|
Revasc lith-sten-ath tib/per
|
$7,624.35 |
$7,624.35 |
$7,624.35 |
$19,750.50
|
|
Revise vag graft via vagina
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$3,762.53
|
|
Revision of iris
|
$251.55 |
$251.55 |
$251.55 |
$1,388.40
|
|
Revision tips
|
$2,983.35 |
$2,983.35 |
$2,983.35 |
$9,823.40
|
|
Revsc opn/prq tib/pero stent
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$9,196.55
|
|
Rheumatoid factor qualitative
|
$9.90 |
$9.90 |
$9.90 |
$57.07
|
|
Rheumatoid factor quantitative
|
$9.90 |
$9.90 |
$9.90 |
$56.58
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$284.74 |
$284.74 |
$284.74 |
$247.55
|
|
Rho d immune globulin inj
|
$135.94 |
$135.94 |
$135.94 |
$217.71
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$7,301.56 |
$7,301.56 |
$7,301.56 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$6,571.77 |
$6,571.77 |
$6,571.77 |
$4,921.10
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,571.86 |
$5,571.86 |
$5,571.86 |
$6,191.38
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,571.86 |
$5,571.86 |
$5,571.86 |
$5,309.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$211.95 |
$211.95 |
$211.95 |
$1,876.00
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,081.60 |
$12,081.60 |
$12,081.60 |
$26,302.40
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$12,081.60 |
$12,081.60 |
$12,081.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,081.60 |
$12,081.60 |
$12,081.60 |
$24,530.99
|
|
Rmvl icd pulse gen only
|
$1,435.50 |
$1,435.50 |
$1,435.50 |
$4,028.20
|
|
Rmvl left heart vent thor inscn ecmo
|
$296.40 |
$296.40 |
$296.40 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$242.10 |
$242.10 |
$242.10 |
$1,154.79
|
|
Rmvl perm pm pulse gen
|
$1,339.05 |
$1,339.05 |
$1,339.05 |
$6,217.00
|
|
Rmvl perq right heart vad
|
$414.00 |
$414.00 |
$414.00 |
$1,888.70
|
|
Rmvl phrnc nrv stim pg only
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$5,419.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$4,025.10 |
$4,025.10 |
$4,025.10 |
$15,354.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,737.25 |
$3,737.25 |
$3,737.25 |
$10,765.50
|
|
Rmvl pq iabp
|
$784.95 |
$784.95 |
$784.95 |
$1,047.28
|
|
Rmvl pq vad left hrt vein sep session
|
$784.95 |
$784.95 |
$784.95 |
$2,553.60
|
|
Rmvl subq card rhythm mntr
|
$513.90 |
$513.90 |
$513.90 |
$1,758.00
|
|
Rmvl tv pm lead dual
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$4,203.54
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$5,332.95 |
$5,332.95 |
$5,332.95 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$13,975.20 |
$13,975.20 |
$13,975.20 |
$35,887.53
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$146.73 |
$146.73 |
$146.73 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$778.20 |
$778.20 |
$778.20 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$474.90 |
$474.90 |
$474.90 |
$1,343.22
|
|
Rp loclzj tum spect w/ct 1
|
$513.30 |
$513.30 |
$513.30 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$582.30 |
$582.30 |
$582.30 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$496.20 |
$496.20 |
$496.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,358.25 |
$1,358.25 |
$1,358.25 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$910.35 |
$910.35 |
$910.35 |
$3,724.63
|
|
Rsv assay w/optic
|
$20.55 |
$20.55 |
$20.55 |
$82.68
|
|
Rubella antibody igg
|
$25.20 |
$25.20 |
$25.20 |
$76.86
|
|
Rubeola antibody igg
|
$22.50 |
$22.50 |
$22.50 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$422.85 |
$422.85 |
$422.85 |
$543.27
|
|
Russell viper venom diluted
|
$16.65 |
$16.65 |
$16.65 |
$72.45
|
|
Rx metab gen seq alys pnl 6
|
$810.00 |
$810.00 |
$810.00 |
$917.08
|
|
Salmonella antibody
