|
Removal cerumen impacted (both sides)
|
$305.80 |
$305.80 |
$305.80 |
$170.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$172.70 |
$172.70 |
$172.70 |
$235.13
|
|
Removal embedded foreign body vestibule mouth smpl
|
$607.20 |
$607.20 |
$607.20 |
$876.00
|
|
Removal of foreign body
|
$4,491.30 |
$4,491.30 |
$4,491.30 |
$3,994.09
|
|
Removal of skin tags each add'l 10
|
$16.24 |
$16.24 |
$16.24 |
$135.30
|
|
Removal/replacement ppm generator dual lead system
|
$7,810.00 |
$7,810.00 |
$7,810.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$267.85 |
$267.85 |
$267.85 |
$301.00
|
|
Removal sutr and stapl no anes
|
$18.22 |
$18.22 |
$18.22 |
$73.66
|
|
Removal sutr or stapl no anes
|
$9.90 |
$9.90 |
$9.90 |
$89.70
|
|
Remove pilonidal cyst compl
|
$4,606.25 |
$4,606.25 |
$4,606.25 |
$3,386.84
|
|
Remove skin nerve lesion 64788
|
$333.38 |
$333.38 |
$333.38 |
$2,310.83
|
|
Renal function panel
|
$112.20 |
$112.20 |
$112.20 |
$112.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$821.70 |
$821.70 |
$821.70 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$341.55 |
$341.55 |
$341.55 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$2,910.05 |
$2,910.05 |
$2,910.05 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$1,552.10 |
$1,552.10 |
$1,552.10 |
$1,467.20
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,548.70 |
$2,548.70 |
$2,548.70 |
$1,891.20
|
|
Repair pm/icd lead sgl
|
$4,903.25 |
$4,903.25 |
$4,903.25 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$799.15 |
$799.15 |
$799.15 |
$821.03
|
|
Repair testis injury
|
$3,579.40 |
$3,579.40 |
$3,579.40 |
$3,786.00
|
|
Reposition pm/icd lead
|
$2,382.05 |
$2,382.05 |
$2,382.05 |
$3,820.33
|
|
Repos lv lead pm/icd
|
$4,903.25 |
$4,903.25 |
$4,903.25 |
$3,770.00
|
|
Reptilase test
|
$148.50 |
$148.50 |
$148.50 |
$64.50
|
|
Respirator motion mgmt simul
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$96.25 |
$96.25 |
$96.25 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$9.90 |
$9.90 |
$9.90 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$1,097.80 |
$1,097.80 |
$1,097.80 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$840.40 |
$840.40 |
$840.40 |
$774.37
|
|
Reticulocyte direct measurement automated
|
$35.75 |
$35.75 |
$35.75 |
$33.57
|
|
Revasc intra lithotrip-ather
|
$15,207.50 |
$15,207.50 |
$15,207.50 |
$17,995.65
|
|
Revasc intra lithotrip-stent
|
$15,207.50 |
$15,207.50 |
$15,207.50 |
$18,952.48
|
|
Revasc intravasc lithotripsy
|
$7,506.95 |
$7,506.95 |
$7,506.95 |
$12,414.35
|
|
Revasc lithotr-ather tib/per
|
$24,324.85 |
$24,324.85 |
$24,324.85 |
$18,564.70
|
|
Revasc lithotrip-stent-ather
|
$24,324.85 |
$24,324.85 |
$24,324.85 |
$19,892.81
|
|
Revasc lithotrip tibi/perone
|
$15,207.50 |
$15,207.50 |
$15,207.50 |
$12,754.50
|
|
Revasc lithotr-stent tib/per
|
$24,324.85 |
$24,324.85 |
$24,324.85 |
$18,271.50
|
|
Revasc lith-sten-ath tib/per
|
$24,324.85 |
$24,324.85 |
$24,324.85 |
$18,271.50
|
|
Revsc opn/prq tib/pero stent
|
$7,269.35 |
$7,269.35 |
$7,269.35 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$35.20 |
$35.20 |
$35.20 |
$54.60
|
|
Rheumatoid factor quantitative
|
$35.75 |
$35.75 |
$35.75 |
$57.00
|
|
Ring fx reform 11-13x17mm
|
$165.38 |
$165.38 |
$165.38 |
$882.10
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$2,093.02
|
|
Rmvl icd by tv extr
|
$3,067.90 |
$3,067.90 |
$3,067.90 |
$4,350.24
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$16,278.90 |
$16,278.90 |
$16,278.90 |
$26,030.94
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$23,188.00 |
$23,188.00 |
$23,188.00 |
$34,271.25
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$35,953.50 |
$35,953.50 |
$35,953.50 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$4,114.00
|
|
Rmvl perm pm pulse gen
|
$5,788.75 |
$5,788.75 |
$5,788.75 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$13,146.65 |
$13,146.65 |
$13,146.65 |
$17,351.25
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$12,503.15 |
