|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$15,677.60 |
$15,677.60 |
$15,677.60 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,634.40 |
$13,634.40 |
$13,634.40 |
|
|
Rmvl pq iabp
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
|
|
Rmvl pq vad left hrt vein sep session
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
|
|
Rmvl subq card rhythm mntr
|
$190.40 |
$190.40 |
$1,425.60 |
|
|
Rmvl tiss expndr without implant insrtn
|
$3,723.20 |
$3,723.20 |
$3,723.20 |
|
|
Rmvl tongs/halo anthr indiv
|
$179.20 |
$179.20 |
$520.80 |
|
|
Rmvl tv pm lead dual
|
$2,484.80 |
$2,484.80 |
$2,484.80 |
|
|
Rmvl tv pm lead sgl
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,812.05 |
$3,812.05 |
$3,812.05 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,384.31 |
$7,384.31 |
$7,384.31 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,054.43 |
$7,054.43 |
$7,054.43 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$67.68 |
$67.68 |
$84.59 |
|
|
Routine footcare pt w lops
|
$124.00 |
$124.00 |
$124.00 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
|
|
Rp loclzj tum spect w/ct 1
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
|
|
Rp loclzj tum spect w/ct 2
|
$3,492.80 |
$3,492.80 |
$3,492.80 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,743.20 |
$1,743.20 |
$1,743.20 |
|
|
Rpl tun cvc wo subq port
|
$1,204.80 |
$1,204.80 |
$2,526.40 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$508.80 |
$508.80 |
$508.80 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$712.00 |
$712.00 |
$712.00 |
|
|
Rpr fem hernia init blocked
|
$940.00 |
$940.00 |
$940.00 |
|
|
Rpr rem hernia init reduce
|
$856.80 |
$856.80 |
$856.80 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$9,128.00 |
$9,128.00 |
$9,128.00 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$144.80 |
$144.80 |
$144.80 |
|
|
Rubella antibody igg
|
$102.40 |
$102.40 |
$102.40 |
|
|
Rubeola antibody igg
|
$79.20 |
$79.20 |
$79.20 |
|
|
Russell viper venom diluted
|
$125.60 |
$125.60 |
$125.60 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,300.88 |
$3,300.88 |
$3,300.88 |
|
|
Same day nb discharge 99463
|
$160.00 |
$160.00 |
$160.00 |
|
|
Sarscov coronavirus ag ia
|
$68.00 |
$68.00 |
$73.60 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$192.00 |
$192.00 |
$192.00 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$99.20 |
$99.20 |
$99.20 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$130.40 |
$130.40 |
$130.40 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$63.20 |
$63.20 |
$63.20 |
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$864.00 |
$864.00 |
$1,310.40 |
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$624.80 |
$624.80 |
$738.40 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$824.80 |
$824.80 |
$912.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$636.80 |
$636.80 |
$752.80 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$376.00 |
$376.00 |
$500.80 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$432.80 |
$432.80 |
$860.80 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$716.80 |
$716.80 |
$1,281.60 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$747.20 |
$747.20 |
$958.40 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$699.20 |
$699.20 |
$795.20 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,564.00 |
$1,564.00 |
$1,841.60 |
|
|
Scope uretscp lithovue dig disp
|
$5,032.80 |
$5,032.80 |
$5,032.80 |
|
|
Screening Colonoscopy (average risk)
|
$512.80 |
$512.80 |
$512.80 |
|
|
Screening Colonoscopy (high risk)
|
$512.00 |
$512.00 |
$512.00 |
|
|
Screening Mammogram
