|
Removal foreign body foot subcutaneous right
|
$832.00 |
$832.00 |
$832.00 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$4,975.10 |
$4,975.10 |
$4,975.10 |
$2,945.80
|
|
Removal of metatarsal
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,430.19
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$415.35 |
$415.35 |
$415.35 |
$303.80
|
|
Removal sutr and stapl no anes
|
$48.10 |
$48.10 |
$48.10 |
$73.66
|
|
Removal sutr or stapl no anes
|
$48.10 |
$48.10 |
$48.10 |
$85.18
|
|
Removal tunnled intprtnl cath
|
$2,536.95 |
$2,536.95 |
$2,536.95 |
$4,293.90
|
|
Remove anal fist subq
|
$4,654.65 |
$4,654.65 |
$4,654.65 |
$3,417.12
|
|
Remove brain canal fluid
|
$78.65 |
$78.65 |
$78.65 |
$783.48
|
|
Remove cva lumen obstruct
|
$510.25 |
$510.25 |
$510.25 |
$494.00
|
|
Remove esophagus obstruction
|
$583.70 |
$583.70 |
$583.70 |
$351.20
|
|
Remove renal tube w/fluoro
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$1,281.75
|
|
Remove spinal canal catheter 62355
|
$891.15 |
$891.15 |
$891.15 |
$2,286.90
|
|
Remove spine infusion device
|
$5,214.30 |
$5,214.30 |
$5,214.30 |
$5,788.94
|
|
Remove stent via transureth
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$3,332.80
|
|
Remove ureter stent percut
|
$15,354.30 |
$15,354.30 |
$15,354.30 |
$3,525.30
|
|
Renal cyst study s&i
|
$1,127.75 |
$1,127.75 |
$1,127.75 |
$648.84
|
|
Renal function panel
|
$59.80 |
$59.80 |
$59.80 |
$110.10
|
|
Renal venogram bil s&i
|
$6,896.50 |
$6,896.50 |
$6,896.50 |
$3,615.28
|
|
Reopen fallopian tube
|
$15,962.70 |
$15,962.70 |
$15,962.70 |
$5,463.96
|
|
Repair dental ellis ii fx
|
$325.65 |
$325.65 |
$325.65 |
$432.55
|
|
Repair elbow perc
|
$2,914.60 |
$2,914.60 |
$2,914.60 |
$4,499.12
|
|
Repair extns tendon finger without grft ea
|
$962.00 |
$962.00 |
$962.00 |
$2,702.15
|
|
Repair rpr lip full thickness vermilion only
|
$448.50 |
$448.50 |
$448.50 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$5,551.65 |
$5,551.65 |
$5,551.65 |
$1,383.00
|
|
Replace g/c tube perc
|
$5,551.65 |
$5,551.65 |
$5,551.65 |
$1,413.60
|
|
Replace g-j tube perc
|
$6,953.70 |
$6,953.70 |
$6,953.70 |
$1,600.45
|
|
Replace picvad cath
|
$4,795.05 |
$4,795.05 |
$4,795.05 |
$3,724.63
|
|
Repos sq defib eltrd
|
$7,241.65 |
$7,241.65 |
$7,241.65 |
$4,776.28
|
|
Reptilase test
|
$102.70 |
$102.70 |
$102.70 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$83.85 |
$83.85 |
$83.85 |
$48.00
|
|
Resp virus 6-11 targets
|
$281.45 |
$281.45 |
$281.45 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$931.45 |
$931.45 |
$931.45 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,652.95 |
$1,652.95 |
$1,652.95 |
$797.29
|
|
Reticulocyte automated
|
$53.30 |
$53.30 |
$53.30 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$206.70 |
$206.70 |
$206.70 |
$33.57
|
|
Revasc lithotr-ather tib/per
|
$9,183.20 |
$9,183.20 |
$9,183.20 |
$18,697.66
|
|
Revasc lithotrip tibi/perone
|
$8,264.10 |
$8,264.10 |
$8,264.10 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$9,183.20 |
$9,183.20 |
$9,183.20 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$9,183.20 |
$9,183.20 |
$9,183.20 |
$18,472.02
|
|
Revise/remove neuroelectrode
|
$334.75 |
$334.75 |
$334.75 |
$3,758.43
|
|
Revise/remove neuroreceiver
|
$8,360.95 |
$8,360.95 |
$8,360.95 |
$6,381.71
|
|
Revise spine eltrd perq aray
|
$6,841.90 |
$6,841.90 |
$6,841.90 |
$7,496.58
|
|
Revision of cervix
|
$1,717.30 |
$1,717.30 |
$1,717.30 |
$3,762.53
|
|
Revision of cervix
|
$2,146.95 |
$2,146.95 |
$2,146.95 |
$3,762.53
|
|
Revision tips
|
$9,805.25 |
$9,805.25 |
$9,805.25 |
$9,810.00
|
|
Rev-rem impl neurostim gen-rec
|
$344.50 |
$344.50 |
$344.50 |
$4,069.59
|
|
Rf abltj nrv nrvtg si jt
|
$4,247.10 |
$4,247.10 |
