|
Removal/replacement ppm generator dual lead system
|
$8,138.94 |
$8,138.94 |
$8,138.94 |
$12,702.00
|
|
Removal tunnled intprtnl cath
|
$2,194.44 |
$2,194.44 |
$2,194.44 |
$4,200.00
|
|
Remove cva lumen obstruct
|
$316.43 |
$316.43 |
$316.43 |
$460.20
|
|
Remove renal tube w/fluoro
|
$899.84 |
$899.84 |
$899.84 |
$1,281.75
|
|
Remove ureter stent percut
|
$2,934.72 |
$2,934.72 |
$2,934.72 |
$3,524.00
|
|
Renal cyst study s&i
|
$314.30 |
$314.30 |
$314.30 |
$599.23
|
|
Renal function panel
|
$72.72 |
$72.72 |
$72.72 |
$95.76
|
|
Renal venogram bil s&i
|
$994.43 |
$994.43 |
$994.43 |
$3,386.25
|
|
Repair blood vessel dir lower extr
|
$1,294.11 |
$1,294.11 |
$1,294.11 |
$2,000.88
|
|
Repair pm/icd lead sgl
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,343.82
|
|
Replace duod/jej tube perc
|
$669.14 |
$669.14 |
$669.14 |
$1,354.54
|
|
Replace g/c tube perc
|
$854.54 |
$854.54 |
$854.54 |
$1,243.19
|
|
Replace g-j tube perc
|
$669.14 |
$669.14 |
$669.14 |
$1,479.75
|
|
Reposition pm/icd lead
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,089.00
|
|
Reposition vad w/image rt/lt sep session
|
$557.21 |
$557.21 |
$557.21 |
$2,085.00
|
|
Repos sq defib eltrd
|
$4,069.53 |
$4,069.53 |
$4,069.53 |
$4,495.26
|
|
Reptilase test
|
$40.82 |
$40.82 |
$40.82 |
$65.72
|
|
Respirator motion mgmt simul
|
$541.26 |
$541.26 |
$541.26 |
$1,262.00
|
|
Resuscitation cardiopulmonary
|
$839.57 |
$839.57 |
$839.57 |
$895.44
|
|
Reticulocyte automated
|
$81.84 |
$81.84 |
$81.84 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$54.54 |
$54.54 |
$54.54 |
$32.50
|
|
Revision tips
|
$7,209.36 |
$7,209.36 |
$7,209.36 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$11,942.40 |
$11,942.40 |
$11,942.40 |
$11,094.73
|
|
Rheumatoid factor quantitative
|
$44.87 |
$44.87 |
$44.87 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$104.46 |
$104.46 |
$104.46 |
$345.07
|
|
Rho d immune globulin inj
|
$111.15 |
$111.15 |
$111.15 |
$232.72
|
|
Right ventric recording
|
$1,029.87 |
$1,029.87 |
$1,029.87 |
$1,795.00
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$201.92 |
$201.92 |
$201.92 |
$201.92
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$181.74 |
$181.74 |
$181.74 |
$1,848.99
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$154.07 |
$154.07 |
$154.07 |
$31.05
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,429.53 |
$1,429.53 |
$1,429.53 |
$1,857.00
|
|
Rmvl icd by tv extr
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,589.40
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$10,568.81 |
$10,568.81 |
$10,568.81 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$14,799.87 |
$14,799.87 |
$14,799.87 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$10,568.81 |
$10,568.81 |
$10,568.81 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$584.42 |
$584.42 |
$584.42 |
$1,061.36
|
|
Rmvl perm pm pulse gen
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$6,820.50
|
|
Rmvl perq right heart vad
|
$7,304.91 |
$7,304.91 |
$7,304.91 |
$2,950.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,405.85 |
$8,405.85 |
$8,405.85 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,138.94 |
$8,138.94 |
$8,138.94 |
$11,241.96
|
|
Rmvl pq vad left hrt vein sep session
|
$7,304.91 |
$7,304.91 |
$7,304.91 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$4,069.53 |
$4,069.53 |
$4,069.53 |
$4,294.57
|
|
Rmvl subq card rhythm mntr
|
$1,395.29 |
$1,395.29 |
$1,395.29 |
$2,079.40
|
|
Rmvl tv pm lead dual
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$4,028.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$22.55 |
$22.55 |
$22.55 |
$25.95
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.59 |
$0.59 |
$0.59 |
$60.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,419.55 |
$2,419.55 |
$2,419.55 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$721.88 |
$721.88 |
$721.88 |
$1,283.66
