|
Rmvl fb upr arm/elbow deep
|
$14,586.47 |
$14,586.47 |
$14,586.47 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$12,533.08 |
$12,533.08 |
$12,533.08 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$8,688.98 |
$8,688.98 |
$8,688.98 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$26,420.24 |
$26,420.24 |
$26,420.24 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$79,079.20 |
$79,079.20 |
$79,079.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$81,185.25 |
$81,185.25 |
$81,185.25 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$86,807.02 |
$86,807.02 |
$86,807.02 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$28,362.94 |
$28,362.94 |
$28,362.94 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$3,628.22 |
$3,628.22 |
$3,628.22 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$27,746.57 |
$27,746.57 |
$27,746.57 |
$6,608.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$70,080.76 |
$70,080.76 |
$70,080.76 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$39,109.74 |
$39,109.74 |
$39,109.74 |
$10,427.04
|
|
Rmvl pq iabp
|
$16,539.55 |
$16,539.55 |
$16,539.55 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$5,124.75 |
$5,124.75 |
$5,124.75 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$26,420.24 |
$26,420.24 |
$26,420.24 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$2,244.70 |
$2,244.70 |
$2,244.70 |
$1,991.00
|
|
Rmvl tongs/halo anthr indiv
|
$2,861.15 |
$2,861.15 |
$2,861.15 |
$504.90
|
|
Rmvl tv pm lead dual
|
$26,420.24 |
$26,420.24 |
$26,420.24 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$26,420.24 |
$26,420.24 |
$26,420.24 |
$4,195.80
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$9,045.53 |
$9,045.53 |
$9,045.53 |
$5,413.24
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,237.87 |
$1,237.87 |
$1,237.87 |
$178.80
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$8,950.19 |
$8,950.19 |
$8,950.19 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$4,070.67 |
$4,070.67 |
$4,070.67 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$6,666.68 |
$6,666.68 |
$6,666.68 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$8,469.13 |
$8,469.13 |
$8,469.13 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$11,111.11 |
$11,111.11 |
$11,111.11 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$28,524.72 |
$28,524.72 |
$28,524.72 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$2,198.87 |
$2,198.87 |
$2,198.87 |
$4,201.80
|
|
Rsv assay w/optic
|
$409.50 |
$409.50 |
$409.50 |
$73.80
|
|
Rubella antibody igg
|
$235.18 |
$235.18 |
$235.18 |
$73.10
|
|
Rubeola antibody igg
|
$102.67 |
$102.67 |
$102.67 |
$79.68
|
|
Russell viper venom diluted
|
$147.59 |
$147.59 |
$147.59 |
$70.16
|
|
Salivary glnd img serial img
|
$1,714.86 |
$1,714.86 |
$1,714.86 |
$585.00
|
|
Salmonella antibody
|
$153.12 |
$153.12 |
$153.12 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$239.63 |
$239.63 |
$239.63 |
$51.43
|
|
Sarscov coronavirus ag ia
|
$132.64 |
$132.64 |
$132.64 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$87.85 |
$87.85 |
$87.85 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,883.99 |
$2,883.99 |
$2,883.99 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,855.83 |
$1,855.83 |
$1,855.83 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,385.29 |
$1,385.29 |
$1,385.29 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$583.58 |
$583.58 |
$583.58 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,510.39 |
$1,510.39 |
$1,510.39 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,011.01 |
$2,011.01 |
$2,011.01 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,468.23 |
$1,468.23 |
$1,468.23 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,445.32 |
$1,445.32 |
$1,445.32 |
$601.70
|
|
Scan proc spinal
|
$6,119.70 |
$6,119.70 |
$6,119.70 |
$975.00
|
|
Sclerotherapy fluid collection pq w/img
|
$3,289.57 |
$3,289.57 |
$3,289.57 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$23,033.66 |
