|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$510.72 |
$510.72 |
$510.72 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$522.24 |
$522.24 |
$522.24 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$197.28 |
$197.28 |
$197.28 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$850.08 |
$850.08 |
$850.08 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$955.20 |
$955.20 |
$955.20 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$726.72 |
$726.72 |
$726.72 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$411.36 |
$411.36 |
$411.36 |
$538.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$6,126.67 |
$6,126.67 |
$6,126.67 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,158.54 |
$3,158.54 |
$3,158.54 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$227.73 |
$227.73 |
$227.73 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$284.16 |
$284.16 |
$284.16 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$756.48 |
$756.48 |
$756.48 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,235.36 |
$2,235.36 |
$2,235.36 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$1,159.68 |
$1,159.68 |
$1,159.68 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,557.12 |
$1,557.12 |
$1,557.12 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,174.08 |
$1,174.08 |
$1,174.08 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,135.68 |
$1,135.68 |
$1,135.68 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$872.64 |
$872.64 |
$872.64 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$521.76 |
$521.76 |
$521.76 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$724.80 |
$724.80 |
$724.80 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,886.88 |
$1,886.88 |
$1,886.88 |
$2,402.40
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,307.52 |
$1,307.52 |
$1,307.52 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$972.96 |
$972.96 |
$972.96 |
$6,819.30
|
|
Rpr diaphragm lac/any approach 39501
|
$1,300.32 |
$1,300.32 |
$1,300.32 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$972.00 |
$972.00 |
$972.00 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$643.20 |
$643.20 |
$643.20 |
$5,411.37
|
|
Rpr rem hernia init reduce
|
$888.96 |
$888.96 |
$888.96 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$562.08 |
$562.08 |
$562.08 |
$5,959.65
|
|
Rsv assay w/optic
|
$117.02 |
$117.02 |
$117.02 |
$79.38
|
|
Rubella antibody igg
|
$34.09 |
$34.09 |
$34.09 |
$77.03
|
|
Rubeola antibody igg
|
$28.49 |
$28.49 |
$28.49 |
$80.00
|
|
Russell viper venom diluted
|
$65.13 |
$65.13 |
$65.13 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,873.42 |
$4,873.42 |
$4,873.42 |
$5,174.32
|
|
Salpingostomy 58770
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$4,304.00
|
|
Same day nb discharge 99463
|
$137.28 |
$137.28 |
$137.28 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$47.32 |
$47.32 |
$47.32 |
$59.25
|
|
Sbrt management
|
$974.88 |
$974.88 |
$974.88 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$168.96 |
$168.96 |
$168.96 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$195.84 |
$195.84 |
$195.84 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$95.04 |
$95.04 |
$95.04 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$137.28 |
$137.28 |
$137.28 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$51.36 |
$51.36 |
$51.36 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$589.92 |
$589.92 |
$589.92 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$390.24 |
$390.24 |
$390.24 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$424.80 |
$424.80 |
$424.80 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$185.71 |
$185.71 |
$185.71 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$190.56 |
$190.56 |
$190.56 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$431.52 |
$431.52 |
$431.52 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$466.56 |
$466.56 |
$466.56 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$219.84 |
$219.84 |
$219.84 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$199.96 |
$199.96 |
$199.96 |
$595.35
|
|
Scan proc cranial extra
|
$261.12 |
$261.12 |
$261.12 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$360.48 |
$360.48 |
$360.48 |
$2,067.91
|
|
Screening Colonoscopy (average risk)
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$1,148.64 |
$1,148.64 |
$1,148.64 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$28.32 |
$28.32 |
$28.32 |
$57.60
|
|
Screening Mammogram
|
$174.01 |
$174.01 |
$174.01 |
$312.55
|
|
Screen/visual acuity/bilat/quant 99173
|
$4.32 |
$4.32 |
$4.32 |
$28.86
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$2,139.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$119.57 |
$119.57 |
$119.57 |
$237.19
|
|
Semen analysis presence/motility
|
$48.84 |
$48.84 |
$48.84 |
$71.05
|
|
Serial casting application 97139app
|
$47.32 |
$47.32 |
$47.32 |
$78.39
|
|
Set radiation therapy field
|
$656.64 |
$656.64 |
$656.64 |
$762.40
|
|
Set radiation therapy field
|
$594.24 |
$594.24 |
$594.24 |
$1,157.38
|
|
Set radiation therapy field
|
$1,631.52 |
$1,631.52 |
$1,631.52 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$1,531.68 |
$1,531.68 |
$1,531.68 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$177.12 |
$177.12 |
$177.12 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$209.28 |
$209.28 |
$209.28 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$238.08 |
$238.08 |
$238.08 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$276.96 |
$276.96 |
$276.96 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$160.80 |
$160.80 |
$160.80 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$187.68 |
$187.68 |
$187.68 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$211.68 |
$211.68 |
$211.68 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$223.20 |
$223.20 |
$223.20 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$154.08 |
$154.08 |
$154.08 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$185.76 |
$185.76 |
$185.76 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$209.76 |
$209.76 |
$209.76 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$725.76 |
$725.76 |
$725.76 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$1,410.24 |
$1,410.24 |
$1,410.24 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$6,311.00
|
|
Sho arthrs srg compl synvct
|
$917.76 |
$917.76 |
$917.76 |
$3,839.54
|
|
Sho arthrs srg lmtd dbrdmt
|
$839.52 |
$839.52 |
$839.52 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$907.20 |
$907.20 |
$907.20 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$826.08 |
$826.08 |
$826.08 |
$5,855.00
|
|
Sho arthrs srg rmvl loose/fb
|
$909.60 |
$909.60 |
$909.60 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$918.24 |
$918.24 |
$918.24 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$2,621.28 |
$2,621.28 |
$2,621.28 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,176.48 |
$1,176.48 |
$1,176.48 |
$2,065.05
|
|
Shoulder X-ray
|
$149.08 |
$149.08 |
$149.08 |
$339.50
|
|
Sialography s&i
|
$248.16 |
$248.16 |
$248.16 |
$499.20
|
|
Sialolithotomy 42330
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$3,837.72
|
|
Sickling rbc
|
$7.12 |
$7.12 |
$7.12 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$823.20 |
$823.20 |
$823.20 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$747.36 |
$747.36 |
$747.36 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,501.44 |
$1,501.44 |
$1,501.44 |
$1,444.83
|
|
Sigmoidoscopy w/fb removal 45332
|
$423.36 |
$423.36 |
$423.36 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$297.60 |
$297.60 |
$297.60 |
$2,564.40
|
