|
Repair dental ellis ii fx
|
$6,924.24 |
$6,924.24 |
$6,924.24 |
$442.48
|
|
Repair eyelid wound
|
$5,039.28 |
$5,039.28 |
$5,039.28 |
$3,254.34
|
|
Repair finger/hand tendon
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,150.20
|
|
Repair lip full thkns =<one-half vert height
|
$1,302.48 |
$1,302.48 |
$1,302.48 |
$1,308.00
|
|
Repair pm/icd lead dual
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$4,339.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,456.56 |
$1,456.56 |
$1,456.56 |
$1,224.63
|
|
Repair tendon extensor foot 1/2 each tendon
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,350.00
|
|
Replace duod/jej tube perc
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,354.54
|
|
Replace g/c tube perc
|
$2,149.20 |
$2,149.20 |
$2,149.20 |
$1,341.50
|
|
Replace g-j tube perc
|
$2,074.32 |
$2,074.32 |
$2,074.32 |
$1,498.53
|
|
Reposition pm/icd lead
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,724.63
|
|
Reptilase test
|
$60.48 |
$60.48 |
$60.48 |
$72.00
|
|
Resp virus 6-11 targets
|
$950.40 |
$950.40 |
$950.40 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$735.12 |
$735.12 |
$735.12 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$1,413.36 |
$1,413.36 |
$1,413.36 |
$780.42
|
|
Reticulocyte automated
|
$102.96 |
$102.96 |
$102.96 |
$52.57
|
|
Retrograde ejaculation anal
|
$230.40 |
$230.40 |
$230.40 |
$87.75
|
|
Revasc intra lithotrip-ather
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$19,385.85
|
|
Revise spine eltrd perq aray
|
$14,176.08 |
$14,176.08 |
$14,176.08 |
$7,496.58
|
|
Rf abltj nrv nrvtg si jt
|
$4,217.76 |
$4,217.76 |
$4,217.76 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$240.48 |
$240.48 |
$240.48 |
$57.20
|
|
Rheumatoid factor quantitative
|
$105.84 |
$105.84 |
$105.84 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$46.50 |
$46.50 |
$46.50 |
$243.11
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$142.78 |
$142.78 |
$142.78 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$128.21 |
$128.21 |
$128.21 |
$5,343.99
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$108.74 |
$108.74 |
$108.74 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$48,033.36 |
$48,033.36 |
$48,033.36 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$69,253.20 |
$69,253.20 |
$69,253.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$48,484.08 |
$48,484.08 |
$48,484.08 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$2,670.48 |
$2,670.48 |
$2,670.48 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$17,876.16 |
$17,876.16 |
$17,876.16 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$41,193.36 |
$41,193.36 |
$41,193.36 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,876.16 |
$17,876.16 |
$17,876.16 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$2,358.72 |
$2,358.72 |
$2,358.72 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$7,860.96 |
$7,860.96 |
$7,860.96 |
$4,031.69
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,577.20 |
$6,577.20 |
$6,577.20 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$20.60 |
$20.60 |
$20.60 |
$4,820.04
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,267.28 |
$2,267.28 |
$2,267.28 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,281.84 |
$4,281.84 |
$4,281.84 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$9,612.00 |
$9,612.00 |
$9,612.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$7,143.84 |
$7,143.84 |
$7,143.84 |
$3,687.00
|
|
Rubella antibody igg
|
$129.60 |
$129.60 |
$129.60 |
$77.03
|
|
Rubeola antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$80.00
|
|
Russell viper venom diluted
|
$164.88 |
$164.88 |
$164.88 |
$72.54
|
|
Salmonella antibody
|
$92.88 |
$92.88 |
$92.88 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$79.20 |
$79.20 |
$79.20 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,619.36 |
$2,619.36 |
$2,619.36 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,334.16 |
$1,334.16 |
$1,334.16 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$904.32 |
$904.32 |
$904.32 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$637.92 |
$637.92 |
$637.92 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,381.68 |
$1,381.68 |
$1,381.68 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,666.08 |
$1,666.08 |
$1,666.08 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,223.28 |
$1,223.28 |
$1,223.28 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,269.36 |
$1,269.36 |
$1,269.36 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$220.32 |
$220.32 |
$220.32 |
$85.15
|
|
Screening hepatitis c antibody high risk
|
$486.72 |
$486.72 |
$486.72 |
$99.66
|
|
Screening Mammogram
|
$301.68 |
$301.68 |
$301.68 |
$312.55
|
|
Screening prostate cancer PSA
|
$180.72 |
$180.72 |
$180.72 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$10,260.00 |
$10,260.00 |
$10,260.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,570.48 |
$3,570.48 |
$3,570.48 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$134.64 |
$134.64 |
$134.64 |
$42.00
|
|
Semen analysis presence/motility
|
$141.84 |
$141.84 |
$141.84 |
$71.05
|
|
Serpina1 gene
|
$338.40 |
$338.40 |
$338.40 |
$197.00
|
|
Set radiation therapy field
|
$2,004.48 |
$2,004.48 |
$2,004.48 |
$1,636.36
|
|
Shoe post-op mens m
|
$15.84 |
$15.84 |
$15.84 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$5,253.12 |
$5,253.12 |
$5,253.12 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$4,539.60 |
$4,539.60 |
$4,539.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,751.20 |
$3,751.20 |
$3,751.20 |
$2,065.05
|
|
Shoulder X-ray
|
$589.68 |
$589.68 |
$589.68 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,682.64 |
$1,682.64 |
$1,682.64 |
$349.20
|
|
Sickling rbc
|
$111.60 |
$111.60 |
$111.60 |
$57.92
|
|
Sinus CT scan (with and without contrast)
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,783.52 |
$2,783.52 |
$2,783.52 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,476.08 |
$2,476.08 |
$2,476.08 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$90.00 |
$90.00 |
$90.00 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$10.08 |
$10.08 |
$10.08 |
$16.12
|
|
Skin Biopsy
|
$429.12 |
$429.12 |
$429.12 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$6,178.32 |
$6,178.32 |
$6,178.32 |
$3,607.50
|
|
Sleep study unattended
|
$819.36 |
$819.36 |
$819.36 |
$580.87
|
|
Sling suprapubic suburetheral
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$9,679.96
|
|
Slp eval non-spch gen comm dev
|
$187.92 |
$187.92 |
$187.92 |
$285.09
|
|
Slp ther svc non-spch gen
|
$124.56 |
$124.56 |
$124.56 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$72.00 |
$72.00 |
$72.00 |
$64.20
|
