|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$4,210.00 |
$4,210.00 |
$4,210.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,413.50 |
$4,413.50 |
$4,413.50 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$4,089.00 |
$4,089.00 |
$4,089.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,406.50 |
$2,406.50 |
$2,406.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,918.50 |
$4,918.50 |
$4,918.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$5,194.50 |
$5,194.50 |
$5,194.50 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,248.50 |
$2,248.50 |
$2,248.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$7,771.00 |
$7,771.00 |
$7,771.00 |
$2,542.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,683.00 |
$3,683.00 |
$3,683.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$6,708.00 |
$6,708.00 |
$6,708.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$4,532.50 |
$4,532.50 |
$4,532.50 |
$3,687.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,176.15
|
|
Rtm 1st set-up&pt educaj eqp
|
$243.00 |
$243.00 |
$243.00 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$127.00 |
$127.00 |
$127.00 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$80.00 |
$80.00 |
$80.00 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$219.00 |
$219.00 |
$219.00 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$219.00 |
$219.00 |
$219.00 |
$74.00
|
|
Rubella antibody igg
|
$169.50 |
$169.50 |
$169.50 |
$77.03
|
|
Rubeola antibody igg
|
$227.50 |
$227.50 |
$227.50 |
$80.00
|
|
Russell viper venom diluted
|
$106.00 |
$106.00 |
$106.00 |
$72.54
|
|
Salmonella antibody
|
$340.00 |
$340.00 |
$340.00 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$54.00 |
$54.00 |
$54.00 |
$56.57
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$0.50 |
$0.50 |
$0.50 |
$222.30
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,223.50 |
$1,223.50 |
$1,223.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$500.00 |
$500.00 |
$500.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,966.50 |
$2,966.50 |
$2,966.50 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$782.00 |
$782.00 |
$782.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$547.00 |
$547.00 |
$547.00 |
$1,951.46
|
|
Screening Mammogram
|
$715.50 |
$715.50 |
$715.50 |
$312.55
|
|
Screen/visual acuity/bilat/quant 99173
|
$75.00 |
$75.00 |
$75.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$9,205.00 |
$9,205.00 |
$9,205.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$7,816.00 |
$7,816.00 |
$7,816.00 |
$4,377.50
|
|
Semen analysis presence/motility
|
$249.50 |
$249.50 |
$249.50 |
$71.05
|
|
Serpina1 gene
|
$197.00 |
$197.00 |
$197.00 |
$197.00
|
|
Set radiation therapy field
|
$1,442.50 |
$1,442.50 |
$1,442.50 |
$762.40
|
|
Set radiation therapy field
|
$1,944.50 |
$1,944.50 |
$1,944.50 |
$1,157.38
|
|
Set radiation therapy field
|
$4,825.50 |
$4,825.50 |
$4,825.50 |
$1,636.36
|
|
Sgmdsc w/band ligation
|
$625.50 |
$625.50 |
$625.50 |
$2,146.95
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$502.00 |
$502.00 |
$502.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$314.00 |
$314.00 |
$314.00 |
$314.00
|
|
Shoulder MRI (with and without contrast)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$2,065.05
|
|
Shoulder X-ray
|
$798.00 |
$798.00 |
$798.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$349.20
|
|
Sialography s&i
|
$916.50 |
$916.50 |
$916.50 |
$499.20
|
|
Sickling rbc
|
$71.50 |
$71.50 |
$71.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$617.50 |
$617.50 |
$617.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$881.50 |
$881.50 |
$881.50 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$793.50 |
$793.50 |
$793.50 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$817.50 |
$817.50 |
$817.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$621.00 |
$621.00 |
$621.00 |
$1,388.56
|
|
Sigmoidoscopy w/plcmt stent
|
$958.50 |
$958.50 |
$958.50 |
$3,692.00
|
|
Sigmoidoscopy w/resection
|
$770.00 |
$770.00 |
$770.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$757.50 |
$757.50 |
$757.50 |
$1,558.80
|
|
Sigmoidoscopy w/ultrasound
|
$785.50 |
$785.50 |
$785.50 |
$1,740.57
|
|
Sigmoidoscopy w/us guide bx
|
$837.00 |
$837.00 |
$837.00 |
$2,106.60
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$878.00 |
$878.00 |
$878.00 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$782.00 |
$782.00 |
$782.00 |
$1,901.90
|
|
Sinus CT scan (with and without contrast)
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,430.50 |
$1,430.50 |
$1,430.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,300.50 |
$1,300.50 |
$1,300.50 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$2,489.25
|
|
Skin Biopsy
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$360.34
|
|
Skin split graft addl 100sq cm 15101
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$1,793.40
|
|
Sleep study attended
|
$2,860.50 |
$2,860.50 |
$2,860.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$3,607.50
|
|
Sleep study unattended
|
$1,511.00 |
$1,511.00 |
$1,511.00 |
$580.87
|
|
Sleeve fing rolyan med
|
$380.50 |
$380.50 |
$380.50 |
$203.58
|
|
Slitting of prepuce
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$3,365.50
|
|
Small bowel endoscopy
|
$819.50 |
$819.50 |
$819.50 |
$2,463.36
|
|
Small bowel endoscopy
|
$794.50 |
$794.50 |
$794.50 |
$2,244.82
|
|
Small bowel endoscopy
|
$817.50 |
$817.50 |
$817.50 |
$2,638.57
|
|
Small bowel endoscopy
|
$692.50 |
$692.50 |
$692.50 |
$2,389.40
|
|
Small bowel endoscopy
|
$675.00 |
$675.00 |
$675.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$767.00 |
$767.00 |
$767.00 |
$2,842.50
|
|
Small bowel endoscopy
|
$640.00 |
$640.00 |
$640.00 |
$1,620.78
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$704.00 |
$704.00 |
$704.00 |
$2,389.40
|
|
Small bowel endoscopy 44365
|
$817.50 |
$817.50 |
$817.50 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$518.50 |
$518.50 |
$518.50 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$587.00 |
$587.00 |
$587.00 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$958.50 |
$958.50 |
$958.50 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$635.50 |
$635.50 |
$635.50 |
$4,925.70
|
|
Smear fluorescent and/or acid fast stain
|
$160.00 |
$160.00 |
$160.00 |
$64.20
|
|
Smear gram stain
|
$155.00 |
$155.00 |
$155.00 |
$55.25
|
|
Smear nasal eosinophil
|
$106.00 |
$106.00 |
$106.00 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$161.00 |
$161.00 |
$161.00 |
$73.15
|
|
Smear wet mount
|
$119.00 |
$119.00 |
$119.00 |
$67.49
|
|
Snrpn/ube3a gene
|
$335.00 |
$335.00 |
$335.00 |
$231.85
|
