|
Rmv implant contraceptive capsule 11976
|
$863.10 |
$863.10 |
$863.10 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,440.18 |
$1,440.18 |
$1,440.18 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$1,917.33
|
|
Rmvl ndwellg tun pleural cath
|
$769.44 |
$769.44 |
$769.44 |
$1,217.97
|
|
Rmvl sq defib electrode
|
$3,890.46 |
$3,890.46 |
$3,890.46 |
$4,306.60
|
|
Rmvl tiss expndr without implant insrtn
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$502.32 |
$502.32 |
$502.32 |
$504.90
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$56.70 |
$56.70 |
$56.70 |
$178.80
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,979.04 |
$1,979.04 |
$1,979.04 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,979.04 |
$1,979.04 |
$1,979.04 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$3,961.86 |
$3,961.86 |
$3,961.86 |
$4,201.80
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$8,797.32 |
$8,797.32 |
$8,797.32 |
$5,959.65
|
|
Rsv assay w/optic
|
$79.38 |
$79.38 |
$79.38 |
$73.80
|
|
Rtm 1st set-up&pt educaj eqp
|
$177.66 |
$177.66 |
$177.66 |
$183.07
|
|
Rubella antibody igg
|
$110.04 |
$110.04 |
$110.04 |
$73.10
|
|
Sarscov coronavirus ag ia
|
$5.88 |
$5.88 |
$5.88 |
$60.40
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$21.00 |
$21.00 |
$21.00 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$14.70 |
$14.70 |
$14.70 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$18.90 |
$18.90 |
$18.90 |
$174.60
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$10.50 |
$10.50 |
$10.50 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$713.16 |
$713.16 |
$713.16 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$337.68 |
$337.68 |
$337.68 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$713.16 |
$713.16 |
$713.16 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$337.68 |
$337.68 |
$337.68 |
$509.35
|
|
Scan duplex extremity veins unilateral/limited study
|
$270.06 |
$270.06 |
$270.06 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$570.36 |
$570.36 |
$570.36 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$270.06 |
$270.06 |
$270.06 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$270.06 |
$270.06 |
$270.06 |
$601.70
|
|
Scope uretscp lithovue dig disp
|
$7,163.35 |
$7,163.35 |
$7,163.35 |
$4,079.62
|
|
Screening Mammogram
|
$166.32 |
$166.32 |
$166.32 |
$303.55
|
|
Screen/visual acuity/bilat/quant 99173
|
$4.20 |
$4.20 |
$4.20 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$64,280.97 |
$64,280.97 |
$64,280.97 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$103.32 |
$103.32 |
$103.32 |
$126.75
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$120.96 |
$120.96 |
$120.96 |
$3,226.60
|
|
Sedimentation rate erythrocyte automated
|
$16.38 |
$16.38 |
$16.38 |
$44.20
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$92.82 |
$92.82 |
$92.82 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$94.50 |
$94.50 |
$94.50 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$75.60 |
$75.60 |
$75.60 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$105.00 |
$105.00 |
$105.00 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$240.24 |
$240.24 |
$240.24 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$99.12 |
$99.12 |
$99.12 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$240.24 |
$240.24 |
$240.24 |
$275.88
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$496.02 |
$496.02 |
$496.02 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$94.92 |
$94.92 |
$94.92 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$113.82 |
$113.82 |
$113.82 |
$302.55
|
|
Sheath gldlight lasr 12fx50cm
|
$12,405.39 |
$12,405.39 |
$12,405.39 |
$6,863.91
|
|
Sheath laser cavaclear 14f
|
$6,384.50 |
$6,384.50 |
$6,384.50 |
$6,331.24
|
|
Shoe post-op mens m
|
