|
Rmvl sq defib electrode
|
$1,366.47 |
$1,366.47 |
$15,713.23 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$701.82 |
$701.82 |
$3,212.22 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$3,277.40 |
$3,277.40 |
$32,824.31 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,277.40 |
$3,277.40 |
$27,730.72 |
$4,195.80
|
|
Romiplostim 125 mcg subcutaneous solution
|
$3,879.00 |
$3,879.00 |
$3,879.00 |
$8,779.01
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$34.55 |
$34.55 |
$34.55 |
$180.55
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$576.77 |
$576.77 |
$576.77 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$769.86 |
$769.86 |
$769.86 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$3,164.01 |
$3,164.01 |
$3,164.01 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$3,164.01 |
$3,164.01 |
$3,164.01 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$441.35 |
$441.35 |
$441.35 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$1,076.67 |
$1,076.67 |
$11,055.58 |
$4,201.80
|
|
Rubella antibody igg
|
$55.76 |
$55.76 |
$55.76 |
$73.10
|
|
Rubeola antibody igg
|
$29.93 |
$29.93 |
$1,364.41 |
$79.68
|
|
Russell viper venom diluted
|
$72.45 |
$72.45 |
$72.45 |
$70.16
|
|
Salivary gland imaging
|
$641.66 |
$641.66 |
$641.66 |
$549.70
|
|
Salivary glnd img serial img
|
$3,329.85 |
$3,329.85 |
$3,329.85 |
$585.00
|
|
Salmonella antibody
|
$96.08 |
$96.08 |
$96.08 |
$37.58
|
|
Sargramostim injection
|
$2,311.97 |
$2,311.97 |
$2,311.97 |
$451.34
|
|
Sarscov coronavirus ag ia
|
$57.87 |
$57.87 |
$742.98 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$132.30 |
$132.30 |
$132.30 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$873.95 |
$873.95 |
$873.95 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$598.50 |
$598.50 |
$598.50 |
$670.00
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$4,026.27 |
$4,026.27 |
$4,026.27 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$299.25 |
$299.25 |
$299.25 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,006.60 |
$1,006.60 |
$1,006.60 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,113.16 |
$1,113.16 |
$1,113.16 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$679.35 |
$679.35 |
$679.35 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$751.10 |
$751.10 |
$751.10 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$358.79 |
$358.79 |
$358.79 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$1,376.20 |
$1,376.20 |
$1,376.20 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$1,376.20 |
$1,376.20 |
$1,376.20 |
$1,575.00
|
|
Screening Mammogram
|
$312.55 |
$312.55 |
$834.75 |
$303.55
|
|
Screw cortex 2.0 x 10mm
|
$26,250.00 |
$26,250.00 |
$26,250.00 |
$28,440.67
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$1,281.42 |
$1,281.42 |
$1,281.42 |
$3,226.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,001.70 |
$1,001.70 |
$1,001.70 |
$4,565.60
|
|
Serial casting application 97139app
|
$53.55 |
$53.55 |
$53.55 |
$67.42
|
|
Set radiation therapy field
|
$3,498.03 |
$3,498.03 |
$3,498.03 |
$731.50
|
|
Set radiation therapy field
|
$5,771.47 |
$5,771.47 |
$5,771.47 |
$1,102.40
|
|
Set radiation therapy field
|
$7,044.10 |
$7,044.10 |
$7,044.10 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$56.93 |
$56.93 |
$56.93 |
$17.10
|
|
Sevelamer carbonate pdr 20mg
|
$167.70 |
$167.70 |
$167.70 |
$40.33
|
|
Shoulder MRI (with and without contrast)
|
$6,378.75 |
$6,378.75 |
$6,378.75 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$5,163.55 |
$5,163.55 |
$5,163.55 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,105.50 |
$4,105.50 |
$4,105.50 |
$2,051.28
|
|
Shoulder X-ray
|
$634.90 |
$634.90 |
$634.90 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$145.95 |
$145.95 |
$145.95 |
$345.00
|
|
Sialography s&i
|
$349.34 |
$349.34 |
$349.34 |
$462.40
|
|
Sickling rbc
|
$46.62 |
$46.62 |
$742.96 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$1,200.85 |
