|
#resp virpnl dfa-parainfluenza
|
$10.12 |
$10.12 |
$10.12 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$504.16 |
$504.16 |
$504.16 |
$764.40
|
|
Reticulated platelet assay
|
$46.23 |
$46.23 |
$46.23 |
$75.00
|
|
Reticulocyte automated
|
$6.67 |
$6.67 |
$6.67 |
$52.57
|
|
Revasc lithotr-ather tib/per
|
$7,482.13 |
$7,482.13 |
$7,482.13 |
$19,875.58
|
|
Revasc lithotrip tibi/perone
|
$4,677.51 |
$4,677.51 |
$4,677.51 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$7,482.13 |
$7,482.13 |
$7,482.13 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$7,482.13 |
$7,482.13 |
$7,482.13 |
$19,385.85
|
|
Revise vag graft via vagina
|
$1,221.99 |
$1,221.99 |
$1,221.99 |
$3,762.53
|
|
Rheumatoid factor quantitative
|
$9.66 |
$9.66 |
$9.66 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$258.21 |
$258.21 |
$258.21 |
$243.11
|
|
Rho d immune globulin inj
|
$123.28 |
$123.28 |
$123.28 |
$217.71
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$207.92 |
$207.92 |
$207.92 |
$1,822.05
|
|
Rmvl left heart vent thor inscn ecmo
|
$290.72 |
$290.72 |
$290.72 |
$1,086.60
|
|
Rmvl phrnc nrv stim pg only
|
$1,525.59 |
$1,525.59 |
$1,525.59 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$1,525.59 |
$1,525.59 |
$1,525.59 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$1,525.59 |
$1,525.59 |
$1,525.59 |
$5,339.00
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$5,233.65 |
$5,233.65 |
$5,233.65 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$13,714.21 |
$13,714.21 |
$13,714.21 |
$34,440.90
|
|
Rsv assay w/optic
|
$20.01 |
$20.01 |
$20.01 |
$79.38
|
|
Rubella antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$77.03
|
|
Rubeola antibody igg
|
$22.08 |
$22.08 |
$22.08 |
$80.00
|
|
Russell viper venom diluted
|
$16.33 |
$16.33 |
$16.33 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$795.11 |
$795.11 |
$795.11 |
$1,008.79
|
|
Sarscov coronavirus ag ia
|
$10.12 |
$10.12 |
$10.12 |
$59.25
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$69.69 |
$69.69 |
$69.69 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$33.58 |
$33.58 |
$33.58 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$44.39 |
$44.39 |
$44.39 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$21.39 |
$21.39 |
$21.39 |
$67.84
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$337.87 |
$337.87 |
$337.87 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$225.17 |
$225.17 |
$225.17 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$337.87 |
$337.87 |
$337.87 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$225.17 |
$225.17 |
$225.17 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$225.17 |
$225.17 |
$225.17 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$225.17 |
$225.17 |
$225.17 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$337.87 |
$337.87 |
$337.87 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$225.17 |
$225.17 |
$225.17 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$225.17 |
$225.17 |
$225.17 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$8,336.73 |
$8,336.73 |
$8,336.73 |
$4,490.64
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$24.61 |
$24.61 |
$24.61 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$41.63 |
$41.63 |
$41.63 |
$42.30
|
|
Screening Mammogram
|
$72.68 |
$72.68 |
$72.68 |
$312.55
|
|
Screening prostate cancer PSA
|
$31.74 |
$31.74 |
$31.74 |
$100.63
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$119.37 |
$119.37 |
$119.37 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$4.83 |
$4.83 |
$4.83 |
$42.00
|
|
Semen analysis w/count
|
$8.97 |
$8.97 |
$8.97 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$52.21 |
$52.21 |
$52.21 |
