|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$124.00 |
$124.00 |
$124.00 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$112.80 |
$112.80 |
$112.80 |
$81.48
|
|
Pt application of modality traction mechanical
|
$123.20 |
$123.20 |
$123.20 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$164.00 |
$164.00 |
$164.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$110.40 |
$110.40 |
$110.40 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$133.60 |
$133.60 |
$133.60 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$351.20 |
$351.20 |
$351.20 |
$347.11
|
|
Pulse ox multiple
|
$252.80 |
$252.80 |
$252.80 |
$157.30
|
|
Pulse ox single
|
$89.60 |
$89.60 |
$89.60 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$146.40 |
$146.40 |
$146.40 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$529.60 |
$529.60 |
$529.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$992.80 |
$992.80 |
$992.80 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$69.16 |
$69.16 |
$69.16 |
$49.08
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Rabies ig heat-treated human im/subq 90376
|
$728.74 |
$728.74 |
$728.74 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$828.00 |
$828.00 |
$828.00 |
$2,658.73
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$2,242.80
|
|
Rapid Strep Test
|
$80.00 |
$80.00 |
$80.00 |
$76.00
|
|
Rbc count only automated
|
$53.60 |
$53.60 |
$53.60 |
$20.40
|
|
Red blood cells each unit
|
$507.20 |
$507.20 |
$507.20 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$557.60 |
$557.60 |
$557.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$727.20 |
$727.20 |
$727.20 |
$534.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$357.91 |
$357.91 |
$357.91 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$969.89 |
$969.89 |
$969.89 |
$1,555.39
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,467.20 |
$3,467.20 |
$3,467.20 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$133.60 |
$133.60 |
$133.60 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$1,361.60 |
$1,361.60 |
$1,361.60 |
$1,260.80
|
|
Removal of implant deep
|
$6,681.60 |
$6,681.60 |
$6,681.60 |
$4,520.60
|
|
Removal of sesamoid bone
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$3,839.54
|
|
Renal function panel
|
$116.00 |
$116.00 |
$116.00 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$1,055.69
|
|
Repair extns tendon finger without grft ea
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$2,340.00
|
|
Repair lip full thkns =<one-half vert height
|
$1,475.20 |
$1,475.20 |
$1,475.20 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$864.00 |
$864.00 |
$864.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$1,244.09
|
|
Replace g-j tube perc
|
$2,810.40 |
$2,810.40 |
$2,810.40 |
$1,568.05
|
|
#resp virpnl dfa-adenovirus
|
$156.80 |
$156.80 |
$156.80 |
$48.10
|
|
#resp virpnl dfa-parainfluenza
|
$60.00 |
$60.00 |
$60.00 |
$35.20
|
|
Reticulocyte automated
|
$103.20 |
$103.20 |
$103.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$114.40 |
$114.40 |
$114.40 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$35.96 |
$35.96 |
$35.96 |
$15.56
|
|
Rheumatoid factor qualitative
|
$121.60 |
$121.60 |
$121.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$88.80 |
$88.80 |
$88.80 |
$57.50
|
|
Rho d immune globulin inj
|
$118.89 |
$118.89 |
$118.89 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$532.80 |
$532.80 |
$532.80 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$672.80 |
$672.80 |
$672.80 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$636.00 |
$636.00 |
$636.00 |
$397.60
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,362.21 |
$4,362.21 |
$4,362.21 |
$9,301.22
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,152.55 |
$3,152.55 |
$3,152.55 |
$4,820.04
|
|
Rsv assay w/optic
|
$148.00 |
$148.00 |
$148.00 |
$76.32
|
|
Rubella antibody igg
|
$165.60 |
$165.60 |
$165.60 |
$77.40
|
|
Rubeola antibody igg
|
$155.20 |
$155.20 |
$155.20 |
$80.00
|
|
Russell viper venom diluted
|
$171.20 |
$171.20 |
$171.20 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$468.80 |
$468.80 |
$468.80 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$866.40 |
$866.40 |
$866.40 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$874.40 |
$874.40 |
$874.40 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$918.40 |
$918.40 |
$918.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$856.00 |
$856.00 |
$856.00 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$742.40 |
$742.40 |
$742.40 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$131.20 |
$131.20 |
$131.20 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$448.80 |
$448.80 |
$448.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$155.20 |
$155.20 |
$155.20 |
$101.60
|
|
Screw cortex 2.0 x 10mm
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$820.80 |
$820.80 |
$820.80 |
$611.91
|
|
Sc ther infusion reset pump
|
$174.40 |
$174.40 |
$174.40 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$45.60 |
$45.60 |
$45.60 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$132.00 |
$132.00 |
$132.00 |
$96.00
|
|
Semen analysis presence/motility
|
$101.60 |
$101.60 |
$101.60 |
$70.40
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$224.00 |
$224.00 |
$224.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$327.20 |
$327.20 |
$327.20 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$196.00 |
$196.00 |
$196.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$207.20 |
$207.20 |
$207.20 |
$223.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$176.80 |
$176.80 |
$176.80 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$470.40 |
$470.40 |
$470.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$416.00 |
$416.00 |
$416.00 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$4,205.60 |
$4,205.60 |
$4,205.60 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,704.80 |
$3,704.80 |
$3,704.80 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,952.80 |
$2,952.80 |
$2,952.80 |
$2,096.84
|
|
Shoulder X-ray
|
$441.60 |
$441.60 |
$441.60 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$369.60 |
$369.60 |
$369.60 |
$263.25
|
|
Sickling rbc
|
$77.60 |
$77.60 |
$77.60 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,075.20 |
$2,075.20 |
$2,075.20 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$539.20 |
$539.20 |
$539.20 |
$346.45
|
|
Sinus X-ray (limited)
|
$356.00 |
$356.00 |
$356.00 |
$215.40
|
|
Skin Biopsy
|
$459.20 |
$459.20 |
$459.20 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$433.60 |
$433.60 |
$433.60 |
$294.45
|
|
Skull X-ray (complete)
|
$639.20 |
$639.20 |
$639.20 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$3,734.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$865.60 |
$865.60 |
$865.60 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$96.00 |
$96.00 |
$96.00 |
$64.35
|
|
Smear gram stain
|
$64.80 |
$64.80 |
$64.80 |
$55.55
|
