|
Rotavirus antibody
|
$125.01 |
$125.01 |
$125.01 |
$107.50
|
|
Routine footcare pt w lops
|
$180.04 |
$180.04 |
$180.04 |
$223.08
|
|
Rplcmt oi implt skl prq esp
|
$7,359.08 |
$7,359.08 |
$7,359.08 |
$7,907.11
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,903.21 |
$2,903.21 |
$2,903.21 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,429.07 |
$1,429.07 |
$1,429.07 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,263.09 |
$2,263.09 |
$2,263.09 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$2,992.77 |
$2,992.77 |
$2,992.77 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,689.94 |
$2,689.94 |
$2,689.94 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,628.73 |
$5,628.73 |
$5,628.73 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$4,602.08 |
$4,602.08 |
$4,602.08 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$4,663.12 |
$4,663.12 |
$4,663.12 |
$3,724.63
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,478.21 |
$4,478.21 |
$4,478.21 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,836.04 |
$5,836.04 |
$5,836.04 |
$5,907.78
|
|
Rpr choanal atresia ntranasl
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$6,839.00
|
|
Rpr fem hernia init blocked
|
$5,696.51 |
$5,696.51 |
$5,696.51 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$5,074.24 |
$5,074.24 |
$5,074.24 |
$6,839.00
|
|
Rpr hypspad comp dsj & urtp
|
$3,726.16 |
$3,726.16 |
$3,726.16 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$3,919.49 |
$3,919.49 |
$3,919.49 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$3,919.49 |
$3,919.49 |
$3,919.49 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$5,008.24 |
$5,008.24 |
$5,008.24 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$5,411.37 |
$5,411.37 |
$5,411.37 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,311.44 |
$4,311.44 |
$4,311.44 |
$4,691.20
|
|
Rpr rem hernia init reduce
|
$3,817.38 |
$3,817.38 |
$3,817.38 |
$3,906.18
|
|
Rpr umbil hern block < 5 yr
|
$3,919.49 |
$3,919.49 |
$3,919.49 |
$3,919.49
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$5,959.65 |
$5,959.65 |
$5,959.65 |
$5,959.65
|
|
Rrp hypspad comp moblj&urtp
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$10,106.03
|
|
Rsv assay w/optic
|
$130.05 |
$130.05 |
$130.05 |
$75.45
|
|
Rubella antibody igg
|
$73.05 |
$73.05 |
$73.05 |
$77.80
|
|
Rubeola antibody igg
|
$88.30 |
$88.30 |
$88.30 |
$80.00
|
|
Russell viper venom diluted
|
$114.69 |
$114.69 |
$114.69 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,912.36 |
$1,912.36 |
$1,912.36 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$450.39 |
$450.39 |
$450.39 |
$313.66
|
|
Salivary gland function exam
|
$1,123.67 |
$1,123.67 |
$1,123.67 |
$719.16
|
|
Salivary glnd img serial img
|
$996.79 |
$996.79 |
$996.79 |
$701.73
|
|
Salmonella antibody
|
$63.50 |
$63.50 |
$63.50 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$22.36 |
$22.36 |
$22.36 |
$56.57
|
|
Sarscov coronavirus ag ia
|
$60.40 |
$60.40 |
$60.40 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$50.01 |
$50.01 |
$50.01 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$173.12 |
$173.12 |
$173.12 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$82.53 |
$82.53 |
$82.53 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$116.08 |
$116.08 |
$116.08 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$53.55 |
$53.55 |
$53.55 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$96.86 |
$96.86 |
$96.86 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$672.32 |
$672.32 |
$672.32 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$422.32 |
$422.32 |
$422.32 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$601.48 |
$601.48 |
$601.48 |
$582.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$803.29 |
$803.29 |
