|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$31,096.80 |
$31,096.80 |
$31,096.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$24,202.20 |
$24,202.20 |
$24,202.20 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$3,977.32
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$3,462.60 |
$3,462.60 |
$3,462.60 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$5,668.20 |
$5,668.20 |
$5,668.20 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$18,589.80 |
$18,589.80 |
$18,589.80 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,847.60 |
$17,847.60 |
$17,847.60 |
$10,542.00
|
|
Rmvl pq iabp
|
$219.60 |
$219.60 |
$219.60 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$813.60 |
$813.60 |
$813.60 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$3,420.60 |
$3,420.60 |
$3,420.60 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$376.20 |
$376.20 |
$376.20 |
$441.68
|
|
Rmvl tv pm lead dual
|
$3,420.60 |
$3,420.60 |
$3,420.60 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$3,420.60 |
$3,420.60 |
$3,420.60 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,536.20 |
$2,536.20 |
$2,536.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,214.80 |
$3,214.80 |
$3,214.80 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$4,821.60 |
$4,821.60 |
$4,821.60 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$6,238.80 |
$6,238.80 |
$6,238.80 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$7,064.40 |
$7,064.40 |
$7,064.40 |
$3,687.00
|
|
Rpr blvs gr ot/th vn ntrth w
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$2,098.06
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$2,049.00 |
$2,049.00 |
$2,049.00 |
$2,063.54
|
|
Rpr hypopl a-arch w/byp
|
$2,607.60 |
$2,607.60 |
$2,607.60 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$1,987.80 |
$1,987.80 |
$1,987.80 |
$2,009.87
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$999.60 |
$999.60 |
$999.60 |
$5,959.65
|
|
Rsv assay w/optic
|
$225.00 |
$225.00 |
$225.00 |
$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
|
$195.00 |
$195.00 |
$195.00 |
$77.03
|
|
Rubeola antibody igg
|
$195.00 |
$195.00 |
$195.00 |
$80.00
|
|
Russell viper venom diluted
|
$229.20 |
$229.20 |
$229.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$1,008.79
|
|
Salivary gland function exam
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$753.60
|
|
Salivary glnd img serial img
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$701.73
|
|
Same day nb discharge 99463
|
$203.40 |
$203.40 |
$203.40 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$54.60 |
$54.60 |
$54.60 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$276.60 |
$276.60 |
$276.60 |
$104.00
|
|
Sbrt management
|
$2,416.80 |
$2,416.80 |
$2,416.80 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$242.40 |
$242.40 |
$242.40 |
$248.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$879.00 |
$879.00 |
$879.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$923.40 |
$923.40 |
$923.40 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$994.20 |
$994.20 |
$994.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,226.60 |
$2,226.60 |
$2,226.60 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$945.60 |
$945.60 |
$945.60 |
$3,839.54
|
|
Scr c/v cyto,thinlayer,rescr
|
$168.00 |
$168.00 |
$168.00 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$168.00 |
$168.00 |
$168.00 |
$54.40
|
|
Screening Mammogram
|
$487.20 |
$487.20 |
$487.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$253.80 |
$253.80 |
$253.80 |
$100.63
|
|
Screen pap by tech w md supv
|
$87.60 |
$87.60 |
$87.60 |
$52.65
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$81.00 |
$81.00 |
$81.00 |
$42.00
|
|
Segmentectomy 32484
|
$2,915.40 |
$2,915.40 |
$2,915.40 |
$3,491.20
|
|
Set radiation therapy field
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$762.40
|
|
Set radiation therapy field
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$1,157.38
|
|
Set radiation therapy field
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$1,636.36
|
|
Shoe post-op mens m
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$5,227.20 |
$5,227.20 |
$5,227.20 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$4,642.20 |
$4,642.20 |
$4,642.20 |
$2,065.05
|
|
Shoulder X-ray
|
$613.20 |
$613.20 |
$613.20 |
$339.50
|
|
Shrinker prosth above knee
|
$585.60 |
$585.60 |
$585.60 |
$168.89
|
|
Shuntogram nonvascular supervision & interpretation
|
$771.00 |
$771.00 |
$771.00 |
$349.20
|
|
Sialography s&i
|
$782.40 |
$782.40 |
$782.40 |
$499.20
|
|
Sickling rbc
|
$92.40 |
$92.40 |
$92.40 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$405.00 |
$405.00 |
$405.00 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$2,257.20 |
$2,257.20 |
$2,257.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,915.80 |
$1,915.80 |
$1,915.80 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$2,489.25
|
|
Skin Biopsy
|
$409.20 |
$409.20 |
$409.20 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$7,324.80 |
$7,324.80 |
$7,324.80 |
$1,793.40
|
|
Sleep study attended
|
$3,978.00 |
$3,978.00 |
$3,978.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$5,085.00 |
$5,085.00 |
$5,085.00 |
$3,607.50
|
|
Sleep study unattended
|
$711.00 |
$711.00 |
$711.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$124.20 |
$124.20 |
$124.20 |
$203.58
|
|
Sling pelv split sam med
|
$307.80 |
$307.80 |
$307.80 |
$150.00
|
|
Slitting of prepuce
|
$5,477.40 |
$5,477.40 |
$5,477.40 |
$3,365.50
|
|
Slp stdy unatnd w/anal
|
$75.00 |
$75.00 |
$75.00 |
$296.34
|
|
Slp ther svc non-spch gen
|
$330.00 |
$330.00 |
$330.00 |
$188.50
|
|
Smear fluorescent and/or acid fast stain
|
$118.80 |
$118.80 |
$118.80 |
$64.20
|
|
Smear gram stain
|
$99.00 |
$99.00 |
$99.00 |
$55.25
|
|
Smear nasal eosinophil
|
$103.80 |
$103.80 |
$103.80 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$154.80 |
$154.80 |
$154.80 |
$73.15
|
|
Smear wet mount
|
$119.40 |
$119.40 |
$119.40 |
$67.49
|
|
Snrpn/ube3a gene
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$231.85
|
|
So cap design without jnts cf
|
$514.80 |
$514.80 |
$514.80 |
$606.35
|
|
Sodium 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$76.80 |
$76.80 |
$76.80 |
$45.60
|
|
Somatosensory testing
|
$857.40 |
$857.40 |
$857.40 |
$816.00
|
|
So neo gsap dna mcrstl ins
|
$8,353.80 |
$8,353.80 |
$8,353.80 |
$2,296.00
|
