|
Rpl tun-cvad w subq port
|
$6,509.50 |
$6,509.50 |
$6,901.04 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$6,509.50 |
$6,509.50 |
$6,988.46 |
$3,724.63
|
|
Rpr blood vsl grf oth vein lo ex
|
$9,733.81 |
$9,733.81 |
$11,980.07 |
$5,907.78
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$14,590.10 |
$14,590.10 |
$14,590.10 |
$5,959.65
|
|
Rp therapy unlisted px
|
$676.80 |
$676.80 |
$676.80 |
$549.50
|
|
Rsv assay w/optic
|
$30.86 |
$30.86 |
$37.98 |
$75.96
|
|
Rubella antibody igg
|
$52.10 |
$52.10 |
$64.12 |
$77.50
|
|
Rubeola antibody igg
|
$46.60 |
$46.60 |
$57.36 |
$80.00
|
|
Russell viper venom diluted
|
$34.67 |
$34.67 |
$42.67 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$7,107.68 |
$7,107.68 |
$8,747.92 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$275.16 |
$275.16 |
$338.66 |
$314.79
|
|
Salivary gland function exam
|
$1,146.14 |
$1,146.14 |
$1,146.14 |
$753.60
|
|
Salmonella antibody
|
$47.72 |
$47.72 |
$58.73 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$120.26 |
$120.26 |
$148.01 |
$60.40
|
|
Sbsq psyc collab care mgmt
|
$214.12 |
$214.12 |
$250.99 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$875.65 |
$875.65 |
$940.07 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$425.45 |
$425.45 |
$425.45 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$425.45 |
$425.45 |
$456.76 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$425.45 |
$425.45 |
$456.76 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$425.45 |
$425.45 |
$456.76 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$425.45 |
$425.45 |
$456.76 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,994.36 |
$1,994.36 |
$2,141.10 |
$2,148.60
|
|
Screen cerv/vag thin layer
|
$73.31 |
$73.31 |
$90.23 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,800.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.57 |
$57.57 |
$70.86 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$102.30 |
$102.30 |
$125.91 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$135.87 |
$135.87 |
$167.22 |
$93.60
|
|
Screening Mammogram
|
$284.38 |
$284.38 |
$350.01 |
$310.20
|
|
Screening prostate cancer PSA
|
$66.59 |
$66.59 |
$81.95 |
$101.60
|
|
Screen pap by tech w md supv
|
$42.95 |
$42.95 |
$52.86 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$39.10 |
$39.10 |
$48.12 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$6,976.07 |
$6,976.07 |
$9,348.00 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$425.45 |
$425.45 |
$456.76 |
$608.90
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,936.98 |
$5,936.98 |
$8,358.14 |
$4,336.20
|
|
Sedimentation rate erythrocyte automated
|
$9.76 |
$9.76 |
$12.02 |
$42.00
|
|
Segmentectomy 32484
|
$15,583.72 |
$15,583.72 |
$19,179.96 |
$2,915.40
|
|
Self-adher band w>=3" <5"/yd
|
$1.83 |
$1.83 |
$1.83 |
$2.07
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$104.03 |
$104.03 |
$128.03 |
$96.60
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$16.22 |
$16.22 |
$16.22 |
$33.04
|
|
Semen analysis presence/motility
|
$43.62 |
$43.62 |
$53.68 |
$70.40
|
|
Sensorimotor examination
|
$192.19 |
$192.19 |
$192.19 |
$109.50
|
|
Serial tonometry
|
$66.24 |
$66.24 |
$66.24 |
$131.02
|
|
Serpina1 gene
|
$157.96 |
$157.96 |
$194.42 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$366.41 |
$366.41 |
$450.97 |
$126.43
|
|
Set radiation therapy field
|
$434.81 |
$434.81 |
$450.54 |
$782.61
|
|
Set radiation therapy field
|
$1,157.38 |
$1,157.38 |
$1,157.38 |
$1,159.03
|
|
Set radiation therapy field
|
$1,145.92 |
$1,145.92 |
$1,157.38 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$0.01 |
$0.01 |
$0.02 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$0.40 |
$0.40 |
$0.49 |
$21.42
