|
Removal of bone for graft
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$4,382.29
|
|
Removal of breast lesion
|
$669.60 |
$669.60 |
$669.60 |
$4,631.50
|
|
Removal of gallbladder 47600
|
$1,563.60 |
$1,563.60 |
$1,563.60 |
$2,032.80
|
|
Removal of hydrocele
|
$941.40 |
$941.40 |
$941.40 |
$4,176.15
|
|
Removal of hydrocele
|
$719.40 |
$719.40 |
$719.40 |
$3,769.31
|
|
Removal of implant deep
|
$980.40 |
$980.40 |
$980.40 |
$4,484.80
|
|
Removal of ovary/tube(s)
|
$1,481.40 |
$1,481.40 |
$1,481.40 |
$1,388.40
|
|
Removal/replacement ppm generator dual lead system
|
$602.58 |
$602.58 |
$602.58 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$105.60 |
$105.60 |
$105.60 |
$292.50
|
|
Remove anal fist subq
|
$568.80 |
$568.80 |
$568.80 |
$3,640.00
|
|
Remove in/ex hem groups 2+
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$3,816.64
|
|
Remove int/ext hem 1 group
|
$841.20 |
$841.20 |
$841.20 |
$3,816.64
|
|
Remove pilonidal cyst compl
|
$1,051.80 |
$1,051.80 |
$1,051.80 |
$3,564.80
|
|
Remove skin nerve lesion 64788
|
$825.00 |
$825.00 |
$825.00 |
$2,244.50
|
|
Remove tonsils and adenoids
|
$571.20 |
$571.20 |
$571.20 |
$5,419.00
|
|
Remove tonsils and adenoids
|
$651.00 |
$651.00 |
$651.00 |
$3,780.25
|
|
Remove ventilating tube
|
$210.60 |
$210.60 |
$210.60 |
$3,592.74
|
|
Remove wrist/forearm lesion
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$2,623.40
|
|
Remove wrist tendon lesion
|
$699.00 |
$699.00 |
$699.00 |
$3,107.43
|
|
Renal function panel
|
$208.80 |
$208.80 |
$208.80 |
$113.52
|
|
Reopening of recent laparotomy 49002
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$2,021.22
|
|
Repair blood vessel direct hand finger
|
$4,393.20 |
$4,393.20 |
$4,393.20 |
$3,786.00
|
|
Repair blood vessel dir lower extr
|
$2,424.00 |
$2,424.00 |
$2,424.00 |
$1,710.80
|
|
Repair bowel-bladder fistula 44661
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$1,637.40 |
$1,637.40 |
$1,637.40 |
$1,558.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$291.60 |
$291.60 |
$291.60 |
$1,042.00
|
|
Repair/graft wrist bone
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$5,376.00
|
|
Repair of nasal septum
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$4,649.69
|
|
Repair stomach-bowel fistula 43880
|
$1,860.60 |
$1,860.60 |
$1,860.60 |
$2,477.40
|
|
Repair stomach opening
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$4,402.32
|
|
Rerepair ing hernia blocked
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$4,879.00
|
|
Rerepair ing hernia reduce
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$4,176.15
|
|
Resect inferior turbinate
|
$673.80 |
$673.80 |
$673.80 |
$3,810.75
|
|
Resuscitation cardiopulmonary
|
$753.00 |
$753.00 |
$753.00 |
$751.33
|
|
Reticulocyte automated
|
$35.40 |
$35.40 |
$35.40 |
$51.37
|
|
Revise stomach bowel fusion 43860
|
$2,563.80 |
$2,563.80 |
$2,563.80 |
$3,110.40
|
|
Revision of colostomy comp in-depth 44345
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$2,338.38
|
|
Revision of ileostomy; simple 44312
|
$761.40 |
$761.40 |
$761.40 |
$4,332.25
|
|
Rheumatoid factor qualitative
|
$30.60 |
$30.60 |
$30.60 |
$57.07
|
|
Rheumatoid factor quantitative
|
$42.00 |
$42.00 |
$42.00 |
$56.24
|
|
Rho d immune globulin inj
|
$394.20 |
$394.20 |
$394.20 |
$217.71
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$15,661.80 |
$15,661.80 |
$15,661.80 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$12,542.40 |
$12,542.40 |
$12,542.40 |
$5,309.20
|
|
Rmvl fb upr arm/elbow deep
|
$802.20 |
$802.20 |
$802.20 |
$3,435.60
|
|
Rmvl fecal impaction/fb spx under anes
|
$329.40 |
$329.40 |
$329.40 |
$2,107.00
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$426.00 |
$426.00 |
$426.00 |
$470.40
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$825.60 |
$825.60 |
$825.60 |
