|
Rev/rplct hpglsl nstm ary pg
|
$13,780.06 |
$13,780.06 |
$13,780.06 |
$14,685.79
|
|
Revsc opn/prq tib/pero stent
|
$11,094.73 |
$11,094.73 |
$11,094.73 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$2,450.84 |
$2,450.84 |
$2,450.84 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$99.07 |
$99.07 |
$99.07 |
$57.07
|
|
Rheumatoid factor quantitative
|
$83.19 |
$83.19 |
$197.49 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$449.62 |
$449.62 |
$964.42 |
$234.12
|
|
Rho d immune globulin inj
|
$154.05 |
$154.05 |
$154.05 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$9,114.35 |
$9,114.35 |
$9,114.35 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$8,285.78 |
$8,285.78 |
$8,285.78 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$394.69 |
$394.69 |
$394.69 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$550.49 |
$550.49 |
$550.49 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$381.04 |
$381.04 |
$381.04 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$485.11 |
$485.11 |
$485.11 |
$455.01
|
|
Right heart cath congenital
|
$8,522.51 |
$8,522.51 |
$8,522.51 |
$8,191.00
|
|
Right ventric recording
|
$1,468.47 |
$1,468.47 |
$1,468.47 |
$2,345.00
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,659.38 |
$1,659.38 |
$1,659.38 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$8,485.68 |
$8,485.68 |
$8,485.68 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$1,551.99 |
$1,551.99 |
$1,551.99 |
$5,004.42
|
|
R & l heart cath congenital
|
$10,707.77 |
$10,707.77 |
$10,707.77 |
$10,707.77
|
|
R & l heart cath congenital
|
$7,547.27 |
$7,547.27 |
$7,547.27 |
$7,547.27
|
|
R & l heart cath congenital
|
$7,046.49 |
$7,046.49 |
$7,046.49 |
$7,072.50
|
|
R&l hrt cath chd abnl nt cnj
|
$8,169.46 |
$8,169.46 |
$8,169.46 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$8,577.93 |
$8,577.93 |
$8,577.93 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$846.42 |
$846.42 |
$846.42 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,584.96 |
$2,584.96 |
$2,584.96 |
$2,111.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,258.77 |
$2,258.77 |
$2,258.77 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$6,981.14 |
$6,981.14 |
$20,204.28 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$38,564.65 |
$43,926.37 |
$43,926.37 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$44,390.75 |
$44,390.75 |
$70,867.12 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$38,067.53 |
$38,067.53 |
$45,089.52 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,987.37 |
$5,987.37 |
$8,867.96 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$894.98 |
$894.98 |
$16,406.95 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$7,028.51 |
$7,028.51 |
$8,810.56 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$4,633.06 |
$4,633.06 |
$4,633.06 |
$1,745.00
|
|
Rmvl phrnc nrv stim pg only
|
$3,831.08 |
$3,831.08 |
$3,831.08 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$12,743.72 |
$12,743.72 |
$12,743.72 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$7,968.65 |
$7,968.65 |
$7,968.65 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$15,272.79 |
$19,823.71 |
$19,823.71 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,485.90 |
$18,220.94 |
$18,220.94 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,262.94 |
$2,262.94 |
$2,262.94 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$4,864.71 |
$4,864.71 |
$9,163.67 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$7,532.10 |
$7,532.10 |
$16,391.41 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,761.75 |
$2,761.75 |
$12,454.81 |
$1,736.70
|
|
Rmvl tv pm lead dual
|
$5,661.48 |
$5,661.48 |
$8,810.56 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$6,786.41 |
$6,786.41 |
$6,791.00 |
$4,225.20
|
|
Rmv ntr oi implt skl prq esp
|
$3,700.84 |
$3,700.84 |
$3,700.84 |
$4,499.12
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$35,305.79 |
$35,305.79 |
$35,305.79 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$34,440.90 |
$34,440.90 |
$34,440.90 |
$36,000.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,787.57 |
$5,787.57 |
$5,787.57 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,736.26 |
$4,736.26 |
$4,736.26 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$912.24 |
$912.24 |
$912.24 |
$188.16
|
|
Rotavirus antibody
|
$125.01 |
$125.01 |
$125.01 |
$107.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,590.19 |
$2,590.19 |
$12,684.42 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,603.09 |
$1,603.09 |
$10,823.74 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,006.39 |
$3,006.39 |
$5,861.58 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$3,814.88 |
$3,814.88 |
$14,103.14 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,617.94 |
$2,617.94 |
$12,684.42 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,219.37 |
$5,219.37 |
$5,219.37 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$4,440.98 |
$4,440.98 |
$28,259.88 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$4,420.98 |
$4,420.98 |
$12,684.42 |
$3,724.63
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,836.04 |
$5,836.04 |
$5,836.04 |
$5,907.78
|
|
Rp therapy unlisted px
|
$2,430.66 |
$2,430.66 |
$2,430.66 |
$549.50
|
|
Rsv assay w/optic
|
$110.46 |
$110.46 |
$110.46 |
$75.96
|
|
Rubella antibody igg
|
$100.02 |
$100.02 |
$100.02 |
$77.50
|
|
Rubeola antibody igg
|
$99.31 |
$99.31 |
$99.31 |
$80.00
|
|
Russell viper venom diluted
|
$108.05 |
$108.05 |
$772.91 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$170.92 |
$170.92 |
$170.92 |
$314.79
|
|
Salivary gland imaging
|
$6,254.01 |
$6,254.01 |
$6,254.01 |
$585.00
|
|
Salivary glnd img serial img
|
$367.06 |
$367.06 |
$367.06 |
$701.73
|
|
Salmonella antibody
|
$54.57 |
$54.57 |
$878.45 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$17.39 |
$17.39 |
$17.39 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$60.40 |
$60.40 |
$60.40 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$44.10 |
$44.10 |
$44.10 |
$104.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$815.66 |
$815.66 |
$815.66 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$509.35 |
$509.35 |
$509.35 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$601.48 |
$601.48 |
$601.48 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$803.29 |
$803.29 |
$803.29 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$743.65 |
$743.65 |
$743.65 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$702.13 |
$702.13 |
$702.13 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$7,127.71 |
$7,127.71 |
$7,127.71 |
$4,246.72
|
|
Screening Colonoscopy (high risk)
|
$2,265.62 |
$2,265.62 |
$2,265.62 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$41.09 |
$41.09 |
$41.09 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$28.90 |
$28.90 |
$28.90 |
$42.30
|
|
Screening Mammogram
|
$227.22 |
$227.22 |
$1,082.22 |
$310.20
|
|
Screening prostate cancer PSA
|
$147.55 |
$147.55 |
$1,753.50 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$58.41 |
$58.41 |
$58.41 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$36,885.10 |
$36,885.10 |
$36,885.10 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$612.55 |
$612.55 |
$612.55 |
$608.90
|
|
Sc ther infusion reset pump
|
$125.46 |
$125.46 |
$125.46 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,651.60 |
$4,651.60 |
$4,651.60 |
$4,336.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$375.34 |
$375.34 |
$375.34 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$67.06 |
$67.06 |
$67.06 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$118.90 |
$118.90 |
$118.90 |
$96.60
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$51.98 |
$51.98 |
$51.98 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$31.92 |
$31.92 |
$31.92 |
$33.04
|
|
Semen analysis presence/motility
|
$79.92 |
$79.92 |
$990.82 |
$70.40
|
|
Semen analysis w/count
|
$85.80 |
$85.80 |
$905.70 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$376.58 |
$376.58 |
$376.58 |
$316.68
|