|
Revasc evasc fpvt athrec sf 1st
|
$13,090.40 |
$13,090.40 |
$13,090.40 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$24,290.40 |
$24,290.40 |
$24,290.40 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$24,346.80 |
$24,346.80 |
$24,346.80 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$19,477.60 |
$19,477.60 |
$19,477.60 |
$20,474.72
|
|
Revasc evasc imvt angio sf 1st
|
$28,144.80 |
$28,144.80 |
$28,144.80 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$10,190.80 |
$10,190.80 |
$10,190.80 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$22,759.60 |
$22,759.60 |
$22,759.60 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$18,207.60 |
$18,207.60 |
$18,207.60 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$10,675.60 |
$10,675.60 |
$10,675.60 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$8,540.40 |
$8,540.40 |
$8,540.40 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$16,628.80 |
$16,628.80 |
$16,628.80 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$13,303.20 |
$13,303.20 |
$13,303.20 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$25,554.40 |
$25,554.40 |
$25,554.40 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$26,770.80 |
$26,770.80 |
$26,770.80 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$13,166.80 |
$13,166.80 |
$13,166.80 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$35,531.20 |
$35,531.20 |
$35,531.20 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$36,396.80 |
$36,396.80 |
$36,396.80 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$22,374.40 |
$22,374.40 |
$22,374.40 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$35,531.20 |
$35,531.20 |
$35,531.20 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$35,531.20 |
$35,531.20 |
$35,531.20 |
$19,385.85
|
|
Revise arm/leg nerve
|
$4,592.80 |
$4,592.80 |
$4,592.80 |
$3,754.40
|
|
Revision of cervix
|
$2,746.00 |
$2,746.00 |
$2,746.00 |
$3,854.76
|
|
Revision open av fistula without thromb
|
$9,300.80 |
$9,300.80 |
$9,300.80 |
$8,037.35
|
|
Revision tips
|
$6,168.80 |
$6,168.80 |
$6,168.80 |
$9,879.50
|
|
Rf abltj nrv nrvtg si jt
|
$5,069.20 |
$5,069.20 |
$5,069.20 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$15.60 |
$15.60 |
$15.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$14.00 |
$14.00 |
$14.00 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$24.86 |
$24.86 |
$24.86 |
$243.11
|
|
Rho d immune globulin 50 mcg
|
$51.20 |
$51.20 |
$51.20 |
$106.14
|
|
Rho d immune globulin inj
|
$92.80 |
$92.80 |
$92.80 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$8,566.40 |
$8,566.40 |
$8,566.40 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$5,501.20 |
$5,501.20 |
$5,501.20 |
$6,095.95
|
|
Rib gusset (elastic) each
|
$52.40 |
$52.40 |
$52.40 |
$161.95
|
|
Ring fx reform 11-13x17mm
|
$952.80 |
$952.80 |
$952.80 |
$1,509.75
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$158.66 |
$158.66 |
$158.66 |
$5,343.99
|
|
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
|
$15.04 |
$15.04 |
$15.04 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$5.25 |
$5.25 |
$5.25 |
$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
|
