|
Renal venogram bil s&i
|
$29,295.99 |
$29,295.99 |
$29,295.99 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$3,203.88 |
$3,203.88 |
$3,203.88 |
$432.55
|
|
Repair lip full thkns =<one-half vert height
|
$6,921.73 |
$6,921.73 |
$6,921.73 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,707.99 |
$4,707.99 |
$4,707.99 |
$1,928.07
|
|
Repair of nasal septum
|
$38,558.54 |
$38,558.54 |
$38,558.54 |
$3,837.72
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$3,203.88 |
$3,203.88 |
$3,203.88 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$6,921.73 |
$6,921.73 |
$6,921.73 |
$1,268.80
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$3,202.70 |
$3,202.70 |
$3,202.70 |
$504.12
|
|
Replace duod/jej tube perc
|
$10,252.17 |
$10,252.17 |
$10,252.17 |
$1,383.00
|
|
Replace g/c tube perc
|
$10,252.17 |
$10,252.17 |
$10,252.17 |
$1,413.60
|
|
Replace g-j tube perc
|
$3,137.66 |
$3,137.66 |
$3,137.66 |
$1,600.45
|
|
Reposition pm/icd lead
|
$7,451.92 |
$7,451.92 |
$7,451.92 |
$3,827.46
|
|
Reptilase test
|
$108.60 |
$108.60 |
$700.00 |
$65.65
|
|
Respirator motion mgmt simul
|
$2,480.81 |
$2,480.81 |
$2,480.81 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$43.29 |
$43.29 |
$409.00 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$409.00 |
$409.00 |
$409.00 |
$35.20
|
|
Resp virus 6-11 targets
|
$2,743.26 |
$2,743.26 |
$2,743.26 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$1,022.04 |
$1,022.04 |
$1,022.04 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,949.14 |
$1,949.14 |
$1,949.14 |
$797.29
|
|
Reticulated platelet assay
|
$136.84 |
$136.84 |
$136.84 |
$63.08
|
|
Reticulocyte automated
|
$53.00 |
$53.00 |
$210.15 |
$54.60
|
|
Revasc intra lithotrip-stent
|
$29,864.77 |
$29,864.77 |
$29,864.77 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$19,794.56 |
$19,794.56 |
$19,794.56 |
$12,393.88
|
|
Revasc lithotrip-stent-ather
|
$29,864.77 |
$29,864.77 |
$29,864.77 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$77,007.46 |
$77,007.46 |
$77,007.46 |
$13,419.98
|
|
Revsc opn/prq tib/pero stent
|
$18,045.06 |
$18,045.06 |
$18,045.06 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$67.69 |
$67.69 |
$771.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$204.46 |
$204.46 |
$204.46 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$28.02 |
$28.02 |
$1,619.00 |
$255.26
|
|
Rho d immune globulin inj
|
$776.00 |
$776.00 |
$1,227.06 |
$334.53
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,443.09 |
$1,443.09 |
$1,443.09 |
$539.70
|
|
Right ventric recording
|
$10,085.00 |
$10,085.00 |
$10,085.00 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$138.00 |
$138.00 |
$138.00 |
$5.97
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$16,356.37 |
$16,356.37 |
$16,356.37 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$18,116.94 |
$18,116.94 |
$18,116.94 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$28,218.29 |
$28,218.29 |
$28,218.29 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$26,843.44 |
$26,843.44 |
$26,843.44 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$27,923.76 |
$27,923.76 |
$27,923.76 |
$7,582.77
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$20,622.36 |
$20,622.36 |
$20,622.36 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$32,094.79 |
$32,094.79 |
$32,094.79 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$26,902.27 |
$26,902.27 |
$26,902.27 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$28,056.57 |
$28,056.57 |
$28,056.57 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$80,106.59 |
$80,106.59 |
$80,106.59 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$7,845.93 |
$7,845.93 |
$7,845.93 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$7,923.08 |
$7,923.08 |
$7,923.08 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$7,736.05 |
$7,736.05 |
$7,736.05 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$25,936.43 |
$25,936.43 |
$25,936.43 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$30,789.26 |
$30,789.26 |
$30,789.26 |
