|
Removal of tendon lesion
|
$9,938.28 |
$9,938.28 |
$9,938.28 |
$3,839.54
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$135.00 |
$135.00 |
$135.00 |
$292.50
|
|
Removal sutr or stapl no anes
|
$130.20 |
$130.20 |
$130.20 |
$95.00
|
|
Removal tunnled intprtnl cath
|
$2,094.00 |
$2,094.00 |
$2,094.00 |
$4,195.00
|
|
Remove anal fist inter
|
$13,147.56 |
$13,147.56 |
$13,147.56 |
$3,545.60
|
|
Remove bladder stone
|
$12,965.44 |
$12,965.44 |
$12,965.44 |
$6,311.00
|
|
Remove cva lumen obstruct
|
$639.00 |
$639.00 |
$639.00 |
$490.80
|
|
Remove ear canal lesion(s)
|
$4,415.40 |
$4,415.40 |
$4,415.40 |
$3,435.60
|
|
Remove epididymis lesion
|
$13,161.06 |
$13,161.06 |
$13,161.06 |
$2,424.12
|
|
Remove foreign body from eye
|
$3,981.00 |
$3,981.00 |
$3,981.00 |
$3,364.50
|
|
Remove in/ex hem groups 2+
|
$13,541.82 |
$13,541.82 |
$13,541.82 |
$4,185.98
|
|
Remove int/ext hem 1 group
|
$8,731.98 |
$8,731.98 |
$8,731.98 |
$3,816.64
|
|
Remove renal tube w/fluoro
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,141.31
|
|
Remove spinal lamina add-on 63048
|
$17,226.16 |
$17,226.16 |
$17,226.16 |
$5,796.16
|
|
Remove wrist tendon lesion
|
$10,934.10 |
$10,934.10 |
$10,934.10 |
$3,229.32
|
|
Renal function panel
|
$81.00 |
$81.00 |
$81.00 |
$113.52
|
|
Repair achilles tendon
|
$27,978.79 |
$27,978.79 |
$27,978.79 |
$7,494.45
|
|
Repair blood vess/direct/intra/abd 35221
|
$879.00 |
$879.00 |
$879.00 |
$1,904.24
|
|
Repair blood vessel dir lower extr
|
$552.00 |
$552.00 |
$552.00 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$478.20 |
$478.20 |
$478.20 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$2,224.00
|
|
Repair eyelid wound
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
$3,254.34
|
|
Repair finger/hand tendon
|
$5,419.20 |
$5,419.20 |
$5,419.20 |
$4,150.20
|
|
Repair foot dislocation
|
$21,400.96 |
$21,400.96 |
$21,400.96 |
$5,886.74
|
|
Repair lip full thkns =<one-half vert height
|
$931.20 |
$931.20 |
$931.20 |
$1,308.00
|
|
Repair of thigh muscle
|
$20,589.49 |
$20,589.49 |
$20,589.49 |
$6,727.70
|
|
Repair rotator cuff acute
|
$41,856.31 |
$41,856.31 |
$41,856.31 |
$7,612.08
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$3,418.20 |
$3,418.20 |
$3,418.20 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$992.40 |
$992.40 |
$992.40 |
$1,224.63
|
|
Repair tendon extensor foot 1/2 each tendon
|
$5,532.60 |
$5,532.60 |
$5,532.60 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$5,532.60 |
$5,532.60 |
$5,532.60 |
$4,350.00
|
|
Repair toe dislocation
|
$89,265.68 |
$89,265.68 |
$89,265.68 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$439.20 |
$439.20 |
$439.20 |
$478.00
|
|
Replace duod/jej tube perc
|
$769.80 |
$769.80 |
$769.80 |
$1,354.54
|
|
Replace g/c tube perc
|
$771.60 |
$771.60 |
$771.60 |
$1,341.50
|
|
Replace g-j tube perc
|
$3,041.40 |
$3,041.40 |
$3,041.40 |
$1,498.53
|
|
Repl trach puncture dilator
|
$266.89 |
$266.89 |
$266.89 |
$244.05
|
|
Reptilase test
|
$75.60 |
$75.60 |
$75.60 |
$72.00
|
|
Resp virus 6-11 targets
|
$347.40 |
$347.40 |
$347.40 |
$479.20
|
|
Restorigin 1 sq cm
|
$6,887.38 |
$6,887.38 |
$6,887.38 |
$171.12
|
|
Resuscitation cardiopulmonary
|
$723.60 |
$723.60 |
$723.60 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$1,081.80 |
$1,081.80 |
$1,081.80 |
$780.42
|
|
Reticulated platelet assay
|
$90.60 |
$90.60 |
$90.60 |
$75.00
|
|
Reticulocyte automated
|
$32.40 |
$32.40 |
$32.40 |
$52.57
|
|
Revision of cervix
|
$4,581.00 |
$4,581.00 |
$4,581.00 |
$3,721.00
|
|
Revision of eyelid
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
$2,760.73
|
|
Revision of penis
|
$5,061.00 |
$5,061.00 |
$5,061.00 |
$4,350.00
|
|
Rheumatoid factor quantitative
|
$51.60 |
