|
Revasc intra lithotrip-ather
|
$12,931.17 |
$12,931.17 |
$12,931.17 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$13,026.30 |
$13,026.30 |
$13,026.30 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$7,602.00 |
$7,602.00 |
$7,602.00 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$13,176.87 |
$13,176.87 |
$13,176.87 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$19,667.97 |
$19,667.97 |
$19,667.97 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$6,286.98 |
$6,286.98 |
$6,286.98 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$11,112.57 |
$11,112.57 |
$11,112.57 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$19,750.50 |
$19,750.50 |
$19,750.50 |
$19,385.85
|
|
Revise abdomen-venous shunt
|
$1,229.97 |
$1,229.97 |
$1,229.97 |
$4,176.15
|
|
Revision of cervix
|
$1,761.90 |
$1,761.90 |
$1,761.90 |
$3,721.00
|
|
Revision tips
|
$5,884.20 |
$5,884.20 |
$5,884.20 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$8,717.31 |
$8,717.31 |
$8,717.31 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$1,212.54 |
$1,212.54 |
$1,212.54 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$5.04 |
$5.04 |
$5.04 |
$57.20
|
|
Rheumatoid factor quantitative
|
$62.16 |
$62.16 |
$62.16 |
$57.00
|
|
Rho d immune globulin inj
|
$152.46 |
$152.46 |
$152.46 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$1,904.70 |
$1,904.70 |
$1,904.70 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$1,904.70 |
$1,904.70 |
$1,904.70 |
$6,095.95
|
|
Right ventric recording
|
$2,573.55 |
$2,573.55 |
$2,573.55 |
$2,345.00
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,339.87 |
$1,339.87 |
$1,339.87 |
$2,429.37
|
|
R&l hrt cath chd abnl nt cnj
|
$1,904.70 |
$1,904.70 |
$1,904.70 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$1,904.70 |
$1,904.70 |
$1,904.70 |
$6,104.00
|
|
Rmvl fb upr arm/elbow deep
|
$1,557.36 |
$1,557.36 |
$1,557.36 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$458.64 |
$458.64 |
$458.64 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,488.27 |
$1,488.27 |
$1,488.27 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$15,820.98 |
$15,820.98 |
$15,820.98 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,820.98 |
$15,820.98 |
$15,820.98 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$16,612.47 |
$16,612.47 |
$16,612.47 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,488.27 |
$1,488.27 |
$1,488.27 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$250.11 |
$250.11 |
$250.11 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$3,227.70 |
$3,227.70 |
$3,227.70 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$274.05 |
$274.05 |
$274.05 |
$1,610.35
|
|
Rmvl phrnc nrv stim pg only
|
$1,916.04 |
$1,916.04 |
$1,916.04 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$1,916.04 |
$1,916.04 |
$1,916.04 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$1,916.04 |
$1,916.04 |
$1,916.04 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$10,302.60 |
$10,302.60 |
$10,302.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,810.57 |
$9,810.57 |
$9,810.57 |
$10,542.00
|
|
Rmvl pq iabp
|
$655.20 |
$655.20 |
$655.20 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$274.05 |
$274.05 |
$274.05 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$1,262.94 |
$1,262.94 |
$1,262.94 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$426.09 |
$426.09 |
$426.09 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,488.27 |
$1,488.27 |
$1,488.27 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,488.27 |
$1,488.27 |
$1,488.27 |
$4,031.69
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$7,670.88 |
$7,670.88 |
$7,670.88 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$17,486.49 |
$17,486.49 |
$17,486.49 |
$34,440.90
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$1,835.86 |
$1,835.86 |
$1,835.86 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$268.38 |
$268.38 |
$268.38 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$455.70 |
$455.70 |
$455.70 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$538.86 |
$538.86 |
$538.86 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,017.66 |
$1,017.66 |
$1,017.66 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$897.12 |
$897.12 |
$897.12 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$455.70 |
$455.70 |
$455.70 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,756.02 |
$1,756.02 |
$1,756.02 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$1,757.70 |
$1,757.70 |
$1,757.70 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$1,470.21 |
$1,470.21 |
$1,470.21 |
$3,687.00
|
|
Rsv assay w/optic
|
$33.39 |
$33.39 |
$33.39 |
$79.38
|
|
Rubella antibody igg
|
$47.25 |
$47.25 |
$47.25 |
$77.03
|
|
Rubeola antibody igg
|
$49.14 |
$49.14 |
$49.14 |
$80.00
|
|
Russell viper venom diluted
|
$36.12 |
$36.12 |
$36.12 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$111.51 |
$111.51 |
$111.51 |
$1,008.79
|
|
Salmonella antibody
|
$29.61 |
$29.61 |
$29.61 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$37.59 |
$37.59 |
$37.59 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$39.06 |
$39.06 |
$39.06 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$105.21 |
$105.21 |
$105.21 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$353.85 |
$353.85 |
$353.85 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$332.01 |
$332.01 |
$332.01 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$381.57 |
$381.57 |
$381.57 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$214.83 |
$214.83 |
$214.83 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$270.90 |
$270.90 |
$270.90 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$164.01 |
$164.01 |
$164.01 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$381.57 |
$381.57 |
$381.57 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$268.80 |
$268.80 |
$268.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$147.84 |
$147.84 |
$147.84 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$454.02 |
$454.02 |
$454.02 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$31.50 |
$31.50 |
$31.50 |
$85.15
|
|
Screening Colonoscopy (average risk)
|
$314.16 |
$314.16 |
$314.16 |
$1,792.00
|
|
Screening Mammogram
|
$106.68 |
$106.68 |
$106.68 |
$312.55
|
|
Screening prostate cancer PSA
|
$114.87 |
$114.87 |
$114.87 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$10.50 |
$10.50 |
$10.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$3,307.50 |
$3,307.50 |
$3,307.50 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,449.02 |
$2,449.02 |
$2,449.02 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$43.47 |
$43.47 |
$43.47 |
$42.00
|
|
Select picture audiometry
|
$22.26 |
$22.26 |
$22.26 |
$105.60
|
|
Semen analysis presence/motility
|
$85.05 |
$85.05 |
$85.05 |
$71.05
|
|
Serpina1 gene
|
$31.71 |
$31.71 |
$31.71 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$45.78 |
$45.78 |
$45.78 |
$126.43
|
|
Set radiation therapy field
|
$225.54 |
$225.54 |
$225.54 |
$762.40
|
|
Set radiation therapy field
|
$302.82 |
$302.82 |
$302.82 |
$1,157.38
|
|
Set radiation therapy field
|
$443.52 |
$443.52 |
$443.52 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$68.88 |
$68.88 |
$68.88 |
$284.00
|
|
Shoulder MRI (with and without contrast)
|
$986.16 |
$986.16 |
$986.16 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$901.32 |
$901.32 |
$901.32 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$786.24 |
$786.24 |
$786.24 |
$2,065.05
|
|
Shoulder X-ray
|
$96.18 |
$96.18 |
$96.18 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$271.74 |
$271.74 |
$271.74 |
$349.20
|
|
Sialolithotomy 42330
|
$85.47 |
$85.47 |
$85.47 |
$3,837.72
|
|
Sickling rbc
|
$47.25 |
$47.25 |
$47.25 |
$57.92
|
|
Signal avg ecg w or without ecg 93278
|
$200.13 |
$200.13 |
$200.13 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$120.93 |
$120.93 |
$120.93 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,000.65 |
$1,000.65 |
$1,000.65 |
$1,790.00
|