|
Rpr aa hrn rcr < 3 ncr/strn
|
$508.68 |
$508.68 |
$508.68 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$376.38 |
$376.38 |
$376.38 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$887.22 |
$887.22 |
$887.22 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$800.28 |
$800.28 |
$800.28 |
$5,983.35
|
|
Rpr blvsl vn grf intra-abdl
|
$1,502.82 |
$1,502.82 |
$1,502.82 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,019.79 |
$1,019.79 |
$1,019.79 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$839.70 |
$839.70 |
$839.70 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$768.69 |
$768.69 |
$768.69 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$578.88 |
$578.88 |
$578.88 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$556.20 |
$556.20 |
$556.20 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$386.91 |
$386.91 |
$386.91 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$156.87 |
$156.87 |
$156.87 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$139.05 |
$139.05 |
$139.05 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$671.76 |
$671.76 |
$671.76 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$832.95 |
$832.95 |
$832.95 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$530.28 |
$530.28 |
$530.28 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$343.17 |
$343.17 |
$343.17 |
$5,959.65
|
|
Rsv assay w/optic
|
$53.19 |
$53.19 |
$53.19 |
$79.38
|
|
Rubella antibody igg
|
$24.57 |
$24.57 |
$24.57 |
$77.03
|
|
Rubeola antibody igg
|
$3.51 |
$3.51 |
$3.51 |
$80.00
|
|
Russell viper venom diluted
|
$9.45 |
$9.45 |
$9.45 |
$72.54
|
|
Salivary gland imaging
|
$22.41 |
$22.41 |
$22.41 |
$585.00
|
|
Salmonella antibody
|
$3.16 |
$3.16 |
$3.16 |
$37.58
|
|
Same day nb discharge 99463
|
$71.01 |
$71.01 |
$71.01 |
$183.07
|
|
Sars-cov-2 antb quantitative
|
$44.28 |
$44.28 |
$44.28 |
$56.57
|
|
Sbrt management
|
$693.09 |
$693.09 |
$693.09 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$86.67 |
$86.67 |
$86.67 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$102.33 |
$102.33 |
$102.33 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$49.68 |
$49.68 |
$49.68 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$72.09 |
$72.09 |
$72.09 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$26.73 |
$26.73 |
$26.73 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$93.15 |
$93.15 |
$93.15 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$719.82 |
$719.82 |
$719.82 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$39.69 |
$39.69 |
$39.69 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$200.34 |
$200.34 |
$200.34 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$130.68 |
$130.68 |
$130.68 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$458.19 |
$458.19 |
$458.19 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$436.05 |
$436.05 |
$436.05 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$717.39 |
$717.39 |
$717.39 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$328.05 |
$328.05 |
$328.05 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$332.64 |
$332.64 |
$332.64 |
$595.35
|
|
Scan proc cranial extra
|
$157.14 |
$157.14 |
$157.14 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$203.58 |
$203.58 |
$203.58 |
$2,067.91
|
|
Sclerotherapy fluid collection pq w/img
|
$1,190.97 |
$1,190.97 |
$1,190.97 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$120.15 |
$120.15 |
$120.15 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$120.15 |
$120.15 |
$120.15 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$24.57 |
$24.57 |
$24.57 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$31.32 |
$31.32 |
$31.32 |
$99.66
|
|
Screening Mammogram
|
$136.89 |
$136.89 |
$136.89 |
$312.55
|
|
Screening prostate cancer PSA
|
$59.13 |
$59.13 |
$59.13 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$17.55 |
$17.55 |
$17.55 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$9,908.73 |
$9,908.73 |
$9,908.73 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$42.39 |
$42.39 |
$42.39 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$759.78 |
$759.78 |
$759.78 |
$2,139.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$210.60 |
$210.60 |
$210.60 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$13.23 |
$13.23 |
$13.23 |
$42.00
|
|
Segmentectomy 32484
|
$1,260.36 |
$1,260.36 |
$1,260.36 |
$3,491.20
|
|
Self-adher band w>=3" <5"/yd
|
$0.81 |
$0.81 |
$0.81 |
$2.07
|
|
Self-meas bp 2 readg bid 30d
|
$11.88 |
$11.88 |
$11.88 |
$11.88
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$13.77 |
$13.77 |
$13.77 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$10.26 |
$10.26 |
$10.26 |
$33.04
|
|
Semen analysis presence/motility
|
$3.25 |
$3.25 |
$3.25 |
$71.05
|
|
Semen analysis w/count
|
$2.32 |
$2.32 |
$2.32 |
$56.44
|
|
Separate eyelid adhesions
|
$374.76 |
$374.76 |
$374.76 |
$2,857.60
|
|
Serial tonometry
|
$59.40 |
$59.40 |
$59.40 |
$131.02
|
|
Serpina1 gene
|
$11.79 |
$11.79 |
$11.79 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$54.00 |
$54.00 |
$54.00 |
$126.43
|
|
Set radiation therapy field
|
$40.77 |
$40.77 |
$40.77 |
$762.40
|
|
Set radiation therapy field
|
$61.29 |
$61.29 |
$61.29 |
$1,157.38
|
|
Set radiation therapy field
|
$89.37 |
$89.37 |
$89.37 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$92.61 |
$92.61 |
$92.61 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$110.70 |
$110.70 |
$110.70 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$131.22 |
$131.22 |
$131.22 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$149.04 |
$149.04 |
$149.04 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$173.07 |
$173.07 |
$173.07 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$100.71 |
$100.71 |
$100.71 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$116.91 |
$116.91 |
$116.91 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$131.49 |
$131.49 |
$131.49 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$137.97 |
$137.97 |
$137.97 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$96.12 |
$96.12 |
$96.12 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$116.10 |
$116.10 |
$116.10 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$131.49 |
$131.49 |
$131.49 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$450.36 |
$450.36 |
$450.36 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$858.60 |
$858.60 |
$858.60 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$991.17 |
$991.17 |
$991.17 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$564.84 |
$564.84 |
$564.84 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$517.05 |
$517.05 |
$517.05 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$558.09 |
$558.09 |
$558.09 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$508.95 |
$508.95 |
$508.95 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$557.55 |
$557.55 |
$557.55 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$969.03 |
$969.03 |
$969.03 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$562.41 |
$562.41 |
$562.41 |
$5,148.00
|
|
Shoe post-op mens m
|
$11.07 |
$11.07 |
$11.07 |
$52.20
|
|
Shortening of hand tendon
|
$649.89 |
$649.89 |
$649.89 |
$3,821.05
|
|
Shorten radius or ulna
|
$729.81 |
$729.81 |
$729.81 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$997.92 |
$997.92 |
$997.92 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$963.36 |
$963.36 |
$963.36 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$632.61 |
$632.61 |
$632.61 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$919.62 |
$919.62 |
$919.62 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$994.41 |
$994.41 |
$994.41 |
$3,870.38
|