|
Pulmonary vent imaging
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$878.00
|
|
Pulse ox continuous overnight monitoring
|
$164.50 |
$164.50 |
$164.50 |
$344.00
|
|
Pulse ox multiple
|
$17.50 |
$17.50 |
$17.50 |
$162.00
|
|
Pulse ox single
|
$16.10 |
$16.10 |
$16.10 |
$85.60
|
|
Puncture arterial withdrawal blood for diagnosis
|
$439.60 |
$439.60 |
$439.60 |
$126.29
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$961.10 |
$961.10 |
$961.10 |
$496.00
|
|
Puncture spinal lumbar diagnostic
|
$1,738.10 |
$1,738.10 |
$1,738.10 |
$1,082.90
|
|
Pyruvate
|
$140.70 |
$140.70 |
$140.70 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,538.60
|
|
Quest t3 uptake
|
$80.50 |
$80.50 |
$80.50 |
$55.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$2,014.64
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$2,242.80
|
|
Rbc count only automated
|
$47.60 |
$47.60 |
$47.60 |
$20.00
|
|
Red blood cells leukocytes reduced each unit
|
$316.40 |
$316.40 |
$316.40 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$441.70 |
$441.70 |
$441.70 |
$523.83
|
|
Red blood cells washed each unit
|
$695.10 |
$695.10 |
$695.10 |
$559.00
|
|
Refill/maint pump/resvr syst
|
$663.60 |
$663.60 |
$663.60 |
$384.15
|
|
Relocation skin pocket pm
|
$3,841.60 |
$3,841.60 |
$3,841.60 |
$2,581.59
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,262.00 |
$3,262.00 |
$3,262.00 |
$2,422.70
|
|
Removal cerumen impacted (both sides)
|
$135.80 |
$135.80 |
$135.80 |
$161.85
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$300.30 |
$300.30 |
$300.30 |
$236.64
|
|
Removal foreign body extrn auditory canal with anes
|
$3,697.40 |
$3,697.40 |
$3,697.40 |
$2,552.50
|
|
Removal/replacement ppm generator dual lead system
|
$21,977.20 |
$21,977.20 |
$21,977.20 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$453.60 |
$453.60 |
$453.60 |
$283.40
|
|
Removal sutr or stapl no anes
|
$21.00 |
$21.00 |
$21.00 |
$95.00
|
|
Renal function panel
|
$123.90 |
$123.90 |
$123.90 |
$113.52
|
|
Repair blood vessel direct hand finger
|
$7,182.70 |
$7,182.70 |
$7,182.70 |
$3,780.66
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$529.90 |
$529.90 |
$529.90 |
$432.55
|
|
Repair lip full thkns =<one-half vert height
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$1,256.32
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,380.30 |
$3,380.30 |
$3,380.30 |
$1,856.50
|
|
Repair pm/icd lead dual
|
$7,642.60 |
$7,642.60 |
$7,642.60 |
$4,306.60
|
|
Repair rpr lip full thickness vermilion only
|
$1,278.20 |
$1,278.20 |
$1,278.20 |
$1,217.60
|
|
Reposition pm/icd lead
|
$6,610.10 |
$6,610.10 |
$6,610.10 |
$3,767.50
|
|
Resuscitation cardiopulmonary
|
$326.90 |
$326.90 |
$326.90 |
$745.80
|
|
Reticulated platelet assay
|
$300.30 |
$300.30 |
$300.30 |
$75.00
|
|
Reticulocyte automated
|
$100.10 |
$100.10 |
$100.10 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$46.90 |
$46.90 |
$46.90 |
$35.84
|
|
Revasc evasc fpvt angio sf 1st
|
$11,973.50 |
$11,973.50 |
$11,973.50 |
$10,094.56
|
|
Revasc evasc fpvt athrec sf 1st
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$26,503.49
|
|
Revasc evasc fpvt st athrec sf 1st
|
$38,009.30 |
$38,009.30 |
$38,009.30 |
$32,513.04
|
|
Revasc evasc fpvt stent sf 1st
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$18,389.38
|
|
Revasc evasc tpvt athrec sf 1st
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$27,924.41
|
|
Revasc intravasc lithotripsy
|
$14,861.00 |
$14,861.00 |
$14,861.00 |
$11,278.00
|
|
Rheumatoid factor qualitative
|
$88.20 |
$88.20 |
$88.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$79.10 |
$79.10 |
$79.10 |
$56.55
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$47,137.30 |
$47,137.30 |
$47,137.30 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$22,694.70 |
