|
Revasc intra lithotrip-ather
|
$13,165.00 |
$13,165.00 |
$13,165.00 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$13,165.00 |
$13,165.00 |
$13,165.00 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$7,676.00 |
$7,676.00 |
$7,676.00 |
$11,320.00
|
|
Revasc lithotrip-stent-ather
|
$13,165.00 |
$13,165.00 |
$13,165.00 |
$21,249.26
|
|
Revise abdomen-venous shunt
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$4,176.15
|
|
Revise breast reconst 19380
|
$5,060.00 |
$5,060.00 |
$5,060.00 |
$6,869.50
|
|
Revise eyelashes
|
$363.50 |
$363.50 |
$363.50 |
$659.20
|
|
Revise eyelid defect
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$2,784.00
|
|
Revise/graft eyelid lining
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$4,440.96
|
|
Revise spine eltrd perq aray
|
$3,893.00 |
$3,893.00 |
$3,893.00 |
$7,496.58
|
|
Revise spine eltrd plate
|
$3,893.00 |
$3,893.00 |
$3,893.00 |
$14,685.79
|
|
Revision of circulation
|
$1,500.50 |
$1,500.50 |
$1,500.50 |
$2,547.00
|
|
Revision of eyelid
|
$788.00 |
$788.00 |
$788.00 |
$2,760.73
|
|
Revision of eyelid
|
$1,626.50 |
$1,626.50 |
$1,626.50 |
$2,654.40
|
|
Revision of eyelid
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$2,860.80
|
|
Revision of eyelid
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$2,760.73
|
|
Revision of eyelid
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$3,417.95
|
|
Revision of iris
|
$227.00 |
$227.00 |
$227.00 |
$1,388.40
|
|
Revision of iris
|
$477.50 |
$477.50 |
$477.50 |
$1,335.24
|
|
Revision tips
|
$5,395.00 |
$5,395.00 |
$5,395.00 |
$9,879.50
|
|
Rev/rmv perph nstim eltrd ra
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$4,121.65
|
|
Revsc opn/prq tib/pero stent
|
$5,433.00 |
$5,433.00 |
$5,433.00 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$86.50 |
$86.50 |
$86.50 |
$57.00
|
|
R hrt cath chd abnl nt cnj
|
$4,607.50 |
$4,607.50 |
$4,607.50 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$4,607.50 |
$4,607.50 |
$4,607.50 |
$6,095.95
|
|
Right heart cath congenital
|
$4,445.00 |
$4,445.00 |
$4,445.00 |
$7,217.72
|
|
Right ventric recording
|
$1,877.00 |
$1,877.00 |
$1,877.00 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$1,509.75
|
|
R & l heart cath congenital
|
$5,728.50 |
$5,728.50 |
$5,728.50 |
$10,707.77
|
|
R & l heart cath congenital
|
$5,538.50 |
$5,538.50 |
$5,538.50 |
$7,547.27
|
|
R & l heart cath congenital
|
$5,728.50 |
$5,728.50 |
$5,728.50 |
$7,046.49
|
|
R&l hrt cath chd abnl nt cnj
|
$5,891.00 |
$5,891.00 |
$5,891.00 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$5,891.00 |
$5,891.00 |
$5,891.00 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$357.50 |
$357.50 |
$357.50 |
$846.42
|
|
Rmvl fb upr arm/elbow deep
|
$2,639.50 |
$2,639.50 |
$2,639.50 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$993.00 |
$993.00 |
$993.00 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$30,659.50 |
$30,659.50 |
$30,659.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$30,659.50 |
$30,659.50 |
$30,659.50 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$30,659.50 |
$30,659.50 |
$30,659.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,746.00 |
$2,746.00 |
$2,746.00 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$382.50 |
$382.50 |
$382.50 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$2,367.00 |
$2,367.00 |
$2,367.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,276.50 |
$9,276.50 |
$9,276.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,458.00 |
$8,458.00 |
$8,458.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$321.50 |
$321.50 |
$321.50 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$3,214.00 |
$3,214.00 |
$3,214.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$759.50 |
$759.50 |
$759.50 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$216.00 |
$216.00 |
$216.00 |
$441.68
|
|
Rmvl tv pm lead dual
|
$2,391.50 |
$2,391.50 |
$2,391.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$4,031.69
|
|
Rmv suture/anesthesia/not local 15850
|
$1,964.50 |
$1,964.50 |
$1,964.50 |
$760.87
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$902.50 |
$902.50 |
$902.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$668.00 |
$668.00 |
$668.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,316.50 |
$1,316.50 |
$1,316.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,314.00 |
$2,314.00 |
$2,314.00 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$2,675.00 |
$2,675.00 |
$2,675.00 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$2,878.50 |
$2,878.50 |
$2,878.50 |
$3,687.00
|
|
Rsv assay w/optic
|
$74.00 |
$74.00 |
$74.00 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$114.00 |
$114.00 |
$114.00 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$35.00 |
$35.00 |
$35.00 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$35.00 |
$35.00 |
$35.00 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$25.00 |
$25.00 |
$25.00 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$25.00 |
$25.00 |
$25.00 |
$74.00
|
|
Rubella antibody igg
|
$91.00 |
$91.00 |
$91.00 |
$77.03
|
|
Rubeola antibody igg
|
$102.50 |
$102.50 |
$102.50 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$304.50 |
$304.50 |
$304.50 |
$454.72
|
|
Russell viper venom diluted
|
$86.50 |
$86.50 |
$86.50 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,008.79
|
|
Salivary gland function exam
|
$246.50 |
$246.50 |
$246.50 |
$753.60
|
|
Salivary glnd img serial img
|
$364.50 |
$364.50 |
$364.50 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$17.00 |
$17.00 |
$17.00 |
$59.25
|
|
Sbsq psyc collab care mgmt
|
$52.00 |
$52.00 |
$52.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$738.50 |
$738.50 |
$738.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$424.50 |
$424.50 |
$424.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$803.00 |
$803.00 |
$803.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$398.00 |
$398.00 |
$398.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$491.50 |
$491.50 |
$491.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$423.50 |
$423.50 |
$423.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$505.00 |
$505.00 |
$505.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$418.00 |
$418.00 |
$418.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$418.00 |
$418.00 |
$418.00 |
$595.35
|
|
Scan proc cranial intra 61781
|
$323.00 |
$323.00 |
$323.00 |
$2,067.91
|
|
Scan proc spinal
|
$356.50 |
$356.50 |
$356.50 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,595.50 |
$5,595.50 |
$5,595.50 |
$4,490.64
|
|
Screening Mammogram
|
$275.50 |
$275.50 |
$275.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$91.50 |
$91.50 |
$91.50 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$11.00 |
$11.00 |
$11.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$38,078.00 |
$38,078.00 |
$38,078.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$28.50 |
$28.50 |
$28.50 |
$42.00
|
|
Semen analysis presence/motility
|
$61.50 |
$61.50 |
$61.50 |
$71.05
|
|
Semen analysis w/count
|
$73.50 |
$73.50 |
$73.50 |
$56.44
|
|
Sensorimotor examination
|
$43.00 |
$43.00 |
$43.00 |
$109.50
|
