|
Rpr blood vsl grf oth vein lo ex
|
$503.88 |
$503.88 |
$503.88 |
$5,983.35
|
|
Rpr blvsl vn grf intra-abdl
|
$946.22 |
$946.22 |
$946.22 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$642.09 |
$642.09 |
$642.09 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$528.70 |
$528.70 |
$528.70 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$483.99 |
$483.99 |
$483.99 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$364.48 |
$364.48 |
$364.48 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$350.20 |
$350.20 |
$350.20 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$243.61 |
$243.61 |
$243.61 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$98.77 |
$98.77 |
$98.77 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$1,307.13 |
$1,307.13 |
$1,307.13 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$422.96 |
$422.96 |
$422.96 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$524.45 |
$524.45 |
$524.45 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$333.88 |
$333.88 |
$333.88 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$216.07 |
$216.07 |
$216.07 |
$5,959.65
|
|
Rsv assay w/optic
|
$124.27 |
$124.27 |
$124.27 |
$79.38
|
|
Rubella antibody igg
|
$147.90 |
$147.90 |
$147.90 |
$77.03
|
|
Rubeola antibody igg
|
$30.09 |
$30.09 |
$30.09 |
$80.00
|
|
Russell viper venom diluted
|
$9.00 |
$9.00 |
$9.00 |
$72.54
|
|
Salivary gland imaging
|
$174.59 |
$174.59 |
$174.59 |
$585.00
|
|
Salmonella antibody
|
$1.99 |
$1.99 |
$1.99 |
$37.58
|
|
Same day nb discharge 99463
|
$44.71 |
$44.71 |
$44.71 |
$183.07
|
|
Sars-cov-2 antb quantitative
|
$32.30 |
$32.30 |
$32.30 |
$56.57
|
|
Sbrt management
|
$436.39 |
$436.39 |
$436.39 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$54.57 |
$54.57 |
$54.57 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$64.43 |
$64.43 |
$64.43 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$31.28 |
$31.28 |
$31.28 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$45.39 |
$45.39 |
$45.39 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$16.83 |
$16.83 |
$16.83 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$58.65 |
$58.65 |
$58.65 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$366.86 |
$366.86 |
$366.86 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$219.81 |
$219.81 |
$219.81 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$126.14 |
$126.14 |
$126.14 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$82.28 |
$82.28 |
$82.28 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$298.01 |
$298.01 |
$298.01 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$223.38 |
$223.38 |
$223.38 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$478.21 |
$478.21 |
$478.21 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$298.01 |
$298.01 |
$298.01 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$186.32 |
$186.32 |
$186.32 |
$595.35
|
|
Scan proc cranial extra
|
$973.25 |
$973.25 |
$973.25 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$128.18 |
$128.18 |
$128.18 |
$2,067.91
|
|
Sclerotherapy fluid collection pq w/img
|
$749.87 |
$749.87 |
$749.87 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$9,567.60 |
$9,567.60 |
$9,567.60 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$75.65 |
$75.65 |
$75.65 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$75.65 |
$75.65 |
$75.65 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$88.40 |
$88.40 |
$88.40 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$19.72 |
$19.72 |
$19.72 |
$99.66
|
|
Screening Mammogram
|
$158.78 |
$158.78 |
$158.78 |
$312.55
|
|
Screening prostate cancer PSA
|
$117.30 |
$117.30 |
$117.30 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$11.73 |
$11.73 |
$11.73 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$8,215.68 |
$8,215.68 |
$8,215.68 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$198.05 |
$198.05 |
$198.05 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$478.38 |
$478.38 |
$478.38 |
$2,139.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,905.87 |
$1,905.87 |
$1,905.87 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$71.06 |
$71.06 |
$71.06 |
$42.00
|
|
Segmentectomy 32484
|
$793.56 |
$793.56 |
$793.56 |
$3,491.20
|
|
Self-adher band w>=3" <5"/yd
|
$0.51 |
$0.51 |
$0.51 |
$2.07
|
|
Self-meas bp 2 readg bid 30d
|
$7.48 |
$7.48 |
$7.48 |
$11.88
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$8.67 |
$8.67 |
$8.67 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$6.46 |
$6.46 |
$6.46 |
$33.04
|
|
Semen analysis presence/motility
|
$146.88 |
$146.88 |
$146.88 |
$71.05
|
|
Separate eyelid adhesions
|
$235.96 |
$235.96 |
$235.96 |
$2,857.60
|
|
Serial casting application 97139app
|
$24.14 |
$24.14 |
$24.14 |
$78.39
|
|
Serial tonometry
|
$37.40 |
$37.40 |
$37.40 |
$131.02
|
|
Serpina1 gene
|
$7.42 |
$7.42 |
$7.42 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$34.00 |
$34.00 |
$34.00 |
$126.43
|
|
Set radiation therapy field
|
$295.12 |
$295.12 |
$295.12 |
$762.40
|
|
Set radiation therapy field
|
$170.68 |
$170.68 |
$170.68 |
$1,157.38
|
|
Set radiation therapy field
|
$376.72 |
$376.72 |
$376.72 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$58.31 |
$58.31 |
$58.31 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$84.49 |
$84.49 |
$84.49 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$82.62 |
$82.62 |
$82.62 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$93.84 |
$93.84 |
$93.84 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$108.97 |
$108.97 |
$108.97 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$63.41 |
$63.41 |
$63.41 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$73.61 |
$73.61 |
$73.61 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$82.79 |
$82.79 |
$82.79 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$95.54 |
$95.54 |
$95.54 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$96.05 |
$96.05 |
$96.05 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$73.10 |
$73.10 |
$73.10 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$82.79 |
$82.79 |
$82.79 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$283.56 |
$283.56 |
$283.56 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$540.60 |
$540.60 |
$540.60 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$624.07 |
$624.07 |
$624.07 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$355.64 |
$355.64 |
$355.64 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$325.55 |
$325.55 |
$325.55 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$351.39 |
$351.39 |
$351.39 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$320.45 |
$320.45 |
$320.45 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$351.05 |
$351.05 |
$351.05 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$610.13 |
$610.13 |
$610.13 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$354.11 |
$354.11 |
$354.11 |
$5,148.00
|
|
Shoe post-op mens m
|
$103.70 |
$103.70 |
$103.70 |
$52.20
|
|
Shortening of hand tendon
|
$409.19 |
$409.19 |
$409.19 |
$3,821.05
|
|
Shorten radius or ulna
|
$459.51 |
$459.51 |
$459.51 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$628.32 |
$628.32 |
$628.32 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,091.23 |
$1,091.23 |
$1,091.23 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$734.23 |
$734.23 |
$734.23 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$921.91 |
$921.91 |
$921.91 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$626.11 |
$626.11 |
$626.11 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$741.20 |
$741.20 |
$741.20 |
$4,832.80
|
|
Shoulder X-ray
|
$181.90 |
$181.90 |
$181.90 |
$339.50
|