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$584.21 |
$584.21 |
$627.20 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$584.21 |
$584.21 |
$627.20 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$436.64
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$584.21 |
$584.21 |
$627.20 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$584.21 |
$584.21 |
$627.20 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$584.21 |
$584.21 |
$627.20 |
$268.47
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$584.21 |
$584.21 |
$627.20 |
$311.40
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$584.21 |
$584.21 |
$627.20 |
$234.00
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$584.21 |
$584.21 |
$627.20 |
$286.89
|
|
Sho insert w arch toe filler
|
$965.64 |
$965.64 |
$1,188.48 |
$1,224.38
|
|
Shot (Injection into Muscle or Under the Skin)
|
$113.56 |
$113.56 |
$159.26 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$201.75 |
$201.75 |
$248.30 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$275.16 |
$275.16 |
$338.66 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$1,648.98 |
$1,648.98 |
$1,652.32 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$1,648.98 |
$1,648.98 |
$3,371.58 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$1,006.36 |
$1,006.36 |
$1,307.22 |
$2,088.20
|
|
Shoulder prosthesis removal
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,870.38
|
|
Shoulder X-ray
|
$201.75 |
$201.75 |
$248.30 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$201.75 |
$201.75 |
$248.30 |
$264.00
|
|
Shrinker prosth below knee
|
$103.41 |
$103.41 |
$127.27 |
$105.12
|
|
Shuntogram nonvascular supervision & interpretation
|
$275.16 |
$275.16 |
$338.66 |
$355.80
|
|
Sialography s&i
|
$579.34 |
$579.34 |
$579.34 |
$499.20
|
|
Sialolithotomy 42330
|
$6,419.65 |
$6,419.65 |
$6,419.65 |
$3,837.72
|
|
Sickling rbc
|
$19.93 |
$19.93 |
$24.53 |
$59.40
|
|
Sig w/tndsc balloon dilation
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$2,288.00
|
|
Simple cystometrogram 51725
|
$293.47 |
$293.47 |
$315.06 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$795.04 |
$795.04 |
$845.92 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$795.04 |
$795.04 |
$845.92 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$489.02 |
$489.02 |
$520.31 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$5,491.15 |
$5,491.15 |
$6,758.34 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$201.75 |
$201.75 |
$248.30 |
$347.10
|
|
Sinus X-ray (limited)
|
$201.75 |
$201.75 |
$248.30 |
$215.75
|
|
Skeletal muscle relaxant 1/2
|
$139.67 |
$139.67 |
$139.67 |
$83.85
|
|
Skin Biopsy
|
$497.06 |
$497.06 |
$611.77 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$275.16 |
$275.16 |
$456.76 |
$294.66
|
|
Skull X-ray (complete)
|
$275.16 |
$275.16 |
$456.76 |
$423.15
|
|
Skyla, 13.5 mg
|
$2,136.54 |
$2,136.54 |
$2,629.59 |
$1,643.47
|
|
Sleep study attended
|
$1,454.78 |
$1,454.78 |
$1,561.82 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,243.02 |
$3,243.02 |
$3,481.65 |
$3,734.50
|
|
Sleep study unattended
|
$328.15 |
$328.15 |
$403.87 |
$594.00
|
|
Sleeve fing rolyan med
|
$413.35 |
$413.35 |
$508.74 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$4.88 |
$4.88 |
$6.00 |
$30.35
|
|
Slitting of prepuce
|
$3,698.92 |
$3,698.92 |
$4,410.15 |
$3,376.23
|
|
Slp pure tone screening
|
$23.86 |
$23.86 |
$37.84 |
$64.50
|
|
Sm-153 lexidron ther
|
$25,564.12 |
$25,564.12 |
$25,564.12 |
$7,320.12
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$336.54 |
$336.54 |
$414.21 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$19.49 |
$19.49 |
$23.99 |
$64.20
|
|
Smear gram stain
|
$15.44 |
$15.44 |
$19.01 |
$55.42
|
|
Smear nasal eosinophil
|
$17.18 |
$17.18 |
$21.14 |
$46.20
|