|
Remove spinal canal catheter 62355
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$2,286.90
|
|
Remove spine eltrd perq aray
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$2,882.60
|
|
Remove spine infusion device
|
$10,804.30 |
$10,804.30 |
$10,804.30 |
$5,788.94
|
|
Remove stent via transureth
|
$10,144.55 |
$10,144.55 |
$10,144.55 |
$3,332.80
|
|
Remove ureter stent percut
|
$13,425.10 |
$13,425.10 |
$13,425.10 |
$3,525.30
|
|
Renal cyst study s&i
|
$637.00 |
$637.00 |
$637.00 |
$648.84
|
|
Renal function panel
|
$34.45 |
$34.45 |
$34.45 |
$110.10
|
|
Renal venogram bil s&i
|
$3,408.60 |
$3,408.60 |
$3,408.60 |
$3,615.28
|
|
Reopen fallopian tube
|
$13,955.50 |
$13,955.50 |
$13,955.50 |
$5,463.96
|
|
Repair dental ellis ii fx
|
$335.40 |
$335.40 |
$335.40 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$520.00 |
$520.00 |
$520.00 |
$1,326.51
|
|
Repair rpr lip full thickness vermilion only
|
$481.65 |
$481.65 |
$481.65 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$5,250.70 |
$5,250.70 |
$5,250.70 |
$1,383.00
|
|
Replace g/c tube perc
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$1,413.60
|
|
Replace g-j tube perc
|
$5,250.70 |
$5,250.70 |
$5,250.70 |
$1,600.45
|
|
Replace picvad cath
|
$2,786.55 |
$2,786.55 |
$2,786.55 |
$3,724.63
|
|
Replace tunneled cv cath
|
$2,143.05 |
$2,143.05 |
$2,143.05 |
$4,001.25
|
|
Reptilase test
|
$72.15 |
$72.15 |
$72.15 |
$65.65
|
|
Rerepair ing hernia reduce
|
$2,603.90 |
$2,603.90 |
$2,603.90 |
$3,986.00
|
|
Respirator motion mgmt simul
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$59.80 |
$59.80 |
$59.80 |
$48.00
|
|
Resp virus 6-11 targets
|
$200.20 |
$200.20 |
$200.20 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$573.30 |
$573.30 |
$573.30 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$357.50 |
$357.50 |
$357.50 |
$797.29
|
|
Reticulocyte automated
|
$38.35 |
$38.35 |
$38.35 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$206.70 |
$206.70 |
$206.70 |
$33.57
|
|
Revise spine eltrd perq aray
|
$9,492.60 |
$9,492.60 |
$9,492.60 |
$7,496.58
|
|
Revision of cervix
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,762.53
|
|
Revision of cervix
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,762.53
|
|
Rev-rem impl neurostim gen-rec
|
$6,208.15 |
$6,208.15 |
$6,208.15 |
$4,069.59
|
|
Rf abltj nrv nrvtg si jt
|
$5,541.90 |
$5,541.90 |
$5,541.90 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$23.40 |
$23.40 |
$23.40 |
$54.60
|
|
Rheumatoid factor quantitative
|
$46.80 |
$46.80 |
$46.80 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$255.26 |
$255.26 |
$255.26 |
$255.26
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$124.33 |
$124.33 |
$124.33 |
$159.25
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$12,719.40 |
$12,719.40 |
$12,719.40 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$17,785.56 |
$17,785.56 |
$17,785.56 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$8,074.20 |
$8,074.20 |
$8,074.20 |
$6,877.90
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,683.91 |
$7,683.91 |
$7,683.91 |
$7,582.77
|
|
Rmv implant contraceptive capsule 11976
|
$910.00 |
$910.00 |
$910.00 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$2,111.46
|
|
Rmvl ndwellg tun pleural cath
|
$1,686.10 |
$1,686.10 |
$1,686.10 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,991.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$8,950.11 |
$8,950.11 |
$8,950.11 |
$8,779.01
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$29.54 |
$29.54 |
$29.54 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,143.05 |
$2,143.05 |
$2,143.05 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,197.30 |
$1,197.30 |
$1,197.30 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$1,753.70 |
$1,753.70 |
$1,753.70 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$2,786.55 |
$2,786.55 |
$2,786.55 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$2,786.55 |
$2,786.55 |
$2,786.55 |
$4,201.80
|
|
Rsv assay w/optic
|
$102.70 |
$102.70 |
$102.70 |
$73.80
|
|
Rubella antibody igg
|
$80.60 |
$80.60 |
$80.60 |
$73.10
|
|
Rubeola antibody igg
|
$93.60 |
$93.60 |
$93.60 |
$79.68
|
|
Russell viper venom diluted
|
$60.45 |
$60.45 |
$60.45 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$1,100.50
|
|
Salivary gland imaging
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$549.70
|
|
Salmonella antibody
|
$33.80 |
$33.80 |
$33.80 |
$37.58
|
|
S bowel endoscope w/stent
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$835.90 |
$835.90 |
$835.90 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$624.00 |
$624.00 |
$624.00 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$716.95 |
$716.95 |
$716.95 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$358.80 |
$358.80 |
$358.80 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$544.05 |
$544.05 |
$544.05 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$932.10 |
$932.10 |
$932.10 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$975.00 |
$975.00 |
$975.00 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$702.00 |
$702.00 |
$702.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$702.00 |
$702.00 |
$702.00 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$4,356.95 |
$4,356.95 |
$4,356.95 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$39.00 |
$39.00 |
$39.00 |
$68.60
|
|
Screening Colonoscopy (average risk)
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$92.95 |
$92.95 |
$92.95 |
$27.44
|
|
Screening Mammogram
|
$192.40 |
$192.40 |
$192.40 |
$303.55
|
|
Screening prostate cancer PSA
|
$33.15 |
$33.15 |
$33.15 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$3,323.81 |
$3,323.81 |
$3,323.81 |
$28,440.67
|
|
Sedimentation rate erythrocyte automated
|
$33.15 |
$33.15 |
$33.15 |
$44.20
|
|
Semen analysis w/count
|
$66.95 |
$66.95 |
$66.95 |
$56.44
|
|
Serpina1 gene
|
$142.35 |
$142.35 |
$142.35 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$180.05 |
$180.05 |
$180.05 |
$173.16
|
|
Set radiation therapy field
|
$356.20 |
$356.20 |
$356.20 |
$731.50
|
|
Set radiation therapy field
|
$603.20 |
$603.20 |
$603.20 |
$1,102.40
|
|
Set radiation therapy field
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$2,273.70 |
$2,273.70 |
$2,273.70 |
$1,645.43
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$194.35 |
$194.35 |
$194.35 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$233.35 |
$233.35 |
$233.35 |
$235.13
|
|
Shoe post-op mens m
|
$12.75 |
$12.75 |
$12.75 |
$31.88
|
|
Shoulder MRI (with and without contrast)
|
$5,233.80 |
$5,233.80 |
$5,233.80 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,325.10 |
$4,325.10 |
$4,325.10 |
$2,051.28
|
|
Shoulder X-ray
|
$623.35 |
$623.35 |
$623.35 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$503.75 |
$503.75 |
$503.75 |
$345.00
|
|
Sialography s&i
|
$499.20 |
$499.20 |
$499.20 |
$462.40
|
|
Sickling rbc
|
$38.35 |
$38.35 |
$38.35 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$1,922.70 |
$1,922.70 |
$1,922.70 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,070.25 |
$2,070.25 |
$2,070.25 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$1,862.90 |
$1,862.90 |
$1,862.90 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,907.75 |
$1,907.75 |
$1,907.75 |
$1,374.60
|
