|
Removal w/reinsrt nonbiogrdble
|
$389.87 |
$389.87 |
$389.87 |
$523.00
|
|
Remove cva lumen obstruct
|
$124.45 |
$124.45 |
$124.45 |
$494.00
|
|
Remove intact mammary implant
|
$7,037.56 |
$7,037.56 |
$7,037.56 |
$4,662.00
|
|
Renal function panel
|
$31.42 |
$31.42 |
$31.42 |
$113.52
|
|
Repair art rupture groin 35132
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$3,243.60
|
|
Repair blood vessel dir upper extr
|
$5,765.71 |
$5,765.71 |
$5,765.71 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$1,059.20
|
|
Repair defect of artery
|
$9,262.67 |
$9,262.67 |
$9,262.67 |
$2,168.66
|
|
Repair dental ellis ii fx
|
$497.06 |
$497.06 |
$497.06 |
$442.48
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,453.20 |
$3,453.20 |
$3,453.20 |
$1,928.07
|
|
Repair of windpipe
|
$11,051.55 |
$11,051.55 |
$11,051.55 |
$6,523.41
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,238.94 |
$1,238.94 |
$1,238.94 |
$949.41
|
|
Repair rpr lip full thickness vermilion only
|
$1,238.94 |
$1,238.94 |
$1,238.94 |
$1,244.09
|
|
Repair tendon extensor foot 1/2 each tendon
|
$6,055.06 |
$6,055.06 |
$6,055.06 |
$3,839.54
|
|
Replace aortic valve open femoral 33362
|
$3,377.96 |
$3,377.96 |
$3,377.96 |
$17,687.80
|
|
Replace duod/jej tube perc
|
$1,670.68 |
$1,670.68 |
$1,670.68 |
$1,360.63
|
|
Replace g/c tube perc
|
$1,706.90 |
$1,706.90 |
$1,706.90 |
$1,382.70
|
|
Replace g-j tube perc
|
$1,670.68 |
$1,670.68 |
$1,670.68 |
$1,583.04
|
|
Replace tunneled cv cath
|
$4,952.88 |
$4,952.88 |
$4,952.88 |
$3,724.63
|
|
Reptilase test
|
$35.65 |
$35.65 |
$35.65 |
$72.15
|
|
Resin three surfaces-anterio
|
$130.00 |
$130.00 |
$130.00 |
$408.80
|
|
Reslizumab 10 mg/ml intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,164.61 |
$1,164.61 |
$1,164.61 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$772.36 |
$772.36 |
$772.36 |
$479.20
|
|
Reticulocyte automated
|
$14.46 |
$14.46 |
$14.46 |
$52.65
|
|
Revasc evasc fpvt angio cplx 1st
|
$7,476.83 |
$7,476.83 |
$7,476.83 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$7,476.83 |
$7,476.83 |
$7,476.83 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$28,092.75
|
|
Revasc evasc fpvt athrec sf 1st
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$20,474.72
|
|
Revasc evasc ivt angio cplx 1st
|
$7,476.83 |
$7,476.83 |
$7,476.83 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$13,317.12 |
$13,317.12 |
$13,317.12 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$15,967.11 |
$15,967.11 |
$15,967.11 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$15,147.89 |
$15,147.89 |
$15,147.89 |
$19,875.58
|
|
Revasc intra lithotrip-stent
|
$15,147.89 |
$15,147.89 |
$15,147.89 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$8,897.16 |
$8,897.16 |
$8,897.16 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$20,300.00
|
|
Revasc lithotrip-stent-ather
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$15,147.89 |
$15,147.89 |
$15,147.89 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$19,890.17 |
$19,890.17 |
$19,890.17 |
$19,688.49
|
|
Revise graft w/vein
|
$10,013.41 |
$10,013.41 |
$10,013.41 |
$5,110.00
|
|
Revision of iris
|
$1,335.24 |
$1,335.24 |
$1,335.24 |
$1,271.00
|
|
Revj fem anast nonautog grf
|
$9,733.81 |
$9,733.81 |
$9,733.81 |
$6,396.89
|
|
Rheumatoid factor qualitative
|
$20.51 |
$20.51 |
$20.51 |
$57.07
|
|
Rheumatoid factor quantitative
|
$20.51 |
$20.51 |
$20.51 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$10.25 |
$10.25 |
$10.25 |
$234.12
|
|
Rho d immune globulin 50 mcg
|
$1.44 |
$1.44 |
$1.44 |
$106.14
|
|
Rho d immune globulin inj
|
$171.83 |
$171.83 |
$171.83 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$275.16 |
$275.16 |
$275.16 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$275.16 |
$275.16 |
$275.16 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$275.16 |
$275.16 |
$275.16 |
$400.00
|
|
Ring fx reform 11-13x17mm
|
$1,324.91 |
$1,324.91 |
$1,324.91 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$24.90 |
$24.90 |
$24.90 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$198.47 |
$198.47 |
$198.47 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$102.71 |
$102.71 |
$102.71 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$1,522.71 |
$1,522.71 |
$1,522.71 |
$846.42
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,619.96 |
$3,619.96 |
$3,619.96 |
$1,876.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,562.18 |
$1,562.18 |
$1,562.18 |
$1,172.40
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$26.44 |
$26.44 |
$26.44 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.06 |
$0.06 |
$0.06 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,929.15 |
$1,929.15 |
$1,929.15 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$812.30 |
$812.30 |
$812.30 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,146.40 |
$2,146.40 |
$2,146.40 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$3,219.59 |
$3,219.59 |
$3,219.59 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,929.15 |
$1,929.15 |
$1,929.15 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,787.93 |
$5,787.93 |
$5,787.93 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$4,952.88 |
$4,952.88 |
$4,952.88 |
$3,724.63
|
|
Rsv assay w/optic
|
$30.86 |
$30.86 |
$30.86 |
$75.96
|
|
Rubella antibody igg
|
$52.10 |
$52.10 |
$52.10 |
$77.50
|
|
Rubeola antibody igg
|
$46.60 |
$46.60 |
$46.60 |
$80.00
|
|
Russell viper venom diluted
|
$34.67 |
$34.67 |
$34.67 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$7,107.68 |
$7,107.68 |
$7,107.68 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$275.16 |
$275.16 |
$275.16 |
$314.79
|
|
Sarscov coronavirus ag ia
|
$120.26 |
$120.26 |
$120.26 |
$60.40
|
|
Sbsq psyc collab care mgmt
|
$203.93 |
$203.93 |
$203.93 |
$109.46
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$323.71 |
$323.71 |
$323.71 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$323.71 |
$323.71 |
$323.71 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$323.71 |
$323.71 |
$323.71 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$323.71 |
$323.71 |
$323.71 |
$595.35
|
|
Screen cerv/vag thin layer
|
$73.31 |
$73.31 |
$73.31 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.57 |
$57.57 |
$57.57 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$102.30 |
$102.30 |
$102.30 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$135.87 |
$135.87 |
$135.87 |
$93.60
|
|
Screening Mammogram
|
$276.63 |
$276.63 |
$276.63 |
$310.20
|
|
Screening prostate cancer PSA
|
$66.59 |
$66.59 |
$66.59 |
$101.60
|
|
Screen pap by tech w md supv
|
$42.95 |
$42.95 |
$42.95 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$39.10 |
$39.10 |
$39.10 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$323.71 |
$323.71 |
$323.71 |
$608.90
|
|
Sedimentation rate erythrocyte automated
|
$9.76 |
$9.76 |
$9.76 |
$42.00
|
