|
Rheumatoid factor qualitative
|
$70.00 |
$70.00 |
$70.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$108.00 |
$108.00 |
$108.00 |
$57.00
|
|
Rmvl fb upr arm/elbow deep
|
$5,074.00 |
$5,074.00 |
$5,074.00 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,941.50 |
$2,941.50 |
$2,941.50 |
$1,822.05
|
|
Rmvl icd pulse gen only
|
$3,729.00 |
$3,729.00 |
$3,729.00 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$1,156.80
|
|
Rmvl pq vad left hrt vein sep session
|
$2,325.50 |
$2,325.50 |
$2,325.50 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,734.00
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,382.50 |
$1,382.50 |
$1,382.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$826.50 |
$826.50 |
$826.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$7,499.50 |
$7,499.50 |
$7,499.50 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,151.50 |
$3,151.50 |
$3,151.50 |
$3,687.00
|
|
Rsv assay w/optic
|
$72.00 |
$72.00 |
$72.00 |
$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
|
$83.50 |
$83.50 |
$83.50 |
$77.03
|
|
Rubeola antibody igg
|
$137.50 |
$137.50 |
$137.50 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$303.00 |
$303.00 |
$303.00 |
$454.72
|
|
Russell viper venom diluted
|
$109.00 |
$109.00 |
$109.00 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,008.79
|
|
Salivary glnd img serial img
|
$445.50 |
$445.50 |
$445.50 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$22.00 |
$22.00 |
$22.00 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$494.00 |
$494.00 |
$494.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$522.50 |
$522.50 |
$522.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$636.00 |
$636.00 |
$636.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$389.50 |
$389.50 |
$389.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$408.00 |
$408.00 |
$408.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$391.00 |
$391.00 |
$391.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$220.00 |
$220.00 |
$220.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$240.00 |
$240.00 |
$240.00 |
$595.35
|
|
Scan proc spinal
|
$110.50 |
$110.50 |
$110.50 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$9,133.50 |
$9,133.50 |
$9,133.50 |
$4,490.64
|
|
Screening Mammogram
|
$275.50 |
$275.50 |
$275.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$258.00 |
$258.00 |
$258.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$49,580.50 |
$49,580.50 |
$49,580.50 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,377.50 |
$4,377.50 |
$4,377.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$44.00 |
$44.00 |
$44.00 |
$42.00
|
|
Semen analysis presence/motility
|
$46.00 |
$46.00 |
$46.00 |
$71.05
|
|
Sf3b1 gene common variants
|
$403.50 |
$403.50 |
$403.50 |
$248.10
|
|
Sheath gldlight lasr 12fx50cm
|
$8,824.00 |
$8,824.00 |
$8,824.00 |
$6,570.70
|
|
Shoe post-op mens m
|
$238.00 |
$238.00 |
$238.00 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,370.50 |
$1,370.50 |
$1,370.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$2,065.05
|
|
Shoulder X-ray
|
$170.00 |
$170.00 |
$170.00 |
$339.50
|
|
Shrinker prosth above knee
|
$202.00 |
$202.00 |
$202.00 |
$168.89
|
|
Shrinker prosth below knee
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$7,660.00 |
$7,660.00 |
$7,660.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$438.50 |
$438.50 |
$438.50 |
$349.20
|
|
Sialography s&i
|
$591.00 |
$591.00 |
$591.00 |
$499.20
|
|
Sickling rbc
|
$58.50 |
$58.50 |
$58.50 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$80.50 |
$80.50 |
$80.50 |
$280.00
|
|
Sinus CT scan (with and without contrast)
|
$1,029.50 |
$1,029.50 |
$1,029.50 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$822.00 |
$822.00 |
$822.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$742.50 |
$742.50 |
$742.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$933.00 |
$933.00 |
$933.00 |
$2,489.25
|
|
Skin Biopsy
|
$245.00 |
$245.00 |
$245.00 |
$360.34
|
|
Sleep study attended
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$2,305.50 |
$2,305.50 |
$2,305.50 |
$3,607.50
|
|
Sleep study unattended
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$133.00 |
$133.00 |
$133.00 |
$203.58
|
|
Sling suprapubic suburetheral
|
$20,796.50 |
$20,796.50 |
$20,796.50 |
$9,679.96
|
|
Slitting of prepuce
|
$3,701.00 |
$3,701.00 |
$3,701.00 |
$3,365.50
|
|
Slp pure tone screening
|
$316.00 |
$316.00 |
$316.00 |
$60.48
|
|
Smear fluorescent and/or acid fast stain
|
$145.00 |
$145.00 |
$145.00 |
$64.20
|
|
Smear gram stain
|
$64.50 |
$64.50 |
$64.50 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$178.00 |
$178.00 |
$178.00 |
$73.15
|
|
Smear wet mount
|
$147.50 |
$147.50 |
$147.50 |
$67.49
|
|
So airplane w/wo joint cf
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$1,276.80
|
|
Socket insert w lock mech
|
$1,968.50 |
$1,968.50 |
$1,968.50 |
$1,544.50
|
|
Sodium 24 hour urine
|
$51.00 |
$51.00 |
$51.00 |
$48.60
|
|
Sodium serum/plasma/whole blood
|
$103.50 |
$103.50 |
$103.50 |
$45.60
|
|
Soft interface below knee se
|
$228.00 |
$228.00 |
$228.00 |
$179.08
|
|
Special radiation treatment
|
$2,058.00 |
$2,058.00 |
$2,058.00 |
$1,986.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$748.00 |
$748.00 |
$748.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$479.50 |
$479.50 |
$479.50 |
$543.26
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$111.00 |
$111.00 |
$111.00 |
$392.09
|
|
Splint rstrc wrst/cmc right med
|
$31.00 |
$31.00 |
$31.00 |
$99.04
|
|
St analysis behavior qualitative voice/resonance
|
$214.50 |
$214.50 |
$214.50 |
$297.60
|
|
Staph a dna amp probe
|
$186.00 |
$186.00 |
$186.00 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$504.00 |
$504.00 |
$504.00 |
$286.00
|
|
Stem cells total count
|
$303.50 |
$303.50 |
$303.50 |
$179.64
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$19,932.50 |
$19,932.50 |
$19,932.50 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$36,282.00 |
$36,282.00 |
$36,282.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,108.50 |
$3,108.50 |
$3,108.50 |
$2,520.08
|
|
Stent bili rx wallflx 10x80 uncvr
|
$54,187.50 |
$54,187.50 |
$54,187.50 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$8,529.50 |
$8,529.50 |
$8,529.50 |
$4,939.20
|
|
Stent iliac/open or perc/uni/init 37221
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$9,008.54
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$11,509.00 |
$11,509.00 |
$11,509.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$238.50 |
$238.50 |
$238.50 |
$292.95
|
|
St evaluate speech sound production comprehensive/expressive
|
$252.50 |
$252.50 |
$252.50 |
$377.00
|
