|
Repair lac palate<2 cm
|
$967.80 |
$967.80 |
$967.80 |
$780.65
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$1,928.07
|
|
Repair pm/icd lead dual
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$1,224.63
|
|
Repair testis injury
|
$4,810.20 |
$4,810.20 |
$4,810.20 |
$3,863.60
|
|
Replace duod/jej tube perc
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,354.54
|
|
Replace g/c tube perc
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,341.50
|
|
Replace g-j tube perc
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$1,498.53
|
|
Replace/irrigate catheter
|
$10,492.20 |
$10,492.20 |
$10,492.20 |
$7,088.41
|
|
Replace picvad cath
|
$6,058.80 |
$6,058.80 |
$6,058.80 |
$3,724.63
|
|
Replace/revise brain shunt
|
$8,307.60 |
$8,307.60 |
$8,307.60 |
$8,043.00
|
|
Replace tunneled cv cath
|
$4,360.20 |
$4,360.20 |
$4,360.20 |
$3,724.63
|
|
Replantation digit complete
|
$5,899.80 |
$5,899.80 |
$5,899.80 |
$3,045.29
|
|
Reposition pm/icd lead
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$3,895.20 |
$3,895.20 |
$3,895.20 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$3,724.63
|
|
Reptilase test
|
$116.40 |
$116.40 |
$116.40 |
$72.00
|
|
Respirator motion mgmt simul
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$406.20 |
$406.20 |
$406.20 |
$780.42
|
|
Reticulocyte automated
|
$96.00 |
$96.00 |
$96.00 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$307.80 |
$307.80 |
$307.80 |
$36.57
|
|
Revasc evasc fpvt angio cplx 1st
|
$18,081.00 |
$18,081.00 |
$18,081.00 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$13,345.80 |
$13,345.80 |
$13,345.80 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$60,319.80 |
$60,319.80 |
$60,319.80 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$42,983.40 |
$42,983.40 |
$42,983.40 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$42,982.80 |
$42,982.80 |
$42,982.80 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$45,627.60 |
$45,627.60 |
$45,627.60 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$27,067.20 |
$27,067.20 |
$27,067.20 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$33,711.60 |
$33,711.60 |
$33,711.60 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$27,067.20 |
$27,067.20 |
$27,067.20 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$19,653.00 |
$19,653.00 |
$19,653.00 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$39,255.00 |
$39,255.00 |
$39,255.00 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$27,067.20 |
$27,067.20 |
$27,067.20 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$33,999.60 |
$33,999.60 |
$33,999.60 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$27,067.20 |
$27,067.20 |
$27,067.20 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$54,126.60 |
$54,126.60 |
$54,126.60 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$42,982.80 |
$42,982.80 |
$42,982.80 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$24,615.00 |
$24,615.00 |
$24,615.00 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$24,615.00 |
$24,615.00 |
$24,615.00 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$15,395.40 |
$15,395.40 |
$15,395.40 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$26,173.80 |
$26,173.80 |
$26,173.80 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$24,615.00 |
$24,615.00 |
$24,615.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$16,369.80 |
$16,369.80 |
$16,369.80 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$26,173.80 |
$26,173.80 |
$26,173.80 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$26,173.80 |
$26,173.80 |
$26,173.80 |
$19,385.85
|
|
Revise spine eltrd perq aray
|
$4,134.60 |
$4,134.60 |
$4,134.60 |
$7,496.58
|
|
Revision of leg vein 37780
|
$6,026.40 |
$6,026.40 |
$6,026.40 |
$3,724.63
|
|
Rf abltj nrv nrvtg si jt
|
$8,341.20 |
$8,341.20 |
$8,341.20 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$122.40 |
$122.40 |
$122.40 |
$57.20
|
|
Rheumatoid factor quantitative
|
$122.40 |
$122.40 |
$122.40 |
$57.00
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$223.20 |
$223.20 |
$223.20 |
$172.80
|
|
Rmvl icd by tv extr
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$14,541.60 |
$14,541.60 |
$14,541.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$20,296.20 |
$20,296.20 |
$20,296.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,879.00 |
$15,879.00 |
$15,879.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$5,618.40 |
$5,618.40 |
$5,618.40 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$12,852.00 |
$12,852.00 |
$12,852.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,272.20 |
$5,272.20 |
$5,272.20 |
$10,542.00
|
|
Rmvl pq iabp
|
$631.20 |
$631.20 |
$631.20 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,048.20 |
$4,048.20 |
$4,048.20 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,717.40 |
$2,717.40 |
$2,717.40 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,051.60 |
$3,051.60 |
$3,051.60 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$7,693.20 |
$7,693.20 |
$7,693.20 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$7,693.20 |
$7,693.20 |
$7,693.20 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$6,058.80 |
$6,058.80 |
$6,058.80 |
$3,687.00
|
|
Rsv assay w/optic
|
$220.80 |
$220.80 |
$220.80 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$235.20 |
$235.20 |
$235.20 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$67.80 |
$67.80 |
$67.80 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$67.80 |
$67.80 |
$67.80 |
$67.80
|
|
Rubella antibody igg
|
$211.80 |
$211.80 |
$211.80 |
$77.03
|
|
Rubeola antibody igg
|
$145.20 |
$145.20 |
$145.20 |
$80.00
|
|
Russell viper venom diluted
|
$245.40 |
$245.40 |
$245.40 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,008.79
|
|
Salivary glnd img serial img
|
$691.20 |
$691.20 |
$691.20 |
$701.73
|
|
Same day nb discharge 99463
|
$209.40 |
$209.40 |
$209.40 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$59.40 |
$59.40 |
$59.40 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$302.40 |
$302.40 |
$302.40 |
$104.00
|
|
Sbrt management
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$258.60 |
$258.60 |
$258.60 |
$248.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$954.60 |
$954.60 |
$954.60 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$792.60 |
$792.60 |
$792.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$843.00 |
$843.00 |
$843.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$843.60 |
$843.60 |
$843.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$796.20 |
$796.20 |
$796.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$864.00 |
$864.00 |
$864.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$822.00 |
$822.00 |
$822.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$720.60 |
$720.60 |
$720.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$907.80 |
$907.80 |
$907.80 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$199.20 |
$199.20 |
$199.20 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$199.20 |
$199.20 |
$199.20 |
$54.40
|
