|
Removal central venous catheter tunneled without port/pump
|
$667.44 |
$667.44 |
$667.44 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$239.76 |
$239.76 |
$239.76 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$214.56 |
$214.56 |
$214.56 |
$245.28
|
|
Removal foreign body foot subcutaneous right
|
$2,700.72 |
$2,700.72 |
$2,700.72 |
$1,256.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$398.16 |
$398.16 |
$398.16 |
$292.50
|
|
Removal sutr and stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$78.00
|
|
Removal sutr or stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$93.88
|
|
Remove hip foreign body 27086
|
$3,090.96 |
$3,090.96 |
$3,090.96 |
$2,292.15
|
|
Remove shoulder foreign body subq 23330
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,788.80
|
|
Renal function panel
|
$273.60 |
$273.60 |
$273.60 |
$113.52
|
|
Repair blood vessel dir upper extr
|
$3,399.12 |
$3,399.12 |
$3,399.12 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$660.96 |
$660.96 |
$660.96 |
$1,042.00
|
|
Repair dental ellis ii fx
|
$568.08 |
$568.08 |
$568.08 |
$442.48
|
|
Repair eyelid wound
|
$4,631.04 |
$4,631.04 |
$4,631.04 |
$3,254.34
|
|
Repair hand joint
|
$3,504.24 |
$3,504.24 |
$3,504.24 |
$3,839.54
|
|
Replace duod/jej tube perc
|
$1,885.68 |
$1,885.68 |
$1,885.68 |
$1,354.54
|
|
Replace g/c tube perc
|
$1,847.52 |
$1,847.52 |
$1,847.52 |
$1,306.40
|
|
#resp virpnl dfa-adenovirus
|
$43.92 |
$43.92 |
$43.92 |
$46.80
|
|
Resp virus 6-11 targets
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$687.60 |
$687.60 |
$687.60 |
$751.33
|
|
Reticulocyte automated
|
$204.48 |
$204.48 |
$204.48 |
$51.37
|
|
Rheumatoid factor quantitative
|
$112.32 |
$112.32 |
$112.32 |
$56.24
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$39.20 |
$39.20 |
$39.20 |
$247.55
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$44.60 |
$44.60 |
$44.60 |
$2,429.37
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$292.22 |
$292.22 |
$292.22 |
$4,888.96
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$247.72 |
$247.72 |
$247.72 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,876.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$43.26 |
$43.26 |
$43.26 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.73 |
$0.73 |
$0.73 |
$188.50
|
|
Rsv assay w/optic
|
$232.56 |
$232.56 |
$232.56 |
$81.90
|
|
Rubella antibody igg
|
$105.12 |
$105.12 |
$105.12 |
$76.70
|
|
Rubeola antibody igg
|
$93.60 |
$93.60 |
$93.60 |
$80.00
|
|
Russell viper venom diluted
|
$131.76 |
$131.76 |
$131.76 |
$71.88
|
|
Sarscov coronavirus ag ia
|
$72.00 |
$72.00 |
$72.00 |
$59.50
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$984.24 |
$984.24 |
$984.24 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$355.68 |
$355.68 |
$355.68 |
$661.20
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$679.68 |
$679.68 |
$679.68 |
$757.02
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$622.80 |
$622.80 |
$622.80 |
$475.24
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$408.24 |
$408.24 |
$408.24 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,190.88 |
$1,190.88 |
$1,190.88 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,568.16 |
$1,568.16 |
$1,568.16 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,378.08 |
$1,378.08 |
$1,378.08 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$570.00
|
|
Scope uretscp lithovue dig disp
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$4,800.00
|
|
Screening Colonoscopy (high risk)
|
$3,175.92 |
$3,175.92 |
$3,175.92 |
$1,864.80
|
|
Screening Mammogram
|
$280.08 |
$280.08 |
$280.08 |
$313.35
|
|
Screening prostate cancer PSA
|
$141.12 |
$141.12 |
$141.12 |
$98.28
|
|
Screw cortex 2.0 x 10mm
|
$5,832.00 |
$5,832.00 |
$5,832.00 |
$28,563.75
|
|
