|
Rmvl foreign body upper arm/elbow subcutaneous
|
$762.00 |
$1,597.68 |
$5,107.31 |
|
|
Rmvl icd by tv extr
|
$2,672.83 |
$2,672.83 |
$2,886.00 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$18,758.00 |
$18,758.00 |
$41,146.50 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$18,758.00 |
$18,758.00 |
$58,266.50 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,758.00 |
$18,758.00 |
$41,146.50 |
|
|
Rmvl icd pulse gen only
|
$2,594.80 |
$2,594.80 |
$3,985.50 |
|
|
Rmvl ndwellg tun pleural cath
|
$655.50 |
$1,014.40 |
$1,014.40 |
|
|
Rmvl perm pm pulse gen
|
$2,206.58 |
$2,206.58 |
$5,295.00 |
|
|
Rmvl perq right heart vad
|
$4,133.35 |
$4,133.35 |
$4,133.35 |
|
|
Rmvl phrnc nrv stim pg only
|
$5,416.78 |
$5,416.78 |
$5,416.78 |
|
|
Rmvl phrnc nrv stim sys
|
$20,012.13 |
$20,012.13 |
$20,012.13 |
|
|
Rmvl phrnc nrv stim transvns
|
$7,692.68 |
$7,692.68 |
$7,692.68 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,451.55 |
$8,451.55 |
$31,114.50 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,519.53 |
$6,519.53 |
$12,952.00 |
|
|
Rmvl pq iabp
|
$1,654.50 |
$2,224.45 |
$2,224.45 |
|
|
Rmvl pq vad left hrt vein sep session
|
$2,407.50 |
$4,133.35 |
$4,133.35 |
|
|
Rmvl sq defib electrode
|
$2,672.83 |
$2,672.83 |
$2,886.00 |
|
|
Rmvl subq card rhythm mntr
|
$1,904.00 |
$2,079.40 |
$4,212.97 |
|
|
Rmvl tv pm lead dual
|
$2,855.00 |
$3,486.40 |
$3,486.40 |
|
|
Rmvl tv pm lead sgl
|
$2,351.30 |
$2,351.30 |
$2,886.00 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$54,642.10 |
$54,642.10 |
$54,642.10 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$54,502.85 |
$54,502.85 |
$54,502.85 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$6,422.30 |
$6,422.30 |
$6,422.30 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11,023.45 |
$11,023.45 |
$11,023.45 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,628.93 |
$2,628.93 |
$12,767.93 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$958.08 |
$958.08 |
$958.52 |
|
|
Routine footcare pt w lops
|
$146.50 |
$146.50 |
$146.50 |
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$36,766.28 |
$36,766.28 |
$36,766.28 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,536.50 |
$1,538.15 |
$10,861.00 |
|
|
Rp loclzj tum 2+area 1+d img
|
$1,496.63 |
$1,496.63 |
$1,791.00 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,496.63 |
$1,496.63 |
$3,543.00 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,496.63 |
$1,496.63 |
$4,634.50 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,536.50 |
$1,538.15 |
$3,938.87 |
|
|
Rpl tun-cvad w subq port
|
$3,288.68 |
$3,288.68 |
$3,894.00 |
|
|
Rpl tun-cvad w subq pump
|
$6,661.00 |
$6,661.00 |
$6,661.00 |
|
|
Rpl tun cvc wo subq port
|
$1,544.68 |
$1,544.68 |
$3,894.00 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$4,500.75 |
$4,500.75 |
$4,500.75 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$4,500.75 |
$4,500.75 |
$4,500.75 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$4,500.75 |
$4,500.75 |
$4,500.75 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$4,500.75 |
$4,500.75 |
$4,500.75 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,500.75 |
$4,500.75 |
$4,500.75 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$1,699.45 |
$1,699.45 |
$5,594.00 |
|
|
Rsv assay w/optic
|
$33.95 |
$33.95 |
$204.23 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$61.50 |
$136.05 |
$136.05 |
|
|
Rtm dev sply mscskl 16-30 d
|
$96.85 |
$96.85 |
$110.50 |
|
|
Rtm tx mgmt 1st 20 min
|
$90.33 |
$90.33 |
$99.50 |
|
|
Rtm tx mgmt ea addl 20 min
|
$74.00 |
$74.00 |
$81.00 |
|
|
Rubella antibody igg
|
