|
Repair lip full thkns =<one-half vert height
|
$344.50 |
$344.50 |
$344.50 |
$1,326.51
|
|
Repair rpr lip full thickness vermilion only
|
$319.15 |
$319.15 |
$319.15 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$3,948.10 |
$3,948.10 |
$3,948.10 |
$1,383.00
|
|
Replace g/c tube perc
|
$1,409.85 |
$1,409.85 |
$1,409.85 |
$1,413.60
|
|
Replace g-j tube perc
|
$5,562.70 |
$5,562.70 |
$5,562.70 |
$1,600.45
|
|
Replace picvad cath
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$3,724.63
|
|
Repos sq defib eltrd
|
$8,046.35 |
$8,046.35 |
$8,046.35 |
$4,776.28
|
|
Reptilase test
|
$46.15 |
$46.15 |
$46.15 |
$65.65
|
|
#resp virpnl dfa-adenovirus
|
$90.35 |
$90.35 |
$90.35 |
$48.00
|
|
Resp virus 6-11 targets
|
$302.90 |
$302.90 |
$302.90 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$495.95 |
$495.95 |
$495.95 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$797.29
|
|
Reticulocyte automated
|
$10.40 |
$10.40 |
$10.40 |
$54.60
|
|
Revasc lithotr-ather tib/per
|
$10,203.70 |
$10,203.70 |
$10,203.70 |
$18,697.66
|
|
Revasc lithotrip tibi/perone
|
$9,182.55 |
$9,182.55 |
$9,182.55 |
$13,419.98
|
|
Revasc lithotr-stent tib/per
|
$10,203.70 |
$10,203.70 |
$10,203.70 |
$18,719.79
|
|
Revasc lith-sten-ath tib/per
|
$10,203.70 |
$10,203.70 |
$10,203.70 |
$18,472.02
|
|
Revise/remove neuroelectrode
|
$267.80 |
$267.80 |
$267.80 |
$3,758.43
|
|
Revise/remove neuroreceiver
|
$6,689.15 |
$6,689.15 |
$6,689.15 |
$6,381.71
|
|
Revise spine eltrd perq aray
|
$12,062.05 |
$12,062.05 |
$12,062.05 |
$7,496.58
|
|
Revision of cervix
|
$1,526.85 |
$1,526.85 |
$1,526.85 |
$3,762.53
|
|
Revision tips
|
$6,972.55 |
$6,972.55 |
$6,972.55 |
$9,810.00
|
|
Rev-rem impl neurostim gen-rec
|
$5,734.95 |
$5,734.95 |
$5,734.95 |
$4,069.59
|
|
Rf abltj nrv nrvtg si jt
|
$6,042.40 |
$6,042.40 |
$6,042.40 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$52.00 |
$52.00 |
$52.00 |
$54.60
|
|
Rheumatoid factor quantitative
|
$26.00 |
$26.00 |
$26.00 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$232.21 |
$232.21 |
$232.21 |
$255.26
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$244.46 |
$244.46 |
$244.46 |
$539.70
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,100.28 |
$2,100.28 |
$2,100.28 |
$2,233.44
|
|
Rmv implant contraceptive capsule 11976
|
$572.00 |
$572.00 |
$572.00 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$2,111.46
|
|
Rmvl hpglsl nstim ary pg
|
$4,171.70 |
$4,171.70 |
$4,171.70 |
$6,839.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,220.05 |
$1,220.05 |
$1,220.05 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$1,615.90 |
$1,615.90 |
$1,615.90 |
$1,991.00
|
|
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
|
$41.11 |
$41.11 |
$41.11 |
$180.55
|
|
Rp loclzj tum spect w/ct 1
|
$3,074.50 |
$3,074.50 |
$3,074.50 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$3,074.50 |
$3,074.50 |
$3,074.50 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,179.45 |
$2,179.45 |
$2,179.45 |
$2,182.05
|
|
Rubella antibody igg
|
$65.65 |
$65.65 |
$65.65 |
$73.10
|
|
Rubeola antibody igg
|
$59.80 |
$59.80 |
$59.80 |
$79.68
|
|
Russell viper venom diluted
|
$23.40 |
$23.40 |
$23.40 |
$70.16
|
|
Rx metab gen seq alys pnl 6
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$1,100.50
|
|
Salmonella antibody
|
$89.70 |
$89.70 |
$89.70 |
$37.58
|
|
S bowel endoscope w/stent
|
$3,766.10 |
$3,766.10 |
$3,766.10 |
$4,379.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$951.60 |
$951.60 |
$951.60 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,545.70 |
$1,545.70 |
$1,545.70 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$759.85 |
$759.85 |