$1,200.85 |
$1,200.85 |
$1,351.63
|
|
Sigmoidoscopy w/fb removal 45332
|
$570.78 |
$570.78 |
$570.78 |
$1,395.28
|
|
Sildenafil citrate, 25 mg
|
$138.80 |
$138.80 |
$138.80 |
$168.00
|
|
Sinus CT scan (with and without contrast)
|
$3,249.75 |
$3,249.75 |
$13,623.61 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$2,685.55 |
$2,685.55 |
$13,623.61 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,256.63 |
$2,256.63 |
$13,623.61 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,064.35 |
$1,064.35 |
$11,312.29 |
$2,489.25
|
|
Sirolimus, oral
|
$198.67 |
$198.67 |
$198.67 |
$31.60
|
|
Skin Biopsy
|
$286.97 |
$286.97 |
$286.97 |
$382.80
|
|
Skin split graft addl 100sq cm 15101
|
$638.82 |
$638.82 |
$638.82 |
$460.00
|
|
Sleep study attended
|
$13,338.62 |
$13,338.62 |
$13,338.62 |
$1,237.08
|
|
Sleep Study (Polysomnography)
|
$2,838.81 |
$2,838.81 |
$8,828.36 |
$3,936.80
|
|
Sleeve fing rolyan med
|
$116.50 |
$116.50 |
$116.50 |
$167.31
|
|
Sling suprapubic suburetheral
|
$2,510.76 |
$2,510.76 |
$2,510.76 |
$10,395.47
|
|
Smear fluorescent and/or acid fast stain
|
$91.00 |
$91.00 |
$91.00 |
$64.20
|
|
Smear gram stain
|
$138.95 |
$138.95 |
$138.95 |
$57.85
|
|
Smear nasal eosinophil
|
$30.87 |
$30.87 |
$573.76 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$33.39 |
$33.39 |
$33.39 |
$64.35
|
|
Smear wet mount
|
$88.90 |
$88.90 |
$88.90 |
$68.63
|
|
Sodium 24 hour urine
|
$43.74 |
$43.74 |
$678.36 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$9.56 |
$9.56 |
$9.56 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$8.46 |
$8.46 |
$8.46 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$10.29 |
$10.29 |
$10.29 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$11.40 |
$11.40 |
$92.32 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$37.80 |
$37.80 |
$836.87 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$37.10 |
$37.10 |
$675.29 |
$42.70
|
|
Special radiation dosimetry
|
$2,550.76 |
$2,550.76 |
$2,550.76 |
$445.50
|
|
Special teletx port plan
|
$5,771.47 |
$5,771.47 |
$5,771.47 |
$1,046.65
|
|
Specific gravity body fluid
|
$164.59 |
$164.59 |
$164.59 |
$23.63
|
|
Specimen fat stain
|
$30.56 |
$30.56 |
$1,178.29 |
$32.76
|
|
Speech evaluation complex
|
$3,113.19 |
$3,113.19 |
$3,113.19 |
$527.06
|
|
Sperm antibody test
|
$105.21 |
$105.21 |
$105.21 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$832.65 |
$832.65 |
$832.65 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$756.00 |
$756.00 |
$3,269.59 |
$559.96
|
|
Spleen imaging
|
$541.17 |
$541.17 |
$1,507.01 |
$539.70
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$230.79 |
$230.79 |
$230.79 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$24.63 |
$24.63 |
$24.63 |
$41.58
|
|
Splint finger frog med
|
$24.63 |
$24.63 |
$24.63 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$39.33 |
$39.33 |
$39.33 |
$73.11
|
|
Split blood or products
|
$928.37 |
$928.37 |
$928.37 |
$148.98
|
|
Sputum specimen collection
|
$64.26 |
$64.26 |
$64.26 |
$180.00
|
|
Sr-89 stront chlor ther / mci
|
$35,963.61 |
$35,963.61 |
$35,963.61 |
$4,588.65
|
|
Srs linear based
|
$82,829.70 |
$82,829.70 |
$82,829.70 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$439.60 |
$439.60 |
$753.32 |
$300.00
|
|
St cognitve performance testing healthcare professional each hour
|
$157.19 |
$157.19 |
$200.20 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$11,632.60 |
$11,632.60 |
$11,632.60 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$13,340.25 |
$13,340.25 |
$13,340.25 |
$39,270.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$318.26 |
$318.26 |
$318.26 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$6,999.04 |
$6,999.04 |
$6,999.04 |
$18,472.24
|
|
Stent iliac/open or perc/uni/init 37221
|
$9,475.83 |
$9,475.83 |
$9,475.83 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$4,756.50 |
$4,756.50 |
$4,756.50 |
$9,276.80
|
