|
Revsc opn/prq tib/pero stent
|
$10,702.45 |
$10,702.45 |
$10,702.45 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$147.40 |
$147.40 |
$147.40 |
$54.60
|
|
Rheumatoid factor quantitative
|
$56.65 |
$56.65 |
$56.65 |
$58.00
|
|
Rmvl icd by tv extr
|
$9,291.70 |
$9,291.70 |
$9,291.70 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$40,989.30 |
$40,989.30 |
$40,989.30 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$34,901.90 |
$34,901.90 |
$34,901.90 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$40,989.30 |
$40,989.30 |
$40,989.30 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$14,539.80 |
$14,539.80 |
$14,539.80 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$913.55 |
$913.55 |
$913.55 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$9,582.10 |
$9,582.10 |
$9,582.10 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,780.55 |
$21,780.55 |
$21,780.55 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,837.20 |
$10,837.20 |
$10,837.20 |
$10,427.04
|
|
Rmvl pq iabp
|
$2,963.40 |
$2,963.40 |
$2,963.40 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$2,722.30
|
|
Rmvl subq card rhythm mntr
|
$8,570.10 |
$8,570.10 |
$8,570.10 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$4,026.55 |
$4,026.55 |
$4,026.55 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$7,898.55 |
$7,898.55 |
$7,898.55 |
$4,195.80
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,488.30 |
$1,488.30 |
$1,488.30 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,813.90 |
$1,813.90 |
$1,813.90 |
$1,458.95
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,298.55 |
$1,298.55 |
$1,298.55 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$2,971.10 |
$2,971.10 |
$2,971.10 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$3,380.30 |
$3,380.30 |
$3,380.30 |
$4,201.80
|
|
Rsv assay w/optic
|
$121.00 |
$121.00 |
$121.00 |
$73.80
|
|
Rubella antibody igg
|
$118.25 |
$118.25 |
$118.25 |
$73.10
|
|
Rubeola antibody igg
|
$45.10 |
$45.10 |
$45.10 |
$79.68
|
|
Russell viper venom diluted
|
$254.10 |
$254.10 |
$254.10 |
$70.16
|
|
Salivary gland imaging
|
$950.40 |
$950.40 |
$950.40 |
$549.70
|
|
Salmonella antibody
|
$162.80 |
$162.80 |
$162.80 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,060.40 |
$1,060.40 |
$1,060.40 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,397.55 |
$1,397.55 |
$1,397.55 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$869.00 |
$869.00 |
$869.00 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$443.30 |
$443.30 |
$443.30 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$721.60 |
$721.60 |
$721.60 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$782.10 |
$782.10 |
$782.10 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$659.45 |
$659.45 |
$659.45 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$1,687.95 |
$1,687.95 |
$1,687.95 |
$4,079.62
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$45.10 |
$45.10 |
$45.10 |
$54.26
|
|
Screening Mammogram
|
$348.15 |
$348.15 |
$348.15 |
$303.55
|
|
Screening prostate cancer PSA
|
$200.20 |
$200.20 |
$200.20 |
$100.80
|
|
Screen pap by tech w md supv
|
$288.20 |
$288.20 |
$288.20 |
$41.80
|
|
Screw cortex 2.0 x 10mm
|
$12,452.29 |
$12,452.29 |
$12,452.29 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$102.85 |
$102.85 |
$102.85 |
$126.75
|
|
Sedimentation rate erythrocyte automated
|
$61.60 |
$61.60 |
$61.60 |
$44.20
|
|
Semen analysis w/count
|
$118.25 |
$118.25 |
$118.25 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$347.60 |
$347.60 |
$347.60 |
$316.68
|
|
Serial casting application 97139app
|
$112.75 |
$112.75 |
$112.75 |
$67.42
|
|
Sertraline (zoloft) - sendout
|
$117.15 |
$117.15 |
$117.15 |
