|
Repair lip full thkns >one-half vert height/cmplx
|
$4,628.77 |
$4,628.77 |
$4,628.77 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$3,772.42 |
$3,772.42 |
$3,772.42 |
$1,268.80
|
|
Replace aortic valve open axillry 33363
|
$62,986.64 |
$62,986.64 |
$62,986.64 |
$18,333.90
|
|
Replace aortic valve open femoral 33362
|
$63,947.59 |
$63,947.59 |
$63,947.59 |
$22,888.58
|
|
Replace aortic valve open transaortic 33365
|
$76,376.05 |
$76,376.05 |
$76,376.05 |
$26,534.30
|
|
Replace duod/jej tube perc
|
$1,234.98 |
$1,234.98 |
$1,234.98 |
$1,383.00
|
|
Replace g/c tube perc
|
$2,762.71 |
$2,762.71 |
$2,762.71 |
$1,413.60
|
|
Replace g-j tube perc
|
$4,011.97 |
$4,011.97 |
$4,011.97 |
$1,600.45
|
|
Reposition pm/icd lead
|
$8,359.11 |
$8,359.11 |
$8,359.11 |
$3,827.46
|
|
Repos lv lead pm/icd
|
$5,660.53 |
$5,660.53 |
$5,660.53 |
$3,770.00
|
|
Reptilase test
|
$227.49 |
$227.49 |
$227.49 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$39.35 |
$39.35 |
$39.35 |
$48.00
|
|
Resp virus 6-11 targets
|
$450.78 |
$450.78 |
$450.78 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$981.81 |
$981.81 |
$981.81 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$700.51 |
$700.51 |
$700.51 |
$797.29
|
|
Reticulated platelet assay
|
$183.30 |
$183.30 |
$183.30 |
$63.08
|
|
Reticulocyte automated
|
$150.73 |
$150.73 |
$150.73 |
$54.60
|
|
Revasc intravasc lithotripsy
|
$24,054.19 |
$24,054.19 |
$24,054.19 |
$12,393.88
|
|
Revision of foot fascia 28250
|
$13,968.08 |
$13,968.08 |
$13,968.08 |
$3,839.54
|
|
Rf abltj nrv nrvtg si jt
|
$5,250.03 |
$5,250.03 |
$5,250.03 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$206.09 |
$206.09 |
$206.09 |
$54.60
|
|
Rheumatoid factor quantitative
|
$319.04 |
$319.04 |
$319.04 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$28.32 |
$28.32 |
$28.32 |
$243.11
|
|
Rho d immune globulin inj
|
$1,632.76 |
$1,632.76 |
$1,632.76 |
$287.82
|
|
Right ventric recording
|
$5,761.63 |
$5,761.63 |
$5,761.63 |
$1,980.36
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$43,562.27 |
$43,562.27 |
$43,562.27 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$48,257.11 |
$48,257.11 |
$48,257.11 |
$16,621.24
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$36,224.49 |
$36,224.49 |
$36,224.49 |
$4,424.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$34,459.33 |
$34,459.33 |
$34,459.33 |
$2,759.87
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$35,846.34 |
$35,846.34 |
$35,846.34 |
$5,831.80
|
|
Rmvl fecal impaction/fb spx under anes
|
$14,600.30 |
$14,600.30 |
$14,600.30 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$10,122.14 |
$10,122.14 |
$10,122.14 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$46,797.05 |
$46,797.05 |
$46,797.05 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$74,281.37 |
$74,281.37 |
$74,281.37 |
$34,798.50
|
|
Rmvl icd pulse gen only
|
$8,394.08 |
$8,394.08 |
$8,394.08 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$4,226.65 |
$4,226.65 |
$4,226.65 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$8,546.33 |
$8,546.33 |
$8,546.33 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$56,824.97 |
$56,824.97 |
$56,824.97 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$33,426.45 |
$33,426.45 |
$33,426.45 |
$10,427.04
|
|
Rmvl pq vad left hrt vein sep session
|
$3,194.12 |
$3,194.12 |
$3,194.12 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$8,546.33 |
$8,546.33 |
$8,546.33 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$3,313.93 |
$3,313.93 |
$3,313.93 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$5,696.72 |
$5,696.72 |
$5,696.72 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$4,417.33 |
$4,417.33 |
$4,417.33 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$36,739.35 |
$36,739.35 |
$36,739.35 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2,129.32 |
$2,129.32 |
$2,129.32 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$10,426.44 |
$10,426.44 |
$10,426.44 |
$2,331.08
|
|
