|
Radphm lcl tmr plnr bdy two day img
|
$3,363.20 |
$3,363.20 |
$3,363.20 |
$2,787.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$2,631.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$2,345.60 |
$2,345.60 |
$2,345.60 |
$1,126.32
|
|
Rapid Strep Test
|
$130.40 |
$130.40 |
$130.40 |
$74.10
|
|
Rbc count only automated
|
$80.80 |
$80.80 |
$80.80 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,806.40 |
$1,806.40 |
$1,806.40 |
$775.54
|
|
Rbc irradiated each unit
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$520.65
|
|
Red blood cells each unit
|
$855.20 |
$855.20 |
$855.20 |
$382.50
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$581.28
|
|
Red blood cells leukocytes reduced each unit
|
$1,158.40 |
$1,158.40 |
$1,158.40 |
$438.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,357.60 |
$1,357.60 |
$1,357.60 |
$523.83
|
|
Red blood cells washed each unit
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$572.46
|
|
Refill maint impl spine pump
|
$837.60 |
$837.60 |
$837.60 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$380.00 |
$380.00 |
$380.00 |
$400.20
|
|
Removal central venous catheter tunneled without port/pump
|
$2,242.40 |
$2,242.40 |
$2,242.40 |
$1,591.20
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$5,659.20 |
$5,659.20 |
$5,659.20 |
$2,412.80
|
|
Removal cerumen impacted (both sides)
|
$811.20 |
$811.20 |
$811.20 |
$166.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$333.60 |
$333.60 |
$333.60 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$787.20 |
$787.20 |
$787.20 |
$838.33
|
|
Removal foreign body foot subcutaneous right
|
$2,171.20 |
$2,171.20 |
$2,171.20 |
$1,256.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$303.20 |
$303.20 |
$303.20 |
$292.50
|
|
Remove spine eltrd perq aray
|
$6,954.40 |
$6,954.40 |
$6,954.40 |
$3,636.18
|
|
Renal function panel
|
$283.20 |
$283.20 |
$283.20 |
$114.24
|
|
Repair blood vessel direct hand finger
|
$4,139.20 |
$4,139.20 |
$4,139.20 |
$3,786.00
|
|
Repair blood vessel dir lower extr
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$1,722.40
|
|
Repair blood vessel dir upper extr
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$788.80 |
$788.80 |
$788.80 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$569.60 |
$569.60 |
$569.60 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$3,936.80 |
$3,936.80 |
$3,936.80 |
$2,269.00
|
|
Repair finger/hand tendon
|
$7,777.60 |
$7,777.60 |
$7,777.60 |
$4,150.20
|
|
Repair lac palate<2 cm
|
$1,184.80 |
$1,184.80 |
$1,184.80 |
$741.85
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$387.20 |
$387.20 |
$387.20 |
$1,026.40
|
|
Replace g/c tube perc
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,320.00
|
|
Replace/revise brain shunt
|
$10,876.00 |
$10,876.00 |
$10,876.00 |
$7,592.10
|
|
Replantation digit complete
|
$8,969.60 |
$8,969.60 |
$8,969.60 |
$3,045.29
|
|
Reptilase test
|
$144.80 |
$144.80 |
$144.80 |
$74.00
|
|
Resuscitation cardiopulmonary
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$753.00
|
|
Reticulocyte automated
|
$147.20 |
$147.20 |
$147.20 |
$52.00
|
|
Reticulocyte direct measurement automated
|
$355.20 |
$355.20 |
$355.20 |
$35.84
|
|
Revise spine eltrd perq aray
|
$6,623.20 |
$6,623.20 |
$6,623.20 |
$7,496.58
|
|
Rf abltj nrv nrvtg si jt
|
$9,624.00 |
$9,624.00 |
$9,624.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$161.60 |
$161.60 |
$161.60 |
$57.07
|
|
Rheumatoid factor quantitative
|
$158.40 |
$158.40 |
$158.40 |
$56.55
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$20,321.60 |
$20,321.60 |
$20,321.60 |
$24,620.00
|
|
Rmvl perm pm pulse gen
