|
Rpr aa hrn 1st 3-10 rdc
|
$354.64 |
$354.64 |
$354.64 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$211.64 |
$211.64 |
$211.64 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$294.80 |
$294.80 |
$294.80 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$770.00 |
$770.00 |
$770.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$549.56 |
$549.56 |
$549.56 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$531.08 |
$531.08 |
$531.08 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$395.34 |
$395.34 |
$395.34 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$353.54 |
$353.54 |
$353.54 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$260.48 |
$260.48 |
$260.48 |
$4,271.28
|
|
Rpr acq av fistula thrx&abd
|
$915.42 |
$915.42 |
$915.42 |
$2,122.76
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$614.24 |
$614.24 |
$614.24 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$561.66 |
$561.66 |
$561.66 |
$5,907.78
|
|
Rpr blvs gr ot/th vn ntrth w
|
$839.96 |
$839.96 |
$839.96 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$885.94 |
$885.94 |
$885.94 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$992.20 |
$992.20 |
$992.20 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$1,051.60 |
$1,051.60 |
$1,051.60 |
$1,848.50
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$871.86 |
$871.86 |
$871.86 |
$2,049.00
|
|
Rpr cgen av fistula thrx&abd
|
$1,091.64 |
$1,091.64 |
$1,091.64 |
$1,141.26
|
|
Rpr choanal atresia ntranasl
|
$449.24 |
$449.24 |
$449.24 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$609.40 |
$609.40 |
$609.40 |
$6,553.49
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$695.20 |
$695.20 |
$695.20 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$577.50 |
$577.50 |
$577.50 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$525.14 |
$525.14 |
$525.14 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$393.58 |
$393.58 |
$393.58 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$495.88 |
$495.88 |
$495.88 |
$6,839.00
|
|
Rpr hypopl a-arch w/byp
|
$1,116.94 |
$1,116.94 |
$1,116.94 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$854.48 |
$854.48 |
$854.48 |
$2,009.87
|
|
Rpr hypspad comp dsj & urtp
|
$623.48 |
$623.48 |
$623.48 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$352.66 |
$352.66 |
$352.66 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$383.46 |
$383.46 |
$383.46 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$254.98 |
$254.98 |
$254.98 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$377.96 |
$377.96 |
$377.96 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$259.38 |
$259.38 |
$259.38 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$595.54 |
$595.54 |
$595.54 |
$4,691.20
|
|
Rpr nsl vlv collapse w/implt
|
$104.28 |
$104.28 |
$104.28 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$92.40 |
$92.40 |
$92.40 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$465.74 |
$465.74 |
$465.74 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$579.26 |
$579.26 |
$579.26 |
$1,786.40
|
|
Rpr pul art unifocal without cpb
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$2,433.62
|
|
Rpr&refitg spect xcp aphakia
|
$10.12 |
$10.12 |
$10.12 |
$10.58
|
|
Rpr rem hernia init reduce
|
$360.36 |
$360.36 |
$360.36 |
$3,906.18
|
|
Rpr tga aortic pulm art rcns
|
$1,428.24 |
$1,428.24 |
$1,428.24 |
$3,334.30
|
|
Rpr tga atr bfl clsr vsd
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$2,802.10
|
|
Rpr tga atr bfl rmvl plm bnd
|
$1,129.48 |
$1,129.48 |
$1,129.48 |
$2,647.72
|
|
Rpr tga atrial baffle px
|
$1,097.58 |
$1,097.58 |
$1,097.58 |
$2,577.95
|
|
Rpr tga bfl rpr sbpulm obstr
|
$1,149.94 |
$1,149.94 |
$1,149.94 |
$2,686.46
|
|
Rpr tga rcnstj clsr vsd
|
$1,436.16 |
$1,436.16 |
$1,436.16 |
$3,340.51
|
|
