|
Rpl tun cvc wo subq port
|
$2,878.50 |
$3,888.00 |
$11,037.50 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$21,555.09 |
$21,555.09 |
$35,443.38 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$21,376.68 |
$21,376.68 |
$30,437.85 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$19,969.08 |
$19,969.08 |
$28,266.26 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$15,618.85 |
$15,618.85 |
$18,056.85 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$24,987.43 |
$24,987.43 |
$24,987.43 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$24,483.10 |
$24,483.10 |
$36,930.17 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$28,392.17 |
$28,392.17 |
$28,392.17 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$23,233.91 |
$23,233.91 |
$29,543.50 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$16,727.54 |
$16,727.54 |
$16,727.54 |
|
|
Rpr intst excl anrect fist
|
$6,420.60 |
$6,420.60 |
$6,420.60 |
|
|
Rpr nsl vlv collapse w/rmdlg
|
$25,106.64 |
$25,106.64 |
$25,106.64 |
|
|
Rsv assay w/optic
|
$60.50 |
$101.50 |
$145.00 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$114.00 |
$114.00 |
$114.00 |
|
|
Rtm dev sply mscskl 16-30 d
|
$35.00 |
$35.00 |
$35.00 |
|
|
Rtm dev sply resp sys 16-30d
|
$35.00 |
$35.00 |
$35.00 |
|
|
Rtm tx mgmt 1st 20 min
|
$25.00 |
$25.00 |
$25.00 |
|
|
Rtm tx mgmt ea addl 20 min
|
$25.00 |
$25.00 |
$25.00 |
|
|
Rubella antibody igg
|
$78.00 |
$91.00 |
$494.00 |
|
|
Rubeola antibody igg
|
$95.00 |
$130.80 |
$433.50 |
|
|
Runx1 gene targeted seq alys
|
$303.00 |
$306.50 |
$486.00 |
|
|
Russell viper venom diluted
|
$86.50 |
$124.00 |
$1,127.50 |
|
|
Rx metab gen seq alys pnl 6
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
|
|
Sach foot, replacement
|
$13,882.00 |
$13,882.00 |
$13,882.00 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$12,766.23 |
$12,766.23 |
$14,611.95 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$163.00 |
$348.50 |
$1,570.00 |
|
|
Salivary gland function exam
|
$246.50 |
$324.00 |
$324.00 |
|
|
Salivary glnd img serial img
|
$364.50 |
$387.50 |
$478.50 |
|
|
Salmonella antibody
|
$39.60 |
$39.60 |
$39.60 |
|
|
Sarscov coronavirus ag ia
|
$16.50 |
$22.00 |
$44.00 |
|
|
Sbsq psyc collab care mgmt
|
$52.00 |
$72.00 |
$369.00 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$522.50 |
$767.40 |
$1,232.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$250.20 |
$442.50 |
$763.00 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$389.50 |
$541.80 |
$2,726.00 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$408.00 |
$660.00 |
$3,211.50 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$220.00 |
$607.00 |
$802.00 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$240.00 |
$464.50 |
$886.00 |
|
|
Scan proc cranial extra
|
$27,574.49 |
$27,574.49 |
$27,574.49 |
|
|
Scan proc cranial intra 61781
|
$323.00 |
$536.00 |
$536.00 |
|
|
Scan proc spinal
|
$110.50 |
$591.50 |
$35,309.77 |
|
|
Sclerotherapy fluid collection pq w/img
|
$1,387.00 |
$1,927.00 |
$3,998.50 |
|
|
Scope plantar fasciotomy
|
$34,259.42 |
$34,259.42 |
$34,259.42 |
|
|
Scope uretscp lithovue dig disp
|
$3,627.00 |
$5,595.50 |
$36,679.50 |
|
|
Screen cerv/vag thin layer
|
$418.00 |
$418.00 |
$418.00 |
|
|
Screening Colonoscopy (average risk)
|
$7,831.37 |
$7,831.37 |
$7,940.90 |
|
|
Screening Colonoscopy (high risk)
|
$7,841.62 |
$7,841.62 |
$9,186.58 |
|
|
Screening hepatitis b non-obstetric high risk
|
$84.60 |
$84.60 |
$84.60 |
|
|
Screening Mammogram
|
$275.50 |
$275.50 |
$315.00 |
|
|
Screening prostate cancer PSA
|
$91.50 |
$242.40 |
