|
Replace g/c tube perc
|
$872.28 |
$872.28 |
$872.28 |
$1,243.19
|
|
Replace g-j tube perc
|
$643.89 |
$643.89 |
$643.89 |
$1,479.75
|
|
Replace tunneled cv cath
|
$1,689.14 |
$1,689.14 |
$1,689.14 |
$3,768.90
|
|
Reposition pm/icd lead
|
$3,595.66 |
$3,595.66 |
$3,595.66 |
$4,089.00
|
|
Reposition vad w/image rt/lt sep session
|
$748.51 |
$748.51 |
$748.51 |
$2,085.00
|
|
Repos lv lead pm/icd
|
$3,595.66 |
$3,595.66 |
$3,595.66 |
$3,866.21
|
|
#resp virpnl dfa-adenovirus
|
$43.01 |
$43.01 |
$43.01 |
$62.40
|
|
#resp virpnl dfa-parainfluenza
|
$40.61 |
$40.61 |
$40.61 |
$44.40
|
|
Resp virus 6-11 targets
|
$405.43 |
$405.43 |
$405.43 |
$465.60
|
|
Resuscitation cardiopulmonary
|
$481.09 |
$481.09 |
$481.09 |
$895.44
|
|
Resuscitation delivery/birthing room
|
$282.77 |
$282.77 |
$282.77 |
$726.60
|
|
Reticulated platelet assay
|
$53.74 |
$53.74 |
$53.74 |
$68.69
|
|
Reticulocyte automated
|
$23.22 |
$23.22 |
$23.22 |
$54.27
|
|
Revise abdomen-venous shunt
|
$2,833.65 |
$2,833.65 |
$2,833.65 |
$3,906.18
|
|
Revision of cervix
|
$3,273.85 |
$3,273.85 |
$3,273.85 |
$3,854.76
|
|
Revision of colostomy
|
$1,776.74 |
$1,776.74 |
$1,776.74 |
$3,953.62
|
|
Revision of penis
|
$1,609.22 |
$1,609.22 |
$1,609.22 |
$4,040.25
|
|
Revision of penis
|
$1,609.22 |
$1,609.22 |
$1,609.22 |
$3,681.68
|
|
Revision of penis
|
$4,367.48 |
$4,367.48 |
$4,367.48 |
$3,820.84
|
|
Revision tips
|
$5,034.59 |
$5,034.59 |
$5,034.59 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$19,078.87 |
$19,078.87 |
$19,078.87 |
$11,094.73
|
|
Rheumatoid factor quantitative
|
$26.36 |
$26.36 |
$26.36 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$24.66 |
$24.66 |
$24.66 |
$345.07
|
|
Rho(d) immune globulin h, sd
|
$633.74 |
$633.74 |
$633.74 |
$1,551.00
|
|
Right ventric recording
|
$1,382.88 |
$1,382.88 |
$1,382.88 |
$1,795.00
|
|
Ring fx reform 11-13x17mm
|
$1,059.07 |
$1,059.07 |
$1,059.07 |
$1,059.07
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$833.15 |
$833.15 |
$833.15 |
$1,771.44
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$194.05 |
$194.05 |
$194.05 |
$201.92
|
|
Rmvl fb upr arm/elbow deep
|
$3,295.59 |
$3,295.59 |
$3,295.59 |
$3,170.64
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,165.91 |
$3,165.91 |
$3,165.91 |
$1,897.50
|
|
Rmvl icd by tv extr
|
$4,261.48 |
$4,261.48 |
$4,261.48 |
$4,589.40
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$1,575.09 |
$1,575.09 |
$1,575.09 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$859.60 |
$859.60 |
$859.60 |
$1,061.36
|
|
Rmvl perm pm pulse gen
|
$1,508.95 |
$1,508.95 |
$1,508.95 |
$6,820.50
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,171.86 |
$5,171.86 |
$5,171.86 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,064.28 |
$5,064.28 |
$5,064.28 |
$11,241.96
|
|
Rmvl pq iabp
|
$758.87 |
$758.87 |
$758.87 |
$1,116.00
|
|
Rmvl pq vad left hrt vein sep session
|
$748.51 |
$748.51 |
$748.51 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$3,334.72 |
$3,334.72 |
$3,334.72 |
$4,294.57
|
|
Rmvl tongs/halo anthr indiv
|
$348.36 |
$348.36 |
$348.36 |
$436.10
|
|
Rmvl tv pm lead dual
|
$4,340.38 |
$4,340.38 |
$4,340.38 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,340.38 |
$4,340.38 |
$4,340.38 |
$4,028.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$229.40 |
$229.40 |
$229.40 |
$60.40
|
|
Routine footcare pt w lops
|
$116.27 |
$116.27 |
$116.27 |
$219.93
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$627.52 |
$627.52 |
$627.52 |
$1,283.66
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$877.73 |
$877.73 |
$877.73 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$1,638.82 |
$1,638.82 |
$1,638.82 |
$4,341.66
|
|
