|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,160.35 |
$9,160.35 |
$9,160.35 |
$10,542.00
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$4,028.20 |
$4,028.20 |
$4,028.20 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$778.78 |
$778.78 |
$778.78 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$441.68 |
$441.68 |
$441.68 |
$460.68
|
|
Rmvl tv pm lead dual
|
$4,028.20 |
$4,028.20 |
$4,028.20 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$4,028.20 |
$4,028.20 |
$4,028.20 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,499.12
|
|
Rmv ntr oi imp sk tc>=100
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$5,272.80
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$13,802.89 |
$13,802.89 |
$13,802.89 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$33,730.00 |
$33,730.00 |
$33,730.00 |
$36,000.00
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,355.20
|
|
Rolapitant, oral, 1mg
|
$1.56 |
$1.56 |
$1.56 |
$580.13
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$31.08 |
$31.08 |
$31.08 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11.00 |
$11.00 |
$11.00 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$12.00 |
$12.00 |
$4,820.04
|
|
Rotavirus antibody
|
$18.23 |
$18.23 |
$18.23 |
$107.50
|
|
Routine footcare pt w lops
|
$219.93 |
$219.93 |
$219.93 |
$223.08
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$23.16 |
$23.16 |
$23.16 |
$15,007.16
|
|
Rplcm oi implt sk tc esp<100
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$22,958.00
|
|
Rplcmt oi implt skl prq esp
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$7,907.11
|
|
Rplc oi implt sk tc esp>=100
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,719.44 |
$1,719.44 |
$1,719.44 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$444.77 |
$444.77 |
$444.77 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,444.98 |
$1,444.98 |
$1,444.98 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$1,614.45 |
$1,614.45 |
$1,614.45 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,719.44 |
$1,719.44 |
$1,719.44 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 rdc
|
$6,906.53 |
$6,906.53 |
$6,906.53 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$6,906.53 |
$6,906.53 |
$6,906.53 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 rdc
|
$6,906.53 |
$6,906.53 |
$6,906.53 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$5,907.78
|
|
Rpr choanal atresia ntranasl
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,553.49
|
|
Rpr fem hernia init blocked
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$6,839.00
|
|
Rpr hypspad comp dsj & urtp
|
$5,626.86 |
$5,626.86 |
$5,626.86 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$6,906.53 |
$6,906.53 |
$6,906.53 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$4,691.20
|
|
Rpr intst excl anrect fist
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,245.23
|
|
Rpr nsl vlv collapse w/implt
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$8,139.99
|
|
Rpr&refit spct prsth aphakia
|
$65.75 |
$65.75 |
$65.75 |
$81.12
|
|
Rpr rem hernia init reduce
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,959.65
|
|
Rp therapy unlisted px
|
$248.08 |
$248.08 |
$248.08 |
$549.50
|
|
Rrp hypspad comp moblj&urtp
|
$10,235.30 |
$10,235.30 |
$10,235.30 |
$10,106.03
|
|
Rsv assay w/optic
|
$13.10 |
$13.10 |
$13.10 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$142.64 |
$142.64 |
$142.64 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$41.27 |
$41.27 |
$41.27 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$41.27 |
$41.27 |
$41.27 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$41.27 |
$41.27 |
$41.27 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$39.59 |
$39.59 |
$39.59 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$38.75 |
$38.75 |
$38.75 |
$70.85
|
|
Rubella antibody igg
|
$14.39 |
$14.39 |
$14.39 |
$77.80
|
|
Rubeola ag if
|
$60.80 |
$60.80 |
$60.80 |
$83.90
|
|
Rubeola antibody igg
|
$12.88 |
$12.88 |
$12.88 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$329.51 |
$329.51 |
$329.51 |
$454.72
|
|
Russell viper venom diluted
|
$9.58 |
$9.58 |
$9.58 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$917.08 |
$917.08 |
$917.08 |
$1,008.79
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$36.26 |
$36.26 |
$36.26 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$117.70 |
$117.70 |
$117.70 |
$313.66
|
|
Safety plan interven
|
$58.71 |
$58.71 |
$58.71 |
$47.60
|
|
Salivary gland function exam
|
$444.77 |
$444.77 |
$444.77 |
$719.16
|
|
Salivary gland imaging
|
$444.77 |
$444.77 |
$444.77 |
$585.00
|
|
Salivary glnd img serial img
|
$444.77 |
$444.77 |
$444.77 |
$701.73
|
|
Salmonella antibody
|
$13.19 |
$13.19 |
$13.19 |
$37.58
|
|
Salpingostomy 58770
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,304.00
|
|
Same day nb discharge 99463
|
$142.64 |
$142.64 |
$142.64 |
$183.07
|
|
Sargramostim injection
|
$56.09 |
$56.09 |
$56.09 |
$552.52
|
|
Sars-cov-2 antb quantitative
|
$51.43 |
$51.43 |
$51.43 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$35.33 |
$35.33 |
$35.33 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$70.29 |
$70.29 |
$70.29 |
$104.00
|
|
S bowel endoscope w/stent
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Sbrt w/positron emission del
|
$4,151.28 |
$4,151.28 |
$4,151.28 |
$4,438.19
|
|
Sbsq psyc collab care mgmt
|
$102.38 |
$102.38 |
$102.38 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$267.55 |
$267.55 |
$267.55 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$117.70 |
$117.70 |
$117.70 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$117.70 |
$117.70 |
$117.70 |
$582.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$117.70 |
$117.70 |
$117.70 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$117.70 |
$117.70 |
$117.70 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$117.70 |
$117.70 |
$117.70 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Scr c/v cyto, automated sys
|
$18.19 |
$18.19 |
$18.19 |
$36.80
|
|
Scr c/v cyto, autosys, rescr
|
$31.94 |
$31.94 |
$31.94 |
$59.28
|
