|
Pvb thoracic cont infusion
|
$1,118.13 |
$1,118.13 |
$1,118.13 |
$2,170.80
|
|
Pvb thoracic single inj site
|
$577.16 |
$577.16 |
$577.16 |
$1,021.03
|
|
Pyridoxine hcl 100 mg
|
$26.14 |
$26.14 |
$26.14 |
$29.11
|
|
Pyruvate
|
$26.79 |
$26.79 |
$26.79 |
$65.00
|
|
Pyruvate kinase
|
$18.94 |
$18.94 |
$18.94 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$658.94 |
$658.94 |
$658.94 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$407.02 |
$407.02 |
$407.02 |
$1,228.80
|
|
Quest t3 uptake
|
$22.09 |
$22.09 |
$22.09 |
$55.00
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,706.26 |
$1,706.26 |
$1,706.26 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,940.75 |
$1,940.75 |
$1,940.75 |
$1,624.21
|
|
Radiation physics consult
|
$148.52 |
$148.52 |
$148.52 |
$595.40
|
|
Radiation therapy dose plan
|
$89.30 |
$89.30 |
$89.30 |
$514.05
|
|
Radiation treatment aid(s)
|
$296.10 |
$296.10 |
$296.10 |
$525.04
|
|
Radiation treatment aid(s)
|
$333.70 |
$333.70 |
$333.70 |
$644.36
|
|
Radiation treatment aid(s)
|
$371.30 |
$371.30 |
$371.30 |
$1,075.03
|
|
Radiation treatment delivery
|
$305.03 |
$305.03 |
$305.03 |
$920.00
|
|
Radiesse injection
|
$1,470.16 |
$1,470.16 |
$1,470.16 |
$1,112.56
|
|
Radiology port images(s)
|
$30.08 |
$30.08 |
$30.08 |
$236.40
|
|
Radiotherapy dose plan imrt
|
$1,856.50 |
$1,856.50 |
$1,856.50 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$716.75 |
$716.75 |
$716.75 |
$1,646.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,263.36 |
$1,263.36 |
$1,263.36 |
$2,582.32
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,304.72 |
$1,304.72 |
$1,304.72 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$539.56 |
$539.56 |
$539.56 |
$1,075.78
|
|
Rapid Strep Test
|
$19.74 |
$19.74 |
$19.74 |
$67.80
|
|
Rasburicase 1.5 mg intravenous solution
|
$641.25 |
$641.25 |
$641.25 |
$568.06
|
|
Rbc count only automated
|
$2.82 |
$2.82 |
$2.82 |
$20.00
|
|
Rbc deglycerolized each unit
|
$508.07 |
$508.07 |
$508.07 |
$785.20
|
|
Rbc irradiated each unit
|
$365.19 |
$365.19 |
$365.19 |
$443.95
|
|
Rbc serum pretx incubj drugs
|
$62.98 |
$62.98 |
$62.98 |
$223.08
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$3,627.46 |
$3,627.46 |
$3,627.46 |
$6,219.20
|
|
Red blood cells each unit
|
$226.07 |
$226.07 |
$226.07 |
$380.25
|
|
Red blood cells leukocytes reduced each unit
|
$328.06 |
$328.06 |
$328.06 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$365.19 |
$365.19 |
$365.19 |
$645.45
|
|
Red blood cells washed each unit
|
$358.14 |
$358.14 |
$358.14 |
$561.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$35.86 |
$35.86 |
$35.86 |
$115.07
|
|
Relocation skin pocket pm
|
$2,065.65 |
$2,065.65 |
$2,065.65 |
$2,939.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$319.62 |
$319.62 |
$319.62 |
$1,888.50
|
|
Rem mntr wrls p-art prs snr
|
$43.71 |
$43.71 |
$43.71 |
$111.20
|
|
Removal central venous catheter tunneled without port/pump
|
$813.10 |
$813.10 |
$813.10 |
$1,538.15
|
|
Removal cerclage without anes
|
$164.50 |
$164.50 |
$164.50 |
$692.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$83.66 |
$83.66 |
$83.66 |
$236.64
|
|
Removal of artery clot 34151
|
$4,136.00 |
$4,136.00 |
$4,136.00 |
$6,792.00
|
|
Removal/replacement ppm generator dual lead system
|
$16,279.86 |
$16,279.86 |
$16,279.86 |
$12,702.00
|
|
Renal function panel
|
$11.75 |
$11.75 |
$11.75 |
$95.76
|
|
Renal venogram bil s&i
|
$1,588.13 |
$1,588.13 |
$1,588.13 |
$3,386.25
|
|
Repair blood vessel dir lower extr
|
$1,593.30 |
$1,593.30 |
$1,593.30 |
$2,000.88
|
|
Replace picvad cath
|
$3,230.31 |
$3,230.31 |
$3,230.31 |
$3,439.84
|
|
Reposition pm/icd lead
|
$2,861.36 |
$2,861.36 |
$2,861.36 |
$4,089.00
|
|
Repos lv lead pm/icd
|
$2,861.36 |
$2,861.36 |
$2,861.36 |
$3,866.21
|
|
Repos sq defib eltrd
|
$4,990.46 |
$4,990.46 |
$4,990.46 |
