|
Rpl tun cvc wo subq port
|
$10,751.37 |
$10,751.37 |
$12,042.79 |
$3,687.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$24,249.58 |
$24,249.58 |
$24,249.58 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$12,793.21 |
$12,793.21 |
$12,793.21 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$17,888.71 |
$17,888.71 |
$17,888.71 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$19,621.71 |
$19,621.71 |
$19,621.71 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 rdc
|
$25,520.38 |
$25,520.38 |
$25,520.38 |
$1,719.20
|
|
Rp therapy unlisted px
|
$806.83 |
$806.83 |
$806.83 |
$549.50
|
|
Rsv assay w/optic
|
$118.80 |
$118.80 |
$143.36 |
$79.38
|
|
Rubella antibody igg
|
$180.59 |
$180.59 |
$183.00 |
$77.03
|
|
Rubeola antibody igg
|
$163.16 |
$163.16 |
$163.20 |
$80.00
|
|
Russell viper venom diluted
|
$73.20 |
$73.20 |
$291.38 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$372.97 |
$372.97 |
$8,136.60 |
$5,174.32
|
|
Salivary glnd img serial img
|
$1,379.16 |
$1,379.16 |
$1,379.16 |
$701.73
|
|
Salmonella antibody
|
$340.23 |
$340.23 |
$340.23 |
$37.58
|
|
Sargramostim injection
|
$2,732.16 |
$2,732.16 |
$2,732.16 |
$609.00
|
|
Sarscov coronavirus ag ia
|
$28.57 |
$28.57 |
$49.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$116.40 |
$116.40 |
$116.40 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,059.20 |
$2,059.20 |
$2,686.98 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$837.00 |
$837.00 |
$1,642.10 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$947.40 |
$947.40 |
$2,450.40 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$481.80 |
$481.80 |
$907.97 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$609.00 |
$609.00 |
$1,188.06 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,776.00 |
$1,776.00 |
$4,662.78 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,703.47 |
$1,703.47 |
$2,510.40 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$970.73 |
$970.73 |
$1,651.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$767.29 |
$767.29 |
$1,519.20 |
$595.35
|
|
Scope plantar fasciotomy
|
$10,655.46 |
$10,655.46 |
$10,655.46 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$10,417.68 |
$10,417.68 |
$200,794.14 |
$4,490.64
|
|
Scr c/v cyto, automated sys
|
$118.97 |
$118.97 |
$118.97 |
$36.80
|
|
Scr c/v cyto, autosys, rescr
|
$118.97 |
$118.97 |
$118.97 |
$59.28
|
|
Scr c/v cyto,thinlayer,rescr
|
$35.40 |
$35.40 |
$35.40 |
$85.15
|
|
Screen cerv/vag thin layer
|
$39.00 |
$39.00 |
$118.97 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$3,737.22 |
$3,737.22 |
$3,737.22 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$3,787.50 |
$3,787.50 |
$3,787.50 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$48.95 |
$48.95 |
$48.95 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$411.65 |
$60.00
|
|
Screening HIV antigen/antibody combination assay
|
$554.67 |
$554.67 |
$554.67 |
$42.30
|
|
Screening Mammogram
|
$433.80 |
$433.80 |
$809.90 |
$312.55
|
|
Screening prostate cancer PSA
|
$205.80 |
$205.80 |
$242.43 |
$100.63
|
|
Screen pap by tech w md supv
|
$99.60 |
$99.60 |
$99.60 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$150,525.23 |
$150,525.23 |
$342,146.40 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,209.00 |
$4,209.00 |
$4,209.00 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$553.38 |
$553.38 |
$553.38 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$32.67 |
$32.67 |
$70.20 |
$42.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$102.60 |
$102.60 |
$102.60 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$102.60 |
$102.60 |
$102.60 |
$33.04
|
|
Semen analysis presence/motility
|
$150.38 |
$150.38 |
$172.80 |
$71.05
|
|
Semen analysis w/count
|
$20.40 |
$20.40 |
$46.61 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$316.68
|
|
Serial casting application 97139app
|
$39.17 |
