|
Rpr blvsl vn grf intra-abdl
|
$1,057.54 |
$1,057.54 |
$1,057.54 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$717.63 |
$717.63 |
$717.63 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$590.90 |
$590.90 |
$590.90 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$540.93 |
$540.93 |
$540.93 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$407.36 |
$407.36 |
$407.36 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$391.40 |
$391.40 |
$391.40 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$272.27 |
$272.27 |
$272.27 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$110.39 |
$110.39 |
$110.39 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$97.85 |
$97.85 |
$97.85 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$472.72 |
$472.72 |
$472.72 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$586.15 |
$586.15 |
$586.15 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$373.16 |
$373.16 |
$373.16 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$241.49 |
$241.49 |
$241.49 |
$5,959.65
|
|
Rsv assay w/optic
|
$22.61 |
$22.61 |
$22.61 |
$79.38
|
|
Rubella antibody igg
|
$38.57 |
$38.57 |
$38.57 |
$77.03
|
|
Rubeola antibody igg
|
$33.82 |
$33.82 |
$33.82 |
$80.00
|
|
Russell viper venom diluted
|
$6.65 |
$6.65 |
$6.65 |
$72.54
|
|
Salivary gland imaging
|
$515.66 |
$515.66 |
$515.66 |
$585.00
|
|
Salmonella antibody
|
$2.23 |
$2.23 |
$2.23 |
$37.58
|
|
Same day nb discharge 99463
|
$49.97 |
$49.97 |
$49.97 |
$183.07
|
|
Sbrt management
|
$487.73 |
$487.73 |
$487.73 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$60.99 |
$60.99 |
$60.99 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$72.01 |
$72.01 |
$72.01 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$34.96 |
$34.96 |
$34.96 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$50.73 |
$50.73 |
$50.73 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$18.81 |
$18.81 |
$18.81 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$47.69 |
$47.69 |
$47.69 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$442.32 |
$442.32 |
$442.32 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$344.66 |
$344.66 |
$344.66 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$27.55 |
$27.55 |
$27.55 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$275.12 |
$275.12 |
$275.12 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$373.92 |
$373.92 |
$373.92 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$383.42 |
$383.42 |
$383.42 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$479.37 |
$479.37 |
$479.37 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$306.66 |
$306.66 |
$306.66 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$307.23 |
$307.23 |
$307.23 |
$595.35
|
|
Scan proc cranial extra
|
$110.58 |
$110.58 |
$110.58 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$143.26 |
$143.26 |
$143.26 |
$2,067.91
|
|
Scope uretscp lithovue dig disp
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$84.55 |
$84.55 |
$84.55 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$84.55 |
$84.55 |
$84.55 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$22.99 |
$22.99 |
$22.99 |
$57.60
|
|
Screening Mammogram
|
$159.03 |
$159.03 |
$159.03 |
$312.55
|
|
Screening prostate cancer PSA
|
$126.73 |
$126.73 |
$126.73 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$41.23 |
$41.23 |
$41.23 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$8,334.35 |
$8,334.35 |
$8,334.35 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$534.66 |
$534.66 |
$534.66 |
$2,139.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,749.11 |
$2,749.11 |
$2,749.11 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$19.57 |
$19.57 |
$19.57 |
$42.00
|
|
Segmentectomy 32484
|
$886.92 |
$886.92 |
$886.92 |
$3,491.20
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$9.69 |
$9.69 |
$9.69 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$7.22 |
$7.22 |
$7.22 |
$33.04
|
|
Semen analysis presence/motility
|
$36.10 |
$36.10 |
$36.10 |
$71.05
|
|
Semen analysis w/count
|
$1.64 |
$1.64 |
$1.64 |
$56.44
|
|
Separate eyelid adhesions
|
$263.72 |
$263.72 |
$263.72 |
$2,857.60
|
|
Serial tonometry
|
$15.01 |
$15.01 |
$15.01 |
$131.02
|
|
Serpina1 gene
|
$8.29 |
$8.29 |
$8.29 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$38.00 |
$38.00 |
$38.00 |
$126.43
|
|
Set radiation therapy field
|
$28.69 |
$28.69 |
$28.69 |
$762.40
|
|
Set radiation therapy field
|
$43.13 |
$43.13 |
$43.13 |
$1,157.38
|
|
Set radiation therapy field
|
$62.89 |
$62.89 |
$62.89 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$12.11 |
$12.11 |
$12.11 |
$21.96
|
|
Sgmdsc w/band ligation
|
$65.17 |
$65.17 |
$65.17 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$29.45 |
$29.45 |
$29.45 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$40.85 |
$40.85 |
$40.85 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$48.45 |
$48.45 |
$48.45 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$62.32 |
$62.32 |
$62.32 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$24.13 |
$24.13 |
$24.13 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$31.54 |
$31.54 |
$31.54 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$39.90 |
$39.90 |
$39.90 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$44.46 |
$44.46 |
$44.46 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$22.04 |
$22.04 |
$22.04 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$33.44 |
$33.44 |
$33.44 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$38.95 |
$38.95 |
$38.95 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$316.92 |
$316.92 |
$316.92 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$604.20 |
$604.20 |
$604.20 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$697.49 |
$697.49 |
$697.49 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$397.48 |
$397.48 |
$397.48 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$363.85 |
$363.85 |
$363.85 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$392.73 |
$392.73 |
$392.73 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$358.15 |
$358.15 |
$358.15 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$392.35 |
$392.35 |
$392.35 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$681.91 |
$681.91 |
$681.91 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$395.77 |
$395.77 |
$395.77 |
$5,148.00
|
|
Shoe post-op mens m
|
$115.90 |
$115.90 |
$115.90 |
$52.20
|
|
Shortening of hand tendon
|
$457.33 |
$457.33 |
$457.33 |
$3,821.05
|
|
Shorten radius or ulna
|
$513.57 |
$513.57 |
$513.57 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$702.24 |
$702.24 |
$702.24 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,645.75 |
$2,645.75 |
$2,645.75 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,226.45 |
$1,226.45 |
$1,226.45 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,712.28 |
$1,712.28 |
$1,712.28 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$699.77 |
$699.77 |
$699.77 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$828.40 |
$828.40 |
$828.40 |
$4,832.80
|
|
Shoulder X-ray
|
$186.20 |
$186.20 |
$186.20 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$125.02 |
$125.02 |
$125.02 |
$349.20
|
|
Sialography s&i
|
$286.33 |
$286.33 |
$286.33 |
$499.20
|
|
Sialolithotomy 42330
|
$110.77 |
$110.77 |
$110.77 |
$3,837.72
|
|
Sickling rbc
|
$36.10 |
$36.10 |
$36.10 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$47.31 |
$47.31 |
$47.31 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$72.96 |
$72.96 |
$72.96 |
$1,078.88
|
