|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$268.80 |
$268.80 |
$268.80 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$2,107.80 |
$2,107.80 |
$2,107.80 |
$4,195.00
|
|
Remove cva lumen obstruct
|
$1,830.60 |
$1,830.60 |
$1,830.60 |
$490.80
|
|
Remove renal tube w/fluoro
|
$2,733.60 |
$2,733.60 |
$2,733.60 |
$1,141.31
|
|
Remove ureter stent percut
|
$15,954.00 |
$15,954.00 |
$15,954.00 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$5,670.60 |
$5,670.60 |
$5,670.60 |
$3,762.53
|
|
Renal function panel
|
$243.00 |
$243.00 |
$243.00 |
$113.52
|
|
Renal venogram bil s&i
|
$5,210.40 |
$5,210.40 |
$5,210.40 |
$3,615.28
|
|
Repair av fistula ext 35190
|
$6,439.20 |
$6,439.20 |
$6,439.20 |
$6,366.08
|
|
Repair blood vessel dir lower extr
|
$7,963.80 |
$7,963.80 |
$7,963.80 |
$1,705.04
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$500.40 |
$500.40 |
$500.40 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$3,154.80 |
$3,154.80 |
$3,154.80 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,313.40 |
$1,313.40 |
$1,313.40 |
$2,224.00
|
|
Repair finger/hand tendon
|
$5,284.20 |
$5,284.20 |
$5,284.20 |
$3,848.00
|
|
Repair lac palate<2 cm
|
$905.40 |
$905.40 |
$905.40 |
$780.65
|
|
Repair pm/icd lead sgl
|
$4,428.60 |
$4,428.60 |
$4,428.60 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$323.40 |
$323.40 |
$323.40 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,224.63
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$4,350.00
|
|
Replace duod/jej tube perc
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$1,215.60 |
$1,215.60 |
$1,215.60 |
$1,341.50
|
|
Replace/revise brain shunt
|
$8,043.00 |
$8,043.00 |
$8,043.00 |
$8,043.00
|
|
Reposition pm/icd lead
|
$6,427.80 |
$6,427.80 |
$6,427.80 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$4,555.20 |
$4,555.20 |
$4,555.20 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$7,966.80 |
$7,966.80 |
$7,966.80 |
$3,724.63
|
|
Reptilase test
|
$201.00 |
$201.00 |
$201.00 |
$72.00
|
|
Respirator motion mgmt simul
|
$180.60 |
$180.60 |
$180.60 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$933.00 |
$933.00 |
$933.00 |
$780.42
|
|
Reticulocyte automated
|
$62.40 |
$62.40 |
$62.40 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$275.40 |
$275.40 |
$275.40 |
$36.57
|
|
Revision of cervix
|
$4,585.80 |
$4,585.80 |
$4,585.80 |
$3,854.76
|
|
Revision of penis
|
$3,202.20 |
$3,202.20 |
$3,202.20 |
$4,350.00
|
|
Rheumatoid factor qualitative
|
$113.40 |
$113.40 |
$113.40 |
$57.20
|
|
Rheumatoid factor quantitative
|
$136.20 |
$136.20 |
$136.20 |
$57.00
|
|
R hrt cath chd abnl nt cnj
|
$7,090.80 |
$7,090.80 |
$7,090.80 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$7,090.80 |
$7,090.80 |
$7,090.80 |
$6,095.95
|
|
Right ventric recording
|
$2,952.60 |
$2,952.60 |
$2,952.60 |
$2,345.00
|
|
R&l hrt cath chd abnl nt cnj
|
$7,090.80 |
$7,090.80 |
$7,090.80 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$7,090.80 |
$7,090.80 |
$7,090.80 |
$6,104.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$4,428.60 |
$4,428.60 |
$4,428.60 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$36,258.00 |
$36,258.00 |
$36,258.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$37,788.60 |
$37,788.60 |
$37,788.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$14,207.40 |
$14,207.40 |
$14,207.40 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$3,977.32
|
|
Rmvl perm pm pulse gen
|
$5,026.80 |
$5,026.80 |
$5,026.80 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,499.00 |
$11,499.00 |
$11,499.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,500.60 |
$13,500.60 |
$13,500.60 |
$10,542.00
|
|
Rmvl pq iabp
|
$603.00 |
$603.00 |
$603.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,733.40 |
$4,733.40 |
$4,733.40 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,428.60 |
$4,428.60 |
$4,428.60 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,428.60 |
$4,428.60 |
$4,428.60 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,596.20 |
$2,596.20 |
$2,596.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,093.60 |
$3,093.60 |
$3,093.60 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$4,641.00 |
$4,641.00 |
$4,641.00 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$7,351.20 |
$7,351.20 |
$7,351.20 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$5,788.80 |
$5,788.80 |
$5,788.80 |
$3,687.00
|
|
Rsv assay w/optic
|
$206.40 |
$206.40 |
$206.40 |
$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
|
$222.00 |
$222.00 |
$222.00 |
$77.03
|
|
Rubeola antibody igg
|
$151.20 |
$151.20 |
$151.20 |
$80.00
|
|
Russell viper venom diluted
|
$243.00 |
$243.00 |
$243.00 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,452.20 |
$2,452.20 |
$2,452.20 |
$1,008.79
|
|
Same day nb discharge 99463
|
$203.40 |
$203.40 |
$203.40 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$55.20 |
$55.20 |
$55.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$279.00 |
$279.00 |
$279.00 |
$104.00
|
|
Sbsq ic vlbw inf<1,500 gm
|
$251.40 |
$251.40 |
$251.40 |
$248.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,603.40 |
$2,603.40 |
$2,603.40 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,465.80 |
$1,465.80 |
$1,465.80 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$801.00 |
$801.00 |
$801.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$703.80 |
$703.80 |
$703.80 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$3,084.60 |
$3,084.60 |
$3,084.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$738.00 |
$738.00 |
$738.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$512.40 |
$512.40 |
$512.40 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$129.60 |
$129.60 |
$129.60 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$201.60 |
$201.60 |
$201.60 |
$54.40
|
|
Screening Mammogram
|
$413.40 |
$413.40 |
$413.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$212.40 |
$212.40 |
$212.40 |
$100.63
|
|
Screen pap by tech w md supv
|
$95.40 |
$95.40 |
$95.40 |
$52.65
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,538.20 |
$6,538.20 |
$6,538.20 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$79.80 |
$79.80 |
$79.80 |
$42.00
|
|
Semen analysis presence/motility
|
$95.40 |
$95.40 |
$95.40 |
$71.05
|
|
Set radiation therapy field
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$762.40
|
|
Set radiation therapy field
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$1,157.38
|
|
Set radiation therapy field
|
$2,827.80 |
$2,827.80 |
$2,827.80 |
$1,636.36
|
|
Shoe post-op mens m
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$7,381.20 |
$7,381.20 |
$7,381.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$7,156.80 |
$7,156.80 |
$7,156.80 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$7,156.80 |
$7,156.80 |
$7,156.80 |
$2,065.05
|
|
Shoulder X-ray
|
$836.40 |
$836.40 |
$836.40 |
$339.50
|
|
Shrinker prosth above knee
|
$585.60 |
$585.60 |
$585.60 |
$168.89
|
|
Sialography s&i
|
$829.80 |
$829.80 |
$829.80 |
$499.20
|
|
Sickling rbc
|
$103.80 |
$103.80 |
$103.80 |
$57.92
|
