|
Rpr aa hrn rcr 3-10 ncr/strn
|
$12,182.55 |
$12,182.55 |
$12,182.55 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$10,689.74 |
$10,689.74 |
$10,689.74 |
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$7,554.89 |
$7,554.89 |
$7,554.89 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$9,427.30 |
$9,427.30 |
$9,427.30 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,067.72 |
$6,067.72 |
$6,067.72 |
|
|
Rpr rem hernia init reduce
|
$11,013.79 |
$11,013.79 |
$11,013.79 |
|
|
Rsv assay w/optic
|
$53.00 |
$81.90 |
$167.70 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$211.90 |
$211.90 |
$568.10 |
|
|
Rtm dev sply mscskl 16-30 d
|
$69.55 |
$69.55 |
$339.95 |
|
|
Rubella antibody igg
|
$60.40 |
$76.70 |
$122.00 |
|
|
Rubeola antibody igg
|
$45.00 |
$76.70 |
$123.50 |
|
|
Russell viper venom diluted
|
$58.00 |
$62.40 |
$139.75 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,654.71 |
$7,654.71 |
$9,587.51 |
|
|
Salivary gland imaging
|
$272.41 |
$272.41 |
$272.41 |
|
|
Salmonella antibody
|
$22.20 |
$22.20 |
$34.00 |
|
|
Sargramostim injection
|
$451.34 |
$451.34 |
$955.90 |
|
|
Sarscov coronavirus ag ia
|
$65.00 |
$71.50 |
$110.00 |
|
|
Sarscov & inf vir a&b ag ia
|
$125.45 |
$128.70 |
$252.20 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$156.00 |
$214.50 |
$332.00 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$109.85 |
$113.75 |
$174.00 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$134.55 |
$144.30 |
$207.00 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$75.40 |
$78.00 |
$116.00 |
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$444.65 |
$966.55 |
$1,663.35 |
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$348.91 |
$570.70 |
$1,142.70 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$188.52 |
$188.52 |
$1,265.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$163.45 |
$163.45 |
$579.80 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$251.05 |
$251.05 |
$866.00 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$385.36 |
$504.40 |
$1,149.85 |
|
|
Scan duplex lower extremity arteries complete bilateral
|
$395.99 |
$458.25 |
$1,110.85 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$294.43 |
$381.55 |
$897.00 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$280.83 |
$370.50 |
$677.95 |
|
|
Scan proc cranial extra
|
$12,604.29 |
$12,604.29 |
$12,604.29 |
|
|
Scan proc cranial intra 61781
|
$23,273.07 |
$23,273.07 |
$23,273.07 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,017.90 |
$1,261.42 |
$1,599.65 |
|
|
Scope plantar fasciotomy
|
$6,701.14 |
$6,701.14 |
$6,701.14 |
|
|
Scope uretscp lithovue dig disp
|
$971.75 |
$971.75 |
$5,679.70 |
|
|
Scr c/v cyto,thinlayer,rescr
|
$79.30 |
$79.30 |
$103.35 |
|
|
Screening Mammogram
|
$140.60 |
$140.60 |
$396.50 |
|
|
Screening prostate cancer PSA
|
$96.20 |
$101.40 |
$156.00 |
|
|
Screw cortex 2.0 x 10mm
|
$9,668.10 |
$9,668.10 |
$20,506.20 |
|
|
Sc ther infusion reset pump
|
$49.58 |
$49.58 |
$49.58 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,855.27 |
$1,855.27 |
$33,514.00 |
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$66.51 |
$105.30 |
$405.60 |
|
|
Sedimentation rate erythrocyte automated
|
$12.35 |
$20.81 |
$48.75 |
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$37.05 |
$37.05 |
$46.80 |
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$78.00 |
$78.00 |
$78.00 |
|
|
Semen analysis presence/motility
|
$97.50 |
$120.90 |
$455.00 |
|
|
Serial casting application 97139app
|
$52.00 |
$52.00 |
$52.00 |
|
|