Sedimentation rate erythrocyte automated
|
$164.88 |
$164.88 |
$164.88 |
$42.25
|
|
Semen analysis presence/motility
|
$144.00 |
$144.00 |
$144.00 |
$74.75
|
|
Shoulder MRI (with and without contrast)
|
$4,088.88 |
$4,088.88 |
$4,088.88 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$3,569.76 |
$3,569.76 |
$3,569.76 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,946.24 |
$2,946.24 |
$2,946.24 |
$2,088.20
|
|
Shoulder X-ray
|
$447.12 |
$447.12 |
$447.12 |
$340.40
|
|
Sialography s&i
|
$478.80 |
$478.80 |
$478.80 |
$519.42
|
|
Sickling rbc
|
$64.80 |
$64.80 |
$64.80 |
$56.00
|
|
Sincalide 5 mcg solution for injection
|
$429.01 |
$429.01 |
$429.01 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,204.64 |
$2,204.64 |
$2,204.64 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,816.56 |
$1,816.56 |
$1,816.56 |
$1,292.04
|
|
Skin Biopsy
|
$409.68 |
$409.68 |
$409.68 |
$360.34
|
|
Slco1b1 gene com variants
|
$220.32 |
$220.32 |
$220.32 |
$220.50
|
|
Sleep Study (Polysomnography)
|
$4,028.40 |
$4,028.40 |
$4,028.40 |
$3,598.50
|
|
Smear fluorescent and/or acid fast stain
|
$161.28 |
$161.28 |
$161.28 |
$64.00
|
|
Smear gram stain
|
$90.72 |
$90.72 |
$90.72 |
$54.03
|
|
Smear nasal eosinophil
|
$154.08 |
$154.08 |
$154.08 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$70.56 |
$70.56 |
$70.56 |
$71.40
|
|
Smear wet mount
|
$89.28 |
$89.28 |
$89.28 |
$66.30
|
|
Sodium 24 hour urine
|
$46.80 |
$46.80 |
$46.80 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$32.40 |
$32.40 |
$32.40 |
$43.45
|
|
Sodium chloride 0.9 % IV bolus
|
$32.40 |
$32.40 |
$32.40 |
$37.19
|
|
Sodium chloride 3 % ivpb
|
$0.17 |
$0.17 |
$0.17 |
$37.80
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$21.98 |
$21.98 |
$21.98 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$79.20 |
$79.20 |
$79.20 |
$45.50
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$474.48 |
$474.48 |
$474.48 |
$543.26
|
|
St analysis behavior qualitative voice/resonance
|
$283.68 |
$283.68 |
$283.68 |
$295.10
|
|
Staph a dna amp probe
|
$177.84 |
$177.84 |
$177.84 |
$125.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$432.00 |
$432.00 |
$432.00 |
$2,301.33
|
|
Stent bili rx wallflx 10x80 uncvr
|
$324.00 |
$324.00 |
$324.00 |
$20,300.00
|
|
Sterile needle
|
$11.52 |
$11.52 |
$11.52 |
$190.13
|
|
St evaluate speech sound production comprehensive/expressive
|
$318.96 |
$318.96 |
$318.96 |
$376.23
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$349.92 |
$349.92 |
$349.92 |
$370.50
|
|
St evaluation swallow function
|
$318.96 |
$318.96 |
$318.96 |
$309.60
|
|
Strapping of chest
|
$170.64 |
$170.64 |
$170.64 |
$196.93
|
|
Strapping of knee
|
$138.96 |
$138.96 |
$138.96 |
$206.50
|
|
Strapping of toes 29550
|
$105.84 |
$105.84 |
$105.84 |
$164.70
|
|
Strep a ag ia
|
$126.00 |
$126.00 |
$126.00 |
$75.40
|
|
Strep a dna quant
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Stress test pulmonary
|
$668.16 |
$668.16 |
$668.16 |
$322.85
|
|
Stress tte complete
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$1,797.59
|
|
St treatment speech individual
|
$185.76 |
$185.76 |
$185.76 |
$249.00
|
|
St treatment swallow dysfunction/oral
|
$164.88 |
$164.88 |
$164.88 |
$243.99
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$4.32 |
$4.32 |
$4.32 |
$54.55
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$38.02 |
$38.02 |
$38.02 |
$122.16
|
|
Surgical pathology level 1 gross examination only
|
$86.40 |
$86.40 |
$86.40 |
$79.20
|
|
Surgical pathology level 2 gross & microscopic examination
|
$203.04 |
$203.04 |
$203.04 |
$143.65
|
|
Surgical pathology level 3 gross & microscopic examination
|
$247.68 |
$247.68 |
$247.68 |
$182.25
|
|
Surgical pathology level 4 gross & microscopic examination
|
$306.72 |
$306.72 |
$306.72 |
$252.60
|
