|
R&l hrt cath chd abnl nt cnj
|
$8,232.40 |
$8,232.40 |
$8,232.40 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$8,352.40 |
$8,352.40 |
$8,352.40 |
$6,104.00
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,470.40 |
$2,470.40 |
$2,470.40 |
$2,093.02
|
|
Rmvl icd by tv extr
|
$3,326.40 |
$3,326.40 |
$3,326.40 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$19,380.80 |
$19,380.80 |
$19,380.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$26,037.20 |
$26,037.20 |
$26,037.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$19,380.80 |
$19,380.80 |
$19,380.80 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,897.60 |
$1,897.60 |
$1,897.60 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,172.40 |
$1,172.40 |
$1,172.40 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$4,875.60 |
$4,875.60 |
$4,875.60 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$13,444.00 |
$13,444.00 |
$13,444.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$7,842.40 |
$7,842.40 |
$7,842.40 |
$10,542.00
|
|
Rmvl pq iabp
|
$482.00 |
$482.00 |
$482.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$3,366.00 |
$3,366.00 |
$3,366.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$6,442.80 |
$6,442.80 |
$6,442.80 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$6,442.80 |
$6,442.80 |
$6,442.80 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$59.60 |
$59.60 |
$59.60 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$15.86 |
$15.86 |
$15.86 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1.26 |
$1.26 |
$1.26 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$848.00 |
$848.00 |
$848.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,597.20 |
$3,597.20 |
$3,597.20 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$4,148.00 |
$4,148.00 |
$4,148.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$897.20 |
$897.20 |
$897.20 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,779.60 |
$2,779.60 |
$2,779.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$3,687.00
|
|
Rubella antibody igg
|
$33.60 |
$33.60 |
$33.60 |
$77.03
|
|
Rubeola antibody igg
|
$32.40 |
$32.40 |
$32.40 |
$80.00
|
|
Russell viper venom diluted
|
$24.00 |
$24.00 |
$24.00 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$737.60 |
$737.60 |
$737.60 |
$1,008.79
|
|
Sach foot, replacement
|
$153.20 |
$153.20 |
$153.20 |
$288.40
|
|
Salmonella antibody
|
$31.20 |
$31.20 |
$31.20 |
$37.58
|
|
Sars-cov-2 antb quantitative
|
$57.60 |
$57.60 |
$57.60 |
$56.57
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$744.40 |
$744.40 |
$744.40 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$559.20 |
$559.20 |
$559.20 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$743.60 |
$743.60 |
$743.60 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$369.20 |
$369.20 |
$369.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$553.60 |
$553.60 |
$553.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$369.20 |
$369.20 |
$369.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$737.20 |
$737.20 |
$737.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$369.20 |
$369.20 |
$369.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$369.20 |
$369.20 |
$369.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,257.20 |
$1,257.20 |
$1,257.20 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$8,532.80 |
$8,532.80 |
$8,532.80 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$53.20 |
$53.20 |
$53.20 |
$85.15
|
|
Screening hepatitis b non-obstetric high risk
|
$54.00 |
$54.00 |
$54.00 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$86.00 |
$86.00 |
$86.00 |
$99.66
|
|
Screening HIV antigen/antibody combination assay
|
$52.40 |
$52.40 |
$52.40 |
$42.30
|
|
Screening Mammogram
|
$227.20 |
$227.20 |
$227.20 |
$312.55
|
|
Screening prostate cancer PSA
|
$38.40 |
$38.40 |
$38.40 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$36,689.20 |
$36,689.20 |
$36,689.20 |
$29,055.00
|
|
Sc ther infusion reset pump
|
$162.40 |
$162.40 |
$162.40 |
$140.15
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,604.40 |
$3,604.40 |
$3,604.40 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$336.40 |
$336.40 |
$336.40 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$11.60 |
$11.60 |
$11.60 |
$42.00
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$32.80 |
$32.80 |
$32.80 |
$51.98
|
|
Semen analysis presence/motility
|
$31.20 |
$31.20 |
$31.20 |
$71.05
|
|
Semen analysis w/count
|
$17.60 |
$17.60 |
$17.60 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$172.40 |
$172.40 |
$172.40 |
$316.68
|
|
Serpina1 gene
|
$100.40 |
$100.40 |
$100.40 |
$197.00
|
|
Sertraline (zoloft) - sendout
|
$122.00 |
$122.00 |
$122.00 |
$126.43
|
|
Set radiation therapy field
|
$386.40 |
$386.40 |
$386.40 |
$762.40
|
|
Set radiation therapy field
|
$963.20 |
$963.20 |
$963.20 |
$1,157.38
|
|
Set radiation therapy field
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$1,636.36
|
|
Sewhfo airplane without jnts cf
|
$935.20 |
$935.20 |
$935.20 |
$1,685.60
|
|
Sewhfo cap desgn w/jnt(s) cf
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$1,890.00
|
|
Sewhfo cap design without jnt cf
|
$935.20 |
$935.20 |
$935.20 |
$1,685.60
|
|
Sewho airplane w/jnt(s) cf
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,990.80
|
|
Sewho cap design w/jnt(s) cf
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$1,890.00
|
|
Sheath gldlight lasr 12fx50cm
|
$6,739.20 |
$6,739.20 |
$6,739.20 |
$6,570.70
|
|
Shoe metatarsal bar wedge ro
|
$24.80 |
$24.80 |
$24.80 |
$69.03
|
|
Shoe post-op mens m
|
$229.20 |
$229.20 |
$229.20 |
$52.20
|
|
Shoe sole wedge outside sole
|
$21.60 |
$21.60 |
$21.60 |
$77.00
|
|
Shoe wedge sach
|
$52.00 |
$52.00 |
$52.00 |
$171.44
|
|
Sho insert w arch toe filler
|
$315.20 |
$315.20 |
$315.20 |
$1,224.38
|
|
Shoulder MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$2,065.05
|
|
Shoulder X-ray
|
$250.40 |
$250.40 |
$250.40 |
$339.50
|
|
Shrinker prosth above knee
|
$206.80 |
$206.80 |
$206.80 |
$168.89
|
|
Shrinker prosth below knee
|
$88.00 |
$88.00 |
$88.00 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$5,052.00 |
$5,052.00 |
$5,052.00 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$386.40 |
$386.40 |
$386.40 |
$349.20
|
|
Sialidase enzyme assay
|
$31.20 |
$31.20 |
$31.20 |
$54.60
|
|
Sialography s&i
|
$718.00 |
$718.00 |
$718.00 |
$499.20
|
|
Sickling rbc
|
$13.20 |
$13.20 |
$13.20 |
$57.92
|
|
Silicon gel insert w/wo lock
|
$349.20 |
$349.20 |
$349.20 |
$840.00
|
|
Sim ang w/prs cath rad emb
|
$31,744.00 |
$31,744.00 |
$31,744.00 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$125.04 |
$125.04 |
$125.04 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$911.60 |
$911.60 |
$911.60 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$2,489.25
|
|
Sio rig pnl pelv/sac pre ots
|
$30.40 |
$30.40 |
$30.40 |
$418.75
|
|
Skeletal muscle relaxant 1/2
|
$122.00 |
$122.00 |
$122.00 |
$83.85
|
|
Skel musc relaxant 3 or more
|
$122.00 |
$122.00 |
$122.00 |
$16.12
|
|
Skin Biopsy
|
$288.80 |
$288.80 |
$288.80 |
$360.34
|
