|
Revasc evasc fpvt angio cplx 1st
|
$12,808.60 |
$12,808.60 |
$12,808.60 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$12,808.60 |
$12,808.60 |
$12,808.60 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$12,808.60 |
$12,808.60 |
$12,808.60 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$25,979.10 |
$25,979.10 |
$25,979.10 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$41,253.80 |
$41,253.80 |
$41,253.80 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$20,512.80 |
$20,512.80 |
$20,512.80 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$13,102.60 |
$13,102.60 |
$13,102.60 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$12,307.40 |
$12,307.40 |
$12,307.40 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$16,375.80 |
$16,375.80 |
$16,375.80 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$16,375.80 |
$16,375.80 |
$16,375.80 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$15,291.50 |
$15,291.50 |
$15,291.50 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$16,375.80 |
$16,375.80 |
$16,375.80 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$19,385.85
|
|
Revision of penis
|
$2,739.10 |
$2,739.10 |
$2,739.10 |
$2,739.10
|
|
Revision of penis
|
$4,459.70 |
$4,459.70 |
$4,459.70 |
$4,350.00
|
|
Rev/rmv perph nstim eltrd ra
|
$6,669.60 |
$6,669.60 |
$6,669.60 |
$4,121.65
|
|
Revsc opn/prq tib/pero stent
|
$17,838.10 |
$17,838.10 |
$17,838.10 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$4,444.30 |
$4,444.30 |
$4,444.30 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$69.30 |
$69.30 |
$69.30 |
$57.00
|
|
Rho d immune globulin 50 mcg
|
$172.90 |
$172.90 |
$172.90 |
$106.14
|
|
Rho d immune globulin inj
|
$130.20 |
$130.20 |
$130.20 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,095.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$830.02 |
$830.02 |
$830.02 |
$455.01
|
|
Right ventric recording
|
$3,760.40 |
$3,760.40 |
$3,760.40 |
$2,345.00
|
|
R&l hrt cath chd abnl nt cnj
|
$12,452.30 |
$12,452.30 |
$12,452.30 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$846.42
|
|
Rmvl fb upr arm/elbow deep
|
$5,679.80 |
$5,679.80 |
$5,679.80 |
$3,638.88
|
|
Rmvl ndwellg tun pleural cath
|
$2,722.30 |
$2,722.30 |
$2,722.30 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$13,111.70 |
$13,111.70 |
$13,111.70 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$1,199.80 |
$1,199.80 |
$1,199.80 |
$1,610.35
|
|
Rmvl pq vad left hrt vein sep session
|
$5,196.10 |
$5,196.10 |
$5,196.10 |
$2,407.50
|
|
Rmvl tiss expndr without implant insrtn
|
$268.10 |
$268.10 |
$268.10 |
$3,832.40
|
|
Rp loclzj tum 2+area 1+d img
|
$2,706.20 |
$2,706.20 |
$2,706.20 |
$1,310.00
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$7,725.20 |
$7,725.20 |
$7,725.20 |
$4,500.75
|
|
Rp therapy unlisted px
|
$549.50 |
$549.50 |
$549.50 |
$549.50
|
|
Rsv assay w/optic
|
$177.80 |
$177.80 |
$177.80 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$254.10 |
$254.10 |
$254.10 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$84.00 |
$84.00 |
$84.00 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$72.10 |
$72.10 |
$72.10 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$81.90 |
$81.90 |
$81.90 |
$81.90
|
|
Rubella antibody igg
|
$82.60 |
$82.60 |
$82.60 |
$77.03
|
|
Rubeola antibody igg
|
$79.10 |
$79.10 |
$79.10 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$799.40 |
$799.40 |
$799.40 |
$454.72
|
|
Russell viper venom diluted
|
$151.20 |
$151.20 |
$151.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,164.10 |
$1,164.10 |
$1,164.10 |
$1,008.79
|
|
Salivary gland imaging
|
$975.10 |
$975.10 |
$975.10 |
$585.00
|
|
S bowel endoscope w/stent
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,875.30 |
$1,875.30 |
$1,875.30 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$637.00 |
$637.00 |
$637.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,263.50 |
$1,263.50 |
$1,263.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,094.80 |
$1,094.80 |
$1,094.80 |
$595.35
|
|
Screening Mammogram
|
$523.60 |
$523.60 |
$523.60 |
$312.55
|
|
Screening prostate cancer PSA
|
$105.00 |
$105.00 |
$105.00 |
$100.63
|
|
Sc ther infusion reset pump
|
$93.10 |
$93.10 |
$93.10 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$10,026.10 |
$10,026.10 |
$10,026.10 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$44.80 |
$44.80 |
$44.80 |
$42.00
|
|
Semen analysis w/count
|
$91.00 |
$91.00 |
$91.00 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$443.80 |
$443.80 |
$443.80 |
$316.68
|
|
Serpina1 gene
|
$580.30 |
$580.30 |
$580.30 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$207.90 |
$207.90 |
$207.90 |
$126.43
|
|
Set radiation therapy field
|
$3,812.90 |
$3,812.90 |
$3,812.90 |
$1,157.38
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$208.60 |
$208.60 |
$208.60 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$291.20 |
$291.20 |
$291.20 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$4,323.90 |
$4,323.90 |
$4,323.90 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,827.60 |
$3,827.60 |
$3,827.60 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$3,591.70 |
$3,591.70 |
$3,591.70 |
$2,065.05
|
|
Shoulder X-ray
|
$228.20 |
$228.20 |
$228.20 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$523.60 |
$523.60 |
$523.60 |
$349.20
|
|
Sialidase enzyme assay
|
$62.30 |
$62.30 |
$62.30 |
$54.60
|
|
Sialography s&i
|
$1,460.20 |
$1,460.20 |
$1,460.20 |
$499.20
|
|
Sickling rbc
|
$58.80 |
$58.80 |
$58.80 |
$57.92
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,308.60 |
$2,308.60 |
$2,308.60 |
$1,664.40
|
|
Sim ang w/prs cath rad emb
|
$24,825.50 |
$24,825.50 |
$24,825.50 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$324.10 |
$324.10 |
$324.10 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$3,656.10 |
$3,656.10 |
$3,656.10 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$3,161.20 |
$3,161.20 |
$3,161.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,606.10 |
$2,606.10 |
$2,606.10 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$2,489.25
|
|
Skeletal muscle relaxant 1/2
|
$228.90 |
$228.90 |
$228.90 |
$83.85
|
|
Slco1b1 gene com variants
|
$403.20 |
$403.20 |
$403.20 |
$241.24
|
|
Sm-153 lexidron ther
|
$28,298.90 |
$28,298.90 |
$28,298.90 |
$7,320.12
|
|
Small bowel endoscopy
|
$4,866.40 |
$4,866.40 |
$4,866.40 |
$2,842.50
|
|
Small bowel endoscopy
|
$2,193.10 |
$2,193.10 |
$2,193.10 |
$2,956.20
|