$12,503.15 |
$12,503.15 |
$10,319.90
|
|
Rmvl subq card rhythm mntr
|
$926.20 |
$926.20 |
$926.20 |
$2,054.83
|
|
Rmvl tv pm lead dual
|
$3,273.05 |
$3,273.05 |
$3,273.05 |
$4,031.69
|
|
Rpl tun cvc wo subq port
|
$3,935.80 |
$3,935.80 |
$3,935.80 |
$3,802.20
|
|
Rsv assay w/optic
|
$67.65 |
$67.65 |
$67.65 |
$70.85
|
|
Rubella antibody igg
|
$92.95 |
$92.95 |
$92.95 |
$73.10
|
|
Rubeola antibody igg
|
$89.10 |
$89.10 |
$89.10 |
$80.00
|
|
Russell viper venom diluted
|
$97.90 |
$97.90 |
$97.90 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$99.00 |
$99.00 |
$99.00 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$85.25 |
$85.25 |
$85.25 |
$92.93
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$847.00 |
$847.00 |
$847.00 |
$1,000.00
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$894.30 |
$894.30 |
$894.30 |
$653.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$487.85 |
$487.85 |
$487.85 |
$799.42
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$888.25 |
$888.25 |
$888.25 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$600.60 |
$600.60 |
$600.60 |
$735.80
|
|
Scan duplex lower extremity arteries complete bilateral
|
$768.35 |
$768.35 |
$768.35 |
$975.00
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$499.95 |
$499.95 |
$499.95 |
$650.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$385.00 |
$385.00 |
$385.00 |
$595.35
|
|
Screen cerv/vag thin layer
|
$332.75 |
$332.75 |
$332.75 |
$33.04
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$18.70 |
$18.70 |
$18.70 |
$27.44
|
|
Screening Mammogram
|
$283.25 |
$283.25 |
$283.25 |
$297.50
|
|
Screening prostate cancer PSA
|
$89.10 |
$89.10 |
$89.10 |
$80.84
|
|
Screen pap by tech w md supv
|
$185.35 |
$185.35 |
$185.35 |
$27.65
|
|
Screen/visual acuity/bilat/quant 99173
|
$6.60 |
$6.60 |
$6.60 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$751.39 |
$751.39 |
$751.39 |
$14,518.08
|
|
Sedimentation rate erythrocyte automated
|
$45.65 |
$45.65 |
$45.65 |
$44.20
|
|
Semen analysis presence/motility
|
$138.60 |
$138.60 |
$138.60 |
$71.05
|
|
Sertraline (zoloft) - sendout
|
$152.35 |
$152.35 |
$152.35 |
$178.33
|
|
Set radiation therapy field
|
$430.65 |
$430.65 |
$430.65 |
$731.50
|
|
Set radiation therapy field
|
$785.95 |
$785.95 |
$785.95 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$93.06 |
$93.06 |
$93.06 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$132.26 |
$132.26 |
$132.26 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$80.78 |
$80.78 |
$80.78 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$99.79 |
$99.79 |
$99.79 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$79.60 |
$79.60 |
$79.60 |
$271.64
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$98.21 |
$98.21 |
$98.21 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$116.03 |
$116.03 |
$116.03 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$1,947.55 |
$1,947.55 |
$1,947.55 |
$2,650.10
|
|
Shoulder MRI (with contrast)
|
$1,791.35 |
$1,791.35 |
$1,791.35 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,535.16 |
$1,535.16 |
$1,535.16 |
$2,064.30
|
|
Shoulder X-ray
|
$375.10 |
$375.10 |
$375.10 |
$365.60
|
|
Shuntogram nonvascular supervision & interpretation
|
$411.95 |
$411.95 |
$411.95 |
$341.67
|
|
Sickling rbc
|
$85.80 |
$85.80 |
$85.80 |
$54.00
|
|
Sinus CT scan (with and without contrast)
|
$1,146.75 |
$1,146.75 |
$1,146.75 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,096.15 |
$1,096.15 |
$1,096.15 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$1,053.25 |
$1,053.25 |
$1,053.25 |
$1,275.30
|
|
Skin Biopsy
|
$382.80 |
$382.80 |
$382.80 |
$378.65
|
|
Sleep Study (Polysomnography)
|
$3,476.00 |
$3,476.00 |
$3,476.00 |
$3,920.95
|
|
Sleep study unattended
|
$187.00 |
$187.00 |
$187.00 |
$594.00
|
|
Sling suprapubic suburetheral
|
$1,519.66 |
$1,519.66 |
$1,519.66 |
$6,553.44
|
|
Smear fluorescent and/or acid fast stain
|
$126.50 |
$126.50 |
$126.50 |
$61.72
|