|
$237.60 |
$237.60 |
$283.20 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$4.80 |
$4.80 |
$4.80 |
|
|
Screw cortex 2.0 x 10mm
|
$43,617.28 |
$43,617.28 |
$43,617.28 |
|
|
Sc ther infusion reset pump
|
$94.40 |
$94.40 |
$94.40 |
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$7,259.20 |
$7,259.20 |
$7,259.20 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,275.20 |
$4,275.20 |
$4,275.20 |
|
|
Sedimentation rate erythrocyte automated
|
$48.80 |
$48.80 |
$49.60 |
|
|
Self-meas bp pt educaj/train
|
$42.40 |
$42.40 |
$42.40 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$22.40 |
$22.40 |
$22.40 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$16.80 |
$16.80 |
$16.80 |
|
|
Semen analysis presence/motility
|
$53.60 |
$53.60 |
$55.20 |
|
|
Semen analysis w/count
|
$126.40 |
$126.40 |
$126.40 |
|
|
Serial casting application 97139app
|
$69.60 |
$69.60 |
$69.60 |
|
|
Set radiation therapy field
|
$515.20 |
$515.20 |
$515.20 |
|
|
Set radiation therapy field
|
$1,398.40 |
$1,398.40 |
$1,398.40 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$173.60 |
$173.60 |
$173.60 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$204.00 |
$204.00 |
$204.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$231.20 |
$231.20 |
$231.20 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$269.60 |
$269.60 |
$269.60 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$160.00 |
$160.00 |
$249.60 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$183.20 |
$183.20 |
$183.20 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$209.60 |
$209.60 |
$249.60 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$217.60 |
$217.60 |
$217.60 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$152.00 |
$152.00 |
$540.00 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$181.60 |
$181.60 |
$181.60 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$205.60 |
$205.60 |
$205.60 |
|
|
Sheath gldlight lasr 12fx50cm
|
$8,751.60 |
$8,751.60 |
$8,751.60 |
|
|
Sheath laser cavaclear 14f
|
$4,485.60 |
$4,485.60 |
$4,485.60 |
|
|
Sho arthrs srg bicp tenodsis
|
$1,350.40 |
$1,350.40 |
$1,350.40 |
|
|
Sho arthrs srg capsulorraphy
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$800.00 |
$800.00 |
$800.00 |
|
|
Sho arthrs srg rpr slap les
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$875.20 |
$875.20 |
$875.20 |
|
|
Shoe post-op mens m
|
$21.50 |
$21.50 |
$21.50 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
|
|
Shoulder MRI (with and without contrast)
|
$2,905.60 |
$2,905.60 |
$3,167.20 |
|
|
Shoulder MRI (with contrast)
|
$2,183.20 |
$2,183.20 |
$2,511.20 |
|
|
Shoulder MRI (without contrast)
|
$1,331.20 |
$1,331.20 |
$1,850.40 |
|
|
Shoulder X-ray
|
$182.40 |
$182.40 |
$239.20 |
|
|
Shunt glaucoma baerveldt 350mm
|
$3,496.00 |
$3,496.00 |
$3,496.00 |
|
|
Sialography s&i
|
$142.40 |
$142.40 |
$142.40 |
|
|
Sialolithotomy 42330
|
$346.40 |
$346.40 |
$3,926.40 |
|
|
Sickling rbc
|
$21.60 |
$21.60 |
$21.60 |
|
|
Sigmoidoscopy and biopsy
|
$439.20 |
$439.20 |
$439.20 |
|
|
Sigmoidoscopy for bleeding
|
$762.40 |
$762.40 |
$1,299.20 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$155.20 |
$155.20 |
$155.20 |
|
|
Sigmoidoscopy w/tumr remove
|
$176.80 |
$176.80 |
$176.80 |
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$504.80 |
$504.80 |
$504.80 |
|
|
Sig w/tndsc balloon dilation
|
$710.40 |
$710.40 |
$710.40 |
|
|
Simple cystometrogram 51725
|
$308.80 |
$308.80 |
$308.80 |
|
|
Sincalide 5 mcg solution for injection
|
$402.19 |
$402.19 |
$402.19 |
|
|
Sinus CT scan (with and without contrast)
|
$1,202.40 |
$1,202.40 |
$1,292.00 |
|