|
Removal/replacement ppm generator dual lead system
|
$19,797.78 |
$19,797.78 |
$19,797.78 |
$12,384.25
|
|
Renal function panel
|
$1,815.13 |
$1,815.13 |
$1,815.13 |
$113.52
|
|
Renal venogram bil s&i
|
$5,198.82 |
$5,198.82 |
$5,198.82 |
$3,615.28
|
|
Repair pm/icd lead dual
|
$10,480.07 |
$10,480.07 |
$10,480.07 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$9,755.25 |
$9,755.25 |
$9,755.25 |
$4,306.60
|
|
Replace picvad cath
|
$10,019.21 |
$10,019.21 |
$10,019.21 |
$3,724.63
|
|
Reposition pm/icd lead
|
$9,303.14 |
$9,303.14 |
$9,303.14 |
$3,767.50
|
|
Reposition vad w/image rt/lt sep session
|
$7,051.37 |
$7,051.37 |
$7,051.37 |
$1,863.40
|
|
Reptilase test
|
$2,765.30 |
$2,765.30 |
$2,765.30 |
$72.80
|
|
#resp virpnl dfa-adenovirus
|
$629.19 |
$629.19 |
$629.19 |
$44.80
|
|
Resuscitation cardiopulmonary
|
$7,392.02 |
$7,392.02 |
$7,392.02 |
$745.80
|
|
Resuscitation delivery/birthing room
|
$2,163.84 |
$2,163.84 |
$2,163.84 |
$774.37
|
|
Reticulocyte automated
|
$95.73 |
$95.73 |
$95.73 |
$53.00
|
|
Revasc intravasc lithotripsy
|
$52,817.76 |
$52,817.76 |
$52,817.76 |
$11,278.00
|
|
Revasc lithotr-stent tib/per
|
$78,052.55 |
$78,052.55 |
$78,052.55 |
$20,329.50
|
|
Rheumatoid factor qualitative
|
$525.52 |
$525.52 |
$525.52 |
$57.20
|
|
Rheumatoid factor quantitative
|
$855.01 |
$855.01 |
$855.01 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$850.88 |
$850.88 |
$850.88 |
$247.55
|
|
Rho(d) immune globulin h, sd
|
$901.32 |
$901.32 |
$901.32 |
$3,856.80
|
|
Rho d immune globulin inj
|
$487.81 |
$487.81 |
$487.81 |
$224.10
|
|
Right ventric recording
|
$5,103.00 |
$5,103.00 |
$5,103.00 |
$1,980.36
|
|
Ring ostmy barr adapt 48mm
|
$77.00 |
$77.00 |
$77.00 |
$9.40
|
|
Rmvl icd by tv extr
|
$21,333.49 |
$21,333.49 |
$21,333.49 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$45,623.15 |
$45,623.15 |
$45,623.15 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$71,951.66 |
$71,951.66 |
$71,951.66 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$44,955.21 |
$44,955.21 |
$44,955.21 |
$25,899.70
|
|
Rmvl icd pulse gen only
|
$8,874.36 |
$8,874.36 |
$8,874.36 |
$3,982.50
|
|
Rmvl perm pm pulse gen
|
$10,194.22 |
$10,194.22 |
$10,194.22 |
$6,256.66
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$24,979.49 |
$24,979.49 |
$24,979.49 |
$15,400.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$19,720.49 |
$19,720.49 |
$19,720.49 |
$10,765.50
|
|
Rmvl pq vad left hrt vein sep session
|
$9,136.87 |
$9,136.87 |
$9,136.87 |
$2,224.00
|
|
Rmvl subq card rhythm mntr
|
$8,184.55 |
$8,184.55 |
$8,184.55 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$15,828.02 |
$15,828.02 |
$15,828.02 |
$3,988.50
|
|
Rmvl tv pm lead sgl
|
$31,730.43 |
$31,730.43 |
$31,730.43 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,616.38 |
$2,616.38 |
$2,616.38 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$7,744.30 |
$7,744.30 |
$7,744.30 |
$1,340.00
|
|
Rpl tun-cvad w subq port
|
$16,568.90 |
$16,568.90 |
$16,568.90 |
$4,444.80
|
|
Rsv assay w/optic
|
$23.70 |
$23.70 |
$23.70 |
$82.68
|
|
Rubella antibody igg
|
$423.24 |
$423.24 |
$423.24 |
$76.86
|
|
Russell viper venom diluted
|
$677.48 |
$677.48 |
$677.48 |
$68.64
|
|
Sargramostim injection
|
$120.12 |
$120.12 |
$120.12 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$32.88 |
$32.88 |
$32.88 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,436.27 |
$2,436.27 |
$2,436.27 |
$966.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,055.81 |
$2,055.81 |
$2,055.81 |
$653.40
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,436.27 |
$2,436.27 |
$2,436.27 |
$985.20
|
|
Scope uretscp lithovue dig disp
|
$42,225.00 |
$42,225.00 |
$42,225.00 |
$4,285.86
|
|
Screening Colonoscopy (average risk)
|
$4,631.82 |
$4,631.82 |
$4,631.82 |
$1,792.00
|
|
Screening Mammogram
|
$1,121.35 |
$1,121.35 |
$1,121.35 |
$310.20
|
|
Screening prostate cancer PSA
|
$1,296.72 |
$1,296.72 |
$1,296.72 |
$98.28
|
|
Sedimentation rate erythrocyte automated
|
$502.78 |
