|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$55,776.80 |
$55,776.80 |
$55,776.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$37,828.00 |
$37,828.00 |
$37,828.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,892.80 |
$5,892.80 |
$5,892.80 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$13,796.80 |
$13,796.80 |
$13,796.80 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$30,041.60 |
$30,041.60 |
$30,041.60 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,161.60 |
$16,161.60 |
$16,161.60 |
$10,542.00
|
|
Rmvl pq iabp
|
$3,037.60 |
$3,037.60 |
$3,037.60 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$5,301.60 |
$5,301.60 |
$5,301.60 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,698.40 |
$2,698.40 |
$2,698.40 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$5,903.20 |
$5,903.20 |
$5,903.20 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$6,294.40 |
$6,294.40 |
$6,294.40 |
$4,225.20
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$2,842.40 |
$2,842.40 |
$2,842.40 |
$521.40
|
|
Robot lin-radsurg com, first
|
$18,594.40 |
$18,594.40 |
$18,594.40 |
$12,857.60
|
|
Robt lin-radsurg fractx 2-5
|
$8,750.40 |
$8,750.40 |
$8,750.40 |
$9,934.40
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,423.22 |
$7,423.22 |
$7,423.22 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,371.03 |
$6,371.03 |
$6,371.03 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$339.36 |
$339.36 |
$339.36 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,291.20 |
$3,291.20 |
$3,291.20 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,880.80 |
$3,880.80 |
$3,880.80 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$4,759.20 |
$4,759.20 |
$4,759.20 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$7,005.60 |
$7,005.60 |
$7,005.60 |
$4,760.85
|
|
Rpl tun cvc wo subq port
|
$5,529.60 |
$5,529.60 |
$5,529.60 |
$3,724.63
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,431.20 |
$6,431.20 |
$6,431.20 |
$5,907.78
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$454.40 |
$454.40 |
$454.40 |
$314.79
|
|
Sargramostim injection
|
$857.00 |
$857.00 |
$857.00 |
$552.52
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$857.60 |
$857.60 |
$857.60 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$920.80 |
$920.80 |
$920.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$980.00 |
$980.00 |
$980.00 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$943.20 |
$943.20 |
$943.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$996.80 |
$996.80 |
$996.80 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,544.80 |
$2,544.80 |
$2,544.80 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$9,786.40 |
$9,786.40 |
$9,786.40 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$90.40 |
$90.40 |
$90.40 |
$85.15
|
|
Screw cortex 2.0 x 10mm
|
$51,041.60 |
$51,041.60 |
$51,041.60 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$923.20 |
$923.20 |
$923.20 |
$608.90
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$4,781.60 |
$4,781.60 |
$4,781.60 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$8,036.00 |
$8,036.00 |
$8,036.00 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$244.80 |
$244.80 |
$244.80 |
$223.89
|
|
Select picture audiometry
|
$176.00 |
$176.00 |
$176.00 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$129.60 |
$129.60 |
$129.60 |
$96.60
|
|
Semen analysis presence/motility
|
$60.00 |
$60.00 |
$60.00 |
$70.40
|
|
Serial casting application 97139app
|
$207.20 |
$207.20 |
$207.20 |
$78.39
|
|
Set radiation therapy field
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
$782.61
|
|
Set radiation therapy field
|
$2,047.20 |
$2,047.20 |
$2,047.20 |
$1,159.03
|
|
Set radiation therapy field
|
$2,647.20 |