Rp loclzj tum spect w/ct 1
|
$5,653.27 |
$5,653.27 |
$5,653.27 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$6,971.78 |
$6,971.78 |
$6,971.78 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$1,771.96 |
$1,771.96 |
$1,771.96 |
$4,201.80
|
|
Rsv assay w/optic
|
$268.32 |
$268.32 |
$268.32 |
$73.80
|
|
Rubella antibody igg
|
$362.50 |
$362.50 |
$362.50 |
$73.10
|
|
Rubeola antibody igg
|
$277.63 |
$277.63 |
$277.63 |
$79.68
|
|
Russell viper venom diluted
|
$206.94 |
$206.94 |
$206.94 |
$70.16
|
|
Salmonella antibody
|
$156.08 |
$156.08 |
$156.08 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$151.94 |
$151.94 |
$151.94 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,438.62 |
$1,438.62 |
$1,438.62 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,014.18 |
$2,014.18 |
$2,014.18 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$3,687.32 |
$3,687.32 |
$3,687.32 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,137.19 |
$1,137.19 |
$1,137.19 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,158.46 |
$2,158.46 |
$2,158.46 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,397.94 |
$1,397.94 |
$1,397.94 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,243.27 |
$1,243.27 |
$1,243.27 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$3,741.62 |
$3,741.62 |
$3,741.62 |
$2,114.45
|
|
Screening Mammogram
|
$535.14 |
$535.14 |
$535.14 |
$303.55
|
|
Screening pap smear by phys
|
$40.59 |
$40.59 |
$40.59 |
$55.20
|
|
Sec art mech thrmbc non-intracranial add-on
|
$11,829.00 |
$11,829.00 |
$11,829.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$212.70 |
$212.70 |
$212.70 |
$44.20
|
|
Semen analysis w/count
|
$160.43 |
$160.43 |
$160.43 |
$56.44
|
|
Set radiation therapy field
|
$1,047.93 |
$1,047.93 |
$1,047.93 |
$731.50
|
|
Set radiation therapy field
|
$2,778.55 |
$2,778.55 |
$2,778.55 |
$1,636.36
|
|
Shoe post-op mens m
|
$58.33 |
$58.33 |
$58.33 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$5,877.20 |
$5,877.20 |
$5,877.20 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,444.84 |
$4,444.84 |
$4,444.84 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,672.79 |
$3,672.79 |
$3,672.79 |
$2,051.28
|
|
Shoulder X-ray
|
$900.80 |
$900.80 |
$900.80 |
$367.02
|
|
Sickling rbc
|
$160.35 |
$160.35 |
$160.35 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$7,282.73 |
$7,282.73 |
$7,282.73 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$5,341.32 |
$5,341.32 |
$5,341.32 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$4,854.76 |
$4,854.76 |
$4,854.76 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$11,668.57 |
$11,668.57 |
$11,668.57 |
$2,489.25
|
|
Skin Biopsy
|
$677.52 |
$677.52 |
$677.52 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$12,031.04 |
$12,031.04 |
$12,031.04 |
$3,936.80
|
|
Sleep study unattended
|
$2,918.59 |
$2,918.59 |
$2,918.59 |
$595.50
|
|
Slp ther svc non-spch gen
|
$537.71 |
$537.71 |
$537.71 |
$186.40
|
|
Smear fluorescent and/or acid fast stain
|
$200.15 |
$200.15 |
$200.15 |
$64.20
|
|
Smear gram stain
|
$193.80 |
$193.80 |
$193.80 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$223.26 |
$223.26 |
$223.26 |
$64.35
|
|
Smear wet mount
|
$257.92 |
$257.92 |
$257.92 |
$68.63
|
|
Snrpn/ube3a gene
|
$1,097.14 |
$1,097.14 |
$1,097.14 |
$228.80
|
|
Sodium 24 hour urine
|
$201.00 |
$201.00 |
$201.00 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$45.94 |
$45.94 |
$45.94 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$0.94 |
$0.94 |
$0.94 |
$43.78
|
|
Sodium chloride 3 % ivpb
|
$125.99 |
$125.99 |
$125.99 |
$48.11
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$595.97 |
$595.97 |
$595.97 |
$84.80
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,594.74 |
$2,594.74 |
$2,594.74 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$83.55 |
$83.55 |
$83.55 |
$42.70
|
|
Special radiation treatment
|
$3,747.70 |
$3,747.70 |
$3,747.70 |
$1,934.03
|
|
Special teletx port plan
|
$2,525.97 |
$2,525.97 |
$2,525.97 |
$1,046.65
|
