|
Rmvl foreign body upper arm/elbow subcutaneous
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$2,649.00 |
$2,649.00 |
$2,649.00 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$6,608.00
|
|
Rmvl phrnc nrv stim sys
|
$5,956.00 |
$5,956.00 |
$5,956.00 |
$5,110.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$10,427.04
|
|
Rmvl pq iabp
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$6,967.00 |
$6,967.00 |
$6,967.00 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$3,618.00 |
$3,618.00 |
$3,618.00 |
$1,991.00
|
|
Rmvl tongs/halo anthr indiv
|
$3,209.00 |
$3,209.00 |
$3,209.00 |
$504.90
|
|
Rmvl tv pm lead dual
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$4,195.80
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$43,741.00 |
$43,741.00 |
$43,741.00 |
$36,000.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$27,275.66 |
$27,275.66 |
$27,275.66 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,952.17 |
$2,952.17 |
$2,952.17 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,268.00 |
$3,268.00 |
$3,268.00 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,401.00 |
$1,401.00 |
$13,314.80 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$4,785.00 |
$4,785.00 |
$4,785.00 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,013.00 |
$4,013.00 |
$4,013.00 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$6,968.00 |
$6,968.00 |
$6,968.00 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$18,001.00 |
$18,001.00 |
$18,001.00 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$7,050.00 |
$7,050.00 |
$7,050.00 |
$4,201.80
|
|
Rsv assay w/optic
|
$371.00 |
$371.00 |
$726.35 |
$73.80
|
|
Rubella antibody igg
|
$474.00 |
$474.00 |
$474.00 |
$73.10
|
|
Rubeola antibody igg
|
$98.22 |
$98.22 |
$942.00 |
$79.68
|
|
Russell viper venom diluted
|
$51.63 |
$51.63 |
$751.00 |
$70.16
|
|
Salivary glnd img serial img
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$585.00
|
|
Salmonella antibody
|
$161.00 |
$161.00 |
$161.00 |
$37.58
|
|
Sargramostim injection
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$708.27
|
|
Sars-cov-2 antb quantitative
|
$262.00 |
$262.00 |
$262.00 |
$51.43
|
|
Sarscov coronavirus ag ia
|
$51.63 |
$52.15 |
$434.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$115.00 |
$115.00 |
$115.00 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,064.00 |
$2,064.00 |
$10,255.94 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,621.00 |
$1,621.00 |
$5,129.65 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,475.00 |
$1,475.00 |
$3,380.90 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,222.00 |
$2,222.00 |
$7,541.95 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$601.70
|
|
Scan proc spinal
|
$9,317.00 |
$9,317.00 |
$9,317.00 |
$975.00
|
|
Sclerotherapy fluid collection pq w/img
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$14,567.00 |
$14,567.00 |
$14,567.00 |
$3,821.05
|
|
Screening Colonoscopy (average risk)
|
$5,407.00 |
$5,407.00 |
$5,407.00 |
$1,278.72
|
|
Screening hepatitis c antibody high risk
|
$672.00 |
$672.00 |
$672.00 |
$85.80
|
|
Screening HIV antigen/antibody combination assay
|
$557.87 |
$557.87 |
$557.87 |
$28.90
|
|
Screening Mammogram
|
$784.00 |
$960.30 |
$1,504.65 |
$303.55
|
|
Screening pap smear by phys
|
$116.00 |
$116.00 |
$116.00 |
$55.20
|
|
Screening prostate cancer PSA
|
$47.85 |
$47.85 |
$1,235.70 |
$100.80
|
|
Screen pap by tech w md supv
|
$84.00 |
$84.00 |
$84.00 |
$41.80
|
|
Sc ther infusion reset pump
|
$986.00 |
$986.00 |
$986.00 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$10,218.00 |
$10,218.00 |
$10,218.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$246.00 |
$246.00 |
$265.71 |
$44.20
|
|
Select picture audiometry
|
$224.00 |
$224.00 |
$224.00 |
$81.12
|
|
Semen analysis presence/motility
|
$656.00 |
$656.00 |
$656.00 |
$70.85
|
|
Semen analysis w/count
|
$226.00 |
$226.00 |
$226.00 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$622.00 |
$622.00 |
$622.00 |
$316.68
|
|
Serpina1 gene
|
$193.52 |
$193.52 |
$633.00 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$326.00 |
$326.00 |
$326.00 |
$173.16
|
|
Set radiation therapy field
|
$337.75 |
$2,567.41 |
$7,157.00 |
$731.50
|
|
Set radiation therapy field
|
$8,218.00 |
$8,218.00 |
$8,218.00 |
$1,102.40
|
|
Set radiation therapy field
|
$742.75 |
$5,593.20 |
$9,167.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$678.00 |
$678.00 |
$678.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$678.00 |
$678.00 |
$678.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$678.00 |
$678.00 |
$678.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$678.00 |
$678.00 |
$678.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$678.00 |
$678.00 |
$678.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$1,301.00 |
$1,301.00 |
$1,301.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$629.00 |
$629.00 |
$629.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$629.00 |
$629.00 |
$629.00 |
$302.55
|
|
Sho arthrs dx +- synovial bx
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$10,750.00 |
$10,750.00 |
$10,750.00 |
$5,419.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$14,857.00 |
$14,857.00 |
$14,857.00 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$13,999.00 |
$13,999.00 |
$13,999.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$12,019.00 |
$12,019.00 |
$12,019.00 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$12,032.00 |
$12,032.00 |
$12,032.00 |
$3,839.54
|
|
Shoe post-op mens m
|
$95.00 |
$95.00 |
$95.00 |
$42.87
|
|
Shorten radius or ulna
|
$23,643.00 |
$23,643.00 |
$23,643.00 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$16,817.00 |
$16,817.00 |
$16,817.00 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$13,081.00 |
$13,081.00 |
$13,081.00 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$10,064.00 |
$10,064.00 |
$10,064.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$8,906.00 |
$8,906.00 |
$8,906.00 |
$2,051.28
|
|
Shoulder X-ray
|
$792.00 |
$792.00 |
$792.00 |
$367.02
|
|
Shrinker prosth above knee
|
$93.00 |
$93.00 |
$93.00 |
$157.49
|
|
Shrinker prosth below knee
|
$67.00 |
$67.00 |
$67.00 |
$153.13
|
|
Shuntogram nonvascular supervision & interpretation
|
$697.51 |
$2,183.00 |
$27,508.35 |
$345.00
|
|
Sialidase enzyme assay
|
$83.00 |
$83.00 |
$83.00 |
$49.44
|
|
Sialolithotomy 42330
|
$7,143.00 |
$7,143.00 |
$7,143.00 |
$3,837.72
|
|
Sickling rbc
|
$190.00 |
$190.00 |
$190.00 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$1,351.63
|
