|
Rpr aa hrn 1st > 10 ncr/strn
|
$5,339.75 |
$5,339.75 |
$5,339.75 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$3,987.10 |
$3,987.10 |
$3,987.10 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$2,934.10 |
$2,934.10 |
$2,934.10 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,704.30 |
$1,704.30 |
$1,704.30 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$5,894.20 |
$5,894.20 |
$5,894.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$4,167.80 |
$4,167.80 |
$4,167.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$4,447.30 |
$4,447.30 |
$4,447.30 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$4,271.28
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$3,970.20 |
$3,970.20 |
$3,970.20 |
$2,098.06
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$4,069.00 |
$4,069.00 |
$4,069.00 |
$1,933.20
|
|
Rpr diaphragm lac/any approach 39501
|
$3,634.80 |
$3,634.80 |
$3,634.80 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$4,176.15
|
|
Rpr nsl vlv collapse w/rmdlg
|
$634.40 |
$634.40 |
$634.40 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,906.18
|
|
Rsv assay w/optic
|
$70.85 |
$70.85 |
$70.85 |
$75.96
|
|
Rtm 1st set-up&pt educaj eqp
|
$481.65 |
$481.65 |
$481.65 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$167.70 |
$167.70 |
$167.70 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$139.75 |
$139.75 |
$139.75 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$58.50 |
$58.50 |
$58.50 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$58.50 |
$58.50 |
$58.50 |
$70.85
|
|
Rubella antibody igg
|
$40.95 |
$40.95 |
$40.95 |
$77.50
|
|
Rubeola antibody igg
|
$72.80 |
$72.80 |
$72.80 |
$80.00
|
|
Russell viper venom diluted
|
$106.60 |
$106.60 |
$106.60 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,998.12 |
$7,998.12 |
$7,998.12 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$596.70 |
$596.70 |
$596.70 |
$314.79
|
|
Salivary gland function exam
|
$134.55 |
$134.55 |
$134.55 |
$753.60
|
|
Salivary gland imaging
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$585.00
|
|
Salivary glnd img serial img
|
$135.20 |
$135.20 |
$135.20 |
$701.73
|
|
Salmonella antibody
|
$22.10 |
$22.10 |
$22.10 |
$37.58
|
|
Same day nb discharge 99463
|
$553.80 |
$553.80 |
$553.80 |
$183.07
|
|
Sargramostim injection
|
$736.22 |
$736.22 |
$736.22 |
$552.52
|
|
Sbrt management
|
$3,394.95 |
$3,394.95 |
$3,394.95 |
$1,156.00
|
|
Sbsq ic vlbw inf<1,500 gm
|
$786.50 |
$786.50 |
$786.50 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$728.00 |
$728.00 |
$728.00 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$338.00 |
$338.00 |
$338.00 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$499.20 |
$499.20 |
$499.20 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$182.00 |
$182.00 |
$182.00 |
$67.60
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$496.60 |
$496.60 |
$496.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$496.60 |
$496.60 |
$496.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$496.60 |
$496.60 |
$496.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$496.60 |
$496.60 |
$496.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$496.60 |
$496.60 |
$496.60 |
$595.35
|
|
Scan proc cranial extra
|
$909.35 |
$909.35 |
$909.35 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$975.00 |
$975.00 |
$975.00 |
$1,015.00
|
|
Scan proc spinal
|
$975.00 |
$975.00 |
$975.00 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$162.50 |
$162.50 |
$162.50 |
$4,246.72
|
|
Scr c/v cyto,autosys and md
|
$74.10 |
$74.10 |
$74.10 |
$55.20
|
|
Screen c/v thin layer by md
|
$74.10 |
$74.10 |
$74.10 |
$55.20
|
|
Screening Colonoscopy (average risk)
|
$932.10 |
$932.10 |
$932.10 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$932.10 |
$932.10 |
$932.10 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$30.55 |
$30.55 |
$30.55 |
$57.60
|
|
Screening Mammogram
|
$637.00 |
$637.00 |
$637.00 |
$310.20
|
|
Screening prostate cancer PSA
|
$49.40 |
$49.40 |
$49.40 |
$101.60
|
|
Screen pap by tech w md supv
|
$69.55 |
$69.55 |
$69.55 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$146.25 |
$146.25 |
$146.25 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$596.70 |
$596.70 |
$596.70 |
$608.90
|
|
Sc ther infusion reset pump
|
$126.75 |
$126.75 |
$126.75 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,712.85 |
$5,712.85 |
$5,712.85 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$28.60 |
$28.60 |
$28.60 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$37.05 |
$37.05 |
$37.05 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$222.95 |
$222.95 |
$222.95 |
$96.60
|
|
Self-meas bp pt educaj/train
|
$143.65 |
$143.65 |
$143.65 |
$29.55
|
|
Semen analysis
|
$37.05 |
$37.05 |
$37.05 |
$13.60
|
|
Serpina1 gene
|
$243.10 |
$243.10 |
$243.10 |
$197.00
|
|
Set radiation therapy field
|
$744.25 |
$744.25 |
$744.25 |
$782.61
|
|
Set radiation therapy field
|
$2,052.70 |
$2,052.70 |
$2,052.70 |
$1,159.03
|
|
Set radiation therapy field
|
$2,052.70 |
$2,052.70 |
$2,052.70 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$484.25 |
$484.25 |
$484.25 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$484.25 |
$484.25 |
$484.25 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$974.35 |
$974.35 |
$974.35 |
$436.64
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$484.25 |
$484.25 |
$484.25 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$484.25 |
$484.25 |
$484.25 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$484.25 |
$484.25 |
$484.25 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$974.35 |
$974.35 |
$974.35 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$974.35 |
$974.35 |
$974.35 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$484.25 |
$484.25 |
$484.25 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$484.25 |
$484.25 |
$484.25 |
$286.89
|
|
Sho arthrs srg bicp tenodsis
|
$3,763.50 |
$3,763.50 |
$3,763.50 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$3,936.40 |
$3,936.40 |
$3,936.40 |
$7,166.67
|
|
Sho arthrs srg lmtd dbrdmt
|
$2,010.45 |
$2,010.45 |
$2,010.45 |
$4,807.00
|
|
Sho arthrs srg prtl synvct
|
$1,874.60 |
$1,874.60 |
$1,874.60 |
$5,886.74
|
|
Sho arthrs srg rpr slap les
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$2,282.15 |
$2,282.15 |
$2,282.15 |
$5,148.00
|
|
Shorten radius or ulna
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$6,609.96
|
|
Shot (Injection into Muscle or Under the Skin)
|
$399.10 |
$399.10 |
$399.10 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$494.00 |
$494.00 |
$494.00 |
$270.20
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$4,053.40 |
$4,053.40 |
$4,053.40 |
$7,907.11
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$596.70 |
$596.70 |
$596.70 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,483.00
|