Rpl tun cvc wo subq port
|
$1,773.69 |
$1,773.69 |
$1,773.69 |
$4,115.61
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,067.72 |
$6,067.72 |
$6,067.72 |
$5,836.04
|
|
Rsv assay w/optic
|
$53.00 |
$53.00 |
$53.00 |
$64.13
|
|
Rubella antibody igg
|
$60.40 |
$60.40 |
$60.40 |
$73.05
|
|
Rubeola antibody igg
|
$50.23 |
$50.23 |
$50.23 |
$80.00
|
|
Russell viper venom diluted
|
$60.22 |
$60.22 |
$60.22 |
$73.03
|
|
Salivary gland imaging
|
$272.41 |
$272.41 |
$272.41 |
$569.25
|
|
Salmonella antibody
|
$22.20 |
$22.20 |
$22.20 |
$37.58
|
|
Sargramostim injection
|
$451.34 |
$451.34 |
$451.34 |
$451.34
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$444.65 |
$444.65 |
$444.65 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$348.91 |
$348.91 |
$348.91 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$188.52 |
$188.52 |
$188.52 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$163.45 |
$163.45 |
$163.45 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$251.05 |
$251.05 |
$251.05 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$385.36 |
$385.36 |
$385.36 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$395.99 |
$395.99 |
$395.99 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$294.43 |
$294.43 |
$294.43 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$280.83 |
$280.83 |
$280.83 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$1,261.42 |
$1,261.42 |
$1,261.42 |
$2,114.45
|
|
Screening Mammogram
|
$140.60 |
$140.60 |
$140.60 |
$287.12
|
|
Sc ther infusion reset pump
|
$49.58 |
$49.58 |
$49.58 |
$125.46
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,855.27 |
$1,855.27 |
$1,855.27 |
$4,570.15
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$66.51 |
$66.51 |
$66.51 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$20.81 |
$20.81 |
$20.81 |
$37.80
|
|
Serpina1 gene
|
$216.27 |
$216.27 |
$216.27 |
$195.65
|
|
Set radiation therapy field
|
$350.76 |
$350.76 |
$350.76 |
$709.00
|
|
Set radiation therapy field
|
$474.62 |
$474.62 |
$474.62 |
$1,029.00
|
|
Set radiation therapy field
|
$647.59 |
$647.59 |
$647.59 |
$1,601.60
|
|
Shoulder MRI (with and without contrast)
|
$1,070.87 |
$1,070.87 |
$1,070.87 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$1,025.64 |
$1,025.64 |
$1,025.64 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$2,051.28 |
$2,051.28 |
$2,051.28 |
$1,938.28
|
|
Shoulder X-ray
|
$263.81 |
$263.81 |
$263.81 |
$307.20
|
|
Shrinker prosth above knee
|
$157.49 |
$157.49 |
$157.49 |
$157.49
|
|
Shrinker prosth below knee
|
$90.54 |
$90.54 |
$90.54 |
$90.54
|
|
Shuntogram nonvascular supervision & interpretation
|
$99.25 |
$99.25 |
$99.25 |
$342.54
|
|
Sialography s&i
|
$168.72 |
$168.72 |
$168.72 |
$403.70
|
|
Sialolithotomy 42330
|
$1,805.60 |
$1,805.60 |
$1,805.60 |
$3,424.00
|
|
Sickling rbc
|
$25.81 |
$25.81 |
$25.81 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$204.98 |
$204.98 |
$204.98 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$786.90 |
$786.90 |
$786.90 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$741.48 |
$741.48 |
$741.48 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$756.00 |
$756.00 |
$756.00 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$2,517.48 |
$2,517.48 |
$2,517.48 |
$2,052.67
|
|
Sirolimus, oral
|
$22.20 |
$22.20 |
$22.20 |
$19.16
|
|
Skin test unlisted antigen ea
|
$26.09 |
$26.09 |
$26.09 |
$43.80
|
|
Sleep study attended
|
$697.17 |
$697.17 |
$697.17 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$2,163.85 |
$2,163.85 |
$2,163.85 |
$4,043.20
|
|
Sling arm deluxe w/pad xs
|
$103.58 |
$103.58 |
$103.58 |
$37.80
|
|
Sm-153 lexidron ther
|
$15,695.96 |
$15,695.96 |
$15,695.96 |
$11,993.80
|
