|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,290.00
|
|
Rotavirus antibody
|
$20.05 |
$20.05 |
$20.05 |
$38.40
|
|
Rplcm oi implt sk tc esp<100
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$15,226.08
|
|
Rplcmt oi implt skl prq esp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,359.08
|
|
Rplc oi implt sk tc esp>=100
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$14,241.77
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$473.46 |
$473.46 |
$473.46 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$619.27 |
$619.27 |
$619.27 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$939.84 |
$939.84 |
$939.84 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,201.80
|
|
Rpr aa hrn 1st > 10 rdc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,500.75
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Rpr aa hrn 1st 3-10 rdc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,881.00
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,176.15
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,855.00
|
|
Rpr aa hrn rcr 3-10 rdc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,500.75
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,110.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,986.00
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,923.20
|
|
Rpr blood vsl grf oth vein lo ex
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,836.04
|
|
Rpr choanal atresia ntranasl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,339.00
|
|
Rpr choanal atresia trsnpltn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Rpr fem hernia init blocked
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,909.56
|
|
Rpr hern preemie reduc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,074.24
|
|
Rpr hypspad comp dsj & urtp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Rpr hypspad comp simple
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,081.37
|
|
Rpr ing hernia baby blocked
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,919.49
|
|
Rpr ing hernia baby reduc
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,919.49
|
|
Rpr ing hernia init blocked
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,000.36
|
|
Rpr nsl vlv collapse w/rmdlg
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$7,000.36
|
|
Rpr rem hernia init reduce
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,856.84
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,959.65
|
|
Rrp hypspad comp moblj&urtp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,339.00
|
|
Rsv assay w/optic
|
$14.41 |
$14.41 |
$14.41 |
$73.80
|
|
Rubella antibody igg
|
$15.83 |
$15.83 |
$15.83 |
$73.10
|
|
Rubeola antibody igg
|
$14.17 |
$14.17 |
$14.17 |
$79.68
|
|
Russell viper venom diluted
|
$10.54 |
$10.54 |
$10.54 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$1,008.79 |
$1,008.79 |
$1,008.79 |
$1,100.50
|
|
Salivary gland function exam
|
$259.95 |
$259.95 |
$259.95 |
$549.70
|
|
Salivary gland imaging
|
$321.61 |
$321.61 |
$321.61 |
$549.70
|
|
Salmonella antibody
|
$14.51 |
$14.51 |
$14.51 |
$37.58
|
|
Salpingostomy 58770
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,840.20
|
|
Sars-cov-2 antb quantitative
|
$56.57 |
$56.57 |
$56.57 |
$51.43
|
|
Sarscov coronavirus ag ia
|
$38.86 |
$38.86 |
$38.86 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$77.32 |
$77.32 |
$77.32 |
$91.14
|
|
S bowel endoscope w/stent
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$402.64 |
$402.64 |
$402.64 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$300.57 |
$300.57 |
$300.57 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$533.66 |
$533.66 |
$533.66 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$413.47 |
$413.47 |
$413.47 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$213.09 |
$213.09 |
$213.09 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$791.54 |
$791.54 |
$791.54 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$558.66 |
$558.66 |
$558.66 |
$1,006.85
|
|
Sclerotherapy fluid collection pq w/img
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Scr c/v cyto,thinlayer,rescr
|
$48.37 |
$48.37 |
$48.37 |
$48.37
|
|
Scr c/v cyto,thinlayer,rescr
|
$29.14 |
$29.14 |
$29.14 |
$78.00
|
|
Screen cerv/vag thin layer
|
$22.29 |
$22.29 |
$22.29 |
$61.20
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$19.86 |
$19.86 |
$19.86 |
$54.26
|
|
Screening hepatitis b non-obstetric high risk
|
$31.10 |
$31.10 |
$31.10 |
$56.55
|
|
Screening hepatitis c antibody high risk
|
$50.99 |
$50.99 |
$50.99 |
$85.80
|
|
Screening HIV antigen/antibody combination assay
|
$26.49 |
$26.49 |
$26.49 |
$28.90
|
|
Screening Mammogram
|
$132.06 |
$132.06 |
$132.06 |
$303.55
|
|
Screening prostate cancer PSA
|
$21.24 |
$21.24 |
$21.24 |
$100.80
|
|
Screen pap by tech w md supv
|
$19.54 |
$19.54 |
$19.54 |
$41.80
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$2.97 |
$2.97 |
$2.97 |
$44.20
|
|
Semen analysis presence/motility
|
$13.26 |
$13.26 |
$13.26 |
$70.85
|
|
Semen analysis w/count
|
$9.47 |
$9.47 |
$9.47 |
$56.44
|
|
Separate eyelid adhesions
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,760.73
|
|
Sept9 promoter methylation analysis
|
$211.20 |
$211.20 |
$211.20 |
$316.68
|
|
Sequestrectomy olecrn proces
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,855.00
|
|
Sequestrectomy radial h/n
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Sequestrectomy shft/dstl hum
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Serpina1 gene
|
$48.02 |
$48.02 |
$48.02 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$43.95 |
$43.95 |
$43.95 |
$173.16
|
|
Set radiation therapy field
|
$398.89 |
$398.89 |
$398.89 |
$731.50
|
|
Set radiation therapy field
|
$654.89 |
$654.89 |
$654.89 |
$1,102.40
|
|
Set radiation therapy field
|
$1,034.41 |
$1,034.41 |
$1,034.41 |
$1,636.36
|
|
Sever cranial nerve
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,310.83
|
|
Sex transformation f to m
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,081.37
|
|
Sex transformation m to f
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,813.46
|
|
Sgmdsc w/band ligation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$302.55
|