$173.16
|
|
Set radiation therapy field
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$731.50
|
|
Set radiation therapy field
|
$1,778.15 |
$1,778.15 |
$1,778.15 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$177.65 |
$177.65 |
$177.65 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$189.20 |
$189.20 |
$189.20 |
$302.55
|
|
Shoulder MRI (with and without contrast)
|
$3,598.10 |
$3,598.10 |
$3,598.10 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,148.20 |
$3,148.20 |
$3,148.20 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$2,954.60 |
$2,954.60 |
$2,954.60 |
$2,051.28
|
|
Shoulder X-ray
|
$418.55 |
$418.55 |
$418.55 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$411.40 |
$411.40 |
$411.40 |
$345.00
|
|
Sialography s&i
|
$842.05 |
$842.05 |
$842.05 |
$462.40
|
|
Sialolithotomy 42330
|
$2,498.10 |
$2,498.10 |
$2,498.10 |
$3,837.72
|
|
Sickling rbc
|
$103.40 |
$103.40 |
$103.40 |
$53.55
|
|
Signal avg ecg w or without ecg 93278
|
$181.50 |
$181.50 |
$181.50 |
$309.52
|
|
Sinus CT scan (with and without contrast)
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$4,965.40 |
$4,965.40 |
$4,965.40 |
$2,489.25
|
|
Skin Biopsy
|
$327.25 |
$327.25 |
$327.25 |
$382.80
|
|
Skin split graft addl 100sq cm 15101
|
$2,938.10 |
$2,938.10 |
$2,938.10 |
$460.00
|
|
Sleep Study (Polysomnography)
|
$3,960.55 |
$3,960.55 |
$3,960.55 |
$3,936.80
|
|
Sleep study unattended
|
$562.65 |
$562.65 |
$562.65 |
$595.50
|
|
Sling arm deluxe w/pad xs
|
$1,030.51 |
$1,030.51 |
$1,030.51 |
$25.55
|
|
Sling pelv split sam med
|
$80.46 |
$80.46 |
$80.46 |
$115.20
|
|
Sling suprapubic suburetheral
|
$1,119.42 |
$1,119.42 |
$1,119.42 |
$10,328.15
|
|
Slitting of prepuce
|
$2,196.70 |
$2,196.70 |
$2,196.70 |
$2,983.40
|
|
Slp pure tone screening
|
$47.30 |
$47.30 |
$47.30 |
$67.60
|
|
Smear fluorescent and/or acid fast stain
|
$61.60 |
$61.60 |
$61.60 |
$64.20
|
|
Smear gram stain
|
$47.85 |
$47.85 |
$47.85 |
$57.85
|
|
Smear nasal eosinophil
|
$124.30 |
$124.30 |
$124.30 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$81.40 |
$81.40 |
$81.40 |
$64.35
|
|
Smear wet mount
|
$50.05 |
$50.05 |
$50.05 |
$68.63
|
|
Snrpn/ube3a gene
|
$668.80 |
$668.80 |
$668.80 |
$228.80
|
|
Sodium 24 hour urine
|
$72.05 |
$72.05 |
$72.05 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$56.65 |
$56.65 |
$56.65 |
$42.70
|
|
Special physics consult
|
$751.30 |
$751.30 |
$751.30 |
$700.74
|
|
Special radiation dosimetry
|
$233.20 |
$233.20 |
$233.20 |
$445.50
|
|
Special radiation treatment
|
$2,302.85 |
$2,302.85 |
$2,302.85 |
$1,934.03
|
|
Special teletx port plan
|
$1,095.05 |
$1,095.05 |
$1,095.05 |
$1,046.65
|
|
Specific gravity body fluid
|
$19.80 |
$19.80 |
$19.80 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,114.85 |
$1,114.85 |
$1,114.85 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$847.55 |
$847.55 |
$847.55 |
$559.96
|
|
Spleen imaging
|
$1,157.20 |
$1,157.20 |
$1,157.20 |
$539.70
|
|
Split blood or products
|
$165.00 |
$165.00 |
$165.00 |
$148.98
|
|
St analysis behavior qualitative voice/resonance
|
$307.45 |
$307.45 |
$307.45 |
$300.00
|
|
Staph a dna amp probe
|
$129.80 |
$129.80 |
$129.80 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$238.15 |
$238.15 |
$238.15 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$21,568.80 |
$21,568.80 |
$21,568.80 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$10,837.20 |
$10,837.20 |
$10,837.20 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$204.80 |
$204.80 |
$204.80 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,783.26 |
$3,783.26 |
$3,783.26 |
$18,714.49
|
|
Stent iliac/open or perc/uni/init 37221
|
$13,849.55 |
$13,849.55 |
$13,849.55 |
$17,281.80
|