$22,694.70 |
$22,694.70 |
$25,899.70
|
|
Rmvl perm pm pulse gen
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$6,256.66
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$10,765.50
|
|
Rmvl subq card rhythm mntr
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$7,642.60 |
$7,642.60 |
$7,642.60 |
$3,988.50
|
|
Rmvl tv pm lead sgl
|
$7,642.60 |
$7,642.60 |
$7,642.60 |
$4,031.69
|
|
Rp loclzj tum 2+area 1+d img
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,340.00
|
|
Rsv assay w/optic
|
$181.30 |
$181.30 |
$181.30 |
$82.68
|
|
Rubella antibody igg
|
$178.50 |
$178.50 |
$178.50 |
$76.86
|
|
Rubeola antibody igg
|
$123.20 |
$123.20 |
$123.20 |
$80.00
|
|
Russell viper venom diluted
|
$123.20 |
$123.20 |
$123.20 |
$68.64
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$966.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$737.10 |
$737.10 |
$737.10 |
$653.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$786.10 |
$786.10 |
$786.10 |
$468.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$669.90 |
$669.90 |
$669.90 |
$709.76
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,284.10 |
$2,284.10 |
$2,284.10 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$669.90 |
$669.90 |
$669.90 |
$645.21
|
|
Scr c/v cyto,thinlayer,rescr
|
$141.40 |
$141.40 |
$141.40 |
$83.40
|
|
Screening HIV antigen/antibody combination assay
|
$200.90 |
$200.90 |
$200.90 |
$42.30
|
|
Screening Mammogram
|
$312.20 |
$312.20 |
$312.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$187.60 |
$187.60 |
$187.60 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$46.90 |
$46.90 |
$46.90 |
$44.20
|
|
Serpina1 gene
|
$403.20 |
$403.20 |
$403.20 |
$195.65
|
|
Shoulder MRI (with and without contrast)
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$4,016.60 |
$4,016.60 |
$4,016.60 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,110.00
|
|
Shoulder X-ray
|
$400.40 |
$400.40 |
$400.40 |
$343.70
|
|
Shuntogram nonvascular supervision & interpretation
|
$483.70 |
$483.70 |
$483.70 |
$345.00
|
|
Sickling rbc
|
$67.20 |
$67.20 |
$67.20 |
$54.00
|
|
Sinus CT scan (with and without contrast)
|
$2,947.00 |
$2,947.00 |
$2,947.00 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$2,330.30 |
$2,330.30 |
$2,330.30 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,281.80
|
|
Skin Biopsy
|
$400.40 |
$400.40 |
$400.40 |
$357.00
|
|
Sleep Study (Polysomnography)
|
$5,483.80 |
$5,483.80 |
$5,483.80 |
$3,659.20
|
|
Slitting of prepuce
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$3,281.10
|
|
Slp ther svc non-spch gen
|
$429.10 |
$429.10 |
$429.10 |
$187.75
|
|
Smear fluorescent and/or acid fast stain
|
$72.80 |
$72.80 |
$72.80 |
$64.35
|
|
Smear gram stain
|
$57.40 |
$57.40 |
$57.40 |
$55.35
|
|
Smear nasal eosinophil
|
$79.10 |
$79.10 |
$79.10 |
$45.57
|
|
Smear special stain inclusion bodies/parasites
|
$67.20 |
$67.20 |
$67.20 |
$68.85
|
|
Smear wet mount
|
$84.00 |
$84.00 |
$84.00 |
$66.30
|
|
Sodium 24 hour urine
|
$52.50 |
$52.50 |
$52.50 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$70.00 |
$70.00 |
$70.00 |
$45.00
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$1,471.40 |
$1,471.40 |
$1,471.40 |
$536.34
|
|
St analysis behavior qualitative voice/resonance
|
$431.90 |
$431.90 |
$431.90 |
$295.10
|
|
St cognitve performance testing healthcare professional each hour
|
$392.70 |
$392.70 |
$392.70 |
$284.65
|
|
St evaluate speech sound production
|
$491.40 |
$491.40 |
$491.40 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$488.60 |
$488.60 |
$488.60 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$619.50 |
$619.50 |
$619.50 |
$373.50
|
|
St evaluation swallow function
|
$619.50 |
$619.50 |
$619.50 |
$311.36
|
|
Strapping of ankle and/or ft 29540
|
$293.30 |
$293.30 |
$293.30 |
$205.38
|