$539.00 |
|
|
Screen/visual acuity/bilat/quant 99173
|
$11.00 |
$17.00 |
$17.00 |
|
|
Screw cortex 2.0 x 10mm
|
$6,515.44 |
$38,078.00 |
$676,652.13 |
|
|
Scrotal (Testicle) Ultrasound
|
$351.00 |
$754.80 |
$2,312.00 |
|
|
Sc ther infusion reset pump
|
$187.50 |
$195.00 |
$656.00 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,992.00 |
$4,377.50 |
$8,705.40 |
|
|
Sedimentation rate erythrocyte automated
|
$28.50 |
$68.50 |
$139.00 |
|
|
Select picture audiometry
|
$91.00 |
$91.00 |
$91.00 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$51.50 |
$72.00 |
$144.50 |
|
|
Semen analysis presence/motility
|
$46.00 |
$76.00 |
$245.00 |
|
|
Semen analysis w/count
|
$73.50 |
$90.50 |
$90.50 |
|
|
Sensorimotor examination
|
$43.00 |
$60.00 |
$60.00 |
|
|
Separate eyelid adhesions
|
$1,700.00 |
$2,519.00 |
$2,519.00 |
|
|
Serpina1 gene
|
$218.40 |
$218.40 |
$320.00 |
|
|
Set radiation therapy field
|
$212.00 |
$646.00 |
$834.00 |
|
|
Set radiation therapy field
|
$845.50 |
$864.00 |
$1,092.50 |
|
|
Set radiation therapy field
|
$848.50 |
$1,888.00 |
$1,892.50 |
|
|
Sevelamer carbonate 800 mg tablet
|
$27.00 |
$27.00 |
$27.00 |
|
|
Sewho cap design without jnts cf
|
$8,644.26 |
$8,644.26 |
$8,644.26 |
|
|
Sf3b1 gene common variants
|
$304.50 |
$403.50 |
$486.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$111.50 |
$154.00 |
$154.00 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$118.50 |
$163.50 |
$163.50 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$196.00 |
$270.50 |
$270.50 |
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$196.00 |
$270.50 |
$270.50 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$111.50 |
$154.00 |
$154.00 |
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$118.50 |
$163.50 |
$163.50 |
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$129.50 |
$179.00 |
$179.00 |
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$196.00 |
$270.50 |
$270.50 |
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$122.50 |
$169.00 |
$889.80 |
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$134.50 |
$186.00 |
$186.00 |
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$149.50 |
$206.50 |
$206.50 |
|
|
Sheath below knee
|
$91.16 |
$91.16 |
$91.16 |
|
|
Sheath gldlight lasr 12fx50cm
|
$5,807.00 |
$6,097.50 |
$20,847.75 |
|
|
Sheath laser cavaclear 14f
|
$31,318.65 |
$31,318.65 |
$31,318.65 |
|
|
Sho arthrs srg bicp tenodsis
|
$33,186.54 |
$33,186.54 |
$37,066.75 |
|
|
Sho arthrs srg capsulorraphy
|
$29,591.59 |
$29,591.59 |
$47,463.13 |
|
|
Sho arthrs srg lmtd dbrdmt
|
$23,229.54 |
$23,229.54 |
$23,229.54 |
|
|
Sho arthrs srg lss&rescj ads
|
$16,190.12 |
$16,190.12 |
$17,416.32 |
|
|
Sho arthrs srg rpr slap les
|
$32,106.47 |
$32,106.47 |
$38,013.39 |
|
|
Sho arthrs srg xtnsv dbrdmt
|
$28,821.76 |
$28,821.76 |
$31,183.41 |
|
|
Shoe clubfoot wedge
|
$280.39 |
$280.39 |
$280.39 |
|
|
Shoe dennis browne splint bo
|
$244.59 |
$244.59 |
$244.59 |
|
|
Shoe heel new leather standa
|
$230.11 |
$230.11 |
$230.11 |
|
|
Shoe heel new rubber standar
|
$194.24 |
$194.24 |
$194.24 |
|
|
Shoe heel pad & depress for
|
$352.25 |
$352.25 |
$352.25 |
|
|
Shoe heel sach cushion type
|
$596.59 |
$596.59 |
$596.59 |
|
|
Shoe heel thomas extend to b
|
$352.25 |
$352.25 |
$352.25 |
|
|
Shoe heel thomas with wedge
|
$330.93 |
$330.93 |
$330.93 |
|
|
Shoe lift elev heel/sole neo
|
$161.00 |
$161.00 |
$418.58 |
|
|
Shoe metatarsal bar between
|
$524.80 |
$524.80 |
$524.80 |
|
|
Shoe metatarsal bar wedge ro
|
$230.11 |
$230.11 |
$230.11 |
|
|
Shoe outflare wedge
|
$280.39 |
$280.39 |
$280.39 |
|