|
Rpr acq av fistula thrx&abd
|
$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 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
|
|
Rpr blvs gr ot/th vn ntrth w
|
$1,990.06 |
$1,990.06 |
$1,990.06 |
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$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 |
|
|
Rpr blvsl vn grf intra-abdl
|
$2,395.85 |
$2,395.85 |
$2,395.85 |
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$2,063.54 |
$2,063.54 |
$2,063.54 |
|
|
Rpr cgen av fistula thrx&abd
|
$2,556.91 |
$2,556.91 |
$2,556.91 |
|
|
Rpr choanal atresia ntranasl
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Rpr choanal atresia trsnpltn
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,643.14 |
$1,643.14 |
$1,643.14 |
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,339.77 |
$1,339.77 |
$1,339.77 |
|
|
Rpr diaphragm lac/any approach 39501
|
$1,210.63 |
$1,210.63 |
$1,210.63 |
|
|
Rpr fem hernia init blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr hern preemie reduc
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Rpr hypopl a-arch w/byp
|
$2,620.29 |
$2,620.29 |
$2,620.29 |
|
|
Rpr hypopl a-arch wo byp
|
$2,009.87 |
$2,009.87 |
$2,009.87 |
|
|
Rpr hypspad comp dsj & urtp
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
|
|
Rpr hypspad comp simple
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
|
|
Rpr ing hernia baby blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr ing hernia baby reduc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr ing hernia init blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr ing hernia init reduce
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Rpr ing hern premie blocked
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr intst excl anrect fist
|
$3,816.64 |
$8,297.00 |
$8,297.00 |
|
|
Rpr nsl vlv collapse w/implt
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Rpr nsl vlv collapse w/rmdlg
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Rpr parastomal hernia rdc 49621
|
$1,036.63 |
$1,036.63 |
$1,036.63 |
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,294.66 |
$1,294.66 |
$1,294.66 |
|
|
Rpr pul art unifocal without cpb
|
$2,433.62 |
$2,433.62 |
$2,433.62 |
|
|
Rpr&refit spct prsth aphakia
|
$81.12 |
$81.12 |
$81.12 |
|
|
Rpr rem hernia init reduce
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr tga aortic pulm art rcns
|
$3,334.30 |
$3,334.30 |
$3,334.30 |
|
|
Rpr tga atr bfl clsr vsd
|
$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 |
|
|
Rpr tga atrial baffle px
|
$2,577.95 |
$2,577.95 |
$2,577.95 |
|
|
Rpr tga bfl rpr sbpulm obstr
|
$2,686.46 |
$2,686.46 |
$2,686.46 |
|
|
Rpr tga rcnstj clsr vsd
|
$3,340.51 |
$3,340.51 |
$3,340.51 |
|
|
Rpr tga rcnstj rmvl plm bnd
|
$3,275.43 |
$3,275.43 |
$3,275.43 |
|
|
Rpr tga rcnstj rpr sbpl obst
|
$3,252.38 |
$3,252.38 |
$3,252.38 |
|
|
Rpr tga without surg enlgmnt vsd
|
$2,990.02 |
$2,990.02 |
$2,990.02 |
|
|
Rpr tga w/surg enlgmnt vsd
|
$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 |
|
|
Rp therapy unlisted px
|
$320.85 |
$320.85 |
$320.85 |
|
|
Rrp hypspad comp moblj&urtp
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
|
|
Rsect hip tum incl femur
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Rsv assay w/optic
|
$18.08 |
$37.00 |
$332.80 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$183.07 |
$183.07 |
$313.60 |
|
|
Rtm dev sply cbt 16-30 d
|
$51.32 |
$51.32 |
