|
Rmvl ndwellg tun pleural cath
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$12,224.40 |
$12,224.40 |
$12,224.40 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$30,876.60 |
$30,876.60 |
$30,876.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$12,862.80 |
$12,862.80 |
$12,862.80 |
$10,542.00
|
|
Rmvl pq iabp
|
$872.40 |
$872.40 |
$872.40 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$4,603.80 |
$4,603.80 |
$4,603.80 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,782.00 |
$4,782.00 |
$4,782.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,782.00 |
$4,782.00 |
$4,782.00 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,078.80 |
$1,078.80 |
$1,078.80 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,618.40 |
$2,618.40 |
$2,618.40 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,928.80 |
$3,928.80 |
$3,928.80 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,272.20 |
$2,272.20 |
$2,272.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,985.20 |
$3,985.20 |
$3,985.20 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$6,730.20 |
$6,730.20 |
$6,730.20 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$3,687.00
|
|
Rpr blood vsl grf oth vein lo ex
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
$5,983.35
|
|
Rp therapy unlisted px
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$549.50
|
|
Rsv assay w/optic
|
$108.00 |
$108.00 |
$108.00 |
$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
|
$172.80 |
$172.80 |
$172.80 |
$77.03
|
|
Rubeola antibody igg
|
$159.60 |
$159.60 |
$159.60 |
$80.00
|
|
Russell viper venom diluted
|
$201.60 |
$201.60 |
$201.60 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,498.40 |
$2,498.40 |
$2,498.40 |
$1,008.79
|
|
Salivary gland function exam
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$753.60
|
|
Salivary glnd img serial img
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$701.73
|
|
Same day nb discharge 99463
|
$108.60 |
$108.60 |
$108.60 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$58.20 |
$58.20 |
$58.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$293.40 |
$293.40 |
$293.40 |
$104.00
|
|
Sbrt management
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$179.40 |
$179.40 |
$179.40 |
$248.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$781.80 |
$781.80 |
$781.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$793.80 |
$793.80 |
$793.80 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$801.00 |
$801.00 |
$801.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,264.20 |
$1,264.20 |
$1,264.20 |
$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
|
$729.00 |
$729.00 |
$729.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,671.00 |
$1,671.00 |
$1,671.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$187.80 |
$187.80 |
$187.80 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$187.80 |
$187.80 |
$187.80 |
$54.40
|
|
Screening Mammogram
|
$413.40 |
$413.40 |
$413.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$183.60 |
$183.60 |
$183.60 |
$100.63
|
|
Screen pap by tech w md supv
|
$99.00 |
$99.00 |
$99.00 |
$52.65
|
|
Screen/visual acuity/bilat/quant 99173
|
$61.80 |
$61.80 |
$61.80 |
$28.86
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,290.40 |
$3,290.40 |
$3,290.40 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$117.00 |
$117.00 |
$117.00 |
$42.00
|
|
Select picture audiometry
|
$257.40 |
$257.40 |
$257.40 |
$105.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$43.20 |
$43.20 |
$43.20 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$36.60 |
$36.60 |
$36.60 |
$33.04
|
|
Set radiation therapy field
|
$909.60 |
$909.60 |
$909.60 |
$762.40
|
|
Set radiation therapy field
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,157.38
|
|
Set radiation therapy field
|
$2,074.20 |
$2,074.20 |
$2,074.20 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$115.20 |
$115.20 |
$115.20 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$159.60 |
$159.60 |
$159.60 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$220.80 |
$220.80 |
$220.80 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$129.00 |
$129.00 |
$129.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$121.20 |
$121.20 |
$121.20 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$143.40 |
$143.40 |
$143.40 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$159.60 |
$159.60 |
$159.60 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$232.20 |
$232.20 |
$232.20 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$232.20 |
$232.20 |
$232.20 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$138.60 |
$138.60 |
$138.60 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$159.00 |
$159.00 |
$159.00 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$4,986.00 |
$4,986.00 |
$4,986.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$4,628.40 |
$4,628.40 |
$4,628.40 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$4,307.40 |
$4,307.40 |
$4,307.40 |
$2,065.05
|
|
Shoulder X-ray
|
$484.20 |
$484.20 |
$484.20 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$349.20
|
|
Sialography s&i
|
$513.60 |
$513.60 |
$513.60 |
$499.20
|
|
Sickling rbc
|
$83.40 |
$83.40 |
$83.40 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$286.20 |
$286.20 |
$286.20 |
$280.00
|
|
Simple cystometrogram 51725
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$134.40 |
$134.40 |
$134.40 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$2,675.40 |
$2,675.40 |
$2,675.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,245.20 |
$2,245.20 |
$2,245.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,101.20 |
$2,101.20 |
$2,101.20 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$4,917.00 |
$4,917.00 |
$4,917.00 |
$2,489.25
|
|
Skin Biopsy
|
$300.60 |
$300.60 |
$300.60 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$3,211.80 |
$3,211.80 |
$3,211.80 |
$1,793.40
|
|
Sleep study attended
|
$4,509.00 |
$4,509.00 |
$4,509.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,433.80 |
$3,433.80 |
$3,433.80 |
$3,607.50
|
|
Sleep study unattended
|
$992.40 |
$992.40 |
$992.40 |
$580.87
|
|
Sleeve fing rolyan med
|
$165.00 |
$165.00 |
$165.00 |
$203.58
|
|
Slitting of prepuce
|
$4,357.80 |
$4,357.80 |
$4,357.80 |
$3,365.50
|
|
Slp pure tone screening
|
$83.40 |
$83.40 |
$83.40 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$784.80 |
$784.80 |
$784.80 |
$296.34
|
|
Slp ther svc non-spch gen
|
$330.00 |
$330.00 |
$330.00 |
$188.50
|
|
Small bowel endoscopy br/wa
|
$1,841.40 |
$1,841.40 |
$1,841.40 |
$1,924.00
|
|
Smear fluorescent and/or acid fast stain
|
$79.80 |
$79.80 |
$79.80 |
$64.20
|
|
Smear gram stain
|
$126.00 |
$126.00 |
$126.00 |
$55.25
|
|
Smear nasal eosinophil
|
$99.60 |
$99.60 |
$99.60 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$115.20 |
$115.20 |
$115.20 |
$73.15
|
|
Smear wet mount
|
$132.00 |
$132.00 |
$132.00 |
$67.49
|
