|
Reposition pm/icd lead
|
$11,504.72 |
$11,504.72 |
$11,504.72 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$8,215.38 |
$8,215.38 |
$8,215.38 |
$1,905.00
|
|
Reptilase test
|
$152.04 |
$152.04 |
$152.04 |
$65.65
|
|
Respirator motion mgmt simul
|
$2,114.09 |
$2,114.09 |
$2,114.09 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$50.51 |
$50.51 |
$50.51 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$253.60 |
$253.60 |
$253.60 |
$35.20
|
|
Resp virus 6-11 targets
|
$3,365.75 |
$3,365.75 |
$3,365.75 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$2,383.51 |
$2,383.51 |
$2,383.51 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$2,761.59 |
$2,761.59 |
$2,761.59 |
$797.29
|
|
Reticulated platelet assay
|
$159.65 |
$159.65 |
$159.65 |
$63.08
|
|
Reticulocyte automated
|
$200.01 |
$200.01 |
$200.01 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$92,656.53 |
$92,656.53 |
$92,656.53 |
$18,697.66
|
|
Revasc lithotrip-stent-ather
|
$29,481.63 |
$29,481.63 |
$29,481.63 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$23,093.66 |
$23,093.66 |
$23,093.66 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$92,656.53 |
$92,656.53 |
$92,656.53 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$92,656.53 |
$92,656.53 |
$92,656.53 |
$18,472.02
|
|
Revision tips
|
$41,443.06 |
$41,443.06 |
$41,443.06 |
$9,810.00
|
|
Rheumatoid factor qualitative
|
$275.75 |
$275.75 |
$275.75 |
$54.60
|
|
Rheumatoid factor quantitative
|
$197.09 |
$197.09 |
$197.09 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$27.91 |
$27.91 |
$27.91 |
$255.26
|
|
Rho d immune globulin inj
|
$955.04 |
$955.04 |
$955.04 |
$334.53
|
|
Right ventric recording
|
$5,759.11 |
$5,759.11 |
$5,759.11 |
$1,980.36
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$19,379.29 |
$19,379.29 |
$19,379.29 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$21,465.89 |
$21,465.89 |
$21,465.89 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$47,361.77 |
$47,361.77 |
$47,361.77 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$45,053.67 |
$45,053.67 |
$45,053.67 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$46,867.31 |
$46,867.31 |
$46,867.31 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$9,153.58 |
$9,153.58 |
$9,153.58 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$41,575.31 |
$41,575.31 |
$41,575.31 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$77,751.98 |
$77,751.98 |
$77,751.98 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$88,950.90 |
$88,950.90 |
$88,950.90 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$9,153.58 |
$9,153.58 |
$9,153.58 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$9,025.40 |
$9,025.40 |
$9,025.40 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$23,867.85 |
$23,867.85 |
$23,867.85 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,620.67 |
$16,620.67 |
$16,620.67 |
$10,427.04
|
|
Rmvl pq iabp
|
$18,031.00 |
$18,031.00 |
$18,031.00 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$7,736.51 |
$7,736.51 |
$7,736.51 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$29,420.22 |
$29,420.22 |
$29,420.22 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$4,161.65 |
$4,161.65 |
$4,161.65 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$20,932.87 |
$20,932.87 |
$20,932.87 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$9,153.58 |
$9,153.58 |
$9,153.58 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$48,034.99 |
$48,034.99 |
$48,034.99 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,469.33 |
$1,469.33 |
$1,469.33 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$2,249.78 |
$2,249.78 |
$2,249.78 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$4,454.56 |
$4,454.56 |
$4,454.56 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,809.82 |
$5,809.82 |
$5,809.82 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$8,820.19 |
$8,820.19 |
$8,820.19 |
$4,201.80
|
|
Rubella antibody igg
|
$210.66 |
$210.66 |
$210.66 |
$73.10
|
|
Rubeola antibody igg
|
$117.97 |
$117.97 |
$117.97 |
$79.68
|
|
Russell viper venom diluted
|
$141.30 |
$141.30 |
$141.30 |
$70.16
|
|
Salmonella antibody
|
$203.58 |
$203.58 |
$203.58 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,425.75 |
$3,425.75 |
$3,425.75 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$3,879.47 |
$3,879.47 |
$3,879.47 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,665.41 |
$1,665.41 |
$1,665.41 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,914.73 |
$1,914.73 |
$1,914.73 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,970.04 |
$2,970.04 |
$2,970.04 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,728.03 |
$2,728.03 |
$2,728.03 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,897.12 |
$2,897.12 |
$2,897.12 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,873.13 |
$2,873.13 |
$2,873.13 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,278.72
|
|
Screening Mammogram
|
$525.15 |
$525.15 |
$525.15 |
$303.55
|
|
Sec art mech thrmbc non-intracranial add-on
|
$9,927.58 |
$9,927.58 |
$9,927.58 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$204.41 |
$204.41 |
$204.41 |
$44.20
|
|
Semen analysis presence/motility
|
$186.00 |
$186.00 |
$186.00 |
$70.85
|
|
Serpina1 gene
|
$673.74 |
$673.74 |
$673.74 |
$191.73
|
|
Set radiation therapy field
|
$1,068.79 |
$1,068.79 |
$1,068.79 |
$731.50
|
|
Set radiation therapy field
|
$2,131.28 |
$2,131.28 |
$2,131.28 |
$1,636.36
|
|
Sho arthrs srg lmtd dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Sho arthrs srg xtnsv dbrdmt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$7,607.01 |
$7,607.01 |
$7,607.01 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,896.42 |
$5,896.42 |
$5,896.42 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$5,637.30 |
$5,637.30 |
$5,637.30 |
$2,051.28
|
|
Shoulder X-ray
|
$1,868.10 |
$1,868.10 |
$1,868.10 |
$367.02
|
|
Sickling rbc
|
$87.28 |
$87.28 |
$87.28 |
$53.55
|
|
Sim ang w/prs cath rad emb
|
$25,107.44 |
$25,107.44 |
$25,107.44 |
$22,490.60
|
|
Sinus CT scan (with and without contrast)
|
$9,590.02 |
$9,590.02 |
$9,590.02 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$8,411.53 |
$8,411.53 |
$8,411.53 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$6,904.22 |
$6,904.22 |
$6,904.22 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$2,489.25
|
|
Skin Biopsy
|
$642.62 |
$642.62 |
$642.62 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$3,936.80
|
|
Sleep study unattended
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$595.50
|
|
Slp ther svc non-spch gen
|
$419.79 |
$419.79 |
$419.79 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$266.72 |
$266.72 |
$266.72 |
$64.20
|
|
Smear gram stain
|
$180.77 |
$180.77 |
$180.77 |
$57.85
|
|
Smear nasal eosinophil
|
$89.37 |
$89.37 |
$89.37 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$110.28 |
$110.28 |
$110.28 |
$64.35
|
|
Smear wet mount
|
$231.62 |
$231.62 |
$231.62 |
$68.63
|
|
Snrpn/ube3a gene
|
$788.27 |
$788.27 |
$788.27 |
$228.80
|
|
Sodium 24 hour urine
|
$225.41 |
$225.41 |
$225.41 |
$48.50
|