$34.13 |
$34.13 |
$34.13 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$1,661.94 |
$1,661.94 |
$1,661.94 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,619.94 |
$1,619.94 |
$1,619.94 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,012.62 |
$1,012.62 |
$1,012.62 |
$2,051.28
|
|
Shoulder X-ray
|
$147.00 |
$147.00 |
$147.00 |
$367.02
|
|
Shunt glaucoma baerveldt 350mm
|
$5,110.14 |
$5,110.14 |
$5,110.14 |
$4,709.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$189.84 |
$189.84 |
$189.84 |
$345.00
|
|
Sialolithotomy 42330
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,837.72
|
|
Sickling rbc
|
$34.02 |
$34.02 |
$34.02 |
$53.55
|
|
Sigmoidoscopy for bleeding
|
$1,252.44 |
$1,252.44 |
$1,252.44 |
$1,993.08
|
|
Sinus CT scan (with and without contrast)
|
$1,583.82 |
$1,583.82 |
$1,583.82 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$1,530.90 |
$1,530.90 |
$1,530.90 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$747.60 |
$747.60 |
$747.60 |
$1,279.50
|
|
Skin Biopsy
|
$240.24 |
$240.24 |
$240.24 |
$382.80
|
|
Skyla, 13.5 mg
|
$1,048.41 |
$1,048.41 |
$1,048.41 |
$1,801.20
|
|
Sling arm deluxe w/pad xs
|
$24.57 |
$24.57 |
$24.57 |
$25.55
|
|
Sling pelv split sam med
|
$163.80 |
$163.80 |
$163.80 |
$115.20
|
|
Sling suprapubic suburetheral
|
$13,632.92 |
$13,632.92 |
$13,632.92 |
$10,328.15
|
|
Slitting of prepuce
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$2,983.40
|
|
Slp pure tone screening
|
$6.30 |
$6.30 |
$6.30 |
$67.60
|
|
Smear gram stain
|
$26.04 |
$26.04 |
$26.04 |
$57.85
|
|
Smear nasal eosinophil
|
$10.08 |
$10.08 |
$10.08 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$41.16 |
$41.16 |
$41.16 |
$64.35
|
|
Smear wet mount
|
$35.70 |
$35.70 |
$35.70 |
$68.63
|
|
Sodium 24 hour urine
|
$27.30 |
$27.30 |
$27.30 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$46.43 |
$46.43 |
$46.43 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$48.74 |
$48.74 |
$48.74 |
$46.38
|
|
Sodium chloride 0.9 % IV bolus
|
$51.36 |
$51.36 |
$51.36 |
$43.30
|
|
Sodium chloride 3 % ivpb
|
$48.11 |
$48.11 |
$48.11 |
$45.01
|
|
Sodium serum/plasma/whole blood
|
$26.04 |
$26.04 |
$26.04 |
$42.70
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$856.80 |
$856.80 |
$856.80 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$217.14 |
$217.14 |
$217.14 |
$559.96
|
|
Splint rstrc wrst/cmc right med
|
$106.03 |
$106.03 |
$106.03 |
$101.18
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$4,326.42 |
$4,326.42 |
$4,326.42 |
$4,560.66
|
|
Staph a dna amp probe
|
$58.38 |
$58.38 |
$58.38 |
$116.39
|
|
Stent axios caut enh 15x10mm electrocaut
|
$57,771.00 |
$57,771.00 |
$57,771.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$33,488.94 |
$33,488.94 |
$33,488.94 |
$1,322.36
|
|
Stent bili rx wallflx 10x80 uncvr
|
$31,250.64 |
$31,250.64 |
$31,250.64 |
$18,714.49
|
|
Stent bronch dumon sil 10x40mm
|
$7,023.54 |
$7,023.54 |
$7,023.54 |
$5,596.20
|
|
St evaluate speech sound production
|
$67.62 |
$67.62 |
$67.62 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$67.62 |
$67.62 |
$67.62 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$204.96 |
$204.96 |
$204.96 |
$406.40
|
|
Strapping of ankle and/or ft 29540
|
$193.62 |
$193.62 |
$193.62 |
$248.05
|
|
Strapping of chest
|
$193.62 |
$193.62 |
$193.62 |
$201.60
|
|
Strapping of elbow or wrist 29260
|
$76.44 |
$76.44 |
$76.44 |
$171.00
|
|
Strapping of hand or finger
|
$129.78 |
$129.78 |
$129.78 |
$194.40
|
|
Strapping of hip
|
$154.56 |
$154.56 |
$154.56 |
$170.08
|
|
Strapping of knee
|
$154.56 |
$154.56 |
$154.56 |
$224.80
|
|
Strapping of toes 29550
|
$107.10 |
$107.10 |
$107.10 |
$185.36
|
|
Strep b dna amp probe
|
$213.36 |
$213.36 |
$213.36 |
$139.20
|
|
Stress test pulmonary
|
$212.10 |
$212.10 |
$212.10 |
$327.20
|
