|
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
|
$643.89 |
$643.89 |
$643.89 |
$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
|
|
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
|
|
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
|
|
Rheumatoid factor quantitative
|
$26.36 |
$26.36 |
$26.36 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$27.22 |
$27.22 |
$27.22 |
$345.07
|
|
Rho(d) immune globulin h, sd
|
$633.74 |
$633.74 |
$633.74 |
$1,551.00
|
|
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 pq iabp
|
$758.87 |
$758.87 |
$758.87 |
$1,116.00
|
|
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
|
|
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
|
$103.58 |
$103.58 |
$103.58 |
$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
|
|
Smear wet mount
|
$21.74 |
$21.74 |
$21.74 |
$56.13
|
|
Snrpn/ube3a gene
|
$479.34 |
$479.34 |
$479.34 |
$228.80
|
|
Sodium 24 hour urine
|
$47.18 |
$47.18 |
$47.18 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$48.58 |
$48.58 |
$48.58 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$48.71 |
$48.71 |
$48.71 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$24.18 |
$24.18 |
$24.18 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$17.39 |
$17.39 |
$17.39 |
$37.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$9.45 |
$9.45 |
$9.45 |
$28.46
|
|
Sodium serum/plasma/whole blood
|
$24.88 |
$24.88 |
$24.88 |
$42.43
|
|
Somatosensory testing
|
$358.35 |
$358.35 |
$358.35 |
$827.45
|
|
Somatropin injection
|
$339.59 |
$339.59 |
$339.59 |
$339.59
|
|
Specific gravity body fluid
|
$14.99 |
$14.99 |
$14.99 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$159.01 |
$159.01 |
$159.01 |
$526.80
|
|
Split blood or products
|
$65.12 |
$65.12 |
$65.12 |
$143.64
|
|
St analysis behavior qualitative voice/resonance
|
$64.57 |
$64.57 |
$64.57 |
$295.10
|
|
St cognitve performance testing healthcare professional each hour
|
$106.28 |
$106.28 |
$106.28 |
$313.96
|
|
St evaluate speech sound production
|
$68.64 |
$68.64 |
$68.64 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$142.36 |
$142.36 |
$142.36 |
$387.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$134.59 |
$134.59 |
$134.59 |
$336.00
|
|
St evaluation swallow function
|
$88.43 |
$88.43 |
$88.43 |
$323.72
|
|
Strapping of ankle and/or ft 29540
|
$89.36 |
$89.36 |
$89.36 |
$185.36
|
|
Strapping of chest
|
$111.37 |
$111.37 |
$111.37 |
$196.93
|
|
Strapping of elbow or wrist 29260
|
$176.31 |
$176.31 |
$176.31 |
$176.31
|
|
Strapping of hand or finger
|
$153.74 |
$153.74 |
$153.74 |
$197.63
|
|
Strapping of hip
|
$114.33 |
$114.33 |
$114.33 |
$164.70
|
|
Strapping of knee
|
$93.52 |
$93.52 |
$93.52 |
$216.34
|
|
Strapping of toes 29550
|
$78.90 |
$78.90 |
$78.90 |
$183.30
|
|
Streptomycin injection
|
$26.21 |
$26.21 |
$26.21 |
$26.21
|