$502.78 |
$502.78 |
$44.20
|
|
Set radiation therapy field
|
$927.29 |
$927.29 |
$927.29 |
$731.50
|
|
Set radiation therapy field
|
$1,008.18 |
$1,008.18 |
$1,008.18 |
$1,101.92
|
|
Set radiation therapy field
|
$1,636.46 |
$1,636.46 |
$1,636.46 |
$1,590.00
|
|
Sewho cap design without jnts cf
|
$4,315.00 |
$4,315.00 |
$4,315.00 |
$1,685.60
|
|
Sex chromatin identification
|
$585.17 |
$585.17 |
$585.17 |
$45.60
|
|
Sheath below knee
|
$215.00 |
$215.00 |
$215.00 |
$43.91
|
|
Shoe lift elev heel/sole neo
|
$576.00 |
$576.00 |
$576.00 |
$175.04
|
|
Shoe metatarsal bar wedge ro
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$69.03
|
|
Shoe post-op mens m
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$49.25
|
|
Sho lift taper to metatarsal
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$111.14
|
|
Sildenafil citrate, 25 mg
|
$550.34 |
$550.34 |
$550.34 |
$182.99
|
|
Sincalide 5 mcg solution for injection
|
$1,366.89 |
$1,366.89 |
$1,366.89 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$8,506.26 |
$8,506.26 |
$8,506.26 |
$1,800.90
|
|
Sinus CT scan (with contrast)
|
$6,324.97 |
$6,324.97 |
$6,324.97 |
$1,562.50
|
|
Sinus CT scan (without contrast)
|
$5,673.52 |
$5,673.52 |
$5,673.52 |
$1,281.80
|
|
Sinus/juglr venogram s&i
|
$15,764.84 |
$15,764.84 |
$15,764.84 |
$2,517.48
|
|
Sirolimus, oral
|
$44.97 |
$44.97 |
$44.97 |
$41.25
|
|
Sleep Study (Polysomnography)
|
$6,626.49 |
$6,626.49 |
$6,626.49 |
$3,659.20
|
|
Sleep study unattended
|
$867.06 |
$867.06 |
$867.06 |
$576.54
|
|
Sling arm deluxe w/pad xs
|
$550.00 |
$550.00 |
$550.00 |
$29.93
|
|
Smear nasal eosinophil
|
$309.63 |
$309.63 |
$309.63 |
$45.57
|
|
Smear special stain inclusion bodies/parasites
|
$610.20 |
$610.20 |
$610.20 |
$68.85
|
|
Socket insert without lock mech
|
$14,303.00 |
$14,303.00 |
$14,303.00 |
$1,286.05
|
|
Socket insert w lock mech
|
$2,882.00 |
$2,882.00 |
$2,882.00 |
$1,544.50
|
|
Sock fracture or equal each
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$76.65
|
|
Sock wool above knee
|
$590.00 |
$590.00 |
$590.00 |
$57.60
|
|
Sodium 24 hour urine
|
$792.53 |
$792.53 |
$792.53 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$112.54 |
$112.54 |
$112.54 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$112.54 |
$112.54 |
$112.54 |
$44.34
|
|
Sodium chloride 3 % ivpb
|
$45.30 |
$45.30 |
$45.30 |
$42.25
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$959.30 |
$959.30 |
$959.30 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$515.56 |
$515.56 |
$515.56 |
$45.00
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$69.34 |
$69.34 |
$69.34 |
$177.52
|
|
Soft interface below knee se
|
$780.00 |
$780.00 |
$780.00 |
$181.69
|
|
So vest canvas/web pre ots
|
$4,617.00 |
$4,617.00 |
$4,617.00 |
$289.44
|
|
Special physics consult
|
$670.68 |
$670.68 |
$670.68 |
$702.24
|
|
Special radiation dosimetry
|
$360.42 |
$360.42 |
$360.42 |
$392.50
|
|
Special radiation treatment
|
$1,890.73 |
$1,890.73 |
$1,890.73 |
$1,932.96
|
|
Special teletx port plan
|
$1,008.18 |
$1,008.18 |
$1,008.18 |
$1,050.06
|
|
Specific gravity body fluid
|
$420.40 |
$420.40 |
$420.40 |
$21.55
|
|
Sperm antibody test
|
$721.50 |
$721.50 |
$721.50 |
$57.85
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$4,030.46 |
$4,030.46 |
$4,030.46 |
$536.34
|
|
Srs linear based
|
$23,137.57 |
$23,137.57 |
$23,137.57 |
$14,124.25
|
|
Srs multisource
|
$21,496.75 |
$21,496.75 |
$21,496.75 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$1,567.74 |
$1,567.74 |
$1,567.74 |
$295.10
|
|
Staph a dna amp probe
|
$409.88 |
$409.88 |
$409.88 |
$129.00
|
|
St cognitve performance testing healthcare professional each hour
|
$1,185.94 |
$1,185.94 |
$1,185.94 |
$284.65
|
|
St evaluate speech sound production
|
$1,167.76 |
$1,167.76 |
$1,167.76 |
$288.75
|
|
St evaluate speech sound production comprehensive/expressive
|
$1,567.74 |
$1,567.74 |
$1,567.74 |
$376.84
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$360.82 |
$360.82 |
$360.82 |
$373.50
|
