.84 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$355.25 |
$355.25 |
$355.25 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,752.75 |
$2,752.75 |
$2,752.75 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$960.40 |
$960.40 |
$960.40 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,094.65 |
$4,094.65 |
$4,094.65 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$5,458.60 |
$5,458.60 |
$5,458.60 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$7,946.75 |
$7,946.75 |
$7,946.75 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$5,047.00 |
$5,047.00 |
$5,047.00 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$5,959.65
|
|
Rtm 1st set-up&pt educaj eqp
|
$53.20 |
$53.20 |
$53.20 |
$183.07
|
|
Rubella antibody igg
|
$149.45 |
$149.45 |
$149.45 |
$73.10
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$9,050.84 |
$9,050.84 |
$9,050.84 |
$6,466.16
|
|
Salivary gland imaging
|
$511.35 |
$511.35 |
$511.35 |
$549.70
|
|
Sarscov coronavirus ag ia
|
$77.70 |
$77.70 |
$77.70 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$822.85 |
$822.85 |
$822.85 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$271.60 |
$271.60 |
$271.60 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$618.10 |
$618.10 |
$618.10 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$522.20 |
$522.20 |
$522.20 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$462.70 |
$462.70 |
$462.70 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$610.05 |
$610.05 |
$610.05 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$883.75 |
$883.75 |
$883.75 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$588.35 |
$588.35 |
$588.35 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$522.20 |
$522.20 |
$522.20 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$1,926.05 |
$1,926.05 |
$1,926.05 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,235.51 |
$5,235.51 |
$5,235.51 |
$4,079.62
|
|
Screen cerv/vag thin layer
|
$137.20 |
$137.20 |
$137.20 |
$61.20
|
|
Screening Mammogram
|
$281.40 |
$281.40 |
$281.40 |
$303.55
|
|
Screen pap by tech w md supv
|
$73.15 |
$73.15 |
$73.15 |
$41.80
|
|
Screw cortex 2.0 x 10mm
|
$55,884.64 |
$55,884.64 |
$55,884.64 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$97.30 |
$97.30 |
$97.30 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$3,070.55 |
$3,070.55 |
$3,070.55 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,437.65 |
$4,437.65 |
$4,437.65 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$161.70 |
$161.70 |
$161.70 |
$273.00
|
|
Sedimentation rate erythrocyte automated
|
$48.30 |
$48.30 |
$48.30 |
$44.20
|
|
Serial casting application 97139app
|
$35.70 |
$35.70 |
$35.70 |
$67.42
|
|
Serial tonometry
|
$113.40 |
$113.40 |
$113.40 |
$144.33
|
|
Set radiation therapy field
|
$673.05 |
$673.05 |
$673.05 |
$731.50
|
|
Set radiation therapy field
|
$925.75 |
$925.75 |
$925.75 |
$1,102.40
|
|
Set radiation therapy field
|
$1,179.15 |
$1,179.15 |
$1,179.15 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$547.40 |
$547.40 |
$547.40 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$297.50 |
$297.50 |
$297.50 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$220.85 |
$220.85 |
$220.85 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$959.00 |
$959.00 |
$959.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$218.75 |
$218.75 |
$218.75 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$959.00 |
$959.00 |
$959.00 |
$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)
|
$2,619.75 |
$2,619.75 |
$2,619.75 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,888.60 |
$1,888.60 |
$1,888.60 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,808.45 |
$1,808.45 |
$1,808.45 |
$2,051.28
|
|
Shoulder X-ray
|
$383.25 |
$383.25 |
$383.25 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$3,501.75 |
$3,501.75 |
$3,501.75 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$192.15 |
$192.15 |
$192.15 |
$345.00
|
|
Sialography s&i
|
$306.95 |
$306.95 |
$306.95 |
$462.40
|
|
Sialolithotomy 42330
|
$2,858.45 |
$2,858.45 |
$2,858.45 |
$3,837.72
|
|
Sickling rbc
|
$47.95 |
$47.95 |
$47.95 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$811.30 |
$811.30 |
$811.30 |
$1,993.08
|
|
Sincalide 5 mcg solution for injection
|
$478.29 |
$478.29 |
$478.29 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$2,009.00 |
$2,009.00 |
$2,009.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,669.15 |
$1,669.15 |
$1,669.15 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,390.90 |
$1,390.90 |
$1,390.90 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,634.85 |
$1,634.85 |
$1,634.85 |
$2,489.25
|
|
Sipuleucel-t - su
|
$92,244.69 |
$92,244.69 |
$92,244.69 |
$95,750.46
|
|
Sirolimus, oral
|
$15.76 |
$15.76 |
$15.76 |
$42.11
|
|
Skin Biopsy
|
$251.30 |
$251.30 |
$251.30 |
$382.80
|
|
Skyla, 13.5 mg
|
$436.84 |
$436.84 |
$436.84 |
$1,801.20
|
|
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
|
$2,983.40 |
$2,983.40 |
$2,983.40 |
$2,983.40
|
|
Smear fluorescent and/or acid fast stain
|
$74.90 |
$74.90 |
$74.90 |
$64.20
|
|
Smear gram stain
|
$63.35 |
$63.35 |
$63.35 |
$57.85
|
|
Smear nasal eosinophil
|
$112.70 |
$112.70 |
$112.70 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$121.45 |
$121.45 |
$121.45 |
$64.35
|
|
Smear wet mount
|
$67.55 |
$67.55 |
$67.55 |
$68.63
|
|
Sodium 24 hour urine
|
$131.25 |
$131.25 |
$131.25 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$47.27
|
|
Sodium chloride 0.9 % IV bolus
|
$68.93 |
$68.93 |
$68.93 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$68.93 |
$68.93 |
$68.93 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$35.15 |
$35.15 |
$35.15 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$852.60 |
$852.60 |
$852.60 |
$539.57
|
