|
Rmvl pq vad left hrt vein sep session
|
$326.25 |
$326.25 |
$326.25 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$507.25 |
$507.25 |
$507.25 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$2,185.55 |
$2,185.55 |
$2,185.55 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$319.50 |
$319.50 |
$319.50 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$840.75 |
$840.75 |
$840.75 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$514.25 |
$514.25 |
$514.25 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$840.75 |
$840.75 |
$840.75 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,875.75 |
$1,875.75 |
$1,875.75 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$3,687.00
|
|
Rsv assay w/optic
|
$122.00 |
$122.00 |
$122.00 |
$79.38
|
|
Rubella antibody igg
|
$133.50 |
$133.50 |
$133.50 |
$77.03
|
|
Rubeola antibody igg
|
$16.00 |
$16.00 |
$16.00 |
$80.00
|
|
Russell viper venom diluted
|
$16.00 |
$16.00 |
$16.00 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$132.75 |
$132.75 |
$132.75 |
$1,008.79
|
|
Salmonella antibody
|
$16.00 |
$16.00 |
$16.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$46.50 |
$46.50 |
$46.50 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$125.25 |
$125.25 |
$125.25 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$395.25 |
$395.25 |
$395.25 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$395.25 |
$395.25 |
$395.25 |
$662.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$246.00 |
$246.00 |
$246.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$206.50 |
$206.50 |
$206.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$248.75 |
$248.75 |
$248.75 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$268.25 |
$268.25 |
$268.25 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$204.50 |
$204.50 |
$204.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$248.75 |
$248.75 |
$248.75 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$505.00 |
$505.00 |
$505.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$37.50 |
$37.50 |
$37.50 |
$85.15
|
|
Screening hepatitis b non-obstetric high risk
|
$24.00 |
$24.00 |
$24.00 |
$60.00
|
|
Screening Mammogram
|
$136.25 |
$136.25 |
$136.25 |
$312.55
|
|
Screening prostate cancer PSA
|
$137.50 |
$137.50 |
$137.50 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$291.50 |
$291.50 |
$291.50 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,743.25 |
$2,743.25 |
$2,743.25 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$34.00 |
$34.00 |
$34.00 |
$42.00
|
|
Serpina1 gene
|
$37.75 |
$37.75 |
$37.75 |
$197.00
|
|
Set radiation therapy field
|
$224.00 |
$224.00 |
$224.00 |
$762.40
|
|
Set radiation therapy field
|
$442.50 |
$442.50 |
$442.50 |
$1,157.38
|
|
Set radiation therapy field
|
$528.00 |
$528.00 |
$528.00 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$1.35 |
$1.35 |
$1.35 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$2.73 |
$2.73 |
$2.73 |
$21.96
|
|
Shoulder MRI (with and without contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,025.50 |
$1,025.50 |
$1,025.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$930.25 |
$930.25 |
$930.25 |
$2,065.05
|
|
Shoulder X-ray
|
$80.50 |
$80.50 |
$80.50 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$4,636.80
|
|
Sialolithotomy 42330
|
$887.00 |
$887.00 |
$887.00 |
$3,837.72
|
|
Sickling rbc
|
$50.50 |
$50.50 |
$50.50 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$143.97 |
$143.97 |
$143.97 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,250.50 |
$1,250.50 |
$1,250.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,002.25 |
$1,002.25 |
$1,002.25 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$921.00 |
$921.00 |
$921.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$877.25 |
$877.25 |
$877.25 |
$2,489.25
|
|
Sirolimus, oral
|
$304.31 |
$304.31 |
$304.31 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$80.25 |
$80.25 |
$80.25 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$92.75 |
$92.75 |
$92.75 |
$16.12
|
|
Skin Biopsy
|
$154.50 |
$154.50 |
$154.50 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$1,363.00 |
$1,363.00 |
$1,363.00 |
$3,607.50
|
|
Sleep study unattended
|
$121.50 |
$121.50 |
$121.50 |
$580.87
|
|
Slitting of prepuce
|
$656.75 |
$656.75 |
$656.75 |
$3,365.50
|
|
Sm-153 lexidron ther
|
$4,477.00 |
$4,477.00 |
$4,477.00 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$40.75 |
$40.75 |
$40.75 |
$64.20
|
|
Smear gram stain
|
$39.75 |
$39.75 |
$39.75 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$57.75 |
$57.75 |
$57.75 |
$73.15
|
|
Smear wet mount
|
$40.50 |
$40.50 |
$40.50 |
$67.49
|
|
Snrpn/ube3a gene
|
$46.50 |
$46.50 |
$46.50 |
$231.85
|
|
Sodium 24 hour urine
|
$74.00 |
$74.00 |
$74.00 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$149.50 |
$149.50 |
$149.50 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$138.00 |
$138.00 |
$138.00 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$51.75 |
$51.75 |
$51.75 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$10.31 |
$10.31 |
$10.31 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$15.08 |
$15.08 |
$15.08 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$46.75 |
$46.75 |
$46.75 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$185.62 |
$185.62 |
$185.62 |
$177.52
|
|
Special physics consult
|
$278.75 |
$278.75 |
$278.75 |
$725.00
|
|
Special radiation dosimetry
|
$92.75 |
$92.75 |
$92.75 |
$392.50
|
|
Special radiation treatment
|
$887.75 |
$887.75 |
$887.75 |
$1,986.00
|
|
Special teletx port plan
|
$405.25 |
$405.25 |
$405.25 |
$1,086.99
|
|
Specific gravity body fluid
|
$6.00 |
$6.00 |
$6.00 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$503.25 |
$503.25 |
$503.25 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$219.50 |
$219.50 |
$219.50 |
$543.26
|
|
Split blood or products
|
$52.00 |
$52.00 |
$52.00 |
$127.48
|
|
Sputum specimen collection
|
$71.50 |
$71.50 |
$71.50 |
$180.00
|
|
Srs linear based
|
$3,979.00 |
$3,979.00 |
$3,979.00 |
$13,585.00
|
|
St analysis behavior qualitative voice/resonance
|
$75.00 |
$75.00 |
$75.00 |
$297.60
|
|
Staph a dna amp probe
|
$39.50 |
$39.50 |
$39.50 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$89.00 |
$89.00 |
$89.00 |
$286.00
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$19,212.75 |
$19,212.75 |
$19,212.75 |
$21,626.50
|
|
Stent iliac/open or perc/uni/init 37221
|
$13,072.25 |
$13,072.25 |
$13,072.25 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$10,966.50 |
$10,966.50 |
$10,966.50 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$13,130.25 |
$13,130.25 |
$13,130.25 |
$17,271.50
|
|
St evaluate speech sound production
|
$73.00 |
$73.00 |
$73.00 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$150.25 |
$150.25 |
$150.25 |
$377.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$231.75 |
$231.75 |
$231.75 |
$399.60
|
|
St evaluation swallow function
|
$179.75 |
$179.75 |
$179.75 |
$314.40
|
|
Stimulants synthetic
|
$19.00 |
$19.00 |
$19.00 |
$80.08
|
|
Strapping of ankle and/or ft 29540
|
$46.75 |
$46.75 |
$46.75 |
$223.45
|
|
Strapping of chest
|
$56.25 |
$56.25 |
$56.25 |
$195.33
|
