|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$39,772.20 |
$39,772.20 |
$44,266.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$29,829.00 |
$29,829.00 |
$33,199.80 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,702.60 |
$3,702.60 |
$4,276.80 |
$4,069.52
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,035.00 |
$1,035.00 |
$1,086.60 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$4,332.60 |
$4,332.60 |
$4,549.20 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$639.60 |
$639.60 |
$739.20 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$270.60 |
$270.60 |
$284.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$9,019.20 |
$9,019.20 |
$10,417.20 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$5,083.20 |
$5,083.20 |
$5,871.00 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$20,629.80 |
$20,629.80 |
$22,961.40 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,155.40 |
$9,155.40 |
$10,190.40 |
$10,542.00
|
|
Rmvl pq iabp
|
$582.00 |
$582.00 |
$648.00 |
$955.00
|
|
Rmvl pq vad left hrt vein sep session
|
$5,083.20 |
$5,083.20 |
$5,871.00 |
$2,542.65
|
|
Rmvl sq defib electrode
|
$740.40 |
$740.40 |
$777.60 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,026.60 |
$1,026.60 |
$1,186.20 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$852.00 |
$852.00 |
$894.60 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$3,888.00 |
$3,888.00 |
$4,491.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$3,702.60 |
$3,702.60 |
$4,276.80 |
$4,276.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$496.80 |
$496.80 |
$521.40 |
$521.40
|
|
Rmv suture/anesthesia/not local 15850
|
$120.00 |
$120.00 |
$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
|
|
Romiplostim injection
|
$4,236.68 |
$4,236.68 |
$4,236.68 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,118.84 |
$4,118.84 |
$4,668.76 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$39.34 |
$39.34 |
$99.77 |
$188.16
|
|
Routine footcare pt w lops
|
$114.00 |
$114.00 |
$127.20 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,764.60 |
$1,764.60 |
$2,038.20 |
$2,217.76
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$917.40 |
$917.40 |
$1,060.20 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$1,948.20 |
$1,948.20 |
$2,045.40 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$2,171.40 |
$2,171.40 |
$2,280.00 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$3,291.60 |
$3,291.60 |
$3,802.20 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$69.00 |
$69.00 |
$72.60 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$56.40 |
$56.40 |
$59.40 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,357.20 |
$1,357.20 |
$1,425.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,021.80 |
$1,021.80 |
$1,072.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$988.20 |
$988.20 |
$1,037.40 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$759.60 |
$759.60 |
$797.40 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$453.60 |
$453.60 |
$476.40 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$630.00 |
$630.00 |
$661.80 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,644.00 |
$1,644.00 |
$1,726.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,174.20 |
$1,174.20 |
$1,233.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,137.60 |
$1,137.60 |
$1,194.60 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$847.80 |
$847.80 |
$890.40 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$757.80 |
$757.80 |
$795.60 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$559.20 |
$559.20 |
$587.40 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,858.80 |
$1,858.80 |
$1,951.80 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,777.20 |
$1,777.20 |
$1,866.00 |
$5,907.78
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,841.40 |
$1,841.40 |
$1,933.20 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,705.80 |
$1,705.80 |
$1,791.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$1,539.60 |
$1,539.60 |
$1,616.40 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$1,129.80 |
$1,129.80 |
$1,186.20 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$1,378.80 |
$1,378.80 |
$1,447.80 |
$6,839.00
|
|
Rpr ing hernia baby blocked
|
$1,067.40 |
$1,067.40 |
$1,120.80 |
$4,156.03
|
|
Rpr ing hernia init reduce
|
$730.80 |
$730.80 |
$767.40 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$1,015.80 |
$1,015.80 |
$1,066.80 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,254.00 |
$1,254.00 |
$1,317.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$1,030.20 |
$1,030.20 |
$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
|
$134.40 |
$134.40 |
$149.40 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$52.80 |
$52.80 |
$58.80 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$52.80 |
$52.80 |
$58.80 |
$67.80
|
|
Rubella antibody igg
|
$189.00 |
$189.00 |
$198.60 |
$77.80
|
|
Rubeola antibody igg
|
$117.60 |
$117.60 |
$148.80 |
$80.00
|
|
Russell viper venom diluted
|
$117.60 |
$117.60 |
$123.60 |
$72.54
|
|
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)
|
$169.20 |
$169.20 |
$184.80 |
$320.40
|
|
Salpingostomy 58770
|
$1,576.80 |
$1,576.80 |
$1,655.40 |
$4,304.00
|
|
Same day nb discharge 99463
|
$218.40 |
$218.40 |
$229.20 |
$183.07
|
|
Sargramostim injection
|
$463.93 |
$463.93 |
$463.93 |
$552.52
|
|
Sbsq ic vlbw inf<1,500 gm
|
$266.40 |
$266.40 |
$279.60 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$246.60 |
$246.60 |
$259.20 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$126.60 |
$126.60 |
$133.20 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$166.20 |
$166.20 |
$174.60 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$82.20 |
$82.20 |
$86.40 |
$67.60
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$460.20 |
$460.20 |
$483.00 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$108.00 |
$108.00 |
$120.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$311.40 |
$311.40 |
$327.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$424.80 |
$424.80 |
$472.80 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$349.80 |
$349.80 |
$389.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$329.40 |
$329.40 |
$367.20 |
$597.35
|
|
Scan proc cranial intra 61781
|
$415.80 |
$415.80 |
$436.80 |
$1,015.00
|
|
Sclerotherapy fluid collection pq w/img
|
$1,731.00 |
$1,731.00 |
$1,817.40 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$1,110.00 |
$1,110.00 |
$1,165.80 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$3,375.00 |
$3,375.00 |
$3,825.00 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$612.60 |
$612.60 |
$643.20 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$612.60 |
$612.60 |
$643.20 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$45.60 |
$45.60 |
$48.00 |
$57.60
|
|
Screening Mammogram
|
$253.20 |
$253.20 |
$276.60 |
$311.50
|
|
Screening prostate cancer PSA
|
$74.40 |
$74.40 |
$82.80 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$7.80 |
$7.80 |
$8.40 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$23,287.80 |
$23,287.80 |
$37,537.80 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$432.60 |
$432.60 |
$472.80 |
$611.91
|
|
Sc ther infusion reset pump
|
$102.00 |
$102.00 |
$102.00 |
$140.15
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,461.60 |
$1,461.60 |
$1,534.80 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,487.60 |
$2,487.60 |
$2,617.20 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$63.00 |
$63.00 |
$66.00 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$21.60 |
$21.60 |
$24.00 |
$42.00
|
|
Segmentectomy 32484
|
$2,650.20 |
$2,650.20 |
$2,782.80 |
$2,915.40
|
|
Select picture audiometry
|
$84.00 |
$84.00 |
$88.20 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$69.60 |
$69.60 |
$76.20 |
$96.85
|