$759.85 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$450.45 |
$450.45 |
$450.45 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$759.20 |
$759.20 |
$759.20 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$759.20 |
$759.20 |
$759.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$759.20 |
$759.20 |
$759.20 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,834.65 |
$2,834.65 |
$2,834.65 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,994.91 |
$2,994.91 |
$2,994.91 |
$5,235.51
|
|
Scr c/v cyto,thinlayer,rescr
|
$76.70 |
$76.70 |
$76.70 |
$68.60
|
|
Screening Colonoscopy (average risk)
|
$2,334.15 |
$2,334.15 |
$2,334.15 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$2,334.15 |
$2,334.15 |
$2,334.15 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$104.00 |
$104.00 |
$104.00 |
$27.44
|
|
Screening Mammogram
|
$259.35 |
$259.35 |
$259.35 |
$303.55
|
|
Screening prostate cancer PSA
|
$39.65 |
$39.65 |
$39.65 |
$81.31
|
|
Screw cortex 2.0 x 10mm
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$28,440.67
|
|
Sedimentation rate erythrocyte automated
|
$61.10 |
$61.10 |
$61.10 |
$44.20
|
|
Semen analysis w/count
|
$274.95 |
$274.95 |
$274.95 |
$56.44
|
|
Serpina1 gene
|
$199.55 |
$199.55 |
$199.55 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$193.70 |
$193.70 |
$193.70 |
$173.16
|
|
Sgmdsc w/band ligation
|
$3,373.50 |
$3,373.50 |
$3,373.50 |
$1,645.43
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$288.60 |
$288.60 |
$288.60 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$401.70 |
$401.70 |
$401.70 |
$235.13
|
|
Shoulder MRI (with and without contrast)
|
$4,218.50 |
$4,218.50 |
$4,218.50 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$2,051.28
|
|
Shoulder X-ray
|
$501.80 |
$501.80 |
$501.80 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$345.00
|
|
Sialography s&i
|
$697.45 |
$697.45 |
$697.45 |
$462.40
|
|
Sickling rbc
|
$26.00 |
$26.00 |
$26.00 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$2,593.50 |
$2,593.50 |
$2,593.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$1,073.68
|
|
Sigmoidoscopy for bleeding
|
$2,947.75 |
$2,947.75 |
$2,947.75 |
$1,993.08
|
|
Sigmoidoscopy/submucosal injection 45335
|
$2,534.35 |
$2,534.35 |
$2,534.35 |
$1,374.60
|
|
Sigmoidoscopy w/ablation
|
$3,777.80 |
$3,777.80 |
$3,777.80 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$2,639.65 |
$2,639.65 |
$2,639.65 |
$1,395.28
|
|
Sigmoidoscopy w/plcmt stent
|
$3,966.95 |
$3,966.95 |
$3,966.95 |
$4,379.25
|
|
Sigmoidoscopy w/tumr remove
|
$3,110.25 |
$3,110.25 |
$3,110.25 |
$1,395.28
|
|
Sigmoidoscopy w/ultrasound
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$2,314.50
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$2,711.15 |
$2,711.15 |
$2,711.15 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$3,183.05 |
$3,183.05 |
$3,183.05 |
$1,813.80
|
|
Sincalide 5 mcg solution for injection
|
$271.60 |
$271.60 |
$271.60 |
$409.96
|
|
Sinus CT scan (with and without contrast)
|
$1,164.15 |
$1,164.15 |
$1,164.15 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$962.65 |
$962.65 |
$962.65 |
$1,279.50
|
|
Skin Biopsy
|
$161.20 |
$161.20 |
$161.20 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$2,810.60 |
$2,810.60 |
$2,810.60 |
$3,936.80
|
|
Sleep study unattended
|
$612.30 |
$612.30 |
$612.30 |
$595.50
|
|
Sleeve fing rolyan med
|
$415.29 |
$415.29 |
$415.29 |
$167.31
|
|
Sling suprapubic suburetheral
|
$5,997.58 |
$5,997.58 |
$5,997.58 |
$10,395.47
|
|
Slp pure tone screening
|
$79.30 |
$79.30 |
$79.30 |
$67.60
|
|
Small bowel endoscopy
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,466.10
|