$803.29 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$564.17 |
$564.17 |
$564.17 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$622.57 |
$622.57 |
$622.57 |
$595.35
|
|
Scan proc cranial extra
|
$2,368.36 |
$2,368.36 |
$2,368.36 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$2,067.91 |
$2,067.91 |
$2,067.91 |
$1,015.00
|
|
Scan proc spinal
|
$2,854.85 |
$2,854.85 |
$2,854.85 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,171.84 |
$2,171.84 |
$2,171.84 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$3,080.06 |
$3,080.06 |
$3,080.06 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$7,127.71 |
$7,127.71 |
$7,127.71 |
$4,246.72
|
|
Screen cerv/vag thin layer
|
$86.56 |
$86.56 |
$86.56 |
$86.56
|
|
Screen c/v thin layer by md
|
$49.42 |
$49.42 |
$49.42 |
$55.20
|
|
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
|
$65.47 |
$65.47 |
$65.47 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$28.90 |
$28.90 |
$28.90 |
$42.30
|
|
Screening Mammogram
|
$238.14 |
$238.14 |
$238.14 |
$310.20
|
|
Screening pap smear by phys
|
$27.22 |
$27.22 |
$27.22 |
$41.00
|
|
Screening prostate cancer PSA
|
$134.00 |
$134.00 |
$134.00 |
$101.60
|
|
Screen/visual acuity/bilat/quant 99173
|
$29.89 |
$29.89 |
$29.89 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$36,885.10 |
$36,885.10 |
$36,885.10 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$685.33 |
$685.33 |
$685.33 |
$612.55
|
|
Sc ther infusion reset pump
|
$111.90 |
$111.90 |
$111.90 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,676.53 |
$4,676.53 |
$4,676.53 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$244.52 |
$244.52 |
$244.52 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$49.63 |
$49.63 |
$49.63 |
$42.00
|
|
Select picture audiometry
|
$168.68 |
$168.68 |
$168.68 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$141.30 |
$141.30 |
$141.30 |
$94.25
|
|
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
|
$95.16 |
$95.16 |
$95.16 |
$70.40
|
|
Semen analysis w/count
|
$103.01 |
$103.01 |
$103.01 |
$56.44
|
|
Sensorimotor examination
|
$175.89 |
$175.89 |
$175.89 |
$109.50
|
|
Sensorineural acuity lvl tst
|
$145.28 |
$145.28 |
$145.28 |
$129.36
|
|
Separate eyelid adhesions
|
$1,926.33 |
$1,926.33 |
$1,926.33 |
$2,857.60
|
|
Sept9 promoter methylation analysis
|
$358.65 |
$358.65 |
$358.65 |
$316.68
|
|
Sequestrectomy radial h/n
|
$4,528.94 |
$4,528.94 |
$4,528.94 |
$4,499.12
|
|
Serial casting application 97139app
|
$55.04 |
$55.04 |
$55.04 |
$78.39
|
|
Serial tonometry
|
$144.33 |
$144.33 |
$144.33 |
$131.02
|
|
Serpina1 gene
|
$310.54 |
$310.54 |
$310.54 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$306.00 |
$306.00 |
$306.00 |
$126.43
|
|
Set radiation therapy field
|
$851.12 |
$851.12 |
$851.12 |
$787.50
|
|
Set radiation therapy field
|
$960.78 |
$960.78 |
$960.78 |
$1,183.38
|
|
Set radiation therapy field
|
$2,041.25 |
$2,041.25 |
$2,041.25 |
$1,641.90
|
|
Sevelamer carbonate 800 mg tablet
|
$7.14 |
$7.14 |
$7.14 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$21.42 |
$21.42 |
$21.42 |
$21.42
|
|
Sever cranial nerve
|
$3,141.46 |
$3,141.46 |
$3,141.46 |
$3,141.46
|
|
Sf3b1 gene common variants
|
$115.95 |
$115.95 |
$115.95 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$272.40 |
$272.40 |
$272.40 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$286.89 |
$286.89 |
$286.89 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$448.00 |
$448.00 |
$448.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$513.33 |
$513.33 |
$513.33 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$202.84 |
$202.84 |
$202.84 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$215.54 |
$215.54 |
$215.54 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$251.02 |
$251.02 |
$251.02 |
$269.50
|
