|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$15,652.50 |
$15,652.50 |
$18,995.20 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$18,995.20 |
$18,995.20 |
$21,846.00 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,652.50 |
$15,652.50 |
$18,995.20 |
|
|
Rmvl icd pulse gen only
|
$1,978.24 |
$1,978.24 |
$6,873.00 |
|
|
Rmvl ndwellg tun pleural cath
|
$583.50 |
$583.50 |
$583.50 |
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$152.32 |
$152.32 |
$152.32 |
|
|
Rmvl perm pm pulse gen
|
$3,951.04 |
$3,951.04 |
$7,831.50 |
|
|
Rmvl perq right heart vad
|
$119.68 |
$119.68 |
$119.68 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,480.00 |
$8,480.00 |
$12,939.00 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,799.04 |
$3,799.04 |
$5,640.75 |
|
|
Rmvl pq iabp
|
$106.50 |
$106.50 |
$1,492.48 |
|
|
Rmvl pq vad left hrt vein sep session
|
$2,341.50 |
$2,341.50 |
$2,822.08 |
|
|
Rmvl sq defib electrode
|
$6,252.75 |
$6,252.75 |
$6,252.75 |
|
|
Rmvl subq card rhythm mntr
|
$467.25 |
$467.25 |
$657.28 |
|
|
Rmvl tv pm lead dual
|
$2,584.32 |
$2,584.32 |
$6,873.00 |
|
|
Rmvl tv pm lead sgl
|
$2,527.04 |
$2,527.04 |
$6,873.00 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$172.16 |
$172.16 |
$172.16 |
|
|
Rolapitant, oral, 1mg
|
$776.97 |
$776.97 |
$776.97 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,448.40 |
$7,448.40 |
$7,448.40 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$12,887.84 |
$12,887.84 |
$12,887.84 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,085.22 |
$1,085.22 |
$6,155.43 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$15.69 |
$15.69 |
$479.04 |
|
|
Rotavirus antibody
|
$90.00 |
$90.00 |
$90.00 |
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$20,098.88 |
$20,098.88 |
$20,098.88 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
|
|
Rp loclzj tum 2+area 1+d img
|
$745.60 |
$745.60 |
$997.50 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,272.00 |
$1,272.00 |
$3,396.00 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,441.60 |
$1,441.60 |
$3,812.25 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$833.28 |
$833.28 |
$3,534.00 |
|
|
Rpl tun-cvad w subq port
|
$2,141.12 |
$2,141.12 |
$5,975.25 |
|
|
Rpl tun cvc wo subq port
|
$2,984.00 |
$2,984.00 |
$6,296.25 |
|
|
Rpm tx mgmt 1st 20 min
|
$23.68 |
$23.68 |
$23.68 |
|
|
Rpm tx mgmt ea addl 20 min
|
$23.68 |
$23.68 |
$23.68 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$777.92 |
$777.92 |
$777.92 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$585.92 |
$585.92 |
$585.92 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$567.36 |
$567.36 |
$567.36 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$436.80 |
$436.80 |
$436.80 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$261.12 |
$261.12 |
$261.12 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$362.88 |
$362.88 |
$362.88 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$674.24 |
$674.24 |
$674.24 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$652.80 |
$652.80 |
$652.80 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$487.04 |
$487.04 |
$487.04 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$323.20 |
$323.20 |
$323.20 |
|
|
Rpr diaphragm lac/any approach 39501
|
$313.92 |
$313.92 |
$313.92 |
|
|
Rpr fem hernia init blocked
|
$497.92 |
$497.92 |
$497.92 |
|
|
Rpr nsl vlv collapse w/implt
|
$14,958.75 |
$14,958.75 |
$14,958.75 |
|
|
Rpr parastomal hernia rdc 49621
|
$572.16 |
$572.16 |
$572.16 |
|
|
Rpr parastomal hrna ncr/strn 49622
|
$709.12 |
$709.12 |
$709.12 |
|