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,496.40 |
$1,496.40 |
$1,496.40 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$3,193.34 |
$3,193.34 |
$3,193.34 |
$4,115.61
|
|
Rsv assay w/optic
|
$46.32 |
$46.32 |
$46.32 |
$64.13
|
|
Rubella antibody igg
|
$73.10 |
$73.10 |
$73.10 |
$73.05
|
|
Rubeola antibody igg
|
$74.43 |
$74.43 |
$74.43 |
$80.00
|
|
Russell viper venom diluted
|
$108.20 |
$108.20 |
$108.20 |
$73.03
|
|
Salmonella antibody
|
$37.55 |
$37.55 |
$37.55 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$523.35 |
$523.35 |
$523.35 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$269.93 |
$269.93 |
$269.93 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$384.66 |
$384.66 |
$384.66 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$352.11 |
$352.11 |
$352.11 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$352.11 |
$352.11 |
$352.11 |
$586.30
|
|
Scan duplex extremity veins unilateral/limited study
|
$523.35 |
$523.35 |
$523.35 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$389.69 |
$389.69 |
$389.69 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$369.27 |
$369.27 |
$369.27 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$366.44 |
$366.44 |
$366.44 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$1,244.67 |
$1,244.67 |
$1,244.67 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,093.16
|
|
Screening Colonoscopy (high risk)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,575.00
|
|
Screening Mammogram
|
$189.54 |
$189.54 |
$189.54 |
$287.12
|
|
Screen pap by tech w md supv
|
$27.65 |
$27.65 |
$27.65 |
$27.65
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,510.55 |
$2,510.55 |
$2,510.55 |
$4,570.15
|
|
Semen analysis presence/motility
|
$51.29 |
$51.29 |
$51.29 |
$79.92
|
|
Set radiation therapy field
|
$661.28 |
$661.28 |
$661.28 |
$709.00
|
|
Set radiation therapy field
|
$760.94 |
$760.94 |
$760.94 |
$1,029.00
|
|
Set radiation therapy field
|
$836.66 |
$836.66 |
$836.66 |
$1,601.60
|
|
Sgmdsc w/band ligation
|
$1,133.61 |
$1,133.61 |
$1,133.61 |
$1,523.20
|
|
Shoulder MRI (with and without contrast)
|
$1,138.83 |
$1,138.83 |
$1,138.83 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$990.14 |
$990.14 |
$990.14 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$861.18 |
$861.18 |
$861.18 |
$1,938.28
|
|
Shoulder X-ray
|
$94.07 |
$94.07 |
$94.07 |
$307.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$360.11 |
$360.11 |
$360.11 |
$342.54
|
|
Sickling rbc
|
$156.71 |
$156.71 |
$156.71 |
$53.40
|
|
Sigmoidoscopy and biopsy
|
$672.71 |
$672.71 |
$672.71 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$672.71 |
$672.71 |
$672.71 |
$1,009.14
|
|
Sigmoidoscopy for bleeding
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,594.50
|
|
Sigmoidoscopy/submucosal injection 45335
|
$672.71 |
$672.71 |
$672.71 |
$1,278.72
|
|
Sigmoidoscopy w/ablation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$672.71 |
$672.71 |
$672.71 |
$1,370.25
|
|
Sigmoidoscopy w/plcmt stent
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Sigmoidoscopy w/resection
|
$1,765.86 |
$1,765.86 |
$1,765.86 |
$3,035.44
|
|
Sigmoidoscopy w/tumr remove
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,350.83
|
|
Sigmoidoscopy w/ultrasound
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,233.60
|
|
Sigmoidoscopy w/us guide bx
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,388.56
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,183.20
|
|
Sig w/tndsc balloon dilation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,364.66
|
|
Sincalide 5 mcg solution for injection
|
$280.40 |
$280.40 |
$280.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$658.53 |
$658.53 |
$658.53 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$622.91 |
$622.91 |
$622.91 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$554.03 |
$554.03 |
$554.03 |
$1,151.00
|