|
Rpm tx mgmt ea addl 20 min
|
$37.45 |
$37.45 |
$37.45 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,433.78 |
$1,433.78 |
$1,433.78 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,731.73 |
$1,731.73 |
$1,731.73 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,234.56 |
$1,234.56 |
$1,234.56 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,198.78 |
$1,198.78 |
$1,198.78 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,271.28
|
|
Rpr acq av fistula thrx&abd
|
$2,122.76 |
$2,122.76 |
$2,122.76 |
$2,122.76
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,907.78
|
|
Rpr blvs gr ot/th vn ntrth w
|
$1,990.06 |
$1,990.06 |
$1,990.06 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$2,098.06 |
$2,098.06 |
$2,098.06 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$2,274.01 |
$2,274.01 |
$2,274.01 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$2,395.85 |
$2,395.85 |
$2,395.85 |
$1,848.50
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$2,063.54 |
$2,063.54 |
$2,063.54 |
$2,049.00
|
|
Rpr cgen av fistula thrx&abd
|
$2,556.91 |
$2,556.91 |
$2,556.91 |
$1,141.26
|
|
Rpr choanal atresia ntranasl
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,643.14 |
$1,643.14 |
$1,643.14 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,339.77 |
$1,339.77 |
$1,339.77 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$1,210.63 |
$1,210.63 |
$1,210.63 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,839.00
|
|
Rpr hypopl a-arch w/byp
|
$2,620.29 |
$2,620.29 |
$2,620.29 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$2,009.87 |
$2,009.87 |
$2,009.87 |
$2,009.87
|
|
Rpr hypspad comp dsj & urtp
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,691.20
|
|
Rpr intst excl anrect fist
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Rpr nsl vlv collapse w/implt
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$1,036.63 |
$1,036.63 |
$1,036.63 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,294.66 |
$1,294.66 |
$1,294.66 |
$1,786.40
|
|
Rpr pul art unifocal without cpb
|
$2,433.62 |
$2,433.62 |
$2,433.62 |
$2,433.62
|
|
Rpr&refit spct prsth aphakia
|
$81.12 |
$81.12 |
$81.12 |
$81.12
|
|
Rpr rem hernia init reduce
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$3,906.18
|
|
Rpr tga aortic pulm art rcns
|
$3,334.30 |
$3,334.30 |
$3,334.30 |
$3,334.30
|
|
Rpr tga atr bfl clsr vsd
|
$2,802.10 |
$2,802.10 |
$2,802.10 |
$2,802.10
|
|
Rpr tga atr bfl rmvl plm bnd
|
$2,647.72 |
$2,647.72 |
$2,647.72 |
$2,647.72
|
|
Rpr tga atrial baffle px
|
$2,577.95 |
$2,577.95 |
$2,577.95 |
$2,577.95
|
|
Rpr tga bfl rpr sbpulm obstr
|
$2,686.46 |
$2,686.46 |
$2,686.46 |
$2,686.46
|
|
Rpr tga rcnstj clsr vsd
|
$3,340.51 |
$3,340.51 |
$3,340.51 |
$3,340.51
|
|
Rpr tga rcnstj rmvl plm bnd
|
$3,275.43 |
$3,275.43 |
$3,275.43 |
$3,275.43
|
|
Rpr tga rcnstj rpr sbpl obst
|
$3,252.38 |
$3,252.38 |
$3,252.38 |
$3,252.38
|
|
Rpr tga without surg enlgmnt vsd
|
$2,990.02 |
$2,990.02 |
$2,990.02 |
$2,990.02
|
|
Rpr tga w/surg enlgmnt vsd
|
$3,066.58 |
$3,066.58 |
$3,066.58 |
$3,066.58
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,959.65
|
|
Rp therapy unlisted px
|
$320.85 |
$320.85 |
$320.85 |
$549.50
|
|
Rrp hypspad comp moblj&urtp
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$10,106.03
|
|
Rsect hip tum incl femur
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$10,735.20
|
|
Rsv assay w/optic
|
$18.08 |
$18.08 |
$18.08 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$183.07 |
$183.07 |
$183.07 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$51.32 |
$51.32 |
$51.32 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$51.32 |
$51.32 |
$51.32 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$51.32 |
$51.32 |
$51.32 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$36.25 |
$36.25 |
$36.25 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$35.78 |
$35.78 |
$35.78 |
$70.85
|
|
Rubella antibody igg
|
$19.86 |
$19.86 |
$19.86 |
$77.80
|
|
Rubeola ag if
|
$83.90 |
$83.90 |
$83.90 |
$83.90
|
|
Rubeola antibody igg
|
$17.77 |
$17.77 |
$17.77 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$454.72 |
$454.72 |
$454.72 |
$454.72
|
|
Russell viper venom diluted
|
$13.22 |
$13.22 |
$13.22 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,265.57 |
$1,265.57 |
$1,265.57 |
$1,008.79
|
|
Sach foot, replacement
|
$369.11 |
$369.11 |
$369.11 |
$288.40
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$51.04 |
$51.04 |
$51.04 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$143.75 |
$143.75 |
$143.75 |
$313.66
|
|
Safety plan interven
|
$54.58 |
$54.58 |
$54.58 |
$47.60
|
|
Salivary gland function exam
|
$549.70 |
$549.70 |
$549.70 |
$719.16
|
|
Salivary gland imaging
|
$549.70 |
$549.70 |
$549.70 |
$585.00
|
|
Salivary glnd img serial img
|
$549.70 |
$549.70 |
$549.70 |
$701.73
|
|
Salmonella antibody
|
$18.20 |
$18.20 |
$18.20 |
$37.58
|
|
Salpingostomy 58770
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,304.00
|
|
Same day nb discharge 99463
|
$183.07 |
$183.07 |
$183.07 |
$183.07
|
|
Sargramostim injection
|
$85.21 |
$85.21 |
$85.21 |
$552.52
|
|
Sars-cov-2 antb quantitative
|
$70.97 |
$70.97 |
$70.97 |
$56.57
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$264.85 |
$264.85 |
$264.85 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$48.76 |
$48.76 |
$48.76 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$97.00 |
$97.00 |
$97.00 |
$104.00
|
|
S bowel endoscope w/stent
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
$4,379.25
|
|
Sbrt management
|
$903.25 |
$903.25 |
$903.25 |
$1,156.00
|
|
Sbrt w/positron emission del
|
$4,374.81 |
$4,374.81 |
$4,374.81 |
$4,438.19
|
|
Sbsq ic vlbw inf<1,500 gm
|
$164.43 |
$164.43 |
$164.43 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$198.31 |
$198.31 |
$198.31 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$95.05 |
$95.05 |
$95.05 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$138.97 |
$138.97 |
$138.97 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$52.16 |
$52.16 |
$52.16 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$139.68 |
$139.68 |
$139.68 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$328.08 |
$328.08 |
$328.08 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$143.75 |
$143.75 |
$143.75 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$143.75 |
$143.75 |
$143.75 |
$582.50
|
