|
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 acq av fistula thrx&abd
|
$7,794.80 |
$7,794.80 |
$7,794.80 |
$2,122.76
|
|
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 blvs gr ot/th vn ntrth w
|
$6,390.80 |
$6,390.80 |
$6,390.80 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$6,715.80 |
$6,715.80 |
$6,715.80 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,815.60 |
$7,815.60 |
$7,815.60 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$8,296.60 |
$8,296.60 |
$8,296.60 |
$1,848.50
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$6,650.80 |
$6,650.80 |
$6,650.80 |
$2,049.00
|
|
Rpr cgen av fistula thrx&abd
|
$8,244.60 |
$8,244.60 |
$8,244.60 |
$1,141.26
|
|
Rpr choanal atresia ntranasl
|
$2,265.25 |
$2,265.25 |
$2,265.25 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$3,323.45 |
$3,323.45 |
$3,323.45 |
$6,553.49
|
|
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 hern preemie reduc
|
$3,257.80 |
$3,257.80 |
$3,257.80 |
$6,839.00
|
|
Rpr hypopl a-arch w/byp
|
$8,452.60 |
$8,452.60 |
$8,452.60 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$6,346.60 |
$6,346.60 |
$6,346.60 |
$2,009.87
|
|
Rpr hypspad comp dsj & urtp
|
$15,200.25 |
$15,200.25 |
$15,200.25 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$2,524.60 |
$2,524.60 |
$2,524.60 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$4,691.20
|
|
Rpr nsl vlv collapse w/implt
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$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 pul art unifocal without cpb
|
$8,138.00 |
$8,138.00 |
$8,138.00 |
$2,433.62
|
|
Rpr rem hernia init reduce
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,906.18
|
|
Rpr tga aortic pulm art rcns
|
$11,115.00 |
$11,115.00 |
$11,115.00 |
$3,334.30
|
|
Rpr tga atr bfl clsr vsd
|
$9,035.00 |
$9,035.00 |
$9,035.00 |
$2,802.10
|
|
Rpr tga atr bfl rmvl plm bnd
|
$8,577.40 |
$8,577.40 |
$8,577.40 |
$2,647.72
|
|
Rpr tga atrial baffle px
|
$8,249.80 |
$8,249.80 |
$8,249.80 |
$2,577.95
|
|
Rpr tga bfl rpr sbpulm obstr
|
$8,884.20 |
$8,884.20 |
$8,884.20 |
$2,686.46
|
|
Rpr tga rcnstj clsr vsd
|
$11,414.00 |
$11,414.00 |
$11,414.00 |
$3,340.51
|
|
Rpr tga rcnstj rmvl plm bnd
|
$11,239.80 |
$11,239.80 |
$11,239.80 |
$3,275.43
|
|
Rpr tga rcnstj rpr sbpl obst
|
$10,953.80 |
$10,953.80 |
$10,953.80 |
$3,252.38
|
|
Rpr tga without surg enlgmnt vsd
|
$10,158.20 |
$10,158.20 |
$10,158.20 |
$2,990.02
|
|
Rpr tga w/surg enlgmnt vsd
|
$10,563.80 |
$10,563.80 |
$10,563.80 |
$3,066.58
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$5,959.65
|
|
Rrp hypspad comp moblj&urtp
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$10,106.03
|
|
Rsect hip tum incl femur
|
$8,374.60 |
$8,374.60 |
$8,374.60 |
$10,735.20
|
|
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
|
$72.80 |
$72.80 |
$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
|
$46.80 |
$46.80 |
$161.20 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$46.80 |
$46.80 |
$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)
|
$477.10 |
$477.10 |
$542.75 |
$313.66
|
|
Salivary gland function exam
|
$1,802.45 |
$1,802.45 |
$1,937.00 |
$719.16
|
|
Salivary gland imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$585.00
|
|
Salivary glnd img serial img
|
$1,802.45 |
$1,802.45 |
$1,937.65 |
$701.73
|
|
Salmonella antibody
|
$59.15 |
$59.15 |
$59.15 |
$37.58
|
|
Salpingostomy 58770
|
$3,840.20 |
$3,840.20 |
$3,840.20 |
$4,304.00
|
|
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
|
$414.70 |
$414.70 |
$586.30 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$903.50 |
$903.50 |
$1,132.30 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$397.15 |
$397.15 |
$540.15 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$397.15 |
$397.15 |
$527.15 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$397.15 |
$397.15 |
$525.85 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$397.15 |
$397.15 |
$527.15 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$397.15 |
$397.15 |
$527.15 |
$595.35
|
|
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
|
|
Scope uretscp lithovue dig disp
|
$16.25 |
$16.25 |
$16.25 |
$4,246.72
|
|
Screening Colonoscopy (average risk)
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$2,000.00
|
|
Screening hepatitis c antibody high risk
|
$152.10 |
$152.10 |
$152.10 |
$93.60
|
|
Screening Mammogram
|
$395.85 |
$395.85 |
$593.45 |
$310.20
|
|
Screen pap by tech w md supv
|
$81.90 |
$81.90 |
$81.90 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$117.00 |
$117.00 |
$117.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$7,630.35 |
$7,630.35 |
$7,630.35 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$477.10 |
$477.10 |
$643.50 |
$612.55
|
|
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
|
$455.65 |
$455.65 |
$455.65 |
$223.89
|
