|
Replace duod/jej tube perc
|
$923.90 |
$923.90 |
$923.90 |
|
|
Replace g/c tube perc
|
$2,559.55 |
$2,559.55 |
$2,559.55 |
|
|
Replace g-j tube perc
|
$172.15 |
$1,568.05 |
$1,568.05 |
|
|
Replace tunneled cv cath
|
$511.50 |
$2,655.20 |
$2,667.80 |
|
|
Reposition pm/icd lead
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
|
|
Reptilase test
|
$66.30 |
$109.20 |
$167.65 |
|
|
Resuscitation delivery/birthing room
|
$329.30 |
$467.00 |
$1,820.75 |
|
|
Reticulocyte automated
|
$51.20 |
$95.80 |
$116.30 |
|
|
Revise two eye muscles
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
|
|
Revision of eyelid
|
$3,870.95 |
$3,870.95 |
$3,870.95 |
|
|
Revision of eyelid
|
$954.55 |
$954.55 |
$954.55 |
|
|
Revision of penis
|
$877.95 |
$6,106.80 |
$10,678.55 |
|
|
Rev/rmv prph sac/gstr npg/r
|
$452.30 |
$5,536.45 |
$10,906.85 |
|
|
Rf abltj nrv nrvtg si jt
|
$5,515.95 |
$5,515.95 |
$5,515.95 |
|
|
Rheumatoid factor qualitative
|
$26.00 |
$26.00 |
$26.00 |
|
|
Rheumatoid factor quantitative
|
$32.20 |
$64.70 |
$103.85 |
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$234.12 |
$602.91 |
$766.82 |
|
|
Rho(d) immune globulin h, sd
|
$2,161.72 |
$2,161.72 |
$2,161.72 |
|
|
Rho d immune globulin inj
|
$332.00 |
$776.25 |
$1,660.63 |
|
|
Rib and Chest X-ray (3 views, left side)
|
$312.75 |
$624.95 |
$977.15 |
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$434.05 |
$781.50 |
$1,160.70 |
|
|
Rib X-ray (3 views, both sides)
|
$373.00 |
$586.90 |
$888.05 |
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,244.19 |
$1,244.19 |
$1,742.71 |
|
|
Ring fx reform 11-13x17mm
|
$199.00 |
$199.00 |
$250.00 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$24,767.93 |
$27,102.83 |
$27,303.03 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,582.75 |
$3,429.91 |
$5,620.74 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$12,365.03 |
$12,365.03 |
$12,365.03 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$2,019.01 |
$2,019.01 |
$13,501.75 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$879.02 |
$2,452.53 |
$8,557.88 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$879.02 |
$2,180.08 |
$3,329.68 |
|
|
R&l hrt cath chd abnl nt cnj
|
$8,352.15 |
$8,352.15 |
$8,352.15 |
|
|
Rmv implant contraceptive capsule 11976
|
$577.60 |
$577.60 |
$577.60 |
|
|
Rmvl fb upr arm/elbow deep
|
$1,152.65 |
$4,779.15 |
$8,513.20 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$633.00 |
$633.00 |
$633.00 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$136.35 |
$136.35 |
$423.80 |
|
|
Rmvl icd pulse gen only
|
$9,304.85 |
$9,304.85 |
$9,304.85 |
|
|
Rmvl ndwellg tun pleural cath
|
$472.50 |
$472.50 |
$472.50 |
|
|
Rmvl perm pm pulse gen
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$48,269.95 |
$48,269.95 |
$48,269.95 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$34,525.55 |
$34,525.55 |
$34,525.55 |
|
|
Rmvl pq iabp
|
$231.00 |
$231.00 |
$231.00 |
|
|
Rmvl subq card rhythm mntr
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
|
|
Rmvl tv pm lead dual
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
|
|
Rmvl tv pm lead sgl
|
$6,217.00 |
$6,217.00 |
$6,217.00 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,637.74 |
$7,637.74 |
$11,143.78 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,752.04 |
$14,386.68 |
$16,746.01 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,365.24 |
$5,914.40 |
$11,448.69 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$80.74 |
$137.42 |
$403.51 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
|
|
Rp loclzj tum 2+area 1+d img
|
$1,120.50 |
$1,120.50 |
