|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$20,539.50 |
$20,539.50 |
$20,539.50 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$17,661.00 |
$17,661.00 |
$17,661.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$3,977.32
|
|
Rmvl left heart vent thor inscn ecmo
|
$771.00 |
$771.00 |
$771.00 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$867.00 |
$867.00 |
$867.00 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$4,891.00 |
$4,891.00 |
$4,891.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,666.50 |
$11,666.50 |
$11,666.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,765.50 |
$10,765.50 |
$10,765.50 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,381.50 |
$3,381.50 |
$3,381.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$4,031.69
|
|
Routine footcare pt w lops
|
$153.00 |
$153.00 |
$153.00 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,149.50 |
$5,149.50 |
$5,149.50 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$8,809.00 |
$8,809.00 |
$8,809.00 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$5,149.50 |
$5,149.50 |
$5,149.50 |
$3,687.00
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$7,768.00 |
$7,768.00 |
$7,768.00 |
$5,959.65
|
|
Rsv assay w/optic
|
$64.50 |
$64.50 |
$64.50 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$81.00 |
$81.00 |
$81.00 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$146.00 |
$146.00 |
$146.00 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$131.50 |
$131.50 |
$131.50 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$107.00 |
$107.00 |
$107.00 |
$74.00
|
|
Rubella antibody igg
|
$111.00 |
$111.00 |
$111.00 |
$77.03
|
|
Rubeola antibody igg
|
$129.00 |
$129.00 |
$129.00 |
$80.00
|
|
Russell viper venom diluted
|
$42.00 |
$42.00 |
$42.00 |
$72.54
|
|
Salivary glnd img serial img
|
$651.00 |
$651.00 |
$651.00 |
$701.73
|
|
Salmonella antibody
|
$69.00 |
$69.00 |
$69.00 |
$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
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$903.50 |
$903.50 |
$903.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$699.50 |
$699.50 |
$699.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$464.00 |
$464.00 |
$464.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$535.00 |
$535.00 |
$535.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$738.00 |
$738.00 |
$738.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,106.50 |
$1,106.50 |
$1,106.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$738.00 |
$738.00 |
$738.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$738.00 |
$738.00 |
$738.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$2,287.50 |
$2,287.50 |
$2,287.50 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$79.50 |
$79.50 |
$79.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$82.00 |
$82.00 |
$82.00 |
$84.60
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$89.00 |
$89.00 |
$89.00 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$39.50 |
$39.50 |
$39.50 |
$42.30
|
|
Screening Mammogram
|
$415.00 |
$415.00 |
$415.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$107.50 |
$107.50 |
$107.50 |
$100.63
|
|
Screen pap by tech w md supv
|
$59.00 |
$59.00 |
$59.00 |
$52.65
|
|
Screw cortex 2.0 x 10mm
|
$6,355.04 |
$6,355.04 |
$6,355.04 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$201.00 |
$201.00 |
$201.00 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$6,435.00 |
$6,435.00 |
$6,435.00 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$77.50 |
$77.50 |
$77.50 |
$42.00
|
|
Select picture audiometry
|
$146.50 |
$146.50 |
$146.50 |
$105.60
|
|
Self-adher band w>=3" <5"/yd
|
$5.70 |
$5.70 |
$5.70 |
$2.07
|
|
Semen analysis presence/motility
|
$90.50 |
$90.50 |
$90.50 |
$71.05
|
|
Sept9 promoter methylation analysis
|
$173.50 |
$173.50 |
$173.50 |
$316.68
|
|
Serpina1 gene
|
$234.00 |
$234.00 |
$234.00 |
$197.00
|
|
Set radiation therapy field
|
$636.00 |
$636.00 |
$636.00 |
$762.40
|
|
Set radiation therapy field
|
$946.00 |
$946.00 |
$946.00 |
$1,157.38
|
|
Set radiation therapy field
|
$1,275.50 |
$1,275.50 |
$1,275.50 |
$1,636.36
|
|
Sewhfo airplane without jnts cf
|
$803.68 |
$803.68 |
$803.68 |
$1,685.60
|
|
Sewhfo airplane w/jnt(s) cf
|
$949.10 |
$949.10 |
$949.10 |
$1,990.80
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$803.68 |
$803.68 |
$803.68 |
$1,685.60
|
|
Sewho airplane without jnts cf
|
$949.10 |
$949.10 |
$949.10 |
$1,990.80
|
|
Sewho airplane w/jnt(s) cf
|
$949.10 |
$949.10 |
$949.10 |
$1,990.80
|
|
Sewho cap design without jnts cf
|
$803.68 |
$803.68 |
$803.68 |
$1,685.60
|
|
Sewho cap design w/jnt(s) cf
|
$900.45 |
$900.45 |
$900.45 |
$1,890.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$223.00 |
$223.00 |
$223.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$223.00 |
$223.00 |
$223.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$259.00 |
$259.00 |
$259.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$223.00 |
$223.00 |
$223.00 |
$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
|
$223.00 |
$223.00 |
$223.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$317.00 |
$317.00 |
$317.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$223.00 |
$223.00 |
$223.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$223.00 |
$223.00 |
$223.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$2,845.25 |
$2,845.25 |
$2,845.25 |
$6,570.70
|
|
Shoe heel new rubber standar
|
$20.70 |
$20.70 |
$20.70 |
$63.70
|
|
Shoe post-op mens m
|
$47.10 |
$47.10 |
$47.10 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$3,585.50 |
$3,585.50 |
$3,585.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,555.50 |
$2,555.50 |
$2,555.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,932.50 |
$1,932.50 |
$1,932.50 |
$2,065.05
|
|
Shoulder X-ray
|
$319.00 |
$319.00 |
$319.00 |
$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
|
|
Shunt glaucoma baerveldt 350mm
|
$1,686.25 |
$1,686.25 |
$1,686.25 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$206.00 |
$206.00 |
$206.00 |
$349.20
|
|
Sialography s&i
|
$628.50 |
$628.50 |
$628.50 |
$499.20
|
|
Sialolithotomy 42330
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$3,837.72
|
|
Sickling rbc
|
$100.50 |
$100.50 |
$100.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,351.63
|
|
Sigmoidoscopy w/plcmt stent
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
$3,692.00
|
|
Simple cystometrogram 51725
|
$433.50 |
$433.50 |
$433.50 |
$589.45
|
