|
Radphm lcl tmr plnr bdy sgl day img
|
$1,275.20 |
$1,275.20 |
$1,275.20 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,240.60 |
$4,240.60 |
$4,240.60 |
$2,719.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,502.20 |
$1,502.20 |
$1,502.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$1,126.32
|
|
Rapid Strep Test
|
$49.15 |
$49.15 |
$49.15 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$7,774.03 |
$7,774.03 |
$7,774.03 |
$4,331.80
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$843.80 |
$843.80 |
$843.80 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$659.30 |
$659.30 |
$659.30 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$757.75 |
$757.75 |
$757.75 |
$534.15
|
|
Redo endovas vena cava filtr
|
$14,190.05 |
$14,190.05 |
$14,190.05 |
$4,545.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$881.93 |
$881.93 |
$881.93 |
$357.91
|
|
Relocation skin pocket pm
|
$5,089.15 |
$5,089.15 |
$5,089.15 |
$2,673.12
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,172.14 |
$2,172.14 |
$2,172.14 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$8,502.50 |
$8,502.50 |
$8,502.50 |
$5,509.05
|
|
Rem interrog dev eval scrms
|
$163.00 |
$163.00 |
$163.00 |
$109.50
|
|
Rem interrog evl pm/ids
|
$40.00 |
$40.00 |
$40.00 |
$139.10
|
|
Removal biliary drg cath
|
$2,485.85 |
$2,485.85 |
$2,485.85 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,479.75 |
$4,479.75 |
$4,479.75 |
$2,421.09
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$318.45 |
$318.45 |
$318.45 |
$255.97
|
|
Removal/replacement ppm generator dual lead system
|
$36,341.60 |
$36,341.60 |
$36,341.60 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$5,013.85 |
$5,013.85 |
$5,013.85 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$676.25 |
$676.25 |
$676.25 |
$494.00
|
|
Remove renal tube w/fluoro
|
$896.50 |
$896.50 |
$896.50 |
$1,172.80
|
|
Remove ureter stent percut
|
$6,376.05 |
$6,376.05 |
$6,376.05 |
$3,640.89
|
|
Renal cyst study s&i
|
$943.00 |
$943.00 |
$943.00 |
$751.34
|
|
Renal function panel
|
$192.85 |
$192.85 |
$192.85 |
$114.37
|
|
Renal venogram bil s&i
|
$3,141.75 |
$3,141.75 |
$3,141.75 |
$3,615.28
|
|
Replace duod/jej tube perc
|
$923.90 |
$923.90 |
$923.90 |
$1,357.60
|
|
Replace g/c tube perc
|
$2,559.55 |
$2,559.55 |
$2,559.55 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,568.05 |
$1,568.05 |
$1,568.05 |
$1,568.05
|
|
Replace tunneled cv cath
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$3,724.63
|
|
Reposition pm/icd lead
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
$3,802.20
|
|
Reptilase test
|
$66.30 |
$66.30 |
$66.30 |
$72.15
|
|
Resuscitation delivery/birthing room
|
$1,724.55 |
$1,724.55 |
$1,724.55 |
$802.00
|
|
Reticulocyte automated
|
$116.30 |
$116.30 |
$116.30 |
$53.00
|
|
Rheumatoid factor quantitative
|
$32.20 |
$32.20 |
$32.20 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$234.12 |
$234.12 |
$234.12 |
$234.12
|
|
Rho d immune globulin inj
|
$420.85 |
$420.85 |
$420.85 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$434.00 |
$434.00 |
$434.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$1,160.70 |
$1,160.70 |
$1,160.70 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$432.50 |
$432.50 |
$432.50 |
$397.60
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$2,452.53 |
$2,452.53 |
$2,452.53 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$2,452.53 |
$2,452.53 |
$2,452.53 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$8,352.15 |
$8,352.15 |
$8,352.15 |
$6,104.00
|
|
Rmvl icd pulse gen only
|
$9,304.85 |
$9,304.85 |
$9,304.85 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$472.50 |
$472.50 |
$472.50 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$48,269.95 |
$48,269.95 |
$48,269.95 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$34,525.55 |
$34,525.55 |
$34,525.55 |
$10,542.00
|
|
Rmvl pq iabp
|
$231.00 |
$231.00 |
$231.00 |
$969.10
|
|
Rmvl subq card rhythm mntr
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
$4,225.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$314.78 |
$314.78 |
$314.78 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,193.65 |
$2,193.65 |
$2,193.65 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$4,398.30 |
$4,398.30 |
$4,398.30 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,411.75 |
$2,411.75 |
$2,411.75 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$15,376.55 |
$15,376.55 |
$15,376.55 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
$3,724.63
|
|
Rsv assay w/optic
|
$30.00 |
$30.00 |
$30.00 |
$76.32
|
|
Rubella antibody igg
|
$84.75 |
$84.75 |
$84.75 |
$77.40
|
|
Rubeola antibody igg
|
$32.10 |
$32.10 |
$32.10 |
$80.00
|
|
Russell viper venom diluted
|
$99.25 |
$99.25 |
$99.25 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$247.15 |
$247.15 |
$247.15 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$40.00 |
$40.00 |
$40.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$50.00 |
$50.00 |
$50.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$372.10 |
$372.10 |
$372.10 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$189.45 |
$189.45 |
$189.45 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$249.80 |
$249.80 |
$249.80 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$122.30 |
$122.30 |
$122.30 |
$67.84
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,192.35 |
$1,192.35 |
$1,192.35 |
$761.15
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$4,246.72
|
|
Screening hepatitis b non-obstetric high risk
|
$84.00 |
$84.00 |
$84.00 |
$60.00
|
|
Screening Mammogram
|
$354.90 |
$354.90 |
$354.90 |
$310.20
|
|
Screening prostate cancer PSA
|
$36.00 |
$36.00 |
$36.00 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$8,005.00 |
$8,005.00 |
$8,005.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$924.60 |
$924.60 |
$924.60 |
$611.91
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$567.10 |
$567.10 |
$567.10 |
$225.04
|
|
Sedimentation rate erythrocyte automated
|
$99.25 |
$99.25 |
$99.25 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$141.75 |
$141.75 |
$141.75 |
$96.00
|
|
Semen analysis presence/motility
|
$52.50 |
$52.50 |
$52.50 |
$70.40
|
|
Serial casting application 97139app
|
$141.75 |
$141.75 |
$141.75 |
$78.39
|
|
Shot (Injection into Muscle or Under the Skin)
|
$190.20 |
$190.20 |
$190.20 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$287.40 |
$287.40 |
$287.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$663.00 |
$663.00 |
$663.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,708.00 |
$2,708.00 |
$2,708.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,183.30 |
$2,183.30 |
$2,183.30 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,366.70 |
$1,366.70 |
$1,366.70 |
$2,096.84
|
|
Shoulder X-ray
|
$220.70 |
$220.70 |
$220.70 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$179.75 |
$179.75 |
$179.75 |
$263.25
|
|
Shunt glaucoma baerveldt 350mm
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$53.00 |
$53.00 |
$53.00 |
$355.80
|
|
Sialography s&i
|
$1,409.90 |
$1,409.90 |
$1,409.90 |
$499.20
|
