|
Repair tendon extensor foot 1/2 each tendon
|
$9,012.00 |
$9,012.00 |
$9,012.00 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$9,332.40 |
$9,332.40 |
$9,332.40 |
$4,499.12
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$478.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$9,067.20 |
$9,067.20 |
$9,067.20 |
$8,412.89
|
|
Replace duod/jej tube perc
|
$4,216.80 |
$4,216.80 |
$4,216.80 |
$1,357.60
|
|
Replace g/c tube perc
|
$3,972.00 |
$3,972.00 |
$3,972.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$4,274.40 |
$4,274.40 |
$4,274.40 |
$1,568.05
|
|
Replace picvad cath
|
$4,201.80 |
$4,201.80 |
$4,201.80 |
$3,724.63
|
|
Replace tunneled cv cath
|
$4,273.80 |
$4,273.80 |
$4,273.80 |
$3,724.63
|
|
Reposition pm/icd lead
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$4,201.80 |
$4,201.80 |
$4,201.80 |
$3,802.20
|
|
Repos sq defib eltrd
|
$4,831.80 |
$4,831.80 |
$4,831.80 |
$4,306.60
|
|
Rerepair ing hernia blocked
|
$5,185.20 |
$5,185.20 |
$5,185.20 |
$5,185.20
|
|
Reslizumab 10 mg/ml intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$2,079.00
|
|
Resp virus 6-11 targets
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$479.20
|
|
Revasc intra lithotrip-ather
|
$22,899.00 |
$22,899.00 |
$22,899.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$22,899.00 |
$22,899.00 |
$22,899.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$11,449.20 |
$11,449.20 |
$11,449.20 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$36,522.60 |
$36,522.60 |
$36,522.60 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$36,839.40 |
$36,839.40 |
$36,839.40 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$22,833.60 |
$22,833.60 |
$22,833.60 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$36,522.60 |
$36,522.60 |
$36,522.60 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$36,522.60 |
$36,522.60 |
$36,522.60 |
$19,624.54
|
|
Revision of cervix
|
$7,368.60 |
$7,368.60 |
$7,368.60 |
$3,854.76
|
|
Revision tips
|
$7,508.40 |
$7,508.40 |
$7,508.40 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$5,661.00 |
$5,661.00 |
$5,661.00 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$33.60 |
$33.60 |
$33.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$31.80 |
$31.80 |
$31.80 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$48.00 |
$48.00 |
$48.00 |
$234.12
|
|
Rho d immune globulin inj
|
$70.80 |
$70.80 |
$70.80 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$262.80 |
$262.80 |
$262.80 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$262.80 |
$262.80 |
$262.80 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$262.80 |
$262.80 |
$262.80 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$106.80 |
$106.80 |
$106.80 |
$455.01
|
|
Right ventric recording
|
$2,545.80 |
$2,545.80 |
$2,545.80 |
$2,345.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$588.00 |
$588.00 |
$588.00 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$55.80 |
$55.80 |
$55.80 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$337.20 |
$337.20 |
$337.20 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$50.40 |
$50.40 |
$50.40 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$42.60 |
$42.60 |
$42.60 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$42.60 |
$42.60 |
$42.60 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$4,589.40 |
$4,589.40 |
$4,589.40 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$34,564.20 |
$34,564.20 |
$34,564.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$48,933.60 |
$48,933.60 |
$48,933.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$34,564.20 |
$34,564.20 |
$34,564.20 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$4,523.40 |
$4,523.40 |
$4,523.40 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$11,583.60 |
$11,583.60 |
$11,583.60 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$27,759.00 |
$27,759.00 |
$27,759.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,467.80 |
$17,467.80 |
$17,467.80 |
$10,542.00
|
|
Rmvl pq iabp
|
$243.00 |
$243.00 |
$243.00 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$512.40 |
$512.40 |
$512.40 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$4,831.80 |
$4,831.80 |
$4,831.80 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,523.40 |
$4,523.40 |
$4,523.40 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$4,523.40 |
$4,523.40 |
$4,523.40 |
$4,225.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,004.80 |
$3,004.80 |
$3,004.80 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$641.40 |
$641.40 |
$641.40 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$9.00 |
$9.00 |
$9.00 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,588.60 |
$3,588.60 |
$3,588.60 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$4,812.60 |
$4,812.60 |
$4,812.60 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,217.80 |
$3,217.80 |
$3,217.80 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$8,004.00 |
$8,004.00 |
$8,004.00 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$8,004.00 |
$8,004.00 |
$8,004.00 |
$5,988.54
|
|
Rpl tun cvc wo subq port
|
$4,201.80 |
$4,201.80 |
$4,201.80 |
$3,724.63
|
|
Rsv assay w/optic
|
$73.80 |
$73.80 |
$73.80 |
$76.32
|
|
Rubella antibody igg
|
$80.40 |
$80.40 |
$80.40 |
$77.40
|
|
Rubeola antibody igg
|
$72.00 |
$72.00 |
$72.00 |
$80.00
|
|
Russell viper venom diluted
|
$48.60 |
$48.60 |
$48.60 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$262.80 |
$262.80 |
$262.80 |
$314.26
|
|
Salivary gland imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$585.00
|
|
Salivary glnd img serial img
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$84.60 |
$84.60 |
$84.60 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$819.60 |
$819.60 |
$819.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$394.20 |
$394.20 |
$394.20 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$379.80 |
$379.80 |
$379.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$394.20 |
$394.20 |
$394.20 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$394.20 |
$394.20 |
$394.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$394.20 |
$394.20 |
$394.20 |
$597.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$2,144.48
|
|
Scr c/v cyto,thinlayer,rescr
|
$189.60 |
$189.60 |
$189.60 |
$85.15
|
|
Screen cerv/vag thin layer
|
$145.20 |
$145.20 |
$145.20 |
$86.56
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$100.20 |
$100.20 |
$100.20 |
$57.60
|
|
Screening hepatitis b non-obstetric high risk
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$108.00 |
$108.00 |
$108.00 |
$93.60
|
|
Screening Mammogram
|
$257.40 |
$257.40 |
$257.40 |
$310.20
|
|
Screening prostate cancer PSA
|
$97.80 |
$97.80 |
$97.80 |
$101.60
|
|
Screen pap by tech w md supv
|
$55.20 |
$55.20 |
$55.20 |
$53.46
|
|
Scrotal (Testicle) Ultrasound
|
$394.20 |
$394.20 |
$394.20 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$12,577.80 |
$12,577.80 |
$12,577.80 |
$4,332.68
|
|
Sedimentation rate erythrocyte automated
|
$13.80 |
$13.80 |
$13.80 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$97.20 |
$97.20 |
$97.20 |
$96.00
|
|
Semen analysis presence/motility
|
$86.40 |
$86.40 |
$86.40 |
$70.40
|
|
Serpina1 gene
|
$252.00 |
$252.00 |
$252.00 |
$197.00
|
