|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,904.50 |
$15,904.50 |
$15,904.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$3,977.32
|
|
Rmvl left heart vent thor inscn ecmo
|
$688.50 |
$688.50 |
$688.50 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$321.50 |
$321.50 |
$321.50 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$4,882.50 |
$4,882.50 |
$4,882.50 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$14,984.50 |
$14,984.50 |
$14,984.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,823.50 |
$13,823.50 |
$13,823.50 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,421.50 |
$1,421.50 |
$1,421.50 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$2,378.50 |
$2,378.50 |
$2,378.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$4,031.69
|
|
Routine footcare pt w lops
|
$94.00 |
$94.00 |
$94.00 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,090.50 |
$2,090.50 |
$2,090.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$655.50 |
$655.50 |
$655.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,670.50 |
$1,670.50 |
$1,670.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,670.50 |
$1,670.50 |
$1,670.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,664.00 |
$4,664.00 |
$4,664.00 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$4,664.00 |
$4,664.00 |
$4,664.00 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$3,687.00
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$3,416.50 |
$3,416.50 |
$3,416.50 |
$5,959.65
|
|
Rsv assay w/optic
|
$64.50 |
$64.50 |
$64.50 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$61.50 |
$61.50 |
$61.50 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$110.50 |
$110.50 |
$110.50 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$99.50 |
$99.50 |
$99.50 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$81.00 |
$81.00 |
$81.00 |
$74.00
|
|
Rubella antibody igg
|
$65.00 |
$65.00 |
$65.00 |
$77.03
|
|
Rubeola antibody igg
|
$58.00 |
$58.00 |
$58.00 |
$80.00
|
|
Russell viper venom diluted
|
$49.50 |
$49.50 |
$49.50 |
$72.54
|
|
Salivary glnd img serial img
|
$510.50 |
$510.50 |
$510.50 |
$701.73
|
|
Salmonella antibody
|
$59.00 |
$59.00 |
$59.00 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$17.66 |
$17.66 |
$17.66 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$32.00 |
$32.00 |
$32.00 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$877.50 |
$877.50 |
$877.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$611.00 |
$611.00 |
$611.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$728.50 |
$728.50 |
$728.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$219.50 |
$219.50 |
$219.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$482.00 |
$482.00 |
$482.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$662.50 |
$662.50 |
$662.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$686.00 |
$686.00 |
$686.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$692.50 |
$692.50 |
$692.50 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,138.00 |
$2,138.00 |
$2,138.00 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$62.50 |
$62.50 |
$62.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$62.50 |
$62.50 |
$62.50 |
$84.60
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$76.50 |
$76.50 |
$76.50 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$96.50 |
$96.50 |
$96.50 |
$42.30
|
|
Screening Mammogram
|
$307.50 |
$307.50 |
$307.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$84.50 |
$84.50 |
$84.50 |
$100.63
|
|
Screen pap by tech w md supv
|
$62.50 |
$62.50 |
$62.50 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$206.50 |
$206.50 |
$206.50 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$14.00 |
$14.00 |
$14.00 |
$42.00
|
|
Select picture audiometry
|
$111.00 |
$111.00 |
$111.00 |
$105.60
|
|
Self-adher band w>=3" <5"/yd
|
$7.76 |
$7.76 |
$7.76 |
$2.07
|
|
Semen analysis presence/motility
|
$69.50 |
$69.50 |
$69.50 |
$71.05
|
|
Sept9 promoter methylation analysis
|
$173.50 |
$173.50 |
$173.50 |
$316.68
|
|
Serpina1 gene
|
$322.00 |
$322.00 |
$322.00 |
$197.00
|
|
Set radiation therapy field
|
$590.00 |
$590.00 |
$590.00 |
$762.40
|
|
Set radiation therapy field
|
$956.00 |
$956.00 |
$956.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$1,636.36
|
|
Sewhfo airplane without jnts cf
|
$811.44 |
$811.44 |
$811.44 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$1,090.89 |
$1,090.89 |
$1,090.89 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$351.38 |
$351.38 |
$351.38 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$811.44 |
$811.44 |
$811.44 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$1,090.89 |
$1,090.89 |
$1,090.89 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$957.90 |
$957.90 |
$957.90 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$701.22 |
$701.22 |
$701.22 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$909.25 |
$909.25 |
$909.25 |
$1,890.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$206.50 |
$206.50 |
$206.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$247.00 |
$247.00 |
$247.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$371.00 |
$371.00 |
$371.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$181.00 |
$181.00 |
$181.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$223.00 |
$223.00 |
$223.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$261.00 |
$261.00 |
$261.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$263.50 |
$263.50 |
$263.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$309.00 |
$309.00 |
$309.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$217.50 |
$217.50 |
$217.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$256.00 |
$256.00 |
$256.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$2,498.49 |
$2,498.49 |
$2,498.49 |
$6,570.70
|
|
Shoe heel new rubber standar
|
$20.70 |
$20.70 |
$20.70 |
$63.70
|
|
Shoe post-op mens m
|
$31.57 |
$31.57 |
$31.57 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,757.00 |
$1,757.00 |
$1,757.00 |
$2,065.05
|
|
Shoulder X-ray
|
$237.00 |
$237.00 |
$237.00 |
$339.50
|
|
Shrinker prosth above knee
|
$56.92 |
$56.92 |
$56.92 |
$168.89
|
|
Shrinker prosth below knee
|
$37.78 |
$37.78 |
$37.78 |
$105.12
|
|
Sialography s&i
|
$560.50 |
$560.50 |
$560.50 |
$499.20
|
|
Sialolithotomy 42330
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$3,837.72
|
|
Sickling rbc
|
$29.50 |
$29.50 |
$29.50 |
$57.92
|
|
Sigmoidoscopy w/plcmt stent
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$3,692.00
|
|
Simple cystometrogram 51725
|
$405.00 |
$405.00 |
$405.00 |
$589.45
|
|
Sinus CT scan (with and without contrast)
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$909.50 |
$909.50 |
$909.50 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
$2,489.25
|
