|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$107,177.07 |
$107,177.07 |
$107,177.07 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$107,177.07 |
$107,177.07 |
$107,177.07 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$8,839.80 |
$8,839.80 |
$8,839.80 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,825.88 |
$1,825.88 |
$1,825.88 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$13,408.54 |
$13,408.54 |
$13,408.54 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$27,742.63 |
$27,742.63 |
$27,742.63 |
$10,427.04
|
|
Rmvl subq card rhythm mntr
|
$3,112.94 |
$3,112.94 |
$3,112.94 |
$1,991.00
|
|
Rmvl tv pm lead sgl
|
$8,017.96 |
$8,017.96 |
$8,017.96 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$8,991.52 |
$8,991.52 |
$8,991.52 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$860.01 |
$860.01 |
$860.01 |
$180.55
|
|
Rpl tun-cvad w subq port
|
$2,063.25 |
$2,063.25 |
$2,063.25 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$5,715.89 |
$5,715.89 |
$5,715.89 |
$4,201.80
|
|
Rubella antibody igg
|
$329.41 |
$329.41 |
$329.41 |
$73.10
|
|
Rubeola antibody igg
|
$44.00 |
$44.00 |
$44.00 |
$79.68
|
|
Russell viper venom diluted
|
$22.88 |
$22.88 |
$22.88 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,413.58 |
$1,413.58 |
$1,413.58 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,430.99 |
$1,430.99 |
$1,430.99 |
$670.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,147.73 |
$1,147.73 |
$1,147.73 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,459.45 |
$1,459.45 |
$1,459.45 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,869.74 |
$1,869.74 |
$1,869.74 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,179.57 |
$2,179.57 |
$2,179.57 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,927.41 |
$1,927.41 |
$1,927.41 |
$601.70
|
|
Screening Mammogram
|
$348.69 |
$348.69 |
$348.69 |
$303.55
|
|
Screening pap smear by phys
|
$72.24 |
$72.24 |
$72.24 |
$40.59
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,695.67 |
$9,695.67 |
$9,695.67 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$189.19 |
$189.19 |
$189.19 |
$44.20
|
|
Set radiation therapy field
|
$1,454.84 |
$1,454.84 |
$1,454.84 |
$731.50
|
|
Set radiation therapy field
|
$2,621.66 |
$2,621.66 |
$2,621.66 |
$1,636.36
|
|
Shoe post-op mens m
|
$90.84 |
$90.84 |
$90.84 |
$31.88
|
|
Shoulder MRI (with and without contrast)
|
$7,171.70 |
$7,171.70 |
$7,171.70 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$6,263.52 |
$6,263.52 |
$6,263.52 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$6,033.99 |
$6,033.99 |
$6,033.99 |
$2,051.28
|
|
Shoulder X-ray
|
$819.62 |
$819.62 |
$819.62 |
$367.02
|
|
Sickling rbc
|
$23.29 |
$23.29 |
$23.29 |
$53.55
|
|
Sinus CT scan (with contrast)
|
$2,845.76 |
$2,845.76 |
$2,845.76 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,154.14 |
$2,154.14 |
$2,154.14 |
$1,279.50
|
|
Sleep Study (Polysomnography)
|
$3,238.85 |
$3,238.85 |
$3,238.85 |
$3,936.80
|
|
Smear fluorescent and/or acid fast stain
|
$18.00 |
$18.00 |
$18.00 |
$64.20
|
|
Smear gram stain
|
$311.06 |
$311.06 |
$311.06 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$38.56 |
$38.56 |
$38.56 |
$64.35
|
|
Smear wet mount
|
$244.05 |
$244.05 |
$244.05 |
$68.63
|
|
Sodium 24 hour urine
|
$97.18 |
$97.18 |
$97.18 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$21.57 |
$21.57 |
$21.57 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$61.31 |
$61.31 |
$61.31 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$259.33 |
$259.33 |
$259.33 |
$104.00
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$642.90 |
$642.90 |
$642.90 |
$651.32
|
|
Sodium serum/plasma/whole blood
|
$99.09 |
$99.09 |
$99.09 |
$42.70
|
|
Special physics consult
|
$1,501.10 |
$1,501.10 |
$1,501.10 |
$700.74
|
|
Special radiation dosimetry
|
$819.89 |
$819.89 |
$819.89 |
$445.50
|
|
Special radiation treatment
|
$2,821.36 |
$2,821.36 |