$39.17 |
$39.17 |
$78.39
|
|
Serpina1 gene
|
$115.80 |
$115.80 |
$1,271.34 |
$197.00
|
|
Set radiation therapy field
|
$266.40 |
$266.40 |
$2,630.26 |
$762.40
|
|
Set radiation therapy field
|
$4,083.66 |
$4,083.66 |
$4,083.66 |
$1,157.38
|
|
Set radiation therapy field
|
$4,779.22 |
$4,779.22 |
$4,779.22 |
$1,636.36
|
|
Sevelamer carbonate pdr 20mg
|
$27.90 |
$27.90 |
$27.90 |
$21.96
|
|
Sewho cap design without jnts cf
|
$2,455.13 |
$2,455.13 |
$2,455.13 |
$1,685.60
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$303.00 |
$303.00 |
$303.00 |
$314.00
|
|
Sheath below knee
|
$42.57 |
$42.57 |
$42.57 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$5,921.16 |
$5,921.16 |
$29,251.69 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$8,895.10 |
$8,895.10 |
$8,895.10 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$42,582.52 |
$42,582.52 |
$42,582.52 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$24,164.04 |
$24,164.04 |
$24,164.04 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$37,477.64 |
$37,477.64 |
$37,477.64 |
$4,521.67
|
|
Sho arthrs srg rpr slap les
|
$26,287.80 |
$26,287.80 |
$26,287.80 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$36,760.27 |
$36,760.27 |
$36,760.27 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$130.93 |
$130.93 |
$130.93 |
$111.56
|
|
Shoe dennis browne splint bo
|
$114.22 |
$114.22 |
$114.22 |
$93.52
|
|
Shoe heel new leather standa
|
$107.45 |
$107.45 |
$107.45 |
$88.03
|
|
Shoe heel new rubber standar
|
$90.71 |
$90.71 |
$90.71 |
$63.70
|
|
Shoe heel pad & depress for
|
$164.49 |
$164.49 |
$164.49 |
$149.60
|
|
Shoe heel sach cushion type
|
$233.65 |
$233.65 |
$233.65 |
$228.09
|
|
Shoe heel thomas extend to b
|
$164.49 |
$164.49 |
$164.49 |
$134.68
|
|
Shoe heel thomas with wedge
|
$154.54 |
$154.54 |
$154.54 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$130.06 |
$130.06 |
$130.06 |
$175.04
|
|
Shoe metatarsal bar between
|
$140.22 |
$140.22 |
$140.22 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$107.45 |
$107.45 |
$107.45 |
$69.03
|
|
Shoe outflare wedge
|
$130.93 |
$130.93 |
$130.93 |
$107.24
|
|
Shoe post-op mens m
|
$171.00 |
$171.00 |
$171.00 |
$52.20
|
|
Shoe sole wedge between sole
|
$130.93 |
$130.93 |
$130.93 |
$107.24
|
|
Shoe sole wedge outside sole
|
$93.98 |
$93.98 |
$93.98 |
$77.00
|
|
Shoe wedge sach
|
$136.11 |
$136.11 |
$136.11 |
$171.44
|
|
Sho heel count plast reinfor
|
$191.69 |
$191.69 |
$191.69 |
$346.47
|
|
Sho insert w arch toe filler
|
$830.87 |
$830.87 |
$830.87 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$137.67 |
$137.67 |
$137.67 |
$111.14
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$36,310.97 |
$36,310.97 |
$36,310.97 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$3,301.80 |
$3,301.80 |
$8,876.26 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,841.60 |
$2,841.60 |
$6,516.07 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,273.40 |
$2,273.40 |
$6,450.03 |
$2,065.05
|
|
Shoulder X-ray
|
$691.20 |
$691.20 |
$1,957.50 |
$339.50
|
|
Shrinker prosth above knee
|
$135.68 |
$135.68 |
$135.68 |
$168.89
|
|
Shrinker prosth below knee
|
$156.82 |
$156.82 |
$156.82 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$9,194.16 |
$9,194.16 |
$9,194.16 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$549.60 |
$549.60 |
$2,463.65 |
$349.20
|
|
Sialidase enzyme assay
|
$418.34 |
$418.34 |
$418.34 |
$54.60
|
|
Sialography s&i
|
$1,226.47 |
$1,226.47 |
$1,226.47 |
$499.20
|
|
Sickling rbc
|
$54.00 |
$54.00 |
$69.92 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$3,830.04 |
$3,830.04 |
$3,830.04 |
$1,351.63
|
|
Sigmoidoscopy w/ultrasound
|
$4,506.90 |
$4,506.90 |
$4,506.90 |
$1,740.57
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$5,158.86 |
$5,158.86 |
$5,158.86 |
$1,664.40
|
|
Signal avg ecg w or without ecg 93278
|
$742.43 |
$742.43 |
$742.43 |
$280.00
|