Serpina1 gene
|
$216.27 |
$216.27 |
$216.27 |
|
|
Sertraline (zoloft) - sendout
|
$167.05 |
$167.05 |
$228.80 |
|
|
Set radiation therapy field
|
$350.76 |
$350.76 |
$41,018.25 |
|
|
Set radiation therapy field
|
$474.62 |
$810.55 |
$42,805.75 |
|
|
Set radiation therapy field
|
$647.59 |
$647.59 |
$34,758.54 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$112.00 |
$112.00 |
$112.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$142.35 |
$142.35 |
$142.35 |
|
|
Sho arthrs srg bicp tenodsis
|
$15,264.24 |
$15,264.24 |
$15,264.24 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$1,450.15 |
$9,822.99 |
$15,968.34 |
|
|
Sho arthrs srg lss&rescj ads
|
$7,864.82 |
$7,864.82 |
$7,864.82 |
|
|
Sho arthrs srg rmvl loose/fb
|
$10,501.82 |
$10,501.82 |
$10,501.82 |
|
|
Sho arthrs srg rpr slap les
|
$3,064.75 |
$3,064.75 |
$3,064.75 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$10,351.64 |
$10,351.64 |
$16,325.78 |
|
|
Shoe post-op mens m
|
$17.55 |
$17.55 |
$83.85 |
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$2,154.75 |
$13,811.32 |
$20,328.18 |
|
|
Shoulder MRI (with and without contrast)
|
$1,070.87 |
$2,705.30 |
$4,520.10 |
|
|
Shoulder MRI (with contrast)
|
$1,025.64 |
$1,025.64 |
$4,455.75 |
|
|
Shoulder MRI (without contrast)
|
$1,795.30 |
$2,051.28 |
$5,574.00 |
|
|
Shoulder X-ray
|
$66.00 |
$391.95 |
$742.00 |
|
|
Shrinker prosth above knee
|
$157.49 |
$157.49 |
$157.49 |
|
|
Shrinker prosth below knee
|
$90.54 |
$90.54 |
$351.00 |
|
|
Shunt glaucoma baerveldt 350mm
|
$2,535.00 |
$2,535.00 |
$3,168.75 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$99.25 |
$99.25 |
$486.00 |
|
|
Sialography s&i
|
$105.00 |
$168.72 |
$838.50 |
|
|
Sialolithotomy 42330
|
$1,805.60 |
$1,805.60 |
$5,631.57 |
|
|
Sickling rbc
|
$25.81 |
$60.45 |
$116.00 |
|
|
Sigmoidoscopy and biopsy
|
$2,844.76 |
$2,844.76 |
$3,423.52 |
|
|
Sigmoidoscopy for bleeding
|
$2,713.72 |
$2,713.72 |
$2,713.72 |
|
|
Sigmoidoscopy/submucosal injection 45335
|
$3,427.22 |
$3,427.22 |
$3,427.22 |
|
|
Sigmoidoscopy w/ablation
|
$3,364.21 |
$3,364.21 |
$3,364.21 |
|
|
Sigmoidoscopy w/fb removal 45332
|
$5,258.76 |
$5,258.76 |
$5,258.76 |
|
|
Sigmoidoscopy w/resection
|
$5,057.72 |
$5,057.72 |
$5,057.72 |
|
|
Sigmoidoscopy w/tumr remove
|
$2,340.13 |
$2,340.13 |
$4,170.47 |
|
|
Sigmoidoscopy w/ultrasound
|
$2,879.47 |
$2,879.47 |
$2,879.47 |
|
|
Sigmoidoscopy w/us guide bx
|
$4,710.27 |
$4,710.27 |
$4,710.27 |
|
|
Sig w/tndsc balloon dilation
|
$4,398.21 |
$4,398.21 |
$4,398.21 |
|
|
Sildenafil citrate, 25 mg
|
$4.87 |
$4.87 |
$244.36 |
|
|
Sincalide 5 mcg solution for injection
|
$196.15 |
$204.98 |
$605.14 |
|
|
Sinus CT scan (with and without contrast)
|
$786.90 |
$1,845.35 |
$3,537.00 |
|
|
Sinus CT scan (with contrast)
|
$741.48 |
$1,844.70 |
$2,838.00 |
|
|
Sinus CT scan (without contrast)
|
$756.00 |
$1,148.55 |
$3,342.30 |
|
|
Sinus/juglr venogram s&i
|
$1,928.55 |
$2,517.48 |
$4,063.15 |
|
|
Sipuleucel-t - su
|
$228,722.68 |
$228,722.68 |
$228,722.68 |
|
|
Sirolimus, oral
|
$22.20 |
$22.20 |
$98.07 |
|
|
Skin Biopsy
|
$283.40 |
$283.40 |
$896.35 |
|
|
Skin test unlisted antigen ea
|
$26.09 |
$26.09 |
$26.09 |
|
|
Sleep study attended
|
$697.17 |
$697.17 |
$697.17 |
|
|
Sleep Study (Polysomnography)
|
$2,163.85 |
$3,783.00 |
$5,820.00 |
|
|
Sleep study unattended
|
$588.90 |
$715.65 |
$1,271.40 |
|
|
Sling arm deluxe w/pad xs
|
$82.71 |
$103.58 |
$103.58 |
|
|
Sling suprapubic suburetheral
|
$7,410.00 |
$7,410.00 |
$10,439.00 |
|
|
Slp stdy unatnd w/anal
|
$536.25 |
$536.25 |
$536.25 |
|