$4,247.10 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$46.80 |
$46.80 |
$46.80 |
$54.60
|
|
Rheumatoid factor quantitative
|
$48.10 |
$48.10 |
$48.10 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$232.21 |
$232.21 |
$232.21 |
$255.26
|
|
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-pvvr 10 mg/ml intravenous solution
|
$1,579.47 |
$1,579.47 |
$1,579.47 |
$7,582.77
|
|
Rmv implant contraceptive capsule 11976
|
$804.05 |
$804.05 |
$804.05 |
$846.42
|
|
Rmvl hpglsl nstim ary pg
|
$5,214.30 |
$5,214.30 |
$5,214.30 |
$6,839.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,542.45 |
$1,542.45 |
$1,542.45 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$1,454.05 |
$1,454.05 |
$1,454.05 |
$1,991.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$8,950.11 |
$8,950.11 |
$8,950.11 |
$8,779.01
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$7,141.65 |
$7,141.65 |
$7,141.65 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$370.40 |
$370.40 |
$370.40 |
$180.55
|
|
Rp loclzj tum spect w/ct 1
|
$2,883.40 |
$2,883.40 |
$2,883.40 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,883.40 |
$2,883.40 |
$2,883.40 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,714.70 |
$1,714.70 |
$1,714.70 |
$2,182.05
|
|
Rubella antibody igg
|
$32.50 |
$32.50 |
$32.50 |
$73.10
|
|
Rubeola antibody igg
|
$159.90 |
$159.90 |
$159.90 |
$79.68
|
|
Russell viper venom diluted
|
$531.05 |
$531.05 |
$531.05 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$3,631.55 |
$3,631.55 |
$3,631.55 |
$1,100.50
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,965.24 |
$6,965.24 |
$6,965.24 |
$6,466.16
|
|
Salmonella antibody
|
$53.95 |
$53.95 |
$53.95 |
$37.58
|
|
S bowel endoscope w/stent
|
$3,700.45 |
$3,700.45 |
$3,700.45 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,110.20 |
$1,110.20 |
$1,110.20 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$651.95 |
$651.95 |
$651.95 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$583.05 |
$583.05 |
$583.05 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$748.80 |
$748.80 |
$748.80 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$906.10 |
$906.10 |
$906.10 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,028.30 |
$1,028.30 |
$1,028.30 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$711.75 |
$711.75 |
$711.75 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$664.95 |
$664.95 |
$664.95 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$3,985.80 |
$3,985.80 |
$3,985.80 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$99.45 |
$99.45 |
$99.45 |
$68.60
|
|
Screening Colonoscopy (average risk)
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$150.80 |
$150.80 |
$150.80 |
$27.44
|
|
Screening Mammogram
|
$176.80 |
$176.80 |
$176.80 |
$303.55
|
|
Screening prostate cancer PSA
|
$79.30 |
$79.30 |
$79.30 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$938.76 |
$938.76 |
$938.76 |
$28,440.67
|
|
Sedimentation rate erythrocyte automated
|
$61.10 |
$61.10 |
$61.10 |
$44.20
|
|
Semen analysis w/count
|
$357.50 |
$357.50 |
$357.50 |
$56.44
|
|
Serpina1 gene
|
$205.40 |
$205.40 |
$205.40 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$191.75 |
$191.75 |
$191.75 |
$173.16
|
|
Sgmdsc w/band ligation
|
$3,287.05 |
$3,287.05 |
$3,287.05 |
$1,645.43
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$405.60 |
$405.60 |
$405.60 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$501.80 |
$501.80 |
$501.80 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,448.90 |
$3,448.90 |
$3,448.90 |
$2,051.28
|
|
Shoulder X-ray
|
$949.00 |
$949.00 |
$949.00 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$750.10 |
$750.10 |
$750.10 |
$345.00
|
