|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$12,081.60 |
$12,081.60 |
$12,081.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,081.60 |
$12,081.60 |
$12,081.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,435.50 |
$1,435.50 |
$1,435.50 |
$3,977.32
|
|
Rmvl left heart vent thor inscn ecmo
|
$296.40 |
$296.40 |
$296.40 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$242.10 |
$242.10 |
$242.10 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$1,339.05 |
$1,339.05 |
$1,339.05 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$414.00 |
$414.00 |
$414.00 |
$1,610.35
|
|
Rmvl phrnc nrv stim pg only
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$4,025.10 |
$4,025.10 |
$4,025.10 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,737.25 |
$3,737.25 |
$3,737.25 |
$10,542.00
|
|
Rmvl pq iabp
|
$784.95 |
$784.95 |
$784.95 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$784.95 |
$784.95 |
$784.95 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$513.90 |
$513.90 |
$513.90 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$4,031.69
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$5,332.95 |
$5,332.95 |
$5,332.95 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$13,975.20 |
$13,975.20 |
$13,975.20 |
$34,440.90
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$199.06 |
$199.06 |
$199.06 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$778.20 |
$778.20 |
$778.20 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$474.90 |
$474.90 |
$474.90 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$513.30 |
$513.30 |
$513.30 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$582.30 |
$582.30 |
$582.30 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$496.20 |
$496.20 |
$496.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,358.25 |
$1,358.25 |
$1,358.25 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$910.35 |
$910.35 |
$910.35 |
$3,687.00
|
|
Rsv assay w/optic
|
$20.55 |
$20.55 |
$20.55 |
$79.38
|
|
Rubella antibody igg
|
$25.20 |
$25.20 |
$25.20 |
$77.03
|
|
Rubeola antibody igg
|
$22.50 |
$22.50 |
$22.50 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$422.85 |
$422.85 |
$422.85 |
$454.72
|
|
Russell viper venom diluted
|
$16.65 |
$16.65 |
$16.65 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$810.00 |
$810.00 |
$810.00 |
$1,008.79
|
|
Salmonella antibody
|
$23.10 |
$23.10 |
$23.10 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$10.20 |
$10.20 |
$10.20 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$344.25 |
$344.25 |
$344.25 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$229.50 |
$229.50 |
$229.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$344.25 |
$344.25 |
$344.25 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$229.50 |
$229.50 |
$229.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$229.50 |
$229.50 |
$229.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$229.50 |
$229.50 |
$229.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$344.25 |
$344.25 |
$344.25 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$229.50 |
$229.50 |
$229.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$229.50 |
$229.50 |
$229.50 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$647.70 |
$647.70 |
$647.70 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,437.00 |
$5,437.00 |
$5,437.00 |
$4,490.64
|
|
Screening HIV antigen/antibody combination assay
|
$42.30 |
$42.30 |
$42.30 |
$42.30
|
|
Screening Mammogram
|
$74.10 |
$74.10 |
$74.10 |
$312.55
|
|
Screening prostate cancer PSA
|
$32.25 |
$32.25 |
$32.25 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$9.15 |
$9.15 |
$9.15 |
$28.86
|
|
Sc ther infusion reset pump
|
$37.80 |
$37.80 |
$37.80 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$121.65 |
$121.65 |
$121.65 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$4.80 |
$4.80 |
$4.80 |
$42.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$12.30 |
$12.30 |
$12.30 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$9.00 |
$9.00 |
$9.00 |
$33.04
|
|
Semen analysis presence/motility
|
$21.15 |
$21.15 |
$21.15 |
$71.05
|
|
Semen analysis w/count
|
$9.15 |
$9.15 |
$9.15 |
$56.44
|
|
Serpina1 gene
|
$134.10 |
$134.10 |
$134.10 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.90 |
$24.90 |
$24.90 |
$126.43
|
|
Set radiation therapy field
|
$265.20 |
$265.20 |
$265.20 |
$762.40
|
|
Set radiation therapy field
|
$415.65 |
$415.65 |
$415.65 |
$1,157.38
|
|
Set radiation therapy field
|
$480.60 |
$480.60 |
$480.60 |
$1,636.36
|
|
Sewho cap design without jnts cf
|
$730.95 |
$730.95 |
$730.95 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$248.10 |
$248.10 |
$248.10 |
$248.10
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$39.15 |
$39.15 |
$39.15 |
$223.00
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$83.55 |
$83.55 |
$83.55 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$91.95 |
$91.95 |
$91.95 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$101.10 |
$101.10 |
$101.10 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,065.05
|
|
Shoulder X-ray
|
$76.35 |
$76.35 |
$76.35 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$69.30 |
$69.30 |
$69.30 |
$349.20
|
|
Sickling rbc
|
$9.60 |
$9.60 |
$9.60 |
$57.92
|
|
Sigmoidoscopy w/resection
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$2,564.40
|
|
Signal avg ecg w or without ecg 93278
|
$58.50 |
$58.50 |
$58.50 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$197.06 |
$197.06 |
$197.06 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,292.04
|
|
Skeletal muscle relaxant 1/2
|
$13.35 |
$13.35 |
$13.35 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$13.35 |
$13.35 |
$13.35 |
$16.12
|
|
Skin Biopsy
|
$39.15 |
$39.15 |
$39.15 |
$360.34
|
|
Sleep study attended
|
$520.05 |
$520.05 |
$520.05 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$548.85 |
$548.85 |
$548.85 |
$3,607.50
|
|
Sleep study unattended
|
$260.70 |
$260.70 |
$260.70 |
$580.87
|
|
Sleeve fing rolyan med
|
$45.00 |
$45.00 |
$45.00 |
$203.58
|
|
Slp eval non-spch gen comm dev
|
$90.45 |
$90.45 |
$90.45 |
$285.09
|
|
Slp pure tone screening
|
$5.55 |
$5.55 |
$5.55 |
$60.48
|
|
Slp stdy unatnd w/anal
|
$161.70 |
$161.70 |
$161.70 |
$296.34
|
|
Slp ther svc non-spch gen
|
$79.20 |
$79.20 |
$79.20 |
$188.50
|
|
Sm-153 lexidron ther
|
$2,660.10 |
$2,660.10 |
$2,660.10 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$9.15 |
$9.15 |
$9.15 |
$64.20
|
|
Smear gram stain
|
$7.35 |
$7.35 |
$7.35 |
$55.25
|
|
Smear nasal eosinophil
|
$7.95 |
$7.95 |
$7.95 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$10.35 |
$10.35 |
$10.35 |
$73.15
|
|
Smear wet mount
|
$7.20 |
$7.20 |
$7.20 |
$67.49
|
|
Smn1 gene full gene sequence
|
$236.70 |
$236.70 |
$236.70 |
$495.69
|
|
Snrpn/ube3a gene
|
$74.25 |
$74.25 |
$74.25 |
$231.85
|