$51.32 |
|
|
Rtm dev sply mscskl 16-30 d
|
$51.32 |
$51.32 |
$90.40 |
|
|
Rtm dev sply resp sys 16-30d
|
$51.32 |
$51.32 |
$90.40 |
|
|
Rtm tx mgmt 1st 20 min
|
$36.25 |
$36.25 |
$36.25 |
|
|
Rtm tx mgmt ea addl 20 min
|
$35.78 |
$35.78 |
$35.78 |
|
|
Rubella antibody igg
|
$15.04 |
$114.00 |
$253.60 |
|
|
Rubeola ag if
|
$28.67 |
$83.90 |
$83.90 |
|
|
Rubeola antibody igg
|
$17.77 |
$133.00 |
$158.40 |
|
|
Runx1 gene targeted seq alys
|
$155.10 |
$454.72 |
$454.72 |
|
|
Russell viper venom diluted
|
$3.57 |
$40.00 |
$324.00 |
|
|
Rx metab gen seq alys pnl 6
|
$1,265.57 |
$1,265.57 |
$3,328.80 |
|
|
Sach foot, replacement
|
$369.11 |
$369.11 |
$369.11 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$51.04 |
$51.04 |
$51.04 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$54.88 |
$393.00 |
$463.00 |
|
|
Safety plan interven
|
$54.58 |
$54.58 |
$54.58 |
|
|
Salivary gland function exam
|
$549.70 |
$549.70 |
$1,528.00 |
|
|
Salivary gland imaging
|
$549.70 |
$549.70 |
$549.70 |
|
|
Salivary glnd img serial img
|
$243.60 |
$549.70 |
$1,576.00 |
|
|
Salmonella antibody
|
$6.19 |
$12.24 |
$118.86 |
|
|
Salpingostomy 58770
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Same day nb discharge 99463
|
$183.07 |
$183.07 |
$183.07 |
|
|
Sargramostim injection
|
$22.47 |
$85.21 |
$85.21 |
|
|
Sars-cov-2 antb quantitative
|
$70.97 |
$70.97 |
$70.97 |
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$264.85 |
$264.85 |
$264.85 |
|
|
Sarscov coronavirus ag ia
|
$48.76 |
$88.00 |
$149.00 |
|
|
Sarscov & inf vir a&b ag ia
|
$97.00 |
$99.00 |
$399.20 |
|
|
S bowel endoscope w/stent
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
|
|
Sbrt management
|
$851.17 |
$903.25 |
$1,854.72 |
|
|
Sbrt w/positron emission del
|
$4,374.81 |
$4,374.81 |
$4,374.81 |
|
|
Sbsq ic vlbw inf<1,500 gm
|
$164.43 |
$164.43 |
$164.43 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$198.31 |
$198.31 |
$198.31 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$95.05 |
$95.05 |
$95.05 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$138.97 |
$138.97 |
$138.97 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$52.16 |
$52.16 |
$52.16 |
|
|
Sbsq psyc collab care mgmt
|
$139.68 |
$139.68 |
$139.68 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$280.56 |
$1,229.00 |
$2,037.60 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$143.75 |
$1,102.00 |
$1,267.00 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$143.75 |
$716.00 |
$1,672.00 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$143.75 |
$1,048.00 |
$2,663.20 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$82.88 |
$1,031.00 |
$2,572.80 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$143.75 |
$784.00 |
$2,800.80 |
|
|
Scan proc cranial extra
|
$212.44 |
$2,180.00 |
$2,806.00 |
|
|
Scan proc cranial intra 61781
|
$342.54 |
$342.54 |
$342.54 |
|
|
Scan proc spinal
|
$325.67 |
$2,387.00 |
$2,387.00 |
|
|
Scap thorac prosth tiss shap
|
$8,580.63 |
$8,580.63 |
$8,580.63 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,842.96 |
$3,381.00 |
$4,604.00 |
|
|
Scope plantar fasciotomy
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Scope uretscp lithovue dig disp
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
|
|
Scr c/v cyto, automated sys
|
$25.59 |
$25.59 |
$25.59 |
|
|
Scr c/v cyto,autosys and md
|
$32.76 |
$32.76 |
$32.76 |
|
|
Scr c/v cyto, autosys, rescr
|
$44.08 |
$44.08 |
$44.08 |
|