|
Rpr rem hernia init reduce
|
$455.04 |
$455.04 |
$455.04 |
|
|
Rsv assay w/optic
|
$14.40 |
$14.40 |
$72.75 |
|
|
Rsv vacc mrna lipid nano im
|
$682.35 |
$682.35 |
$682.35 |
|
|
Rubella antibody igg
|
$26.24 |
$26.24 |
$96.00 |
|
|
Rubeola ag if
|
$299.25 |
$299.25 |
$299.25 |
|
|
Rubeola antibody igg
|
$81.00 |
$81.00 |
$117.12 |
|
|
Russell viper venom diluted
|
$19.20 |
$19.20 |
$39.75 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$2,116.43 |
$2,116.43 |
$6,032.34 |
|
|
Salivary gland function exam
|
$997.50 |
$997.50 |
$997.50 |
|
|
Salivary gland imaging
|
$298.56 |
$298.56 |
$997.50 |
|
|
Salivary glnd img serial img
|
$997.50 |
$997.50 |
$997.50 |
|
|
Salmonella antibody
|
$17.92 |
$17.92 |
$81.00 |
|
|
Same day nb discharge 99463
|
$86.08 |
$86.08 |
$86.08 |
|
|
Sargramostim injection
|
$739.98 |
$739.98 |
$739.98 |
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$397.69 |
$397.69 |
$397.69 |
|
|
Sarscov coronavirus ag ia
|
$94.50 |
$94.50 |
$94.50 |
|
|
S bowel endoscope w/stent
|
$9,196.50 |
$9,196.50 |
$9,196.50 |
|
|
Sbrt management
|
$1,779.75 |
$1,779.75 |
$1,779.75 |
|
|
Sbsq ic vlbw inf<1,500 gm
|
$103.36 |
$103.36 |
$103.36 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$60.48 |
$60.48 |
$60.48 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$87.04 |
$87.04 |
$87.04 |
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$413.12 |
$413.12 |
$948.75 |
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$352.64 |
$352.64 |
$768.00 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$382.08 |
$382.08 |
$847.50 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$212.80 |
$212.80 |
$394.50 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$323.20 |
$323.20 |
$423.75 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$258.88 |
$258.88 |
$600.00 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$498.56 |
$498.56 |
$807.00 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$287.36 |
$287.36 |
$638.25 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$252.48 |
$252.48 |
$442.50 |
|
|
Scan proc cranial extra
|
$134.72 |
$134.72 |
$134.72 |
|
|
Scan proc cranial intra 61781
|
$174.72 |
$174.72 |
$174.72 |
|
|
Sclerotherapy fluid collection pq w/img
|
$3,077.25 |
$3,077.25 |
$3,077.25 |
|
|
Scope uretscp lithovue dig disp
|
$690.00 |
$690.00 |
$3,024.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$90.00 |
$90.00 |
$90.00 |
|
|
Screen cerv/vag thin layer
|
$123.75 |
$123.75 |
$123.75 |
|
|
Screen c/v thin layer by md
|
$108.75 |
$108.75 |
$108.75 |
|
|
Screening Colonoscopy (average risk)
|
$144.96 |
$144.96 |
$3,452.25 |
|
|
Screening Colonoscopy (high risk)
|
$144.96 |
$144.96 |
$4,625.25 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$28.80 |
$28.80 |
$78.75 |
|
|
Screening hepatitis c antibody high risk
|
$150.00 |
$150.00 |
$150.00 |
|
|
Screening HIV antigen/antibody combination assay
|
$74.25 |
$74.25 |
$74.25 |
|
|
Screening Mammogram
|
$162.24 |
$162.24 |
$317.25 |
|
|
Screening prostate cancer PSA
|
$33.60 |
$33.60 |
$123.00 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.00 |
$6.00 |
$25.60 |
|
|
Screw cortex 2.0 x 10mm
|
$749.69 |
$749.69 |
$16,648.64 |
|
|
Sc ther infusion reset pump
|
$146.25 |
$146.25 |
$146.25 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$814.08 |
$814.08 |
$814.08 |
|
|
Sedimentation rate erythrocyte automated
|
$15.04 |
$15.04 |
$25.50 |
|
|
Segmentectomy 32484
|
$511.68 |
$511.68 |
$511.68 |
|
|
Semen analysis
|
$19.50 |
$19.50 |
$19.50 |
|
|
Semen analysis presence/motility
|
$2.28 |
$2.28 |
$45.00 |
|
