|
Revision open av fistula without thromb
|
$20,904.12 |
$20,904.12 |
$20,904.12 |
$8,811.34
|
|
Revision tips
|
$19,139.40 |
$19,139.40 |
$19,139.40 |
$9,823.40
|
|
Rev-rem impl neurostim gen-rec
|
$13,380.94 |
$13,380.94 |
$13,380.94 |
$4,120.50
|
|
Rheumatoid factor quantitative
|
$12.00 |
$12.00 |
$12.00 |
$56.58
|
|
Rho d immune globulin inj
|
$590.40 |
$590.40 |
$590.40 |
$217.71
|
|
Rib gusset (elastic) each
|
$206.74 |
$206.74 |
$206.74 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$805.68 |
$805.68 |
$805.68 |
$461.70
|
|
Ring flange plas/leather mol
|
$753.39 |
$753.39 |
$753.39 |
$669.31
|
|
Ring flange plastic/leather
|
$449.35 |
$449.35 |
$449.35 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$2,311.94 |
$2,311.94 |
$2,311.94 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$5,575.74 |
$5,575.74 |
$5,575.74 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$23,957.76 |
$23,957.76 |
$23,957.76 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$18,278.40 |
$18,278.40 |
$18,278.40 |
$5,309.20
|
|
Rmvl ext fixj sys under anes
|
$10,141.92 |
$10,141.92 |
$10,141.92 |
$2,510.20
|
|
Rmvl hpglsl nstim ary pg
|
$38,788.44 |
$38,788.44 |
$38,788.44 |
$7,578.32
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$28,788.00 |
$28,788.00 |
$28,788.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$28,788.00 |
$28,788.00 |
$28,788.00 |
$24,530.99
|
|
Rmvl ndwellg tun pleural cath
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$1,154.79
|
|
Rmvl perq right heart vad
|
$3,298.80 |
$3,298.80 |
$3,298.80 |
$1,888.70
|
|
Rmvl pq iabp
|
$3,784.80 |
$3,784.80 |
$3,784.80 |
$1,047.28
|
|
Rmvl pq vad left hrt vein sep session
|
$3,298.80 |
$3,298.80 |
$3,298.80 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$2,649.00 |
$2,649.00 |
$2,649.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,758.00
|
|
Rocker bottom, contact afo
|
$229.85 |
$229.85 |
$229.85 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11,893.08 |
$11,893.08 |
$11,893.08 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$59.16 |
$59.16 |
$59.16 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$1,343.22
|
|
Rp loclzj tum spect w/ct 1
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,904.60 |
$2,904.60 |
$2,904.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,904.60 |
$2,904.60 |
$2,904.60 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$31,047.86 |
$31,047.86 |
$31,047.86 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$30,065.26 |
$30,065.26 |
$30,065.26 |
$4,881.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$24,532.36 |
$24,532.36 |
$24,532.36 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$25,841.85 |
$25,841.85 |
$25,841.85 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$26,169.49 |
$26,169.49 |
$26,169.49 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$19,983.35 |
$19,983.35 |
$19,983.35 |
$6,904.15
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$19,175.12 |
$19,175.12 |
$19,175.12 |
$6,376.26
|
|
Rpr fem hernia init blocked
|
$19,958.37 |
$19,958.37 |
$19,958.37 |
$4,176.15
|
|
Rpr rem hernia init reduce
|
$26,529.62 |
$26,529.62 |
$26,529.62 |
$3,856.84
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$26,289.97 |
$26,289.97 |
$26,289.97 |
$5,959.65
|
|
Rsv assay w/optic
|
$120.00 |
$120.00 |
$120.00 |
$82.68
|
|
Rtm 1st set-up&pt educaj eqp
|
$141.60 |
$141.60 |
$141.60 |
$175.56
|
|
Rtm dev sply mscskl 16-30 d
|
$58.80 |
$58.80 |
$58.80 |
$96.85
|
|
Rtm tx mgmt 1st 20 min
|
$75.00 |
$75.00 |
$75.00 |
$83.20
|
|
Rtm tx mgmt ea addl 20 min
|
$59.40 |
$59.40 |
$59.40 |
$74.00
|
|
Rubella antibody igg
|
$36.00 |
$36.00 |
$36.00 |
$76.86
|
|
Rubeola antibody igg
|
$73.20 |
$73.20 |
$73.20 |
$80.00
|
|
Russell viper venom diluted
|
$104.40 |
$104.40 |
$104.40 |
$72.45
|
|
Salmonella antibody