$538.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,231.10 |
$5,231.10 |
$5,231.10 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,042.60 |
$3,042.60 |
$3,042.60 |
$4,820.04
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$2,173.60
|
|
Rpm tx mgmt 1st 20 min
|
$54.60 |
$54.60 |
$54.60 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$45.00 |
$45.00 |
$45.00 |
$101.25
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$4,627.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,386.60 |
$1,386.60 |
$1,386.60 |
$6,870.89
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$6,906.53
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$694.20 |
$694.20 |
$694.20 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$930.00 |
$930.00 |
$930.00 |
$6,870.89
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,175.60 |
$2,175.60 |
$2,175.60 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$5,419.00
|
|
Rpr diaphragm lac/any approach 39501
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$1,539.60
|
|
Rsv assay w/optic
|
$39.00 |
$39.00 |
$39.00 |
$81.90
|
|
Rubella antibody igg
|
$120.60 |
$120.60 |
$120.60 |
$76.70
|
|
Rubeola antibody igg
|
$110.40 |
$110.40 |
$110.40 |
$80.00
|
|
Russell viper venom diluted
|
$40.80 |
$40.80 |
$40.80 |
$71.82
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$139.20 |
$139.20 |
$139.20 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$75.60 |
$75.60 |
$75.60 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$96.60 |
$96.60 |
$96.60 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$53.40 |
$53.40 |
$53.40 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$805.80 |
$805.80 |
$805.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$174.60 |
$174.60 |
$174.60 |
$661.20
|
|
Scan duplex extremity veins unilateral/limited study
|
$721.20 |
$721.20 |
$721.20 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$871.20 |
$871.20 |
$871.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$634.80 |
$634.80 |
$634.80 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$634.80 |
$634.80 |
$634.80 |
$570.00
|
|
Screening Colonoscopy (average risk)
|
$745.20 |
$745.20 |
$745.20 |
$1,700.40
|
|
Screening Colonoscopy (high risk)
|
$745.20 |
$745.20 |
$745.20 |
$1,864.80
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$37.80 |
$37.80 |
$37.80 |
$57.60
|
|
Screening Mammogram
|
$259.80 |
$259.80 |
$259.80 |
$313.35
|
|
Screw cortex 2.0 x 10mm
|
$2,529.12 |
$2,529.12 |
$2,529.12 |
$28,563.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$67.20 |
$67.20 |
$67.20 |
$42.25
|
|
Semen analysis w/count
|
$105.60 |
$105.60 |
$105.60 |
$56.44
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$69.00 |
$69.00 |
$69.00 |
$275.88
|
|
Sho arthrs srg bicp tenodsis
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$4,950.40
|
|
Sho arthrs srg lmtd dbrdmt
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$4,521.67
|
|
Sho arthrs srg prtl synvct
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$5,855.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$6,311.00
|
|
Shoulder MRI (with and without contrast)
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
$2,739.30
|
|
Shoulder MRI (with contrast)
|
$3,829.20 |
$3,829.20 |
$3,829.20 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,829.20 |
$3,829.20 |
$3,829.20 |
$2,088.20
|
|
Shoulder X-ray
|
$665.40 |
$665.40 |
$665.40 |
$340.10
|
|
Sickling rbc
|
$45.60 |
$45.60 |
$45.60 |
$56.00
|
|
Sigmoidoscopy and biopsy
|
$261.60 |
$261.60 |
$261.60 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$453.00 |
$453.00 |
$453.00 |
$1,078.88
|
|
Sigmoidoscopy w/fb removal 45332
|
$388.80 |
$388.80 |
$388.80 |
$1,374.75
|
|
Sigmoidoscopy w/tumr remove
|
$434.40 |
$434.40 |
$434.40 |
$1,398.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$401.40 |
$401.40 |
$401.40 |
$1,356.00
|
