|
Removal foreign body mouth
|
$272.00 |
$272.00 |
$272.00 |
$1,424.80
|
|
Removal of foreign body
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$3,994.09
|
|
Removal of hip foreign body 27087
|
$1,703.40 |
$1,703.40 |
$1,703.40 |
$4,313.40
|
|
Removal of scrotum lesion
|
$1,076.80 |
$1,076.80 |
$1,076.80 |
$2,507.31
|
|
Removal/replacement ppm generator dual lead system
|
$9,434.60 |
$9,434.60 |
$9,434.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$49.00 |
$49.00 |
$49.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$56.40 |
$56.40 |
$56.40 |
$82.05
|
|
Removal sutr or stapl no anes
|
$52.20 |
$52.20 |
$52.20 |
$95.00
|
|
Remove hip foreign body 27086
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$2,094.26
|
|
Remove shoulder fb deep
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$374.20 |
$374.20 |
$374.20 |
$1,788.80
|
|
Remove vaginal foreign body 57415
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$3,762.53
|
|
Renal function panel
|
$101.00 |
$101.00 |
$101.00 |
$113.52
|
|
Repair blood vessel direct hand finger
|
$980.00 |
$980.00 |
$980.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$368.20 |
$368.20 |
$368.20 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$121.20 |
$121.20 |
$121.20 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$57.00 |
$57.00 |
$57.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$931.00 |
$931.00 |
$931.00 |
$2,224.00
|
|
Repair eyelid wound
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$2,760.73
|
|
Repair lip full thkns =<one-half vert height
|
$135.80 |
$135.80 |
$135.80 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$334.00 |
$334.00 |
$334.00 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$182.20 |
$182.20 |
$182.20 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$277.20 |
$277.20 |
$277.20 |
$1,224.63
|
|
Repair throat wound
|
$548.00 |
$548.00 |
$548.00 |
$1,915.20
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$52.80 |
$52.80 |
$52.80 |
$478.00
|
|
Replace duod/jej tube perc
|
$225.00 |
$225.00 |
$225.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$168.20 |
$168.20 |
$168.20 |
$1,341.50
|
|
Reposition pm/icd lead
|
$1,362.80 |
$1,362.80 |
$1,362.80 |
$3,790.00
|
|
Reptilase test
|
$60.60 |
$60.60 |
$60.60 |
$72.00
|
|
Respirator motion mgmt simul
|
$95.00 |
$95.00 |
$95.00 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$29.40 |
$29.40 |
$29.40 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$23.60 |
$23.60 |
$23.60 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$291.80 |
$291.80 |
$291.80 |
$764.40
|
|
Reticulocyte automated
|
$29.40 |
$29.40 |
$29.40 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$6.20 |
$6.20 |
$6.20 |
$36.57
|
|
Revision of cervix
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$3,721.00
|
|
Revsc opn/prq tib/pero stent
|
$7,982.80 |
$7,982.80 |
$7,982.80 |
$8,869.59
|
|
Rheumatoid factor qualitative
|
$23.80 |
$23.80 |
$23.80 |
$57.20
|
|
Rheumatoid factor quantitative
|
$31.20 |
$31.20 |
$31.20 |
$57.00
|
|
Rho d immune globulin inj
|
$77.00 |
$77.00 |
$77.00 |
$217.71
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,276.06 |
$1,276.06 |
$1,276.06 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$397.60 |
$397.60 |
$397.60 |
$1,822.05
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$15,212.80 |
$15,212.80 |
$15,212.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,212.80 |
$15,212.80 |
$15,212.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,212.80 |
$15,212.80 |
$15,212.80 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,362.80 |
$1,362.80 |
$1,362.80 |
$3,977.32
|
|
Rmvl perm pm pulse gen
|
$2,767.00 |
$2,767.00 |
$2,767.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,434.60 |
$9,434.60 |
$9,434.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,984.00 |
$8,984.00 |
$8,984.00 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$390.20 |
$390.20 |
$390.20 |
$1,734.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$1,748.44 |
$1,748.44 |
$1,748.44 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$255.60 |
$255.60 |
$255.60 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$417.40 |
$417.40 |
$417.40 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$583.20 |
$583.20 |
$583.20 |
$3,687.00
|
|
Rsv assay w/optic
|
$71.20 |
$71.20 |
$71.20 |
$79.38
|
|
Rubella antibody igg
|
$70.60 |
$70.60 |
$70.60 |
$77.03
|
|
Rubeola antibody igg
|
$58.80 |
$58.80 |
$58.80 |
$80.00
|
|
Russell viper venom diluted
|
$31.20 |
$31.20 |
$31.20 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$106.20 |
$106.20 |
$106.20 |
$1,008.79
|
|
Salmonella antibody
|
$12.40 |
$12.40 |
$12.40 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$35.80 |
$35.80 |
$35.80 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$311.60 |
$311.60 |
$311.60 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$304.00 |
$304.00 |
$304.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$349.40 |
$349.40 |
$349.40 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$196.80 |
$196.80 |
$196.80 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$248.00 |
$248.00 |
$248.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$119.40 |
$119.40 |
$119.40 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$437.20 |
$437.20 |
$437.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$261.60 |
$261.60 |
$261.60 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$228.00 |
$228.00 |
$228.00 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$28.80 |
$28.80 |
$28.80 |
$85.15
|
|
Screening Mammogram
|
$109.20 |
$109.20 |
$109.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$74.60 |
$74.60 |
$74.60 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$893.00 |
$893.00 |
$893.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$7.40 |
$7.40 |
$7.40 |
$42.00
|
|
Semen analysis presence/motility
|
$25.20 |
$25.20 |
$25.20 |
$71.05
|
|
Sertraline (zoloft) - sendout
|
$42.00 |
$42.00 |
$42.00 |
$126.43
|
|
Set radiation therapy field
|
$252.80 |
$252.80 |
$252.80 |
$762.40
|
|
Set radiation therapy field
|
$277.40 |
$277.40 |
$277.40 |
$1,157.38
|
|
Set radiation therapy field
|
$406.20 |
$406.20 |
$406.20 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$948.00 |
$948.00 |
$948.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$802.40 |
$802.40 |
$802.40 |
$2,065.05
|
|
Shoulder X-ray
|
$94.00 |
$94.00 |
$94.00 |
$339.50
|
|
Sickling rbc
|
$43.20 |
$43.20 |
$43.20 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$115.18 |
$115.18 |
$115.18 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$740.60 |
$740.60 |
$740.60 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$771.00 |
$771.00 |
$771.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$765.00 |
$765.00 |
$765.00 |
$1,292.04
|
|
Sirolimus, oral
|
$243.45 |
$243.45 |
$243.45 |
$41.25
|
|
Skel musc relaxant 3 or more
|
$74.20 |
$74.20 |
$74.20 |
$16.12
|
|
Sleep study attended
|
$418.20 |
$418.20 |
$418.20 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$3,607.50
|
|
Sleep study unattended
|
$98.20 |
$98.20 |
$98.20 |
$580.87
|
|
Slitting of prepuce
|
$498.20 |
$498.20 |
$498.20 |
$3,365.50
|
|
Smear fluorescent and/or acid fast stain
|
$23.80 |
$23.80 |
$23.80 |
$64.20
|
|
Smear gram stain
|
$31.80 |
$31.80 |
$31.80 |
$55.25
|
|
Smear nasal eosinophil
|
$20.40 |
$20.40 |
$20.40 |
$46.20
|