$1,476.10 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,363.40 |
$2,193.65 |
$2,573.55 |
|
|
Rp loclzj tum spect w/ct 2
|
$2,885.15 |
$4,398.30 |
$4,398.30 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$832.80 |
$1,176.80 |
$3,537.50 |
|
|
Rpl tun-cvad w subq port
|
$15,376.55 |
$15,376.55 |
$15,376.55 |
|
|
Rpl tun cvc wo subq port
|
$6,890.25 |
$6,890.25 |
$6,890.25 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$723.30 |
$12,255.20 |
$21,190.80 |
|
|
Rsv assay w/optic
|
$16.00 |
$30.00 |
$64.00 |
|
|
Rubella antibody igg
|
$67.00 |
$84.75 |
$178.00 |
|
|
Rubeola antibody igg
|
$32.10 |
$93.15 |
$162.45 |
|
|
Russell viper venom diluted
|
$67.35 |
$99.25 |
$167.65 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,001.12 |
$7,643.77 |
$10,215.32 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$247.15 |
$430.50 |
$638.80 |
|
|
Safety plan interven
|
$66.20 |
$66.20 |
$66.20 |
|
|
Salivary gland imaging
|
$1,278.15 |
$1,278.15 |
$1,278.15 |
|
|
Sarscov coronavirus ag ia
|
$40.00 |
$40.00 |
$40.00 |
|
|
Sarscov & inf vir a&b ag ia
|
$50.00 |
$50.00 |
$51.55 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$279.00 |
$311.75 |
$372.10 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$142.70 |
$161.60 |
$189.45 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$187.65 |
$233.70 |
$249.80 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$87.35 |
$101.25 |
$122.30 |
|
|
Sbsq psyc collab care mgmt
|
$194.40 |
$194.40 |
$194.40 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,141.80 |
$1,192.35 |
$1,192.35 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$614.05 |
$747.80 |
$858.35 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$509.55 |
$1,166.15 |
$1,407.45 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$738.30 |
$858.35 |
$1,402.50 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$419.20 |
$1,379.40 |
$1,407.45 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$490.70 |
$738.30 |
$1,407.45 |
|
|
Scan proc cranial intra 61781
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
|
|
Scope uretscp lithovue dig disp
|
$80.00 |
$185.00 |
$2,800.00 |
|
|
Screen cerv/vag thin layer
|
$133.00 |
$133.00 |
$133.00 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$53.00 |
$53.00 |
$53.00 |
|
|
Screening hepatitis b non-obstetric high risk
|
$84.00 |
$254.05 |
$702.70 |
|
|
Screening Mammogram
|
$259.55 |
$380.60 |
$869.25 |
|
|
Screening prostate cancer PSA
|
$36.00 |
$36.00 |
$36.00 |
|
|
Screw cortex 2.0 x 10mm
|
$3,418.85 |
$7,016.00 |
$9,208.55 |
|
|
Scrotal (Testicle) Ultrasound
|
$634.90 |
$803.80 |
$1,132.40 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$18.70 |
$116.05 |
$567.10 |
|
|
Sedimentation rate erythrocyte automated
|
$41.75 |
$70.20 |
$101.15 |
|
|
Select picture audiometry
|
$96.00 |
$96.00 |
$176.85 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$101.20 |
$159.35 |
$191.35 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$164.70 |
$164.70 |
$164.70 |
|
|
Semen analysis presence/motility
|
$52.50 |
$122.45 |
$133.65 |
|
|
Serial casting application 97139app
|
$141.75 |
$141.75 |
$219.40 |
|
|
Serial tonometry
|
$76.25 |
$76.25 |
$76.25 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$271.30 |
$303.50 |
$591.50 |
|
|
Shoe post-op mens m
|
$22.80 |
$22.80 |
$22.80 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$61.20 |
$190.20 |
$278.20 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$287.40 |
$423.80 |
$714.60 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$235.85 |
$391.40 |
$663.00 |
|
|
Shoulder MRI (with and without contrast)
|
$2,708.00 |
$3,301.70 |
$3,956.45 |
|
