|
Rmvl icd pulse gen only
|
$3,028.20 |
$3,028.20 |
$3,028.20 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$368.76 |
$368.76 |
$368.76 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$4,610.34 |
$4,610.34 |
$4,610.34 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$13,996.92 |
$13,996.92 |
$13,996.92 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,686.38 |
$5,686.38 |
$5,686.38 |
$10,542.00
|
|
Rmvl pq iabp
|
$287.28 |
$287.28 |
$287.28 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$687.54 |
$687.54 |
$687.54 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$2,433.06 |
$2,433.06 |
$2,433.06 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$653.52 |
$653.52 |
$653.52 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$94.92 |
$94.92 |
$94.92 |
$441.68
|
|
Rmvl tv pm lead dual
|
$1,521.24 |
$1,521.24 |
$1,521.24 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,106.28 |
$1,106.28 |
$1,106.28 |
$4,031.69
|
|
Romiplostim injection
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,760.37 |
$2,760.37 |
$2,760.37 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$188.16 |
$188.16 |
$188.16 |
$188.50
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$12,705.00 |
$12,705.00 |
$12,705.00 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,308.30 |
$1,308.30 |
$1,308.30 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$935.76 |
$935.76 |
$935.76 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$881.58 |
$881.58 |
$881.58 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,815.68 |
$2,815.68 |
$2,815.68 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,491.86 |
$2,491.86 |
$2,491.86 |
$3,687.00
|
|
Rsv assay w/optic
|
$86.94 |
$86.94 |
$86.94 |
$79.38
|
|
Rubella antibody igg
|
$76.86 |
$76.86 |
$76.86 |
$77.03
|
|
Rubeola antibody igg
|
$76.86 |
$76.86 |
$76.86 |
$80.00
|
|
Russell viper venom diluted
|
$76.86 |
$76.86 |
$76.86 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,174.32 |
$5,174.32 |
$5,174.32 |
$5,174.32
|
|
Sarscov coronavirus ag ia
|
$46.20 |
$46.20 |
$46.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$176.40 |
$176.40 |
$176.40 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$655.20 |
$655.20 |
$655.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$399.84 |
$399.84 |
$399.84 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$432.60 |
$432.60 |
$432.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$203.28 |
$203.28 |
$203.28 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$528.36 |
$528.36 |
$528.36 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$726.18 |
$726.18 |
$726.18 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$744.66 |
$744.66 |
$744.66 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$640.50 |
$640.50 |
$640.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$318.78 |
$318.78 |
$318.78 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$849.24 |
$849.24 |
$849.24 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$81.06 |
$81.06 |
$81.06 |
$85.15
|
|
Screening Mammogram
|
$128.10 |
$128.10 |
$128.10 |
$312.55
|
|
Screening prostate cancer PSA
|
$98.28 |
$98.28 |
$98.28 |
$100.63
|
|
Screen pap by tech w md supv
|
$10.08 |
$10.08 |
$10.08 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$12,852.53 |
$12,852.53 |
$12,852.53 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$52.08 |
$52.08 |
$52.08 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,190.74 |
$3,190.74 |
$3,190.74 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$39.06 |
$39.06 |
$39.06 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$53.76 |
$53.76 |
$53.76 |
$42.00
|
|
Semen analysis presence/motility
|
$50.40 |
$50.40 |
$50.40 |
$71.05
|
|
Serial casting application 97139app
|
$60.90 |
$60.90 |
$60.90 |
$78.39
|
|
Sertraline (zoloft) - sendout
|
$164.22 |
$164.22 |
$164.22 |
$126.43
|
|
Set radiation therapy field
|
$798.00 |
$798.00 |
$798.00 |
$762.40
|
|
Set radiation therapy field
|
$1,196.58 |
$1,196.58 |
$1,196.58 |
$1,157.38
|
|
Set radiation therapy field
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$1,636.36
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$116.76 |
$116.76 |
$116.76 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$170.52 |
$170.52 |
$170.52 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$125.58 |
$125.58 |
$125.58 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$3,835.32 |
$3,835.32 |
$3,835.32 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$2,830.28 |
$2,830.28 |
$2,830.28 |
$7,625.52
|
|
Shoe post-op mens m
|
$94.42 |
$94.42 |
$94.42 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$1,490.16 |
$1,490.16 |
$1,490.16 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,396.50 |
$1,396.50 |
$1,396.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,173.48 |
$1,173.48 |
$1,173.48 |
$2,065.05
|
|
Shoulder X-ray
|
$214.62 |
$214.62 |
$214.62 |
$339.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,411.64 |
$2,411.64 |
$2,411.64 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$276.78 |
$276.78 |
$276.78 |
$349.20
|
|
Sialography s&i
|
$297.36 |
$297.36 |
$297.36 |
$499.20
|
|
Sialolithotomy 42330
|
$1,367.10 |
$1,367.10 |
$1,367.10 |
$3,837.72
|
|
Sickling rbc
|
$25.20 |
$25.20 |
$25.20 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$195.30 |
$195.30 |
$195.30 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$255.59 |
$255.59 |
$255.59 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,050.84 |
$1,050.84 |
$1,050.84 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,034.46 |
$1,034.46 |
$1,034.46 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$808.50 |
$808.50 |
$808.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,055.88 |
$1,055.88 |
$1,055.88 |
$2,489.25
|
|
Sirolimus, oral
|
$4,982.38 |
$4,982.38 |
$4,982.38 |
$41.25
|
|
Skin Biopsy
|
$132.30 |
$132.30 |
$132.30 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$1,529.21 |
$1,529.21 |
$1,529.21 |
$1,643.47
|
|
Sleep study attended
|
$824.04 |
$824.04 |
$824.04 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,991.22 |
$1,991.22 |
$1,991.22 |
$3,607.50
|
|
Sleep study unattended
|
$320.88 |
$320.88 |
$320.88 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$44.59 |
$44.59 |
$44.59 |
$30.35
|
|
Sling suprapubic suburetheral
|
$3,963.86 |
$3,963.86 |
$3,963.86 |
$9,679.96
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$74.76 |
$74.76 |
$74.76 |
$129.20
|
|
Slp eval non-spch gen comm dev
|
$125.16 |
$125.16 |
$125.16 |
$285.09
|
|
Slp pure tone screening
|
$102.90 |
$102.90 |
$102.90 |
$60.48
|
|
Slp ther svc non-spch gen
|
$224.70 |
$224.70 |
$224.70 |
$188.50
|
|
Sm-153 lexidron ther
|
$20,913.90 |
$20,913.90 |
$20,913.90 |
$7,320.12
|
|
Smallpox&monkeypox vac 0.5ml
|
$0.01 |
$0.01 |
$0.01 |
$474.54
|
|
Smear fluorescent and/or acid fast stain
|
$61.74 |
$61.74 |
$61.74 |
$64.20
|
|
Smear gram stain
|
$51.66 |
$51.66 |
$51.66 |
$55.25
|
|
Smear nasal eosinophil
|
$46.20 |
$46.20 |
$46.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$54.60 |
$54.60 |
$54.60 |
$73.15
|
|
Smear wet mount
|
$70.56 |
$70.56 |
$70.56 |
$67.49
|
|
Sock fracture or equal each
|
$18.02 |
$18.02 |
$18.02 |
$74.51
|
|
Sodium 24 hour urine
|
$47.46 |
$47.46 |
$47.46 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$86.84 |
$86.84 |
$86.84 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$86.84 |
$86.84 |
$86.84 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$41.79 |
$41.79 |
$41.79 |
$37.50
|
