|
Removal tunnled intprtnl cath
|
$1,492.80 |
$1,492.80 |
$1,492.80 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$603.20 |
$603.20 |
$603.20 |
$494.00
|
|
Remove renal tube w/fluoro
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,172.80
|
|
Remove ureter stent percut
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$3,640.89
|
|
Renal cyst study s&i
|
$958.40 |
$958.40 |
$958.40 |
$751.34
|
|
Renal venogram bil s&i
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,486.40 |
$1,486.40 |
$1,486.40 |
$1,055.69
|
|
Repair extns tendon finger without grft ea
|
$3,061.60 |
$3,061.60 |
$3,061.60 |
$2,340.00
|
|
Repair of body cast
|
$188.00 |
$188.00 |
$188.00 |
$223.45
|
|
Repair of eye wound
|
$3,351.20 |
$3,351.20 |
$3,351.20 |
$2,760.73
|
|
Repair pm/icd lead sgl
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$804.00 |
$804.00 |
$804.00 |
$954.20
|
|
Repair tendon extensor foot 1/2 each tendon
|
$4,153.60 |
$4,153.60 |
$4,153.60 |
$3,839.54
|
|
Replace duod/jej tube perc
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,357.60
|
|
Replace g/c tube perc
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$1,568.05
|
|
Reposition pm/icd lead
|
$3,583.20 |
$3,583.20 |
$3,583.20 |
$3,802.20
|
|
Revasc evasc fpvt angio cplx 1st
|
$13,253.60 |
$13,253.60 |
$13,253.60 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$10,853.60 |
$10,853.60 |
$10,853.60 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$21,937.60 |
$21,937.60 |
$21,937.60 |
$28,092.75
|
|
Revasc evasc fpvt athrec sf 1st
|
$19,537.60 |
$19,537.60 |
$19,537.60 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$33,574.40 |
$33,574.40 |
$33,574.40 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$20,253.60 |
$20,253.60 |
$20,253.60 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$17,853.60 |
$17,853.60 |
$17,853.60 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$16,903.20 |
$16,903.20 |
$16,903.20 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$14,503.20 |
$14,503.20 |
$14,503.20 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$11,432.00 |
$11,432.00 |
$11,432.00 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$19,604.00 |
$19,604.00 |
$19,604.00 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$17,204.00 |
$17,204.00 |
$17,204.00 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$15,303.20 |
$15,303.20 |
$15,303.20 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$12,903.20 |
$12,903.20 |
$12,903.20 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$20,333.60 |
$20,333.60 |
$20,333.60 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$17,933.60 |
$17,933.60 |
$17,933.60 |
$26,819.25
|
|
Revasc intra lithotrip-stent
|
$26,736.00 |
$26,736.00 |
$26,736.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$14,639.20 |
$14,639.20 |
$14,639.20 |
$11,101.80
|
|
Revision of leg vein 37780
|
$4,014.40 |
$4,014.40 |
$4,014.40 |
$3,724.63
|
|
Revision open av fistula without thromb
|
$2,973.60 |
$2,973.60 |
$2,973.60 |
$8,672.00
|
|
Revision tips
|
$9,010.40 |
$9,010.40 |
$9,010.40 |
$10,311.70
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$19.20 |
$19.20 |
$19.20 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$313.60 |
$313.60 |
$313.60 |
$172.80
|
|
R hrt cath chd abnl nt cnj
|
$9,907.20 |
$9,907.20 |
$9,907.20 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$9,907.20 |
$9,907.20 |
$9,907.20 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$426.40 |
$426.40 |
$426.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$603.20 |
$603.20 |
$603.20 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$320.00 |
$320.00 |
$320.00 |
$397.60
|
|
R&l hrt cath chd abnl nt cnj
|
$12,718.40 |
$12,718.40 |
$12,718.40 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$13,004.00 |
$13,004.00 |
$13,004.00 |
$6,104.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$4,180.00 |
$4,180.00 |
$4,180.00 |
$6,097.00
|
|
Rmvl tv pm lead dual
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$4,276.80 |
$4,276.80 |
$4,276.80 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$2,108.80 |
$2,108.80 |
$2,108.80 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,753.60 |
$2,753.60 |
$2,753.60 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,361.60 |
$5,361.60 |
$5,361.60 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$4,243.20 |
$4,243.20 |
$4,243.20 |
$3,724.63
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$408.00 |
$408.00 |
$408.00 |
$314.26
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$864.80 |
$864.80 |
$864.80 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$773.60 |
$773.60 |
$773.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$973.60 |
$973.60 |
$973.60 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$928.80 |
$928.80 |
$928.80 |
$597.35
|
|
Scope uretscp lithovue dig disp
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$106.40 |
$106.40 |
$106.40 |
$85.15
|
|
Screw cortex 2.0 x 10mm
|
$27,500.88 |
$27,500.88 |
$27,500.88 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$726.40 |
$726.40 |
$726.40 |
$611.91
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,766.40 |
$6,766.40 |
$6,766.40 |
$4,332.68
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$359.20 |
$359.20 |
$359.20 |
$225.04
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$120.00 |
$120.00 |
$120.00 |
$96.00
|
|
Semen analysis presence/motility
|
$52.80 |
$52.80 |
$52.80 |
$70.40
|
|
Serial casting application 97139app
|
$98.40 |
$98.40 |
$98.40 |
$78.39
|
|
Shot (Injection into Muscle or Under the Skin)
|
$126.40 |
$126.40 |
$126.40 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$351.20 |
$351.20 |
$351.20 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$286.40 |
$286.40 |
$286.40 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,900.80 |
$3,900.80 |
$3,900.80 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,223.20 |
$3,223.20 |
$3,223.20 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
$2,096.84
|
|
Shoulder X-ray
|
$380.00 |
$380.00 |
$380.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$207.20 |
$207.20 |
$207.20 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$704.00 |
$704.00 |
$704.00 |
$355.80
|
|
Sialography s&i
|
$623.20 |
$623.20 |
$623.20 |
$499.20
|
|
Signal avg ecg w or without ecg 93278
|
$569.60 |
$569.60 |
$569.60 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$424.00 |
$424.00 |
$424.00 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$2,266.40 |
$2,266.40 |
$2,266.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,854.40 |
$1,854.40 |
$1,854.40 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$2,495.20 |
$2,495.20 |
$2,495.20 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$460.80 |
$460.80 |
$460.80 |
$346.45
|
|
Sinus X-ray (limited)
|
$313.60 |
$313.60 |
$313.60 |
$215.40
|
|
Skin Biopsy
|
$337.60 |
$337.60 |
$337.60 |
$360.34
|
|
Skull X-ray (1 to 3 views)
|
$483.20 |
$483.20 |
$483.20 |
$294.45
|
|
Skull X-ray (complete)
|
$528.00 |
$528.00 |
$528.00 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,936.80 |
$3,936.80 |
$3,936.80 |
$3,734.50
|
|
Sling suprapubic suburetheral
|
$3,768.03 |
$3,768.03 |
$3,768.03 |
$9,679.96
|
|
Slp pure tone screening
|
$144.00 |
$144.00 |
$144.00 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$798.40 |
$798.40 |
$798.40 |
$557.70
|
|
Sodium chloride 0.9 % intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$49.07
|
|
Sodium chloride 0.9 % IV bolus
|
$80.00 |
$80.00 |
$80.00 |
$45.62
|
|
Sodium chloride 0.9 % IV bolus
|
$48.00 |
$48.00 |
$48.00 |
$37.64
|