$2,821.36 |
$1,934.03
|
|
Special teletx port plan
|
$2,119.18 |
$2,119.18 |
$2,119.18 |
$1,046.65
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$955.64 |
$955.64 |
$955.64 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$906.43 |
$906.43 |
$906.43 |
$559.96
|
|
Srs multisource
|
$26,271.41 |
$26,271.41 |
$26,271.41 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$367.06 |
$367.06 |
$367.06 |
$300.00
|
|
Staph a dna amp probe
|
$212.34 |
$212.34 |
$212.34 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$289.57 |
$289.57 |
$289.57 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$65,237.20 |
$65,237.20 |
$65,237.20 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$38,056.99 |
$38,056.99 |
$38,056.99 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$38,056.99 |
$38,056.99 |
$38,056.99 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$58,684.96 |
$58,684.96 |
$58,684.96 |
$19,765.20
|
|
St evaluate speech sound production
|
$367.06 |
$367.06 |
$367.06 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$367.06 |
$367.06 |
$367.06 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$543.09 |
$543.09 |
$543.09 |
$406.40
|
|
St evaluation swallow function
|
$456.72 |
$456.72 |
$456.72 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$249.74 |
$249.74 |
$249.74 |
$248.05
|
|
Strapping of hand or finger
|
$188.03 |
$188.03 |
$188.03 |
$194.40
|
|
Strapping of knee
|
$380.89 |
$380.89 |
$380.89 |
$224.80
|
|
Strapping of toes 29550
|
$188.03 |
$188.03 |
$188.03 |
$185.36
|
|
Strep b dna amp probe
|
$171.34 |
$171.34 |
$171.34 |
$139.20
|
|
Stress test pulmonary
|
$380.89 |
$380.89 |
$380.89 |
$327.20
|
|
St treatment speech individual
|
$281.58 |
$281.58 |
$281.58 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$263.99 |
$263.99 |
$263.99 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$82.09 |
$82.09 |
$82.09 |
$49.13
|
|
Sugars single quant
|
$38.14 |
$38.14 |
$38.14 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$284.78 |
$284.78 |
$284.78 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$52.04 |
$52.04 |
$52.04 |
$91.67
|
|
Surgical pathology level 1 gross examination only
|
$146.86 |
$146.86 |
$146.86 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$295.93 |
$295.93 |
$295.93 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$401.78 |
$401.78 |
$401.78 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$419.08 |
$419.08 |
$419.08 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$632.89 |
$632.89 |
$632.89 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$909.39 |
$909.39 |
$909.39 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$196.50 |
$196.50 |
$196.50 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$19.64 |
$19.64 |
$19.64 |
$34.48
|
|
Susceptibility mic per plate
|
$601.03 |
$601.03 |
$601.03 |
$94.38
|
|
Svc venogram s&i
|
$3,485.17 |
$3,485.17 |
$3,485.17 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$770.81 |
$770.81 |
$770.81 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$155.59 |
$155.59 |
$155.59 |
$44.85
|
|
T3 (triiodothyronine) free
|
$205.26 |
$205.26 |
$205.26 |
$89.82
|
|
T3 (triiodothyronine) total
|
$75.37 |
$75.37 |
$75.37 |
$94.90
|
|
T4 (thyroxine) free
|
$57.84 |
$57.84 |
$57.84 |
$81.60
|
|
T4 (thyroxine) total
|
$199.77 |
$199.77 |
$199.77 |
$73.64
|
|
Tacrolimus therapeutic drug level
|
$48.87 |
$48.87 |
$48.87 |
$122.40
|
|
Target gsa panel hmtlmph neop
|
$7,579.69 |
$7,579.69 |
$7,579.69 |
$1,928.40
|
|
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe
|
$1,421.80 |
$1,421.80 |
$1,421.80 |
$959.55
|
|
Tbs techl calculation only
|
$210.01 |
$210.01 |
$210.01 |
$123.30
|
|
Tb test cell mediated immunity antigen response gamma interferon
|
$211.00 |
$211.00 |
$211.00 |
$166.46
|
|
T cells absolute cd4/cd8 including ratio
|
$60.14 |
$60.14 |
$60.14 |
$186.00
|
|
T cells absolute cd 4 count
|
$195.02 |
$195.02 |
$195.02 |
$120.25
|