$70.53 |
$70.53 |
$121.91 |
|
|
Rubeola antibody igg
|
$53.50 |
$71.25 |
$168.00 |
|
|
Russell viper venom diluted
|
$30.50 |
$73.03 |
$73.03 |
|
|
Rx metab gen seq alys pnl 6
|
$1,615.68 |
$1,615.68 |
$1,615.68 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,051.50 |
$5,051.50 |
$5,051.50 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$217.40 |
$217.40 |
$644.00 |
|
|
Safety plan interven
|
$36.58 |
$36.58 |
$36.58 |
|
|
Salivary glnd img serial img
|
$696.50 |
$696.50 |
$696.50 |
|
|
Salmonella antibody
|
$47.00 |
$47.00 |
$149.00 |
|
|
Sargramostim injection
|
$711.18 |
$711.18 |
$711.18 |
|
|
Sars-cov-2 antb quantitative
|
$233.00 |
$233.00 |
$233.00 |
|
|
Sarscov coronavirus ag ia
|
$17.66 |
$94.82 |
$166.00 |
|
|
Sarscov & inf vir a&b ag ia
|
$32.00 |
$32.00 |
$98.00 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$695.55 |
$695.55 |
$710.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$471.50 |
$507.18 |
$507.18 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$509.50 |
$564.60 |
$695.63 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$693.50 |
$872.75 |
$1,333.08 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$495.15 |
$495.15 |
$1,694.00 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$456.02 |
$498.13 |
$1,694.00 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,162.13 |
$1,162.13 |
$1,729.50 |
|
|
Scope uretscp lithovue dig disp
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$57.00 |
$136.63 |
$136.63 |
|
|
Screen cerv/vag thin layer
|
$59.00 |
$59.00 |
$59.00 |
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$45.65 |
$45.65 |
$89.00 |
|
|
Screening hepatitis b non-obstetric high risk
|
$85.83 |
$85.83 |
$85.83 |
|
|
Screening hepatitis c antibody high risk
|
$174.58 |
$174.58 |
$174.58 |
|
|
Screening HIV antigen/antibody combination assay
|
$34.50 |
$34.50 |
$34.50 |
|
|
Screening Mammogram
|
$319.93 |
$319.93 |
$663.00 |
|
|
Screening pap smear by phys
|
$31.00 |
$31.00 |
$31.00 |
|
|
Screening prostate cancer PSA
|
$70.50 |
$104.18 |
$104.18 |
|
|
Screen pap by tech w md supv
|
$42.00 |
$42.00 |
$42.00 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$32.18 |
$32.18 |
$32.18 |
|
|
Screw cortex 2.0 x 10mm
|
$1,789.04 |
$9,831.06 |
$9,831.06 |
|
|
Scrotal (Testicle) Ultrasound
|
$478.30 |
$478.30 |
$1,099.00 |
|
|
Sc ther infusion reset pump
|
$72.50 |
$140.15 |
$140.15 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,753.63 |
$1,753.63 |
$2,081.50 |
|
|
Sedimentation rate erythrocyte automated
|
$62.50 |
$89.38 |
$89.38 |
|
|
Select picture audiometry
|
$61.95 |
$61.95 |
$111.00 |
|
|
Self-adher band w>=3" <5"/yd
|
$2.07 |
$2.07 |
$2.07 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$81.65 |
$81.65 |
$215.88 |
|
|
Self-meas bp pt educaj/train
|
$48.60 |
$48.60 |
$48.60 |
|
|
Semen analysis presence/motility
|
$65.00 |
$102.23 |
$126.84 |
|
|
Semen analysis w/count
|
$65.25 |
$65.25 |
$65.25 |
|
|
Sept9 promoter methylation analysis
|
$151.00 |
$151.00 |
$151.00 |
|
|
Serpina1 gene
|
$71.25 |
$71.25 |
$447.00 |
|
|
Sertraline (zoloft) - sendout
|
$178.33 |
$178.33 |
$178.33 |
|
|
Set radiation therapy field
|
$198.00 |
$852.55 |
$852.55 |
|
|
Set radiation therapy field
|
$409.00 |
$1,585.10 |
$1,585.10 |
|
|
Set radiation therapy field
|
$519.00 |
$1,743.00 |
$1,743.00 |
|
|
Sevelamer carbonate 800 mg tablet
|
$2,985.68 |
$2,985.68 |
$2,985.68 |
|
|
Sevelamer carbonate pdr 20mg
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
|
|
Sewhfo airplane without jnts cf
|
$803.68 |
$803.68 |
$803.68 |
|
|
Sewhfo airplane w/jnt(s) cf
|
$949.10 |
$949.10 |
$949.10 |
|