$10,427.04
|
|
Rmvl pq vad left hrt vein sep session
|
$6,907.58 |
$6,907.58 |
$6,907.58 |
$2,722.30
|
|
Rmvl subq card rhythm mntr
|
$3,129.84 |
$3,129.84 |
$3,129.84 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$7,845.93 |
$7,845.93 |
$7,845.93 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$32,094.79 |
$32,094.79 |
$32,094.79 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$28,619.31 |
$28,619.31 |
$28,619.31 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$67.00 |
$67.00 |
$4,420.19 |
$180.55
|
|
Rotavirus antibody
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$38.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$12,973.43 |
$12,973.43 |
$12,973.43 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$7,665.00 |
$7,665.00 |
$7,665.00 |
$1,458.95
|
|
Rpl tun-cvad w subq port
|
$12,383.71 |
$12,383.71 |
$12,383.71 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$7,906.29 |
$7,906.29 |
$7,906.29 |
$4,201.80
|
|
Rsv assay w/optic
|
$381.00 |
$381.00 |
$381.00 |
$73.80
|
|
Rubella antibody igg
|
$200.66 |
$200.66 |
$200.66 |
$73.10
|
|
Rubeola antibody igg
|
$142.00 |
$142.00 |
$142.00 |
$79.68
|
|
Russell viper venom diluted
|
$31.69 |
$31.69 |
$106.00 |
$70.16
|
|
Salmonella antibody
|
$145.43 |
$145.43 |
$145.43 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$33.00 |
$33.00 |
$396.28 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$3,090.93 |
$3,090.93 |
$3,929.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,938.80 |
$1,938.80 |
$2,192.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$2,287.00 |
$2,287.00 |
$3,090.93 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,057.00 |
$1,057.00 |
$1,467.07 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,358.67 |
$2,358.67 |
$2,358.67 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,722.00 |
$1,722.00 |
$2,677.79 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$2,225.13 |
$2,225.13 |
$2,225.13 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$2,331.50 |
$2,331.50 |
$2,331.50 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$4,582.38 |
$4,582.38 |
$4,582.38 |
$2,114.45
|
|
Screen cerv/vag thin layer
|
$38.00 |
$38.00 |
$38.00 |
$47.04
|
|
Screening Colonoscopy (average risk)
|
$10,088.94 |
$10,088.94 |
$10,088.94 |
$1,278.72
|
|
Screening hepatitis b non-obstetric high risk
|
$84.81 |
$84.81 |
$84.81 |
$31.10
|
|
Screening Mammogram
|
$497.88 |
$497.88 |
$1,496.00 |
$303.55
|
|
Screening prostate cancer PSA
|
$360.00 |
$360.00 |
$360.00 |
$81.31
|
|
Sedimentation rate erythrocyte automated
|
$207.30 |
$207.30 |
$459.00 |
$44.20
|
|
Semen analysis presence/motility
|
$132.86 |
$132.86 |
$293.00 |
$70.85
|
|
Sertraline (zoloft) - sendout
|
$188.35 |
$188.35 |
$188.35 |
$173.16
|
|
Set radiation therapy field
|
$1,117.92 |
$1,117.92 |
$1,117.92 |
$731.50
|
|
Set radiation therapy field
|
$1,562.91 |
$1,562.91 |
$1,562.91 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$1,928.42 |
$1,928.42 |
$1,928.42 |
$311.25
|
|
Sho arthrs srg lmtd dbrdmt
|
$33,868.14 |
$33,868.14 |
$33,868.14 |
$3,839.54
|
|
Sho arthrs srg xtnsv dbrdmt
|
$33,868.14 |
$33,868.14 |
$33,868.14 |
$3,839.54
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$59,623.90 |
$59,623.90 |
$59,623.90 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$10,428.60 |
$10,428.60 |
$10,428.60 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$7,881.68 |
$7,881.68 |
$7,881.68 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$6,573.80 |
$6,573.80 |
$6,573.80 |
$2,051.28
|
|
Shoulder X-ray
|
$1,542.02 |
$1,542.02 |
$1,542.02 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$3,095.00 |
$3,095.00 |
$3,095.00 |
$345.00
|
|
Sialidase enzyme assay
|
$141.00 |
$141.00 |
$141.00 |
$49.44
|
|
Sialography s&i
|
$2,921.00 |
$2,921.00 |
$2,921.00 |
$462.40
|
|
Sickling rbc
|
$59.73 |
$59.73 |
$59.73 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$1,527.00 |
$1,527.00 |
$1,527.00 |
$309.52
|
|
Sincalide 5 mcg solution for injection
|
$284.00 |
$284.00 |
$284.00 |
$409.96
|