$316.68
|
|
Serpina1 gene
|
$131.33 |
$131.33 |
$131.33 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.38 |
$24.38 |
$24.38 |
$126.43
|
|
Sf3b1 gene common variants
|
$243.34 |
$243.34 |
$243.34 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$38.64 |
$38.64 |
$38.64 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$42.32 |
$42.32 |
$42.32 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$46.69 |
$46.69 |
$46.69 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$51.29 |
$51.29 |
$51.29 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$81.88 |
$81.88 |
$81.88 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$38.64 |
$38.64 |
$38.64 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$42.32 |
$42.32 |
$42.32 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$90.39 |
$90.39 |
$90.39 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$81.88 |
$81.88 |
$81.88 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$90.39 |
$90.39 |
$90.39 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$99.36 |
$99.36 |
$99.36 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$624.68 |
$624.68 |
$624.68 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$593.63 |
$593.63 |
$593.63 |
$2,065.05
|
|
Shoulder X-ray
|
$75.21 |
$75.21 |
$75.21 |
$339.50
|
|
Sialidase enzyme assay
|
$20.93 |
$20.93 |
$20.93 |
$54.60
|
|
Sickling rbc
|
$9.43 |
$9.43 |
$9.43 |
$57.92
|
|
Sigmoidoscopy w/resection
|
$1,138.04 |
$1,138.04 |
$1,138.04 |
$2,564.40
|
|
Simple cystometrogram 51725
|
$115.92 |
$115.92 |
$115.92 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$549.24 |
$549.24 |
$549.24 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$521.87 |
$521.87 |
$521.87 |
$1,292.04
|
|
Skeletal muscle relaxant 1/2
|
$13.34 |
$13.34 |
$13.34 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$13.34 |
$13.34 |
$13.34 |
$16.12
|
|
Sleep Study (Polysomnography)
|
$538.66 |
$538.66 |
$538.66 |
$3,607.50
|
|
Sleep study unattended
|
$255.76 |
$255.76 |
$255.76 |
$580.87
|
|
Sleeve fing rolyan med
|
$44.16 |
$44.16 |
$44.16 |
$203.58
|
|
Smear fluorescent and/or acid fast stain
|
$8.97 |
$8.97 |
$8.97 |
$64.20
|
|
Smear gram stain
|
$7.36 |
$7.36 |
$7.36 |
$55.25
|
|
Smear nasal eosinophil
|
$8.05 |
$8.05 |
$8.05 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$10.12 |
$10.12 |
$10.12 |
$73.15
|
|
Smear wet mount
|
$6.90 |
$6.90 |
$6.90 |
$67.49
|
|
Smn1 gene full gene sequence
|
$232.30 |
$232.30 |
$232.30 |
$495.69
|
|
Snrpn/ube3a gene
|
$72.68 |
$72.68 |
$72.68 |
$231.85
|
|
So cap design without jnts cf
|
$186.76 |
$186.76 |
$186.76 |
$606.35
|
|
Sodium 24 hour urine
|
$8.51 |
$8.51 |
$8.51 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$11.13 |
$11.13 |
$11.13 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$11.13 |
$11.13 |
$11.13 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$11.13 |
$11.13 |
$11.13 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$8.51 |
$8.51 |
$8.51 |
$45.60
|
|
Specific gravity body fluid
|
$4.37 |
$4.37 |
$4.37 |
$22.00
|
|
Specimen fat stain
|
$7.36 |
$7.36 |
$7.36 |
$35.10
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$304.29 |
$304.29 |
$304.29 |
$1,439.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$120.06 |
$120.06 |
$120.06 |
$392.09
|
|
Splint extn xsm w sof-stretch rolyan
|
$11.04 |
$11.04 |
$11.04 |
$68.25
|
|
Splint finger fold over sm
|
$151.34 |
$151.34 |
$151.34 |
$146.88
|
|
Splint finger frog med
|
$6.90 |
$6.90 |
$6.90 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$18.17 |
$18.17 |
$18.17 |
$99.04
|
|
Split blood or products
|
$37.72 |
$37.72 |
$37.72 |
$127.48
|
|
Sputum specimen collection
|
$46.69 |
$46.69 |
$46.69 |
$180.00
|