|
Remove renal tube w/fluoro
|
$1,672.00 |
$1,672.00 |
$1,672.00 |
$1,172.80
|
|
Renal function panel
|
$83.00 |
$83.00 |
$83.00 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$447.00 |
$447.00 |
$447.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$2,340.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,399.00 |
$1,399.00 |
$1,399.00 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$1,244.09
|
|
Replace duod/jej tube perc
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,357.60
|
|
Replace g/c tube perc
|
$701.00 |
$701.00 |
$701.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$1,568.05
|
|
Reposition pm/icd lead
|
$4,302.00 |
$4,302.00 |
$4,302.00 |
$3,802.20
|
|
Respirator motion mgmt simul
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,200.53
|
|
Resuscitation delivery/birthing room
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$802.00
|
|
Reticulated platelet assay
|
$56.00 |
$56.00 |
$56.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$16.00 |
$16.00 |
$16.00 |
$36.57
|
|
Revasc intra lithotrip-stent
|
$27,847.00 |
$27,847.00 |
$27,847.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$13,062.00 |
$13,062.00 |
$13,062.00 |
$11,101.80
|
|
Revasc lith-sten-ath tib/per
|
$31,668.00 |
$31,668.00 |
$31,668.00 |
$19,624.54
|
|
Revsc opn/prq tib/pero stent
|
$12,236.00 |
$12,236.00 |
$12,236.00 |
$9,196.55
|
|
Rheumatoid factor quantitative
|
$61.00 |
$61.00 |
$61.00 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$499.00 |
$499.00 |
$499.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$652.00 |
$652.00 |
$652.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$490.00 |
$490.00 |
$490.00 |
$397.60
|
|
Rmvl icd by tv extr
|
$5,301.00 |
$5,301.00 |
$5,301.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$56,120.00 |
$56,120.00 |
$56,120.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$56,120.00 |
$56,120.00 |
$56,120.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$59,862.00 |
$59,862.00 |
$59,862.00 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$4,114.00 |
$4,114.00 |
$4,114.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$7,074.00 |
$7,074.00 |
$7,074.00 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$25,112.00 |
$25,112.00 |
$25,112.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$21,784.00 |
$21,784.00 |
$21,784.00 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,203.54
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,533.00 |
$2,533.00 |
$2,533.00 |
$2,203.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,333.00 |
$2,333.00 |
$2,333.00 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$4,748.00 |
$4,748.00 |
$4,748.00 |
$3,724.63
|
|
Rubella antibody igg
|
$101.00 |
$101.00 |
$101.00 |
$77.40
|
|
Rubeola antibody igg
|
$117.00 |
$117.00 |
$117.00 |
$80.00
|
|
Russell viper venom diluted
|
$36.00 |
$36.00 |
$36.00 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$352.00 |
$352.00 |
$352.00 |
$314.26
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$535.00 |
$535.00 |
$535.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$491.00 |
$491.00 |
$491.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$915.00 |
$915.00 |
$915.00 |
$597.35
|
|
Screening Mammogram
|
$515.00 |
$515.00 |
$515.00 |
$310.20
|
|
Scrotal (Testicle) Ultrasound
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$12,760.00 |
$12,760.00 |
$12,760.00 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$38.00 |
$38.00 |
$38.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$140.00 |
$140.00 |
$140.00 |
$96.00
|
|
Semen analysis w/count
|
$53.00 |
$53.00 |
$53.00 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$118.00 |
$118.00 |
$118.00 |
$126.43
|
|
Set radiation therapy field
|
$406.00 |
$406.00 |
$406.00 |
$782.61
|
|
Set radiation therapy field
|
$950.00 |
$950.00 |
$950.00 |
$1,636.36
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$104.00 |
$104.00 |
$104.00 |
$314.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$130.00 |
$130.00 |
$130.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$362.00 |
$362.00 |
$362.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,039.00 |
$4,039.00 |
$4,039.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,688.00 |
$3,688.00 |
$3,688.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,553.00 |
$2,553.00 |
$2,553.00 |
$2,096.84
|
|
Shoulder X-ray
|
$473.00 |
$473.00 |
$473.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$304.00 |
$304.00 |
$304.00 |
$263.25
|
|
Sialidase enzyme assay
|
$28.00 |
$28.00 |
$28.00 |
$54.99
|
|
Sickling rbc
|
$54.00 |
$54.00 |
$54.00 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$2,263.00 |
$2,263.00 |
$2,263.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,951.00 |
$1,951.00 |
$1,951.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$4,162.00 |
$4,162.00 |
$4,162.00 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$450.00 |
$450.00 |
$450.00 |
$346.45
|
|
Sinus X-ray (limited)
|
$271.00 |
$271.00 |
$271.00 |
$215.40
|
|
Skull X-ray (1 to 3 views)
|
$291.00 |
$291.00 |
$291.00 |
$294.45
|
|
Skull X-ray (complete)
|
$518.00 |
$518.00 |
$518.00 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,931.00 |
$4,931.00 |
$4,931.00 |
$3,734.50
|
|
Sleep study unattended
|
$716.00 |
$716.00 |
$716.00 |
$594.00
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$819.00 |
$819.00 |
$819.00 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$36.00 |
$36.00 |
$36.00 |
$64.35
|
|
Smear gram stain
|
$46.00 |
$46.00 |
$46.00 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$34.00 |
$34.00 |
$34.00 |
$73.50
|
|
Smear wet mount
|
$46.00 |
$46.00 |
$46.00 |
$67.55
|
|
Sodium 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$50.00 |
$50.00 |
$50.00 |
$46.26
|
|
Special physics consult
|
$406.00 |
$406.00 |
$406.00 |
$725.00
|
|
Special radiation dosimetry
|
$406.00 |
$406.00 |
$406.00 |
$392.50
|
|
Special radiation treatment
|
$2,641.00 |
$2,641.00 |
$2,641.00 |
$2,052.00
|
|
Special supplies phys/qhp
|
$50.00 |
$50.00 |
$50.00 |
$60.00
|
|
Special teletx port plan
|
$777.00 |
$777.00 |
$777.00 |
$1,095.05
|
|
Speech and Language Evaluation (comprehensive)
|
$377.00 |
$377.00 |
$377.00 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$377.00 |
$377.00 |
$377.00 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$1,439.40
|
|
Spine X-ray (single view, one level)
|
$225.00 |
$225.00 |
$225.00 |
$251.00
|
|
Sputum specimen collection
|
$196.00 |
$196.00 |
$196.00 |
$180.00
|
|
Srs linear based
|
$8,358.00 |
$8,358.00 |
$8,358.00 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$353.00 |
$353.00 |
$353.00 |
$297.60
|
|
St cognitve performance testing healthcare professional each hour
|
$357.00 |
$357.00 |
$357.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$35,187.00 |
$35,187.00 |
$35,187.00 |
$21,249.26
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,536.50 |
$17,536.50 |
$17,536.50 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,111.00 |
$9,111.00 |
$9,111.00 |
$8,925.76
|
