|
Respirator motion mgmt simul
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$1,200.53
|
|
Resuscitation delivery/birthing room
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$802.00
|
|
Reticulated platelet assay
|
$92.00 |
$92.00 |
$92.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$19.00 |
$19.00 |
$19.00 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$33,823.00 |
$33,823.00 |
$33,823.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$33,823.00 |
$33,823.00 |
$33,823.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$16,694.00 |
$16,694.00 |
$16,694.00 |
$11,101.80
|
|
Revasc lithotrip-stent-ather
|
$54,101.00 |
$54,101.00 |
$54,101.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$35,514.00 |
$35,514.00 |
$35,514.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$53,870.00 |
$53,870.00 |
$53,870.00 |
$20,329.50
|
|
Revision of cervix
|
$9,253.00 |
$9,253.00 |
$9,253.00 |
$3,854.76
|
|
Revision of cornea
|
$7,577.00 |
$7,577.00 |
$7,577.00 |
$2,760.73
|
|
Revision of iris
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,388.40
|
|
Revision of iris
|
$874.00 |
$874.00 |
$874.00 |
$1,271.00
|
|
Revision tips
|
$27,739.00 |
$27,739.00 |
$27,739.00 |
$10,311.70
|
|
Rev/rmv perph nstim eltrd ra
|
$13,547.00 |
$13,547.00 |
$13,547.00 |
$4,329.39
|
|
Revsc opn/prq tib/pero stent
|
$37,219.00 |
$37,219.00 |
$37,219.00 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$7,433.63 |
$7,433.63 |
$7,433.63 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$57.00 |
$57.00 |
$57.00 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$444.00 |
$444.00 |
$444.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$672.00 |
$672.00 |
$672.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$444.00 |
$444.00 |
$444.00 |
$397.60
|
|
Right ventric recording
|
$3,642.00 |
$3,642.00 |
$3,642.00 |
$2,345.00
|
|
Rmv implant contraceptive capsule 11976
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,649.00 |
$4,649.00 |
$4,649.00 |
$2,111.46
|
|
Rmvl icd by tv extr
|
$10,552.00 |
$10,552.00 |
$10,552.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$80,317.00 |
$80,317.00 |
$80,317.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$100,368.00 |
$100,368.00 |
$100,368.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$80,317.00 |
$80,317.00 |
$80,317.00 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$20,183.00 |
$20,183.00 |
$20,183.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$12,111.00 |
$12,111.00 |
$12,111.00 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$2,214.00 |
$2,214.00 |
$2,214.00 |
$1,784.51
|
|
Rmvl phrnc nrv stim pg only
|
$10,317.00 |
$10,317.00 |
$10,317.00 |
$4,069.59
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$24,502.00 |
$24,502.00 |
$24,502.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$27,024.00 |
$27,024.00 |
$27,024.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$229.00 |
$229.00 |
$229.00 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$2,214.00 |
$2,214.00 |
$2,214.00 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$10,552.00 |
$10,552.00 |
$10,552.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,267.00 |
$2,267.00 |
$2,267.00 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$571.00 |
$571.00 |
$571.00 |
$460.68
|
|
Rmvl tv pm lead dual
|
$12,134.00 |
$12,134.00 |
$12,134.00 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$5,057.00 |
$5,057.00 |
$5,057.00 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,203.00
|
|
Rp loclzj tum spect w/ct 1
|
$5,151.00 |
$5,151.00 |
$5,151.00 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$5,842.00 |
$5,842.00 |
$5,842.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$6,738.00 |
$6,738.00 |
$6,738.00 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
$3,724.63
|
|
Rsv assay w/optic
|
$37.00 |
$37.00 |
$37.00 |
$76.32
|
|
Rubella antibody igg
|
$114.00 |
$114.00 |
$114.00 |
$77.40
|
|
Rubeola antibody igg
|
$133.00 |
$133.00 |
$133.00 |
$80.00
|
|
Russell viper venom diluted
|
$40.00 |
$40.00 |
$40.00 |
$73.03
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$393.00 |
$393.00 |
$393.00 |
$314.26
|
|
Salmonella antibody
|
$12.24 |
$12.24 |
$12.24 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$149.00 |
$149.00 |
$149.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$269.00 |
$269.00 |
$269.00 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$597.35
|
|
Scan proc cranial extra
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$2,366.00
|
|
Scan proc spinal
|
$2,387.00 |
$2,387.00 |
$2,387.00 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$3,381.00 |
$3,381.00 |
$3,381.00 |
$2,144.48
|
|
Screening Mammogram
|
$609.00 |
$609.00 |
$609.00 |
$310.20
|
|
Screen/visual acuity/bilat/quant 99173
|
$37.00 |
$37.00 |
$37.00 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$13,551.00 |
$13,551.00 |
$13,551.00 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$24.00 |
$24.00 |
$24.00 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$132.00 |
$132.00 |
$132.00 |
$96.00
|
|
Semen analysis w/count
|
$23.00 |
$23.00 |
$23.00 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$66.00 |
$66.00 |
$66.00 |
$126.43
|
|
Set radiation therapy field
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$782.61
|
|
Set radiation therapy field
|
$2,255.00 |
$2,255.00 |
$2,255.00 |
$1,159.03
|
|
Set radiation therapy field
|
$2,491.00 |
$2,491.00 |
$2,491.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$724.00 |
$724.00 |
$724.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$724.00 |
$724.00 |
$724.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$758.00 |
$758.00 |
$758.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$724.00 |
$724.00 |
$724.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$724.00 |
$724.00 |
$724.00 |
$269.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$724.00 |
$724.00 |
$724.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$724.00 |
$724.00 |
$724.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$724.00 |
$724.00 |
$724.00 |
$289.30
|
|
Shot (Injection into Muscle or Under the Skin)
|
$204.00 |
$204.00 |
$204.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$428.00 |
$428.00 |
$428.00 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$393.00 |
$393.00 |
$393.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,832.00 |
$3,832.00 |
$3,832.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$2,096.84
|
|
Shoulder X-ray
|
$389.44 |
$389.44 |
$389.44 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$359.00 |
$359.00 |
$359.00 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$583.00 |
$583.00 |
$583.00 |
$355.80
|
|
Sialography s&i
|
$805.00 |
$805.00 |
$805.00 |
$499.20
|
|
Sialolithotomy 42330
|
$10,202.00 |
$10,202.00 |
$10,202.00 |
$3,837.72
|
|
Sickling rbc
|
$47.00 |
$47.00 |
$47.00 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$1,446.90
|
|
Simple cystometrogram 51725
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$589.45
|
