|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$82.10 |
$82.10 |
$82.10 |
$303.80
|
|
Removal sutr and stapl no anes
|
$116.18 |
$116.18 |
$116.18 |
$73.66
|
|
Removal sutr or stapl no anes
|
$89.43 |
$89.43 |
$89.43 |
$85.18
|
|
Remove foreign body from eye
|
$587.11 |
$587.11 |
$587.11 |
$3,433.80
|
|
Remove hip foreign body 27086
|
$398.00 |
$398.00 |
$398.00 |
$3,127.88
|
|
Remove renal tube w/fluoro
|
$481.56 |
$481.56 |
$481.56 |
$1,281.75
|
|
Remove shoulder fb deep
|
$1,243.84 |
$1,243.84 |
$1,243.84 |
$3,370.52
|
|
Remove shoulder foreign body subq 23330
|
$398.00 |
$398.00 |
$398.00 |
$1,917.33
|
|
Renal function panel
|
$91.26 |
$91.26 |
$91.26 |
$110.10
|
|
Repair blood vessel direct hand finger
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$4,083.20
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$440.88 |
$440.88 |
$440.88 |
$1,193.40
|
|
Repair elbow perc
|
$1,312.37 |
$1,312.37 |
$1,312.37 |
$4,499.12
|
|
Repair extns tendon finger without grft ea
|
$1,097.61 |
$1,097.61 |
$1,097.61 |
$2,702.15
|
|
Repair lac palate<2 cm
|
$443.45 |
$443.45 |
$443.45 |
$686.89
|
|
Repair of body cast
|
$145.50 |
$145.50 |
$145.50 |
$203.20
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$572.81 |
$572.81 |
$572.81 |
$867.75
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$1,196.20 |
$1,196.20 |
$1,196.20 |
$504.12
|
|
Reposition vad w/image rt/lt sep session
|
$2,302.97 |
$2,302.97 |
$2,302.97 |
$1,905.00
|
|
Resp virus 6-11 targets
|
$1,437.71 |
$1,437.71 |
$1,437.71 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$453.71 |
$453.71 |
$453.71 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$552.29 |
$552.29 |
$552.29 |
$797.29
|
|
Reticulocyte automated
|
$32.99 |
$32.99 |
$32.99 |
$54.60
|
|
Revasc intra lithotrip-ather
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$19,142.34
|
|
Revasc intra lithotrip-stent
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$19,768.00
|
|
Revasc intravasc lithotripsy
|
$10,211.98 |
$10,211.98 |
$10,211.98 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$18,697.66
|
|
Revasc lithotrip-stent-ather
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$10,211.98 |
$10,211.98 |
$10,211.98 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$16,524.97 |
$16,524.97 |
$16,524.97 |
$18,472.02
|
|
Rheumatoid factor qualitative
|
$39.58 |
$39.58 |
$39.58 |
$54.60
|
|
Rheumatoid factor quantitative
|
$27.86 |
$27.86 |
$27.86 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$121.41 |
$121.41 |
$121.41 |
$255.26
|
|
Ring ostmy barr adapt 48mm
|
$5.34 |
$5.34 |
$5.34 |
$5.97
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$6,753.88 |
$6,753.88 |
$6,753.88 |
$10,693.54
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,391.69 |
$3,391.69 |
$3,391.69 |
$6,877.90
|
|
Rmvl fb upr arm/elbow deep
|
$1,044.47 |
$1,044.47 |
$1,044.47 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$270.83 |
$270.83 |
$270.83 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$398.00 |
$398.00 |
$398.00 |
$1,917.33
|
|
Rmvl pq iabp
|
$274.50 |
$274.50 |
$274.50 |
$1,082.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,832.65 |
$7,832.65 |
$7,832.65 |
$8,759.35
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$265.37 |
$265.37 |
$265.37 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,381.64 |
$1,381.64 |
$1,381.64 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$1,458.95
|
|
Rubella antibody igg
|
$43.98 |
$43.98 |
$43.98 |
$73.10
|
|
Rubeola antibody igg
|
$51.31 |
$51.31 |
$51.31 |
$79.68
|
|
Russell viper venom diluted
|
$29.69 |
$29.69 |
$29.69 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,503.18 |
$5,503.18 |
$5,503.18 |
$6,466.16
|
|
Salmonella antibody
|
$32.62 |
$32.62 |
$32.62 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$31.52 |
