|
Rmvl icd by tv extr
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$42,451.80 |
$42,451.80 |
$42,451.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$44,266.80 |
$44,266.80 |
$44,266.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$33,199.80 |
$33,199.80 |
$33,199.80 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,276.80 |
$4,276.80 |
$4,276.80 |
$4,039.56
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$4,549.20 |
$4,549.20 |
$4,549.20 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$739.20 |
$739.20 |
$739.20 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$284.40 |
$284.40 |
$284.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$10,417.20 |
$10,417.20 |
$10,417.20 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$22,961.40 |
$22,961.40 |
$22,961.40 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,190.40 |
$10,190.40 |
$10,190.40 |
$10,542.00
|
|
Rmvl pq iabp
|
$672.60 |
$672.60 |
$672.60 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$464.40 |
$464.40 |
$464.40 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$777.60 |
$777.60 |
$777.60 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$1,736.70
|
|
Rmvl tiss expndr without implant insrtn
|
$894.60 |
$894.60 |
$894.60 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$4,491.00 |
$4,491.00 |
$4,491.00 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$4,276.80 |
$4,276.80 |
$4,276.80 |
$4,225.20
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$521.40 |
$521.40 |
$521.40 |
$521.40
|
|
Rmv suture/anesthesia/not local 15850
|
$126.00 |
$126.00 |
$126.00 |
$975.64
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,226.07 |
$5,226.07 |
$5,226.07 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$9,764.68 |
$9,764.68 |
$9,764.68 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,668.76 |
$4,668.76 |
$4,668.76 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$39.34 |
$39.34 |
$39.34 |
$188.16
|
|
Routine footcare pt w lops
|
$127.20 |
$127.20 |
$127.20 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$401.40 |
$401.40 |
$401.40 |
$2,217.76
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$847.80 |
$847.80 |
$847.80 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$3,802.20 |
$3,802.20 |
$3,802.20 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$72.60 |
$72.60 |
$72.60 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$59.40 |
$59.40 |
$59.40 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$797.40 |
$797.40 |
$797.40 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$476.40 |
$476.40 |
$476.40 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$661.80 |
$661.80 |
$661.80 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$890.40 |
$890.40 |
$890.40 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$795.60 |
$795.60 |
$795.60 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$587.40 |
$587.40 |
$587.40 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$5,907.78
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$6,839.00
|
|
Rpr ing hernia baby blocked
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$4,156.03
|
|
Rpr ing hernia init reduce
|
$767.40 |
$767.40 |
$767.40 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$1,081.80 |
$1,081.80 |
$1,081.80 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$510.60 |
$510.60 |
$510.60 |
$5,959.65
|
|
Rtm 1st set-up&pt educaj eqp
|
$149.40 |
$149.40 |
$149.40 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$58.80 |
$58.80 |
$58.80 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$58.80 |
$58.80 |
$58.80 |
$67.80
|
|
Rubella antibody igg
|
$198.60 |
$198.60 |
$198.60 |
$77.50
|
|
Rubeola antibody igg
|
$93.00 |
$93.00 |
$93.00 |
$80.00
|
|
Russell viper venom diluted
|
$91.20 |
$91.20 |
$91.20 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,492.85 |
$4,492.85 |
$4,492.85 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$184.80 |
$184.80 |
$184.80 |
$314.79
|
|
Salpingostomy 58770
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$4,304.00
|
|
Same day nb discharge 99463
|
$229.20 |
$229.20 |
$229.20 |
$183.07
|
|
Sargramostim injection
|
$463.93 |
$463.93 |
$463.93 |
$552.52
|
|
Sbsq ic vlbw inf<1,500 gm
|
$279.60 |
$279.60 |
$279.60 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$259.20 |
$259.20 |
$259.20 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$133.20 |
$133.20 |
$133.20 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$174.60 |
$174.60 |
$174.60 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$86.40 |
$86.40 |
$86.40 |
$67.60
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$483.00 |
$483.00 |
$483.00 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$120.60 |
$120.60 |
$120.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$327.00 |
$327.00 |
$327.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$472.80 |
$472.80 |
$472.80 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$414.60 |
$414.60 |
$414.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$367.20 |
$367.20 |
$367.20 |
$595.35
|
|
Scan proc cranial intra 61781
|
$436.80 |
$436.80 |
$436.80 |
$1,015.00
|
|
Sclerotherapy fluid collection pq w/img
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$1,165.80 |
$1,165.80 |
$1,165.80 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$643.20 |
$643.20 |
$643.20 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$643.20 |
$643.20 |
$643.20 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$48.00 |
$48.00 |
$48.00 |
$57.60
|
|
Screening Mammogram
|
$276.60 |
$276.60 |
$276.60 |
$310.20
|
|
Screening prostate cancer PSA
|
$67.80 |
$67.80 |
$67.80 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$8.40 |
$8.40 |
$8.40 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$37,537.80 |
$37,537.80 |
$37,537.80 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$472.80 |
$472.80 |
$472.80 |
$608.90
|
|
Sc ther infusion reset pump
|
$102.00 |
$102.00 |
$102.00 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,611.80 |
$2,611.80 |
$2,611.80 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$66.00 |
$66.00 |
$66.00 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$24.00 |
$24.00 |
$24.00 |
$42.00
|
|
Segmentectomy 32484
|
$2,782.80 |
$2,782.80 |
$2,782.80 |
$2,915.40
|
|
Select picture audiometry
|
$88.20 |
$88.20 |
$88.20 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$69.60 |
$69.60 |
$69.60 |
$96.60
|