|
$7,190.40 |
$7,190.40 |
$7,190.40 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,448.00 |
$16,448.00 |
$16,448.00 |
$15,322.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,084.80 |
$3,084.80 |
$3,084.80 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$4,626.40 |
$4,626.40 |
$4,626.40 |
$3,186.00
|
|
Rsv assay w/optic
|
$384.00 |
$384.00 |
$384.00 |
$82.68
|
|
Rtm 1st set-up&pt educaj eqp
|
$313.60 |
$313.60 |
$313.60 |
$172.50
|
|
Rtm dev sply mscskl 16-30 d
|
$90.40 |
$90.40 |
$90.40 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$90.40 |
$90.40 |
$90.40 |
$72.96
|
|
Rubella antibody igg
|
$263.20 |
$263.20 |
$263.20 |
$76.86
|
|
Rubeola antibody igg
|
$283.20 |
$283.20 |
$283.20 |
$80.00
|
|
Russell viper venom diluted
|
$305.60 |
$305.60 |
$305.60 |
$71.98
|
|
Rx metab gen seq alys pnl 6
|
$3,204.80 |
$3,204.80 |
$3,204.80 |
$917.08
|
|
Sarscov coronavirus ag ia
|
$73.60 |
$73.60 |
$73.60 |
$59.50
|
|
Sarscov & inf vir a&b ag ia
|
$373.60 |
$373.60 |
$373.60 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,561.60 |
$1,561.60 |
$1,561.60 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$975.20 |
$975.20 |
$975.20 |
$661.47
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$931.20 |
$931.20 |
$931.20 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,229.60 |
$1,229.60 |
$1,229.60 |
$475.80
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$798.40 |
$798.40 |
$798.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,709.60 |
$1,709.60 |
$1,709.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$572.22
|
|
Scr c/v cyto,thinlayer,rescr
|
$220.80 |
$220.80 |
$220.80 |
$83.40
|
|
Scr c/v cyto,thinlayer,rescr
|
$183.20 |
$183.20 |
$183.20 |
$54.40
|
|
Screening Mammogram
|
$551.20 |
$551.20 |
$551.20 |
$313.35
|
|
Screening prostate cancer PSA
|
$296.00 |
$296.00 |
$296.00 |
$98.28
|
|
Screen pap by tech w md supv
|
$96.00 |
$96.00 |
$96.00 |
$52.65
|
|
Sedimentation rate erythrocyte automated
|
$129.60 |
$129.60 |
$129.60 |
$42.30
|
|
Select picture audiometry
|
$168.00 |
$168.00 |
$168.00 |
$105.60
|
|
Shoe post-op mens m
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$5,769.60 |
$5,769.60 |
$5,769.60 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$5,272.00 |
$5,272.00 |
$5,272.00 |
$2,449.85
|
|
Shoulder MRI (without contrast)
|
$5,305.60 |
$5,305.60 |
$5,305.60 |
$2,096.84
|
|
Shoulder X-ray
|
$983.20 |
$983.20 |
$983.20 |
$341.40
|
|
Shrinker prosth above knee
|
$780.80 |
$780.80 |
$780.80 |
$168.89
|
|
Sickling rbc
|
$153.60 |
$153.60 |
$153.60 |
$56.84
|
|
Sincalide 5 mcg solution for injection
|
$148.80 |
$148.80 |
$148.80 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,576.80 |
$2,576.80 |
$2,576.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,592.00
|
|
Skin Biopsy
|
$354.40 |
$354.40 |
$354.40 |
$360.34
|
|
Sleep study attended
|
$6,068.00 |
$6,068.00 |
$6,068.00 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$5,971.20 |
$5,971.20 |
$5,971.20 |
$3,607.50
|
|
Sleep study unattended
|
$1,648.80 |
$1,648.80 |
$1,648.80 |
$588.90
|
|
Sling pelv split sam med
|
$410.40 |
$410.40 |
$410.40 |
$147.38
|
|
Slp stdy unatnd w/anal
|
$101.60 |
$101.60 |
$101.60 |
$296.34
|
|
Smear fluorescent and/or acid fast stain
|
$146.40 |
$146.40 |
$146.40 |
$64.20
|
|
Smear gram stain
|
$171.20 |
$171.20 |
$171.20 |
$54.60
|
|
Smear nasal eosinophil
|
$171.20 |
$171.20 |
$171.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$184.80 |
$184.80 |
$184.80 |
$71.40
|
|
Smear wet mount
|
$152.00 |
$152.00 |
$152.00 |
$66.30
|
|
Snrpn/ube3a gene
|
$2,261.60 |
$2,261.60 |
$2,261.60 |
$228.80
|