$31.52 |
$31.52 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$64.51 |
$64.51 |
$64.51 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$359.89 |
$359.89 |
$359.89 |
$1,012.55
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$589.67 |
$589.67 |
$589.67 |
$815.66
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$492.55 |
$492.55 |
$492.55 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$495.12 |
$495.12 |
$495.12 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$708.04 |
$708.04 |
$708.04 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$368.32 |
$368.32 |
$368.32 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$743.23 |
$743.23 |
$743.23 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$549.73 |
$549.73 |
$549.73 |
$5,235.51
|
|
Screening Mammogram
|
$119.11 |
$119.11 |
$119.11 |
$303.55
|
|
Screening prostate cancer PSA
|
$77.70 |
$77.70 |
$77.70 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$5,702.68 |
$5,702.68 |
$5,702.68 |
$28,440.67
|
|
Sedimentation rate erythrocyte automated
|
$33.72 |
$33.72 |
$33.72 |
$44.20
|
|
Semen analysis presence/motility
|
$45.08 |
$45.08 |
$45.08 |
$70.85
|
|
Serpina1 gene
|
$123.14 |
$123.14 |
$123.14 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$113.98 |
$113.98 |
$113.98 |
$173.16
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$732.97 |
$732.97 |
$732.97 |
$302.55
|
|
Shoulder MRI (with and without contrast)
|
$1,020.65 |
$1,020.65 |
$1,020.65 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,020.65 |
$1,020.65 |
$1,020.65 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$990.23 |
$990.23 |
$990.23 |
$2,051.28
|
|
Shoulder X-ray
|
$617.52 |
$617.52 |
$617.52 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$732.97 |
$732.97 |
$732.97 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$484.13 |
$484.13 |
$484.13 |
$345.00
|
|
Sialography s&i
|
$193.87 |
$193.87 |
$193.87 |
$462.40
|
|
Sickling rbc
|
$28.22 |
$28.22 |
$28.22 |
$53.55
|
|
Sincalide 5 mcg solution for injection
|
$176.48 |
$176.48 |
$176.48 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,022.12 |
$1,022.12 |
$1,022.12 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$945.16 |
$945.16 |
$945.16 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$859.03 |
$859.03 |
$859.03 |
$1,279.50
|
|
Skin Biopsy
|
$259.47 |
$259.47 |
$259.47 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$1,682.88 |
$1,682.88 |
$1,682.88 |
$2,190.24
|
|
Sleep Study (Polysomnography)
|
$2,127.06 |
$2,127.06 |
$2,127.06 |
$3,936.80
|
|
Sleep study unattended
|
$224.29 |
$224.29 |
$224.29 |
$595.50
|
|
Sleeve fing rolyan med
|
$99.32 |
$99.32 |
$99.32 |
$167.31
|
|
Sling suprapubic suburetheral
|
$2,566.98 |
$2,566.98 |
$2,566.98 |
$10,395.47
|
|
Slp eval non-spch gen comm dev
|
$288.06 |
$288.06 |
$288.06 |
$285.09
|
|
Slp pure tone screening
|
$159.42 |
$159.42 |
$159.42 |
$67.60
|
|
Slp ther svc non-spch gen
|
$130.47 |
$130.47 |
$130.47 |
$186.40
|
|
Small bowel endoscopy
|
$1,595.66 |
$1,595.66 |
$1,595.66 |
$2,466.10
|
|
Small bowel endoscopy
|
$1,674.09 |
$1,674.09 |
$1,674.09 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,595.66 |
$1,595.66 |
$1,595.66 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$35.55 |
$35.55 |
$35.55 |
$64.20
|
|
Smear gram stain
|
$19.79 |
$19.79 |
$19.79 |
$57.85
|
|
Smear nasal eosinophil
|
$27.49 |
$27.49 |
$27.49 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$89.06 |
$89.06 |
$89.06 |
$64.35
|
|
Smear wet mount
|
$34.45 |
$34.45 |
$34.45 |
$68.63
|
|
Sodium 24 hour urine
|
$30.42 |
$30.42 |
$30.42 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$7.29 |
$7.29 |
$7.29 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$7.29 |
$7.29 |
$7.29 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$6.39 |
$6.39 |
$6.39 |
$46.35
|
