|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$5,716.57 |
$5,716.57 |
$5,716.57 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$60,943.12 |
$60,943.12 |
$60,943.12 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$84,564.76 |
$84,564.76 |
$84,564.76 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$43,919.75 |
$43,919.75 |
$43,919.75 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$22,182.27 |
$22,182.27 |
$22,182.27 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,217.97 |
$1,217.97 |
$1,217.97 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$12,399.09 |
$12,399.09 |
$12,399.09 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$23,556.36 |
$23,556.36 |
$23,556.36 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,826.72 |
$14,826.72 |
$14,826.72 |
$10,427.04
|
|
Rmvl pq iabp
|
$451.54 |
$451.54 |
$451.54 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$9,694.62 |
$9,694.62 |
$9,694.62 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$10,110.90 |
$10,110.90 |
$10,110.90 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,616.82 |
$2,616.82 |
$2,616.82 |
$1,991.00
|
|
Rmvl tongs/halo anthr indiv
|
$1,100.47 |
$1,100.47 |
$1,100.47 |
$504.90
|
|
Rmvl tv pm lead dual
|
$8,372.46 |
$8,372.46 |
$8,372.46 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$6,977.06 |
$6,977.06 |
$6,977.06 |
$4,195.80
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$15,917.75 |
$15,917.75 |
$15,917.75 |
$7,626.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$11,002.00 |
$11,002.00 |
$11,056.19 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,181.62 |
$2,181.62 |
$2,181.62 |
$188.50
|
|
Routine footcare pt w lops
|
$270.53 |
$270.53 |
$270.53 |
$219.93
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$6,542.92 |
$6,542.92 |
$6,542.92 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$4,411.47 |
$4,411.47 |
$8,366.23 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$3,816.15 |
$7,006.75 |
$16,732.44 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$4,329.00 |
$7,948.50 |
$12,528.57 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$10,939.76 |
$10,939.76 |
$10,939.76 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$6,753.73 |
$6,753.73 |
$6,753.73 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$6,986.63 |
$6,986.63 |
$6,986.63 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$8,009.98 |
$8,009.98 |
$8,009.98 |
$4,201.80
|
|
Rsv assay w/optic
|
$173.05 |
$173.05 |
$173.05 |
$73.80
|
|
Rubella antibody igg
|
$230.57 |
$230.57 |
$230.57 |
$73.10
|
|
Rubeola antibody igg
|
$205.99 |
$205.99 |
$205.99 |
$79.68
|
|
Runx1 gene targeted seq alys
|
$3,295.75 |
$3,295.75 |
$3,295.75 |
$543.27
|
|
Russell viper venom diluted
|
$463.29 |
$680.08 |
$1,174.25 |
$70.16
|
|
Salivary glnd img serial img
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$585.00
|
|
Salmonella antibody
|
$213.79 |
$1,062.75 |
$1,540.00 |
$37.58
|
|
Sargramostim injection
|
$1,238.00 |
$1,238.00 |
$1,332.31 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$68.97 |
$78.50 |
$147.43 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$124.30 |
$149.00 |
$155.50 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,853.75 |
$1,853.75 |
$2,559.24 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$432.98 |
$432.98 |
$957.25 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$336.24 |
$402.00 |
$432.98 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$957.25 |
$957.25 |
$1,451.46 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$432.98 |
$1,927.28 |
$3,354.75 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,799.46 |
$1,799.46 |
$1,799.46 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,036.00 |
$1,036.00 |
