|
Removal/replacement ppm generator dual lead system
|
$12,270.00 |
$12,270.00 |
$12,270.00 |
$12,384.25
|
|
Removal sutr and stapl no anes
|
$50.00 |
$50.00 |
$50.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$50.00 |
$50.00 |
$50.00 |
$93.88
|
|
Removal sutr/staple req anes
|
$125.00 |
$125.00 |
$125.00 |
$2,431.38
|
|
Removal tunnled intprtnl cath
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$4,284.80
|
|
Remove renal tube w/fluoro
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,172.80
|
|
Remove ureter stent percut
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$3,640.89
|
|
Renal cyst study s&i
|
$735.00 |
$735.00 |
$735.00 |
$751.34
|
|
Renal function panel
|
$82.50 |
$82.50 |
$82.50 |
$114.37
|
|
Renal venogram bil s&i
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$3,615.28
|
|
Repair achilles tendon
|
$4,995.00 |
$4,995.00 |
$4,995.00 |
$7,906.00
|
|
Repair blood vessel direct hand finger
|
$3,670.00 |
$3,670.00 |
$3,670.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$800.00 |
$800.00 |
$800.00 |
$1,731.55
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$945.00 |
$945.00 |
$945.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$275.00 |
$275.00 |
$275.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,340.00
|
|
Repair eyelid wound
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$2,760.73
|
|
Repair finger/hand tendon
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,350.00
|
|
Repair hand joint
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$3,839.54
|
|
Repair lac palate<2 cm
|
$580.00 |
$580.00 |
$580.00 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$580.00 |
$580.00 |
$580.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$1,928.07
|
|
Repair nerve add-on 64832
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$2,386.86
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$3,639.36
|
|
Repair of ulnar motor nerve 64836
|
$4,995.00 |
$4,995.00 |
$4,995.00 |
$4,881.00
|
|
Repair palate
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$7,000.36
|
|
Repair pm/icd lead dual
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,498.80
|
|
Repair pm/icd lead sgl
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$275.00 |
$275.00 |
$275.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$580.00 |
$580.00 |
$580.00 |
$1,244.09
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,499.12
|
|
Replace duod/jej tube perc
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,357.60
|
|
Replace g/c tube perc
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,568.05
|
|
Replace picvad cath
|
$4,185.00 |
$4,185.00 |
$4,185.00 |
$3,724.63
|
|
Replace tunneled cv cath
|
$4,190.00 |
$4,190.00 |
$4,190.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$4,895.00 |
$4,895.00 |
$4,895.00 |
$3,802.20
|
|
Repos sq defib eltrd
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,306.60
|
|
Respirator motion mgmt simul
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$1,200.53
|
|
Reticulated platelet assay
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$32.50 |
$32.50 |
$32.50 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$6,565.00 |
$6,565.00 |
$6,565.00 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$13,925.00 |
$13,925.00 |
$13,925.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,624.54
|
|
Revision tips
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$8,110.00 |
$8,110.00 |
$8,110.00 |
$9,196.55
|
|
Rheumatoid factor quantitative
|
$37.50 |
$37.50 |
$37.50 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$17.50 |
$17.50 |
$17.50 |
$234.12
|
|
Rho d immune globulin inj
|
$265.00 |
$265.00 |
$265.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$472.50 |
$472.50 |
$472.50 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$570.00 |
$570.00 |
$570.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$520.00 |
$520.00 |
$520.00 |
$397.60
|
|
Right ventric recording
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$2,345.00
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$230.19 |
$230.19 |
$230.19 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$158.19 |
$158.19 |
$158.19 |
$5,004.42
|
|
Rmvl icd by tv extr
|
$3,340.00 |
$3,340.00 |
$3,340.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$28,675.00 |
$28,675.00 |
$28,675.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$39,785.00 |
$39,785.00 |
$39,785.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$28,675.00 |
$28,675.00 |
$28,675.00 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$2,675.00 |
$2,675.00 |
$2,675.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$9,090.00 |
$9,090.00 |
$9,090.00 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$17,475.00 |
$17,475.00 |
$17,475.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,090.00 |
$9,090.00 |
$9,090.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$835.00 |
$835.00 |
$835.00 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$1,930.00 |
$1,930.00 |
$1,930.00 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,340.00 |
$3,340.00 |
$3,340.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$3,340.00 |
$3,340.00 |
$3,340.00 |
$4,225.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$6.33 |
$6.33 |
$6.33 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$3,724.63
|
|
Rsv assay w/optic
|
$110.00 |
$110.00 |
$110.00 |
$76.32
|
|
Rubella antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$77.40
|
|
Rubeola antibody igg
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Russell viper venom diluted
|
$77.50 |
$77.50 |
$77.50 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$362.50 |
$362.50 |
$362.50 |
$314.26
|
|
Salmonella antibody
|
$70.00 |
$70.00 |
$70.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$37.50 |
$37.50 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$52.50 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$905.00 |
$905.00 |
$905.00 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$605.00 |
$605.00 |
$605.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$565.00 |
$565.00 |
$565.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$520.00 |
$520.00 |
$520.00 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$2,144.48
|
|
Scope uretscp lithovue dig disp
|
$8,143.35 |
$8,143.35 |
$8,143.35 |
$4,246.72
|
|
Screening Mammogram
|
$237.50 |
$237.50 |
$237.50 |
$310.20
|
