|
Rpr fem hernia init blocked
|
$428.80 |
$428.80 |
$428.80 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$412.00 |
$412.00 |
$412.00 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$286.60 |
$286.60 |
$286.60 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$116.20 |
$116.20 |
$116.20 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$103.00 |
$103.00 |
$103.00 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$497.60 |
$497.60 |
$497.60 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$617.00 |
$617.00 |
$617.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$392.80 |
$392.80 |
$392.80 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$254.20 |
$254.20 |
$254.20 |
$5,959.65
|
|
Rsv assay w/optic
|
$18.80 |
$18.80 |
$18.80 |
$79.38
|
|
Rubella antibody igg
|
$77.80 |
$77.80 |
$77.80 |
$77.03
|
|
Rubeola antibody igg
|
$31.20 |
$31.20 |
$31.20 |
$80.00
|
|
Russell viper venom diluted
|
$7.00 |
$7.00 |
$7.00 |
$72.54
|
|
Salivary gland imaging
|
$16.60 |
$16.60 |
$16.60 |
$585.00
|
|
Same day nb discharge 99463
|
$62.00 |
$62.00 |
$62.00 |
$183.07
|
|
Sars-cov-2 antb quantitative
|
$102.80 |
$102.80 |
$102.80 |
$56.57
|
|
Sbrt management
|
$513.40 |
$513.40 |
$513.40 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$64.20 |
$64.20 |
$64.20 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$75.80 |
$75.80 |
$75.80 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$36.80 |
$36.80 |
$36.80 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$53.40 |
$53.40 |
$53.40 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$19.80 |
$19.80 |
$19.80 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$69.00 |
$69.00 |
$69.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$663.40 |
$663.40 |
$663.40 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$312.00 |
$312.00 |
$312.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$418.80 |
$418.80 |
$418.80 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$96.80 |
$96.80 |
$96.80 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$308.20 |
$308.20 |
$308.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$459.40 |
$459.40 |
$459.40 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$622.00 |
$622.00 |
$622.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$765.40 |
$765.40 |
$765.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$577.20 |
$577.20 |
$577.20 |
$595.35
|
|
Scan proc cranial extra
|
$116.40 |
$116.40 |
$116.40 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$150.80 |
$150.80 |
$150.80 |
$2,067.91
|
|
Sclerotherapy fluid collection pq w/img
|
$882.20 |
$882.20 |
$882.20 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$89.00 |
$89.00 |
$89.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$89.00 |
$89.00 |
$89.00 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$39.00 |
$39.00 |
$39.00 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$23.20 |
$23.20 |
$23.20 |
$99.66
|
|
Screening Mammogram
|
$277.80 |
$277.80 |
$277.80 |
$312.55
|
|
Screening prostate cancer PSA
|
$79.60 |
$79.60 |
$79.60 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$46.00 |
$46.00 |
$46.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$4,348.80 |
$4,348.80 |
$4,348.80 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$562.80 |
$562.80 |
$562.80 |
$2,139.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$156.00 |
$156.00 |
$156.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$21.00 |
$21.00 |
$21.00 |
$42.00
|
|
Segmentectomy 32484
|
$933.60 |
$933.60 |
$933.60 |
$3,491.20
|
|
Self-adher band w>=3" <5"/yd
|
$0.60 |
$0.60 |
$0.60 |
$2.07
|
|
Self-meas bp 2 readg bid 30d
|
$8.80 |
$8.80 |
$8.80 |
$11.88
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$10.20 |
$10.20 |
$10.20 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$7.60 |
$7.60 |
$7.60 |
$33.04
|
|
Semen analysis presence/motility
|
$35.40 |
$35.40 |
$35.40 |
$71.05
|
|
Semen analysis w/count
|
$25.40 |
$25.40 |
$25.40 |
$56.44
|
|
Separate eyelid adhesions
|
$277.60 |
$277.60 |
$277.60 |
$2,857.60
|
|
Serial casting application 97139app
|
$29.40 |
$29.40 |
$29.40 |
$78.39
|
|
Serial tonometry
|
$44.00 |
$44.00 |
$44.00 |
$131.02
|
|
Serpina1 gene
|
$8.73 |
$8.73 |
$8.73 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$31.00 |
$31.00 |
$31.00 |
$126.43
|
|
Set radiation therapy field
|
$30.20 |
$30.20 |
$30.20 |
$762.40
|
|
Set radiation therapy field
|
$45.40 |
$45.40 |
$45.40 |
$1,157.38
|
|
Set radiation therapy field
|
$890.80 |
$890.80 |
$890.80 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$68.60 |
$68.60 |
$68.60 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$82.00 |
$82.00 |
$82.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$97.20 |
$97.20 |
$97.20 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$119.60 |
$119.60 |
$119.60 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$128.20 |
$128.20 |
$128.20 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$74.60 |
$74.60 |
$74.60 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$86.60 |
$86.60 |
$86.60 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$97.40 |
$97.40 |
$97.40 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$102.20 |
$102.20 |
$102.20 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$337.80 |
$337.80 |
$337.80 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$86.00 |
$86.00 |
$86.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$176.80 |
$176.80 |
$176.80 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$333.60 |
$333.60 |
$333.60 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$636.00 |
$636.00 |
$636.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$734.20 |
$734.20 |
$734.20 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$418.40 |
$418.40 |
$418.40 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$383.00 |
$383.00 |
$383.00 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$413.40 |
$413.40 |
$413.40 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$377.00 |
$377.00 |
$377.00 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$413.00 |
$413.00 |
$413.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$717.80 |
$717.80 |
$717.80 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$416.60 |
$416.60 |
$416.60 |
$5,148.00
|
|
Shoe post-op mens m
|
$122.00 |
$122.00 |
$122.00 |
$52.20
|
|
Shortening of hand tendon
|
$481.40 |
$481.40 |
$481.40 |
$3,821.05
|
|
Shorten radius or ulna
|
$540.60 |
$540.60 |
$540.60 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$739.20 |
$739.20 |
$739.20 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,963.20 |
$1,963.20 |
$1,963.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,440.40 |
$1,440.40 |
$1,440.40 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$736.60 |
$736.60 |
$736.60 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$872.00 |
$872.00 |
$872.00 |
$4,832.80
|
|
Shoulder X-ray
|
$300.00 |
$300.00 |
$300.00 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$149.60 |
$149.60 |
$149.60 |
$349.20
|
|
Sialography s&i
|
$215.20 |
$215.20 |
$215.20 |
$499.20
|
|
Sialolithotomy 42330
|
$166.40 |
$166.40 |
$166.40 |
$3,837.72
|
|
Sickling rbc
|
$0.90 |
$0.90 |
$0.90 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$292.40 |
$292.40 |
$292.40 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$76.80 |
$76.80 |
$76.80 |
$1,078.88
|
