|
Revision of cervix
|
$4,107.84 |
$4,107.84 |
$4,107.84 |
$3,762.53
|
|
Revision of cervix
|
$3,562.68 |
$3,562.68 |
$3,562.68 |
$3,762.53
|
|
Revsc opn/prq tib/pero stent
|
$8,098.75 |
$8,098.75 |
$8,098.75 |
$10,086.20
|
|
Rf abltj nrv nrvtg si jt
|
$364.72 |
$364.72 |
$364.72 |
$2,685.07
|
|
Rheumatoid factor quantitative
|
$40.70 |
$40.70 |
$40.70 |
$58.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$3,805.37 |
$3,805.37 |
$3,805.37 |
$5,741.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$594.66 |
$594.66 |
$594.66 |
$1,917.33
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$13,054.66 |
$13,054.66 |
$13,054.66 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$24,312.97 |
$24,312.97 |
$24,312.97 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$27,770.35 |
$27,770.35 |
$27,770.35 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$1,902.94 |
$1,902.94 |
$1,902.94 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,824.90 |
$1,824.90 |
$1,824.90 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$2,786.49 |
$2,786.49 |
$2,786.49 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,132.19 |
$8,132.19 |
$8,132.19 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,319.90 |
$10,319.90 |
$10,319.90 |
$10,427.04
|
|
Rmvl pq iabp
|
$3,309.24 |
$3,309.24 |
$3,309.24 |
$1,082.40
|
|
Rmvl subq card rhythm mntr
|
$843.84 |
$843.84 |
$843.84 |
$1,991.00
|
|
Rmvl tiss expndr without implant insrtn
|
$421.85 |
$421.85 |
$421.85 |
$3,386.84
|
|
Rmvl tv pm lead dual
|
$1,690.29 |
$1,690.29 |
$1,690.29 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,932.86 |
$3,932.86 |
$3,932.86 |
$4,195.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$378.40 |
$378.40 |
$378.40 |
$672.80
|
|
Rp loclzj tum 2+area 1+d img
|
$1,004.52 |
$1,004.52 |
$1,004.52 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$1,999.14 |
$1,999.14 |
$1,999.14 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,585.32 |
$1,585.32 |
$1,585.32 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$4,398.90 |
$4,398.90 |
$4,398.90 |
$4,201.80
|
|
Rsv assay w/optic
|
$135.30 |
$135.30 |
$135.30 |
$73.80
|
|
Rubella antibody igg
|
$69.30 |
$69.30 |
$69.30 |
$73.10
|
|
Rubeola antibody igg
|
$83.05 |
$83.05 |
$83.05 |
$79.68
|
|
Russell viper venom diluted
|
$139.15 |
$139.15 |
$139.15 |
$70.16
|
|
Salmonella antibody
|
$34.65 |
$34.65 |
$34.65 |
$37.58
|
|
Sarscov & inf vir a&b ag ia
|
$158.95 |
$158.95 |
$158.95 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$914.10 |
$914.10 |
$914.10 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$841.60 |
$841.60 |
$841.60 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$660.24 |
$660.24 |
$660.24 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$231.06 |
$231.06 |
$231.06 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$432.17 |
$432.17 |
$432.17 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$529.14 |
$529.14 |
$529.14 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$520.17 |
$520.17 |
$520.17 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$505.20 |
$505.20 |
$505.20 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$1,617.66 |
$1,617.66 |
$1,617.66 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,005.11 |
$2,005.11 |
$2,005.11 |
$4,079.62
|
|
Screen cerv/vag thin layer
|
$161.70 |
$161.70 |
$161.70 |
$61.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$24.42 |
$24.42 |
$24.42 |
$54.26
|
|
Screening Mammogram
|
$170.50 |
$170.50 |
$170.50 |
$303.55
|
|
Screening prostate cancer PSA
|
$78.10 |
$78.10 |
$78.10 |
$100.80
|
|
Screen pap by tech w md supv
|
$131.45 |
$131.45 |
$131.45 |
$41.80
|
|