$4,495.26
|
|
Reptilase test
|
$10.34 |
$10.34 |
$10.34 |
$65.72
|
|
#resp virpnl dfa-parainfluenza
|
$7.52 |
$7.52 |
$7.52 |
$44.40
|
|
Resuscitation cardiopulmonary
|
$1,247.85 |
$1,247.85 |
$1,247.85 |
$895.44
|
|
Reticulated platelet assay
|
$16.92 |
$16.92 |
$16.92 |
$68.69
|
|
Reticulocyte automated
|
$10.34 |
$10.34 |
$10.34 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$7.52 |
$7.52 |
$7.52 |
$32.50
|
|
Revision of cervix
|
$3,006.59 |
$3,006.59 |
$3,006.59 |
$3,854.76
|
|
Rheumatoid factor qualitative
|
$14.57 |
$14.57 |
$14.57 |
$54.60
|
|
Rho d immune globulin inj
|
$129.72 |
$129.72 |
$129.72 |
$232.72
|
|
Right ventric recording
|
$3,921.68 |
$3,921.68 |
$3,921.68 |
$1,795.00
|
|
Ring ostmy barr adapt 48mm
|
$9.40 |
$9.40 |
$9.40 |
$3.90
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$48.54 |
$48.54 |
$48.54 |
$1,848.99
|
|
Rmvl icd by tv extr
|
$4,296.27 |
$4,296.27 |
$4,296.27 |
$4,589.40
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$57,441.05 |
$57,441.05 |
$57,441.05 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$57,441.05 |
$57,441.05 |
$57,441.05 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$57,441.05 |
$57,441.05 |
$57,441.05 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$3,521.71 |
$3,521.71 |
$3,521.71 |
$4,069.52
|
|
Rmvl sq defib electrode
|
$3,845.07 |
$3,845.07 |
$3,845.07 |
$4,294.57
|
|
Rmvl subq card rhythm mntr
|
$1,309.42 |
$1,309.42 |
$1,309.42 |
$2,079.40
|
|
Rmvl tv pm lead dual
|
$3,521.71 |
$3,521.71 |
$3,521.71 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,861.36 |
$2,861.36 |
$2,861.36 |
$4,028.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$75.20 |
$75.20 |
$75.20 |
$60.40
|
|
Rotavirus antibody
|
$8.46 |
$8.46 |
$8.46 |
$107.50
|
|
Rp loclzj tum 2+area 1+d img
|
$697.48 |
$697.48 |
$697.48 |
$1,283.66
|
|
Rubella antibody igg
|
$15.04 |
$15.04 |
$15.04 |
$73.05
|
|
Rubeola antibody igg
|
$49.82 |
$49.82 |
$49.82 |
$80.00
|
|
Russell viper venom diluted
|
$9.87 |
$9.87 |
$9.87 |
$73.03
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$399.97 |
$399.97 |
$399.97 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$283.41 |
$283.41 |
$283.41 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$399.97 |
$399.97 |
$399.97 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$283.41 |
$283.41 |
$283.41 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$306.91 |
$306.91 |
$306.91 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$352.50 |
$352.50 |
$352.50 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$426.76 |
$426.76 |
$426.76 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$307.85 |
$307.85 |
$307.85 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$282.00 |
$282.00 |
$282.00 |
$527.80
|
|
Scope uretscp lithovue dig disp
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$5,679.70
|
|
Screening Colonoscopy (average risk)
|
$827.67 |
$827.67 |
$827.67 |
$1,093.16
|
|
Screening Colonoscopy (high risk)
|
$827.67 |
$827.67 |
$827.67 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$10.34 |
$10.34 |
$10.34 |
$27.44
|
|
Screening hepatitis c antibody high risk
|
$43.24 |
$43.24 |
$43.24 |
$46.35
|
|
Screening Mammogram
|
$186.12 |
$186.12 |
$186.12 |
$287.12
|
|
Screening prostate cancer PSA
|
$26.32 |
$26.32 |
$26.32 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$189.41 |
$189.41 |
$189.41 |
$194.35
|
|
Semen analysis presence/motility
|
$10.34 |
$10.34 |
$10.34 |
$79.92
|
|
Sept9 promoter methylation analysis
|
$90.24 |
$90.24 |
$90.24 |
$358.65
|
|
Set radiation therapy field
|
$173.43 |
$173.43 |
$173.43 |
$709.00
|
|
Set radiation therapy field
|
$529.69 |
$529.69 |
$529.69 |
$1,601.60
|
|
Shigella antibody
|
$11.28 |
$11.28 |
$11.28 |
$49.60
|
|
Shoulder MRI (with and without contrast)
|
$360.49 |
$360.49 |
$360.49 |
$2,628.75
|