Rpr tga rcnstj rmvl plm bnd
|
$1,408.66 |
$1,408.66 |
$1,408.66 |
$3,275.43
|
|
Rpr tga rcnstj rpr sbpl obst
|
$1,400.30 |
$1,400.30 |
$1,400.30 |
$3,252.38
|
|
Rpr tga without surg enlgmnt vsd
|
$1,283.70 |
$1,283.70 |
$1,283.70 |
$2,990.02
|
|
Rpr tga w/surg enlgmnt vsd
|
$1,319.56 |
$1,319.56 |
$1,319.56 |
$3,066.58
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$223.08 |
$223.08 |
$223.08 |
$5,959.65
|
|
Rrp hypspad comp moblj&urtp
|
$583.00 |
$583.00 |
$583.00 |
$10,106.03
|
|
Rsect hip tum incl femur
|
$1,268.52 |
$1,268.52 |
$1,268.52 |
$10,735.20
|
|
Rsv assay w/optic
|
$69.42 |
$69.42 |
$69.42 |
$75.45
|
|
Rtm tx mgmt 1st 20 min
|
$18.92 |
$18.92 |
$18.92 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$18.48 |
$18.48 |
$18.48 |
$70.85
|
|
Rubella antibody igg
|
$76.44 |
$76.44 |
$76.44 |
$77.80
|
|
Rubeola ag if
|
$40.04 |
$40.04 |
$40.04 |
$83.90
|
|
Rubeola antibody igg
|
$67.86 |
$67.86 |
$67.86 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$217.36 |
$217.36 |
$217.36 |
$454.72
|
|
Russell viper venom diluted
|
$50.70 |
$50.70 |
$50.70 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$2,145.78 |
$2,145.78 |
$2,145.78 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$427.44 |
$427.44 |
$427.44 |
$313.66
|
|
Safety plan interven
|
$26.62 |
$26.62 |
$26.62 |
$47.60
|
|
Salivary gland function exam
|
$11.66 |
$11.66 |
$11.66 |
$719.16
|
|
Salivary gland imaging
|
$12.98 |
$12.98 |
$12.98 |
$585.00
|
|
Salivary glnd img serial img
|
$12.98 |
$12.98 |
$12.98 |
$701.73
|
|
Salmonella antibody
|
$8.80 |
$8.80 |
$8.80 |
$37.58
|
|
Salpingostomy 58770
|
$531.96 |
$531.96 |
$531.96 |
$4,304.00
|
|
Same day nb discharge 99463
|
$66.22 |
$66.22 |
$66.22 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$23.32 |
$23.32 |
$23.32 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$46.20 |
$46.20 |
$46.20 |
$104.00
|
|
S bowel endoscope w/stent
|
$248.16 |
$248.16 |
$248.16 |
$4,379.25
|
|
Sbrt management
|
$400.62 |
$400.62 |
$400.62 |
$1,156.00
|
|
Sbsq ic vlbw inf<1,500 gm
|
$81.18 |
$81.18 |
$81.18 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$94.38 |
$94.38 |
$94.38 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$45.54 |
$45.54 |
$45.54 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$66.22 |
$66.22 |
$66.22 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$24.42 |
$24.42 |
$24.42 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$63.14 |
$63.14 |
$63.14 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$707.46 |
$707.46 |
$707.46 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$311.22 |
$311.22 |
$311.22 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$311.22 |
$311.22 |
$311.22 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$311.22 |
$311.22 |
$311.22 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$311.22 |
$311.22 |
$311.22 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$311.22 |
$311.22 |
$311.22 |
$595.35
|
|
Scan proc cranial extra
|
$106.48 |
$106.48 |
$106.48 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$145.64 |
$145.64 |
$145.64 |
$1,015.00
|
|
Scan proc spinal
|
$142.78 |
$142.78 |
$142.78 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$274.34 |
$274.34 |
$274.34 |
$3,839.54
|
|
Scr c/v cyto, automated sys
|
$11.88 |
$11.88 |
$11.88 |
$36.80
|
|
Scr c/v cyto,autosys and md
|
$15.18 |
$15.18 |
$15.18 |
$55.20
|
|
Scr c/v cyto, autosys, rescr
|
$21.12 |
$21.12 |
$21.12 |
$59.28
|
|
Scr c/v cyto,thinlayer,rescr
|
$29.04 |
$29.04 |
$29.04 |
$88.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$17.60 |
$17.60 |
$17.60 |
$85.15
|
|
Scr c/v cyto,thinlayer,rescr
|
$18.04 |
$18.04 |
$18.04 |
$54.40
|
|
Screen cerv/vag thin layer
|
$13.20 |
$13.20 |
$13.20 |
$86.56
|
|
Screen c/v thin layer by md
|
$15.18 |
$15.18 |
$15.18 |
$55.20
|