|
$23.10 |
$23.10 |
$23.10 |
$39.60
|
|
Sarscov coronavirus ag ia
|
$10.20 |
$10.20 |
$10.20 |
$59.50
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$344.25 |
$344.25 |
$344.25 |
$978.02
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$229.50 |
$229.50 |
$229.50 |
$661.65
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$344.25 |
$344.25 |
$344.25 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$229.50 |
$229.50 |
$229.50 |
$477.88
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$229.50 |
$229.50 |
$229.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$229.50 |
$229.50 |
$229.50 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$344.25 |
$344.25 |
$344.25 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$229.50 |
$229.50 |
$229.50 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$229.50 |
$229.50 |
$229.50 |
$573.86
|
|
Sclerotherapy fluid collection pq w/img
|
$647.70 |
$647.70 |
$647.70 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$5,437.00 |
$5,437.00 |
$5,437.00 |
$4,800.00
|
|
Screening HIV antigen/antibody combination assay
|
$42.30 |
$42.30 |
$42.30 |
$42.30
|
|
Screening Mammogram
|
$74.10 |
$74.10 |
$74.10 |
$313.35
|
|
Screening prostate cancer PSA
|
$32.25 |
$32.25 |
$32.25 |
$98.28
|
|
Screen/visual acuity/bilat/quant 99173
|
$9.15 |
$9.15 |
$9.15 |
$28.86
|
|
Sc ther infusion reset pump
|
$37.80 |
$37.80 |
$37.80 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$4,491.20
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$121.65 |
$121.65 |
$121.65 |
$244.52
|
|
Sedimentation rate erythrocyte automated
|
$4.80 |
$4.80 |
$4.80 |
$42.48
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$12.30 |
$12.30 |
$12.30 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$9.00 |
$9.00 |
$9.00 |
$33.04
|
|
Semen analysis presence/motility
|
$21.15 |
$21.15 |
$21.15 |
$75.24
|
|
Semen analysis w/count
|
$9.15 |
$9.15 |
$9.15 |
$56.44
|
|
Serpina1 gene
|
$134.10 |
$134.10 |
$134.10 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$24.90 |
$24.90 |
$24.90 |
$126.43
|
|
Set radiation therapy field
|
$265.20 |
$265.20 |
$265.20 |
$731.50
|
|
Set radiation therapy field
|
$415.65 |
$415.65 |
$415.65 |
$1,149.50
|
|
Set radiation therapy field
|
$480.60 |
$480.60 |
$480.60 |
$1,607.40
|
|
Sewho cap design without jnts cf
|
$730.95 |
$730.95 |
$730.95 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$248.10 |
$248.10 |
$248.10 |
$243.34
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$39.15 |
$39.15 |
$39.15 |
$225.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$83.55 |
$83.55 |
$83.55 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$91.95 |
$91.95 |
$91.95 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$101.10 |
$101.10 |
$101.10 |
$289.30
|
|
Shoulder MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,456.30
|
|
Shoulder MRI (without contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,102.80
|
|
Shoulder X-ray
|
$76.35 |
$76.35 |
$76.35 |
$341.40
|
|
Shuntogram nonvascular supervision & interpretation
|
$69.30 |
$69.30 |
$69.30 |
$359.55
|
|
Sickling rbc
|
$9.60 |
$9.60 |
$9.60 |
$57.00
|
|
Sigmoidoscopy w/resection
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$2,564.40
|
|
Signal avg ecg w or without ecg 93278
|
$58.50 |
$58.50 |
$58.50 |
$280.00
|
|
Sincalide 5 mcg solution for injection
|
$197.06 |
$197.06 |
$197.06 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,292.04
|
|
Sirolimus, oral
|
$2.27 |
$2.27 |
$2.27 |
$41.25
|
|
Skeletal muscle relaxant 1/2
|
$13.35 |
$13.35 |
$13.35 |
$80.08
|
|
Skel musc relaxant 3 or more
|
$13.35 |
$13.35 |
$13.35 |
$16.12
|
|
Skin Biopsy
|
$39.15 |
$39.15 |
$39.15 |
$360.34
|