$2,647.20 |
$2,647.20 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$5.01 |
$5.01 |
$5.01 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$13.45 |
$13.45 |
$13.45 |
$21.42
|
|
Sever cranial nerve
|
$4,762.40 |
$4,762.40 |
$4,762.40 |
$3,141.46
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$197.60 |
$197.60 |
$197.60 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$224.80 |
$224.80 |
$224.80 |
$268.47
|
|
Sheath gldlight lasr 12fx50cm
|
$9,688.00 |
$9,688.00 |
$9,688.00 |
$6,570.70
|
|
Shoe heel sach cushion type
|
$41.60 |
$41.60 |
$41.60 |
$228.09
|
|
Shoe post-op mens m
|
$97.60 |
$97.60 |
$97.60 |
$53.20
|
|
Shot (Injection into Muscle or Under the Skin)
|
$113.60 |
$113.60 |
$113.60 |
$136.80
|
|
Shoulder AC Joint X-ray (both sides)
|
$461.60 |
$461.60 |
$461.60 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$287.25
|
|
Shoulder MRI (with and without contrast)
|
$4,187.20 |
$4,187.20 |
$4,187.20 |
$2,821.65
|
|
Shoulder MRI (with contrast)
|
$3,850.40 |
$3,850.40 |
$3,850.40 |
$2,483.00
|
|
Shoulder MRI (without contrast)
|
$3,271.20 |
$3,271.20 |
$3,271.20 |
$2,088.20
|
|
Shoulder X-ray
|
$461.60 |
$461.60 |
$461.60 |
$341.40
|
|
Shoulder X-ray (single view, both shoulders)
|
$386.40 |
$386.40 |
$386.40 |
$264.00
|
|
Shrinker prosth above knee
|
$151.20 |
$151.20 |
$151.20 |
$168.89
|
|
Shrinker prosth below knee
|
$144.80 |
$144.80 |
$144.80 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$4,538.82
|
|
Shuntogram nonvascular supervision & interpretation
|
$799.20 |
$799.20 |
$799.20 |
$355.80
|
|
Sialography s&i
|
$636.80 |
$636.80 |
$636.80 |
$499.20
|
|
Signal avg ecg w or without ecg 93278
|
$653.60 |
$653.60 |
$653.60 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$405.22 |
$405.22 |
$405.22 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,981.60 |
$2,981.60 |
$2,981.60 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,778.40 |
$2,778.40 |
$2,778.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$2,199.20 |
$2,199.20 |
$2,199.20 |
$1,289.00
|
|
Sinus/juglr venogram s&i
|
$4,001.60 |
$4,001.60 |
$4,001.60 |
$2,517.48
|
|
Sinus X-ray (complete)
|
$936.00 |
$936.00 |
$936.00 |
$347.10
|
|
Sinus X-ray (limited)
|
$323.20 |
$323.20 |
$323.20 |
$215.75
|
|
Sirolimus, oral
|
$33.04 |
$33.04 |
$33.04 |
$41.70
|
|
Skin Biopsy
|
$423.20 |
$423.20 |
$423.20 |
$361.20
|
|
Skin split graft addl 100sq cm 15101
|
$2,428.00 |
$2,428.00 |
$2,428.00 |
$1,793.40
|
|
Skull X-ray (1 to 3 views)
|
$434.40 |
$434.40 |
$434.40 |
$294.66
|
|
Skull X-ray (complete)
|
$780.00 |
$780.00 |
$780.00 |
$423.15
|
|
Skyla, 13.5 mg
|
$591.76 |
$591.76 |
$591.76 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$3,734.50
|
|
Sleep study unattended
|
$753.60 |
$753.60 |
$753.60 |
$594.00
|
|
Sleeve fing rolyan med
|
$231.20 |
$231.20 |
$231.20 |
$203.58
|
|
Sling pelv split sam med
|
$152.00 |
$152.00 |
$152.00 |
$150.00
|
|
Sling suprapubic suburetheral
|
$19,810.40 |
$19,810.40 |
$19,810.40 |
$9,679.96
|
|
Slitting of prepuce
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$3,376.23
|
|
Slp pure tone screening
|
$216.80 |
$216.80 |
$216.80 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$958.40 |
$958.40 |
$958.40 |
$557.70
|
|
Sock fracture or equal each
|
$59.20 |
$59.20 |
$59.20 |
$74.51
|
|
Sock wool above knee
|
$57.60 |
$57.60 |
$57.60 |
$51.18
|
|
Sodium chloride 0.9 % intravenous solution
|
$136.32 |
$136.32 |
$136.32 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$125.44 |
$125.44 |
$125.44 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$133.60 |
$133.60 |
$133.60 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$3.55 |
$3.55 |
$3.55 |
$39.60
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$335.84 |
$335.84 |
$335.84 |
$80.73
|