|
Remove eyelid lesion
|
$286.29 |
$286.29 |
$286.29 |
$436.44
|
|
Remove foreign body from eye
|
$1,206.57 |
$1,206.57 |
$1,206.57 |
$3,173.34
|
|
Remove nasal foreign body
|
$2,232.95 |
$2,232.95 |
$2,232.95 |
$2,309.02
|
|
Remove shoulder foreign body subq 23330
|
$1,234.14 |
$1,234.14 |
$1,234.14 |
$1,794.93
|
|
Remove vaginal foreign body 57415
|
$1,159.40 |
$1,159.40 |
$1,159.40 |
$3,577.50
|
|
Renal function panel
|
$26.55 |
$26.55 |
$26.55 |
$95.76
|
|
Repair av fistula ext 35190
|
$1,880.62 |
$1,880.62 |
$1,880.62 |
$3,489.20
|
|
Repair blood vessel direct hand finger
|
$2,453.56 |
$2,453.56 |
$2,453.56 |
$3,780.66
|
|
Repair blood vessel dir lower extr
|
$1,377.70 |
$1,377.70 |
$1,377.70 |
$2,000.88
|
|
Repair blood vessel dir upper extr
|
$4,596.33 |
$4,596.33 |
$4,596.33 |
$4,341.66
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$342.25 |
$342.25 |
$342.25 |
$1,156.00
|
|
Repair extns tendon finger without grft ea
|
$1,922.98 |
$1,922.98 |
$1,922.98 |
$2,479.03
|
|
Repair eyelid wound
|
$1,154.86 |
$1,154.86 |
$1,154.86 |
$2,675.25
|
|
Repair eyelid wound
|
$3,254.34 |
$3,254.34 |
$3,254.34 |
$2,947.20
|
|
Repair finger/hand tendon
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$3,591.33
|
|
Repair finger/hand tendon
|
$3,022.72 |
$3,022.72 |
$3,022.72 |
$3,545.97
|
|
Repair finger/hand tendon
|
$1,627.63 |
$1,627.63 |
$1,627.63 |
$3,545.97
|
|
Repair/graft finger tendon
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$3,591.33
|
|
Repair/graft hand tendon
|
$1,561.12 |
$1,561.12 |
$1,561.12 |
$5,560.25
|
|
Repair/graft hand tendon
|
$5,703.55 |
$5,703.55 |
$5,703.55 |
$5,703.55
|
|
Repair lip full thkns =<one-half vert height
|
$605.41 |
$605.41 |
$605.41 |
$1,245.60
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$890.87 |
$890.87 |
$890.87 |
$1,810.85
|
|
Repair of eye socket wound
|
$2,963.70 |
$2,963.70 |
$2,963.70 |
$3,423.42
|
|
Repair of toe dislocation
|
$1,633.64 |
$1,633.64 |
$1,633.64 |
$3,318.59
|
|
Repair of urethra injury 53502
|
$2,738.46 |
$2,738.46 |
$2,738.46 |
$3,817.53
|
|
Repair of windpipe
|
$2,894.60 |
$2,894.60 |
$2,894.60 |
$5,269.27
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$821.03 |
$821.03 |
$821.03 |
$1,026.40
|
|
Repair rpr lip full thickness vermilion only
|
$890.87 |
$890.87 |
$890.87 |
$1,255.30
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,279.59 |
$3,279.59 |
$3,279.59 |
$4,410.60
|
|
Repair testis injury
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$3,498.74
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$365.47 |
$365.47 |
$365.47 |
$504.12
|
|
Replace duod/jej tube perc
|
$865.06 |
$865.06 |
$865.06 |
$1,354.54
|
|
Replace g/c tube perc
|
$872.28 |
$872.28 |
$872.28 |
$1,243.19
|
|
Replace g-j tube perc
|
$790.32 |
$790.32 |
$790.32 |
$1,479.75
|
|
#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
|
|
Reticulated platelet assay
|
$53.74 |
$53.74 |
$53.74 |
$68.69
|
|
Reticulocyte automated
|
$23.22 |
$23.22 |
$23.22 |
$54.27
|
|
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
|
|
Rheumatoid factor quantitative
|
$26.36 |
$26.36 |
$26.36 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$7.40 |
$7.40 |
$7.40 |
$345.07
|
|
Rho(d) immune globulin h, sd
|
$633.74 |
$633.74 |
$633.74 |
$1,551.00
|
|
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 tongs/halo anthr indiv
|
$348.36 |
$348.36 |
$348.36 |
$436.10
|
|
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
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$877.73 |
$877.73 |
$877.73 |
$2,182.05
|
|
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
|
|
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
|
|
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
|
$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
|
$196.15 |
$196.15 |
$196.15 |
$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
|
|
Sirolimus, oral
|
$22.20 |
$22.20 |
$22.20 |
$19.16
|
|
Skin test unlisted antigen ea
|
$26.09 |
$26.09 |
$26.09 |
$43.80
|
|
Sling arm deluxe w/pad xs
|
$82.71 |
$82.71 |
$82.71 |
$37.80
|
|
Smear fluorescent and/or acid fast stain
|
$23.13 |
$23.13 |
$23.13 |
$50.70
|
|
Smear gram stain
|
$42.37 |
$42.37 |
$42.37 |
$48.00
|
|
Smear nasal eosinophil
|
$21.65 |
$21.65 |
$21.65 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$52.08 |
$52.08 |
$52.08 |
$60.00
|
