|
Rheumatoid factor quantitative
|
$68.32 |
$68.32 |
$68.32 |
$59.80
|
|
Rho(d) immune globulin h, sd
|
$19.17 |
$19.17 |
$19.17 |
$1,551.00
|
|
Right ventric recording
|
$3,965.36 |
$3,965.36 |
$3,965.36 |
$1,795.00
|
|
Ring fx reform 11-13x17mm
|
$694.96 |
$694.96 |
$694.96 |
$1,059.07
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$6.50 |
$6.50 |
$6.50 |
$1,771.44
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$505.92 |
$505.92 |
$505.92 |
$201.92
|
|
Rmvl icd by tv extr
|
$2,465.12 |
$2,465.12 |
$2,465.12 |
$4,589.40
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$45,192.56 |
$45,192.56 |
$45,192.56 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$45,192.56 |
$45,192.56 |
$45,192.56 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$45,192.56 |
$45,192.56 |
$45,192.56 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$3,259.20 |
$3,259.20 |
$3,259.20 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$1,061.36
|
|
Rmvl perm pm pulse gen
|
$3,259.20 |
$3,259.20 |
$3,259.20 |
$6,820.50
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$24,783.92 |
$24,783.92 |
$24,783.92 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$21,387.52 |
$21,387.52 |
$21,387.52 |
$11,241.96
|
|
Rmvl pq iabp
|
$207.76 |
$207.76 |
$207.76 |
$1,116.00
|
|
Rmvl pq vad left hrt vein sep session
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$5,562.48 |
$5,562.48 |
$5,562.48 |
$4,294.57
|
|
Rmvl tv pm lead dual
|
$2,606.80 |
$2,606.80 |
$2,606.80 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,606.80 |
$2,606.80 |
$2,606.80 |
$4,028.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,220.24 |
$1,220.24 |
$1,220.24 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$519.68 |
$519.68 |
$519.68 |
$1,283.66
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,296.40 |
$1,296.40 |
$1,296.40 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$4,341.66
|
|
Rpl tun cvc wo subq port
|
$2,572.64 |
$2,572.64 |
$2,572.64 |
$4,115.61
|
|
Rsv assay w/optic
|
$28.00 |
$28.00 |
$28.00 |
$64.13
|
|
Rubella antibody igg
|
$42.56 |
$42.56 |
$42.56 |
$73.05
|
|
Rubeola antibody igg
|
$22.40 |
$22.40 |
$22.40 |
$80.00
|
|
Russell viper venom diluted
|
$15.50 |
$15.50 |
$15.50 |
$73.03
|
|
Salmonella antibody
|
$6.19 |
$6.19 |
$6.19 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$173.04 |
$173.04 |
$173.04 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$170.24 |
$170.24 |
$170.24 |
$662.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$454.16 |
$454.16 |
$454.16 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$343.28 |
$343.28 |
$343.28 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$949.76 |
$949.76 |
$949.76 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$297.92 |
$297.92 |
$297.92 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$402.64 |
$402.64 |
$402.64 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$2,195.76 |
$2,195.76 |
$2,195.76 |
$2,114.45
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$27.44 |
$27.44 |
$27.44 |
$27.44
|
|
Screening Mammogram
|
$207.76 |
$207.76 |
$207.76 |
$287.12
|
|
Screening prostate cancer PSA
|
$47.60 |
$47.60 |
$47.60 |
$96.00
|
|
Screw cortex 2.0 x 10mm
|
$18,707.36 |
$18,707.36 |
$18,707.36 |
$22,380.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,291.44 |
$5,291.44 |
$5,291.44 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$81.76 |
$81.76 |
$81.76 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$8.96 |
$8.96 |
$8.96 |
$37.80
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$38.64 |
$38.64 |
$38.64 |
$59.89
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$54.32 |
$54.32 |
$54.32 |
$31.92
|
|
Semen analysis presence/motility
|
$20.72 |
$20.72 |
$20.72 |
$79.92
|
|
Serial casting application 97139app