Screw cortex 2.0 x 10mm
|
$3,660.78 |
$3,660.78 |
$3,660.78 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,703.15 |
$6,703.15 |
$6,703.15 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$12.10 |
$12.10 |
$12.10 |
$44.20
|
|
Self-meas bp pt educaj/train
|
$0.01 |
$0.01 |
$0.01 |
$39.77
|
|
Semen analysis presence/motility
|
$82.50 |
$82.50 |
$82.50 |
$70.85
|
|
Serpina1 gene
|
$284.90 |
$284.90 |
$284.90 |
$191.73
|
|
Set radiation therapy field
|
$542.10 |
$542.10 |
$542.10 |
$731.50
|
|
Set radiation therapy field
|
$567.43 |
$567.43 |
$567.43 |
$1,102.40
|
|
Set radiation therapy field
|
$1,182.14 |
$1,182.14 |
$1,182.14 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$146.52 |
$146.52 |
$146.52 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$228.36 |
$228.36 |
$228.36 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$399.30 |
$399.30 |
$399.30 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$103.75 |
$103.75 |
$103.75 |
$311.25
|
|
Shoulder MRI (with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,180.08 |
$1,180.08 |
$1,180.08 |
$2,051.28
|
|
Shoulder X-ray
|
$257.40 |
$257.40 |
$257.40 |
$367.02
|
|
Sialography s&i
|
$842.82 |
$842.82 |
$842.82 |
$462.40
|
|
Sialolithotomy 42330
|
$8,339.76 |
$8,339.76 |
$8,339.76 |
$3,837.72
|
|
Sickling rbc
|
$52.80 |
$52.80 |
$52.80 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$968.88 |
$968.88 |
$968.88 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$819.72 |
$819.72 |
$819.72 |
$1,279.50
|
|
Skin Biopsy
|
$551.10 |
$551.10 |
$551.10 |
$382.80
|
|
Skin full graft 20sq cm less 15200
|
$889.35 |
$889.35 |
$889.35 |
$2,190.24
|
|
Skin full graft add-on 15241
|
$147.95 |
$147.95 |
$147.95 |
$445.60
|
|
Skin split graft addl 100sq cm 15101
|
$150.70 |
$150.70 |
$150.70 |
$460.00
|
|
Sleep study attended
|
$685.85 |
$685.85 |
$685.85 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$1,925.00 |
$1,925.00 |
$1,925.00 |
$3,936.80
|
|
Sleep study unattended
|
$825.00 |
$825.00 |
$825.00 |
$595.50
|
|
Sling suprapubic suburetheral
|
$1,112.44 |
$1,112.44 |
$1,112.44 |
$10,328.15
|
|
Slitting of prepuce
|
$2,599.08 |
$2,599.08 |
$2,599.08 |
$2,983.40
|
|
Slp pure tone screening
|
$131.53 |
$131.53 |
$131.53 |
$67.60
|
|
Sm-153 lexidron ther
|
$16,943.63 |
$16,943.63 |
$16,943.63 |
$11,563.30
|
|
Smear fluorescent and/or acid fast stain
|
$40.15 |
$40.15 |
$40.15 |
$64.20
|
|
Smear gram stain
|
$55.55 |
$55.55 |
$55.55 |
$57.85
|
|
Smear nasal eosinophil
|
$52.25 |
$52.25 |
$52.25 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$96.25 |
$96.25 |
$96.25 |
$64.35
|
|
Smear wet mount
|
$83.05 |
$83.05 |
$83.05 |
$68.63
|
|
Snrpn/ube3a gene
|
$135.85 |
$135.85 |
$135.85 |
$228.80
|
|
Sodium 24 hour urine
|
$37.95 |
$37.95 |
$37.95 |
$48.50
|
|
Sodium serum/plasma/whole blood
|
$23.65 |
$23.65 |
$23.65 |
$42.70
|
|
Special physics consult
|
$372.66 |
$372.66 |
$372.66 |
$700.74
|
|
Special radiation dosimetry
|
$329.31 |
$329.31 |
$329.31 |
$445.50
|
|
Special radiation treatment
|
$1,595.89 |
$1,595.89 |
$1,595.89 |
$1,934.03
|
|
Special teletx port plan
|
$709.29 |
$709.29 |
$709.29 |
$1,046.65
|
|
Specific gravity body fluid
|
$40.15 |
$40.15 |
$40.15 |
$23.63
|
|
Specimen fat stain
|
$40.70 |
$40.70 |
$40.70 |
$32.76
|
|
Sperm antibody test
|
$110.00 |
$110.00 |
$110.00 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,166.78 |
$2,166.78 |
$2,166.78 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$588.03 |
$588.03 |
$588.03 |
$559.96
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$924.55 |
$924.55 |
$924.55 |
$4,560.66
|
|
Split blood or products
|
$185.90 |
$185.90 |
$185.90 |
$148.98
|