$51.60 |
$51.60 |
$57.00
|
|
Rho d immune globulin inj
|
$553.50 |
$553.50 |
$553.50 |
$217.71
|
|
Rib gusset (elastic) each
|
$226.08 |
$226.08 |
$226.08 |
$161.95
|
|
Ring flange plas/leather mol
|
$823.87 |
$823.87 |
$823.87 |
$669.31
|
|
Ring flange plastic/leather
|
$491.39 |
$491.39 |
$491.39 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$2,528.24 |
$2,528.24 |
$2,528.24 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$31,704.72 |
$31,704.72 |
$31,704.72 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,008.26 |
$14,008.26 |
$14,008.26 |
$9,301.22
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$10,687.50 |
$10,687.50 |
$10,687.50 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$10,687.50 |
$10,687.50 |
$10,687.50 |
$5,309.20
|
|
Rmvl ndwellg tun pleural cath
|
$516.00 |
$516.00 |
$516.00 |
$1,156.80
|
|
Rocker bottom, contact afo
|
$251.36 |
$251.36 |
$251.36 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,557.70 |
$6,557.70 |
$6,557.70 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,262.14 |
$6,262.14 |
$6,262.14 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$161.22 |
$161.22 |
$161.22 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,167.80 |
$5,167.80 |
$5,167.80 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$3,687.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$46,439.50 |
$46,439.50 |
$46,439.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$46,628.96 |
$46,628.96 |
$46,628.96 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$36,026.62 |
$36,026.62 |
$36,026.62 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$42,738.34 |
$42,738.34 |
$42,738.34 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$65,688.62 |
$65,688.62 |
$65,688.62 |
$2,402.40
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$56,358.87 |
$56,358.87 |
$56,358.87 |
$1,663.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$59,260.48 |
$59,260.48 |
$59,260.48 |
$6,457.82
|
|
Rsv assay w/optic
|
$87.60 |
$87.60 |
$87.60 |
$79.38
|
|
Rsv vacc mrna lipid nano im
|
$704.40 |
$704.40 |
$704.40 |
$509.49
|
|
Rubella antibody igg
|
$95.40 |
$95.40 |
$95.40 |
$77.03
|
|
Rubeola antibody igg
|
$91.80 |
$91.80 |
$91.80 |
$80.00
|
|
Russell viper venom diluted
|
$67.80 |
$67.80 |
$67.80 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,644.36 |
$7,644.36 |
$7,644.36 |
$5,174.32
|
|
Salmonella antibody
|
$55.80 |
$55.80 |
$55.80 |
$37.58
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$0.01 |
$0.01 |
$0.01 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$49.20 |
$49.20 |
$49.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$45.00 |
$45.00 |
$45.00 |
$104.00
|
|
Scope uretscp lithovue dig disp
|
$16,787.98 |
$16,787.98 |
$16,787.98 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$114.60 |
$114.60 |
$114.60 |
$85.15
|
|
Screen cerv/vag thin layer
|
$114.60 |
$114.60 |
$114.60 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$9,140.64 |
$9,140.64 |
$9,140.64 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$9,132.24 |
$9,132.24 |
$9,132.24 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$60.00
|
|
Screening Mammogram
|
$689.40 |
$689.40 |
$689.40 |
$312.55
|
|
Screening prostate cancer PSA
|
$102.60 |
$102.60 |
$102.60 |
$100.63
|
|
Screen pap by tech w md supv
|
$85.20 |
$85.20 |
$85.20 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$309,699.47 |
$309,699.47 |
$309,699.47 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$34.20 |
$34.20 |
$34.20 |
$42.00
|
|
Semen analysis presence/motility
|
$82.80 |
$82.80 |
$82.80 |
$71.05
|
|
Serpina1 gene
|
$52.20 |
$52.20 |
$52.20 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$7.08 |
$7.08 |
$7.08 |
$7.14
|
