|
Rplc oi implt sk tc esp>=100
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$6,242.60 |
$6,242.60 |
$6,242.60 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,819.80
|
|
Rpl tun cvc wo subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$158.60 |
$158.60 |
$158.60 |
$72.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$5,339.75 |
$5,339.75 |
$5,339.75 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$3,987.10 |
$3,987.10 |
$3,987.10 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$2,934.10 |
$2,934.10 |
$2,934.10 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,704.30 |
$1,704.30 |
$1,704.30 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$5,894.20 |
$5,894.20 |
$5,894.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$4,167.80 |
$4,167.80 |
$4,167.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$4,447.30 |
$4,447.30 |
$4,447.30 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,685.20 |
$4,685.20 |
$4,685.20 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$5,907.78
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,815.60 |
$7,815.60 |
$7,815.60 |
$7,815.60
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$4,069.00 |
$4,069.00 |
$4,069.00 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$3,634.80 |
$3,634.80 |
$3,634.80 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$728.00 |
$728.00 |
$728.00 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$5,959.65
|
|
Rsv assay w/optic
|
$58.50 |
$58.50 |
$58.50 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$385.45 |
$385.45 |
$385.45 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$167.70 |
$167.70 |
$167.70 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$111.80 |
$111.80 |
$111.80 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$161.20 |
$161.20 |
$161.20 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$158.60 |
$158.60 |
$158.60 |
$70.85
|
|
Rubella antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$77.80
|
|
Rubeola antibody igg
|
$57.85 |
$57.85 |
$57.85 |
$80.00
|
|
Russell viper venom diluted
|
$42.90 |
$42.90 |
$42.90 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,998.12 |
$7,998.12 |
$7,998.12 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$542.75 |
$542.75 |
$542.75 |
$320.40
|
|
Salmonella antibody
|
$59.15 |
$59.15 |
$59.15 |
$37.58
|
|
Same day nb discharge 99463
|
$553.80 |
$553.80 |
$553.80 |
$183.07
|
|
Sargramostim injection
|
$736.22 |
$736.22 |
$736.22 |
$552.52
|
|
S bowel endoscope w/stent
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$4,379.25
|
|
Sbrt management
|
$3,394.95 |
$3,394.95 |
$3,394.95 |
$1,156.00
|
|
Sbsq ic vlbw inf<1,500 gm
|
$786.50 |
$786.50 |
$786.50 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$728.00 |
$728.00 |
$728.00 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$338.00 |
$338.00 |
$338.00 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$499.20 |
$499.20 |
$499.20 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$182.00 |
$182.00 |
$182.00 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$586.30 |
$586.30 |
$586.30 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$540.15 |
$540.15 |
$540.15 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$527.15 |
$527.15 |
$527.15 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$525.85 |
$525.85 |
$525.85 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$527.15 |
$527.15 |
$527.15 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$527.15 |
$527.15 |
$527.15 |
$597.35
|
|
Scan proc cranial extra
|
$909.35 |
$909.35 |
$909.35 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$975.00 |
$975.00 |
$975.00 |
$1,015.00
|
|
Scan proc spinal
|
$975.00 |
$975.00 |
$975.00 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,839.54
|
|
Screening Colonoscopy (average risk)
|
$932.10 |
$932.10 |
$932.10 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$932.10 |
$932.10 |
$932.10 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$33.15 |
$33.15 |
$33.15 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$152.10 |
$152.10 |
$152.10 |
$93.60
|
|
Screening Mammogram
|
$593.45 |
$593.45 |
$593.45 |
$311.50
|
|
Screening prostate cancer PSA
|
$49.40 |
$49.40 |
$49.40 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$117.00 |
$117.00 |
$117.00 |
$28.86
|
|
Scrotal (Testicle) Ultrasound
|
$643.50 |
$643.50 |
$643.50 |
$611.91
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,570.15 |
$4,570.15 |
$4,570.15 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$28.60 |
$28.60 |
$28.60 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$12.35 |
$12.35 |
$42.00
|
|
Segmentectomy 32484
|
$6,598.80 |
$6,598.80 |
$6,598.80 |
$2,915.40
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$178.10 |
$178.10 |
$178.10 |
$96.85
|
|
Self-meas bp 2 readg bid 30d
|
$46.80 |
$46.80 |
$46.80 |
$11.30
|
|
Self-meas bp pt educaj/train
|
$143.65 |
$143.65 |
$143.65 |
$29.55
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$61.75 |
$61.75 |
$61.75 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$21.45 |
$21.45 |
$21.45 |
$33.04
|
|
Semen analysis
|
$29.25 |
$29.25 |
$29.25 |
$13.60
|
|
Semen analysis presence/motility
|
$124.15 |
$124.15 |
$124.15 |
$70.40
|
|
Semen analysis w/count
|
$38.35 |
$38.35 |
$38.35 |
$56.44
|
|
Serial tonometry
|
$174.20 |
$174.20 |
$174.20 |
$131.02
|
|
Serpina1 gene
|
$195.65 |
$195.65 |
$195.65 |
$197.00
|
|
Set radiation therapy field
|
$795.60 |
$795.60 |
$795.60 |
$787.50
|
|
Set radiation therapy field
|
$300.30 |
$300.30 |
$300.30 |
$1,180.38
|
|
Set radiation therapy field
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$1,641.90
|
|
Sgmdsc w/band ligation
|
$480.35 |
$480.35 |
$480.35 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$387.40 |
$387.40 |
$387.40 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$387.40 |
$387.40 |
$387.40 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$371.80 |
$371.80 |
$371.80 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$480.35 |
$480.35 |
$480.35 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$387.40 |
$387.40 |
$387.40 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$387.40 |
$387.40 |
$387.40 |
$223.00
|