$23,033.66 |
$23,033.66 |
$3,821.05
|
|
Screening Colonoscopy (average risk)
|
$8,175.65 |
$8,175.65 |
$8,175.65 |
$1,278.72
|
|
Screening hepatitis c antibody high risk
|
$557.73 |
$557.73 |
$557.73 |
$78.00
|
|
Screening Mammogram
|
$1,204.42 |
$1,204.42 |
$1,204.42 |
$303.55
|
|
Screening pap smear by phys
|
$35.43 |
$35.43 |
$35.43 |
$55.20
|
|
Screen pap by tech w md supv
|
$130.42 |
$130.42 |
$130.42 |
$41.80
|
|
Sc ther infusion reset pump
|
$264.21 |
$264.21 |
$264.21 |
$126.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$20,012.43 |
$20,012.43 |
$20,012.43 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$191.56 |
$191.56 |
$191.56 |
$44.20
|
|
Select picture audiometry
|
$433.63 |
$433.63 |
$433.63 |
$81.12
|
|
Semen analysis presence/motility
|
$121.84 |
$121.84 |
$121.84 |
$70.85
|
|
Semen analysis w/count
|
$116.03 |
$116.03 |
$116.03 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$316.68
|
|
Serpina1 gene
|
$685.41 |
$685.41 |
$685.41 |
$191.73
|
|
Sertraline (zoloft) - sendout
|
$234.26 |
$234.26 |
$234.26 |
$173.16
|
|
Set radiation therapy field
|
$1,019.44 |
$1,019.44 |
$1,019.44 |
$731.50
|
|
Set radiation therapy field
|
$4,297.17 |
$4,297.17 |
$4,297.17 |
$1,102.40
|
|
Set radiation therapy field
|
$2,703.89 |
$2,703.89 |
$2,703.89 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$1,189.68 |
$1,189.68 |
$1,189.68 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$1,155.51 |
$1,155.51 |
$1,155.51 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$1,139.50 |
$1,139.50 |
$1,139.50 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$1,214.22 |
$1,214.22 |
$1,214.22 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$1,154.44 |
$1,154.44 |
$1,154.44 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$1,069.68 |
$1,069.68 |
$1,069.68 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$1,206.75 |
$1,206.75 |
$1,206.75 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$1,281.48 |
$1,281.48 |
$1,281.48 |
$302.55
|
|
Sho arthrs dx +- synovial bx
|
$18,198.54 |
$18,198.54 |
$18,198.54 |
$3,786.00
|
|
Sho arthrs srg bicp tenodsis
|
$40,667.41 |
$40,667.41 |
$40,667.41 |
$5,419.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$22,972.81 |
$22,972.81 |
$22,972.81 |
$3,839.54
|
|
Sho arthrs srg lss&rescj ads
|
$31,262.32 |
$31,262.32 |
$31,262.32 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$35,789.82 |
$35,789.82 |
$35,789.82 |
$5,419.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$26,803.85 |
$26,803.85 |
$26,803.85 |
$3,839.54
|
|
Shorten radius or ulna
|
$33,889.60 |
$33,889.60 |
$33,889.60 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$39,899.85 |
$39,899.85 |
$39,899.85 |
$6,839.00
|
|
Shoulder MRI (with and without contrast)
|
$4,802.80 |
$4,802.80 |
$4,802.80 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$4,635.24 |
$4,635.24 |
$4,635.24 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,097.34 |
$4,097.34 |
$4,097.34 |
$2,051.28
|
|
Shoulder X-ray
|
$663.24 |
$663.24 |
$663.24 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$1,385.29 |
$1,385.29 |
$1,385.29 |
$345.00
|
|
Sialidase enzyme assay
|
$132.17 |
$132.17 |
$132.17 |
$49.44
|
|
Sialolithotomy 42330
|
$16,276.57 |
$16,276.57 |
$16,276.57 |
$3,837.72
|
|
Sickling rbc
|
$111.25 |
$111.25 |
$111.25 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$6,284.63 |
$6,284.63 |
$6,284.63 |
$1,351.63
|
|
Sigmoidoscopy w/fb removal 45332
|
$12,533.08 |
$12,533.08 |
$12,533.08 |
$1,395.28
|
|
Sigmoidoscopy w/tumr remove
|
$6,945.66 |
$6,945.66 |
$6,945.66 |
$1,395.28
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$4,890.82 |
$4,890.82 |
$4,890.82 |
$1,664.40
|
|
Simple cystometrogram 51725
|
$1,161.93 |
$1,161.93 |
$1,161.93 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$4,017.97 |
$4,017.97 |
$4,017.97 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,830.52 |
$3,830.52 |
$3,830.52 |
$1,519.50
|