$1,799.46 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$16,535.35 |
$16,535.35 |
$16,535.35 |
$2,114.45
|
|
Screening hepatitis b non-obstetric high risk
|
$123.70 |
$123.70 |
$123.70 |
$56.55
|
|
Screening HIV antigen/antibody combination assay
|
$79.70 |
$79.70 |
$79.70 |
$28.90
|
|
Screening Mammogram
|
$379.92 |
$379.92 |
$379.92 |
$303.55
|
|
Screen pap by tech w md supv
|
$160.04 |
$160.04 |
$160.04 |
$41.80
|
|
Sc ther infusion reset pump
|
$503.98 |
$503.98 |
$2,663.25 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,991.29 |
$6,991.29 |
$6,991.29 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$103.65 |
$581.35 |
$1,062.75 |
$44.20
|
|
Semen analysis presence/motility
|
$191.66 |
$966.00 |
$1,062.75 |
$70.85
|
|
Sept9 promoter methylation analysis
|
$317.76 |
$317.76 |
$317.76 |
$316.68
|
|
Serpina1 gene
|
$218.25 |
$1,009.50 |
$2,044.00 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$217.75 |
$217.75 |
$217.75 |
$173.16
|
|
Set radiation therapy field
|
$2,958.81 |
$3,788.75 |
$5,785.00 |
$731.50
|
|
Set radiation therapy field
|
$4,169.83 |
$7,431.50 |
$9,438.00 |
$1,102.40
|
|
Set radiation therapy field
|
$5,810.65 |
$5,810.65 |
$10,921.00 |
$1,636.36
|
|
Sf3b1 gene common variants
|
$725.16 |
$725.16 |
$1,188.25 |
$185.52
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$708.00 |
$708.00 |
$708.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$287.09 |
$287.09 |
$287.09 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$472.00 |
$472.00 |
$472.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$708.00 |
$708.00 |
$708.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$271.64 |
$271.64 |
$271.64 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$354.00 |
$354.00 |
$354.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$472.00 |
$472.00 |
$472.00 |
$302.55
|
|
Shoe post-op mens m
|
$40.57 |
$40.57 |
$40.57 |
$42.87
|
|
Shorten radius or ulna
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,609.96
|
|
Shoulder MRI (with and without contrast)
|
$6,950.63 |
$6,950.63 |
$6,950.63 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$6,305.42 |
$6,305.42 |
$6,305.42 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$5,285.27 |
$5,285.27 |
$5,285.27 |
$2,051.28
|
|
Shoulder X-ray
|
$1,268.06 |
$1,268.06 |
$1,268.06 |
$367.02
|
|
Shrinker prosth above knee
|
$113.07 |
$1,489.00 |
$2,631.00 |
$157.49
|
|
Shrinker prosth below knee
|
$70.94 |
$860.00 |
$934.00 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$845.00 |
$845.00 |
$869.61 |
$345.00
|
|
Sialidase enzyme assay
|
$75.63 |
$75.63 |
$75.63 |
$49.44
|
|
Sialography s&i
|
$1,429.25 |
$1,429.25 |
$1,429.25 |
$462.40
|
|
Sialolithotomy 42330
|
$7,686.78 |
$7,686.78 |
$7,686.78 |
$3,837.72
|
|
Sickling rbc
|
$89.47 |
$182.79 |
$662.00 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$971.75 |
$971.75 |
$2,408.00 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$606.38 |
$606.38 |
$781.00 |
$354.67
|
|
Sinus CT scan (with and without contrast)
|
$7,209.29 |
$7,209.29 |
$8,888.00 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$6,007.76 |
$6,007.76 |
$8,021.50 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,595.21 |
$4,595.21 |
$4,686.25 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$8,225.48 |
$10,810.50 |
$31,959.13 |
$2,489.25
|
|
Sirolimus, oral
|
$90.00 |
$90.00 |
$90.00 |
$42.11
|
|
Skeletal muscle relaxant 1/2
|
$207.41 |
$207.41 |
$207.41 |
$74.23
|
|
Skin Biopsy
|
$730.08 |
$730.08 |
$730.08 |
$382.80
|
|
Skyla, 13.5 mg
|
$5,974.00 |
$5,974.00 |
$7,190.75 |
$1,801.20
|
|
Sleep study attended
|
$6,213.00 |
$6,213.00 |
$6,213.00 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$8,039.75 |
$9,188.00 |
$10,019.81 |
$3,936.80
|