|
$52.64 |
$52.64 |
$52.64 |
$67.42
|
|
Serpina1 gene
|
$50.96 |
$50.96 |
$50.96 |
$195.65
|
|
Set radiation therapy field
|
$603.68 |
$603.68 |
$603.68 |
$709.00
|
|
Set radiation therapy field
|
$995.68 |
$995.68 |
$995.68 |
$1,029.00
|
|
Set radiation therapy field
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$1,601.60
|
|
Sheath gldlight lasr 12fx50cm
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$7,076.25
|
|
Shoulder MRI (with and without contrast)
|
$2,418.64 |
$2,418.64 |
$2,418.64 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,328.48 |
$2,328.48 |
$2,328.48 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,158.80 |
$2,158.80 |
$2,158.80 |
$1,938.28
|
|
Shoulder X-ray
|
$220.64 |
$220.64 |
$220.64 |
$307.20
|
|
Shunt glaucoma baerveldt 350mm
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$4,050.00
|
|
Shuntogram nonvascular supervision & interpretation
|
$240.24 |
$240.24 |
$240.24 |
$342.54
|
|
Sialidase enzyme assay
|
$14.00 |
$14.00 |
$14.00 |
$54.60
|
|
Sickling rbc
|
$11.20 |
$11.20 |
$11.20 |
$53.40
|
|
Simple cystometrogram 51725
|
$364.56 |
$364.56 |
$364.56 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$670.88 |
$670.88 |
$670.88 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$596.40 |
$596.40 |
$596.40 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$544.32 |
$544.32 |
$544.32 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$927.92 |
$927.92 |
$927.92 |
$2,052.67
|
|
Sirolimus, oral
|
$11.54 |
$11.54 |
$11.54 |
$19.16
|
|
Sling arm deluxe w/pad xs
|
$87.36 |
$87.36 |
$87.36 |
$37.80
|
|
Sling suprapubic suburetheral
|
$7,022.96 |
$7,022.96 |
$7,022.96 |
$7,586.40
|
|
Slp eval non-spch gen comm dev
|
$170.80 |
$170.80 |
$170.80 |
$285.09
|
|
Slp pure tone screening
|
$25.20 |
$25.20 |
$25.20 |
$64.50
|
|
Slp ther svc non-spch gen
|
$120.40 |
$120.40 |
$120.40 |
$172.50
|
|
Smear fluorescent and/or acid fast stain
|
$39.76 |
$39.76 |
$39.76 |
$50.70
|
|
Smear gram stain
|
$24.08 |
$24.08 |
$24.08 |
$48.00
|
|
Smear nasal eosinophil
|
$14.00 |
$14.00 |
$14.00 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$30.80 |
$30.80 |
$30.80 |
$60.00
|
|
Smear wet mount
|
$24.08 |
$24.08 |
$24.08 |
$56.13
|
|
Smpd1 gene common variants
|
$60.48 |
$60.48 |
$60.48 |
$127.86
|
|
Sodium 24 hour urine
|
$19.04 |
$19.04 |
$19.04 |
$47.25
|
|
Sodium serum/plasma/whole blood
|
$33.60 |
$33.60 |
$33.60 |
$42.43
|
|
Special physics consult
|
$622.16 |
$622.16 |
$622.16 |
$688.05
|
|
Special radiation dosimetry
|
$621.60 |
$621.60 |
$621.60 |
$482.08
|
|
Special radiation treatment
|
$2,206.96 |
$2,206.96 |
$2,206.96 |
$1,945.00
|
|
Special teletx port plan
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$975.60
|
|
Specific gravity body fluid
|
$16.80 |
$16.80 |
$16.80 |
$21.55
|
|
Specimen fat stain
|
$25.20 |
$25.20 |
$25.20 |
$40.00
|
|
Speech audiometry complete
|
$70.56 |
$70.56 |
$70.56 |
$112.45
|
|
Speech recep thresh
|
$47.60 |
$47.60 |
$47.60 |
$90.60
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$85.12 |
$85.12 |
$85.12 |
$526.80
|
|
Spleen imaging
|
$272.16 |
$272.16 |
$272.16 |
$529.65
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$5,169.92 |
$5,169.92 |
$5,169.92 |
$4,543.60
|
|
Split blood or products
|
$42.00 |
$42.00 |
$42.00 |
$143.64
|
|
Srs linear based
|
$7,294.00 |
$7,294.00 |
$7,294.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$136.08 |
$136.08 |
$136.08 |
$295.10
|
|
Staph a dna amp probe
|
$42.00 |
$42.00 |
$42.00 |
$116.39
|
|
Stenger test pure tone
|
$26.32 |
$26.32 |
$26.32 |
$75.60
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$38,032.40 |
$38,032.40 |
$38,032.40 |
$28,126.65
|
|
Stent axios caut enh 15x10mm electrocaut
|
$17,814.16 |
$17,814.16 |
$17,814.16 |
$30,010.80
|