|
$33.60 |
$33.60 |
$33.60 |
$39.60
|
|
Sarscov coronavirus ag ia
|
$46.80 |
$46.80 |
$46.80 |
$59.50
|
|
Scan proc cranial extra
|
$35,671.51 |
$35,671.51 |
$35,671.51 |
$2,366.00
|
|
Sclerotherapy fluid collection pq w/img
|
$3,034.20 |
$3,034.20 |
$3,034.20 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$14,020.69 |
$14,020.69 |
$14,020.69 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$15,351.69 |
$15,351.69 |
$15,351.69 |
$4,800.00
|
|
Screening Colonoscopy (average risk)
|
$5,570.22 |
$5,570.22 |
$5,570.22 |
$1,729.00
|
|
Screening Colonoscopy (high risk)
|
$6,109.44 |
$6,109.44 |
$6,109.44 |
$1,879.00
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$56.55
|
|
Screening Mammogram
|
$263.40 |
$263.40 |
$263.40 |
$313.35
|
|
Screen pap by tech w md supv
|
$29.40 |
$29.40 |
$29.40 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$283,203.20 |
$283,203.20 |
$283,203.20 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,415.60 |
$2,415.60 |
$2,415.60 |
$4,491.20
|
|
Sept9 promoter methylation analysis
|
$439.20 |
$439.20 |
$439.20 |
$316.68
|
|
Serpina1 gene
|
$116.40 |
$116.40 |
$116.40 |
$197.00
|
|
Set radiation therapy field
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$1,607.40
|
|
Sevelamer carbonate pdr 20mg
|
$53.58 |
$53.58 |
$53.58 |
$22.02
|
|
Sewho cap design without jnts cf
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$1,685.60
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$439.80 |
$439.80 |
$439.80 |
$242.20
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$408.00 |
$408.00 |
$408.00 |
$314.00
|
|
Sheath below knee
|
$38.15 |
$38.15 |
$38.15 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$8,725.53 |
$8,725.53 |
$8,725.53 |
$6,739.20
|
|
Sheath laser cavaclear 14f
|
$13,107.98 |
$13,107.98 |
$13,107.98 |
$8,343.22
|
|
Sho arthrs srg bicp tenodsis
|
$36,332.75 |
$36,332.75 |
$36,332.75 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$42,832.57 |
$42,832.57 |
$42,832.57 |
$5,886.74
|
|
Sho arthrs srg lmtd dbrdmt
|
$30,040.69 |
$30,040.69 |
$30,040.69 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$50,219.10 |
$50,219.10 |
$50,219.10 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$51,307.18 |
$51,307.18 |
$51,307.18 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$35,186.37 |
$35,186.37 |
$35,186.37 |
$5,855.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$51,307.18 |
$51,307.18 |
$51,307.18 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$117.35 |
$117.35 |
$117.35 |
$111.56
|
|
Shoe dennis browne splint bo
|
$102.37 |
$102.37 |
$102.37 |
$93.52
|
|
Shoe heel new leather standa
|
$96.31 |
$96.31 |
$96.31 |
$88.03
|
|
Shoe heel new rubber standar
|
$81.30 |
$81.30 |
$81.30 |
$63.70
|
|
Shoe heel pad & depress for
|
$147.43 |
$147.43 |
$147.43 |
$149.60
|
|
Shoe heel sach cushion type
|
$249.70 |
$249.70 |
$249.70 |
$228.09
|
|
Shoe heel thomas extend to b
|
$147.43 |
$147.43 |
$147.43 |
$134.68
|
|
Shoe heel thomas with wedge
|
$138.50 |
$138.50 |
$138.50 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$175.19 |
$175.19 |
$175.19 |
$175.19
|
|
Shoe metatarsal bar between
|
$219.65 |
$219.65 |
$219.65 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$96.31 |
$96.31 |
$96.31 |
$69.03
|
|
Shoe outflare wedge
|
$117.35 |
$117.35 |
$117.35 |
$107.24
|
|
Shoe post-op mens m
|
$288.67 |
$288.67 |
$288.67 |
$49.25
|
|
Shoe sole wedge between sole
|
$117.35 |
$117.35 |
$117.35 |
$107.24
|
|
Shoe sole wedge outside sole
|
$84.24 |
$84.24 |
$84.24 |
$77.00
|
|
Shoe wedge sach
|
$201.67 |
$201.67 |
$201.67 |
$171.44
|
|
Sho heel count plast reinfor
|
$379.18 |
$379.18 |
$379.18 |
$346.47
|
|
Sho insert w arch toe filler
|
$1,224.38 |
$1,224.38 |
$1,224.38 |
$1,224.38
|
|
Sho lift taper to metatarsal
|
$123.39 |
$123.39 |
$123.39 |
$111.14
|
