|
Rmvl subq card rhythm mntr
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$5,554.00 |
$5,554.00 |
$5,554.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$5,554.00 |
$5,554.00 |
$5,554.00 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$59.60 |
$59.60 |
$59.60 |
$210.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$9.68 |
$9.68 |
$9.68 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$762.80 |
$762.80 |
$762.80 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$3,687.00
|
|
Rsv assay w/optic
|
$52.80 |
$52.80 |
$52.80 |
$79.38
|
|
Rubella antibody igg
|
$64.00 |
$64.00 |
$64.00 |
$77.03
|
|
Rubeola ag if
|
$38.40 |
$38.40 |
$38.40 |
$92.31
|
|
Rubeola antibody igg
|
$56.80 |
$56.80 |
$56.80 |
$80.00
|
|
Russell viper venom diluted
|
$42.40 |
$42.40 |
$42.40 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,360.40 |
$1,360.40 |
$1,360.40 |
$1,008.79
|
|
Sach foot, replacement
|
$153.20 |
$153.20 |
$153.20 |
$288.40
|
|
Sars-cov-2 antb quantitative
|
$27.60 |
$27.60 |
$27.60 |
$56.57
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$877.20 |
$877.20 |
$877.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$424.80 |
$424.80 |
$424.80 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$455.20 |
$455.20 |
$455.20 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$424.80 |
$424.80 |
$424.80 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$227.60 |
$227.60 |
$227.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$429.20 |
$429.20 |
$429.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$470.40 |
$470.40 |
$470.40 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$424.80 |
$424.80 |
$424.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$424.80 |
$424.80 |
$424.80 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$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
|
$42.40 |
$42.40 |
$42.40 |
$85.15
|
|
Screening hepatitis b non-obstetric high risk
|
$66.40 |
$66.40 |
$66.40 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$67.60 |
$67.60 |
$67.60 |
$99.66
|
|
Screening HIV antigen/antibody combination assay
|
$44.00 |
$44.00 |
$44.00 |
$42.30
|
|
Screening Mammogram
|
$267.60 |
$267.60 |
$267.60 |
$312.55
|
|
Screening prostate cancer PSA
|
$81.60 |
$81.60 |
$81.60 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$36,689.20 |
$36,689.20 |
$36,689.20 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$4,377.50
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$141.20 |
$141.20 |
$141.20 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$7.20 |
$7.20 |
$7.20 |
$42.00
|
|
Semen analysis presence/motility
|
$53.20 |
$53.20 |
$53.20 |
$71.05
|
|
Semen analysis w/count
|
$37.60 |
$37.60 |
$37.60 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$18.40 |
$18.40 |
$18.40 |
$126.43
|
|
Set radiation therapy field
|
$244.40 |
$244.40 |
$244.40 |
$762.40
|
|
Set radiation therapy field
|
$557.20 |
$557.20 |
$557.20 |
$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)
|
$2,425.20 |
$2,425.20 |
$2,425.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$3,623.20 |
$3,623.20 |
$3,623.20 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,302.80 |
$1,302.80 |
$1,302.80 |
$2,065.05
|
|
Shoulder X-ray
|
$222.00 |
$222.00 |
$222.00 |
$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
|
$227.60 |
$227.60 |
$227.60 |
$349.20
|
|
Sickling rbc
|
$24.40 |
$24.40 |
$24.40 |
$57.92
|
|
Silicon gel insert w/wo lock
|
$349.20 |
$349.20 |
$349.20 |
$840.00
|
|
Sim ang w/prs cath rad emb
|
$16,278.40 |
$16,278.40 |
$16,278.40 |
$18,145.20
|
|
Sincalide 5 mcg solution for injection
|
$203.20 |
$203.20 |
$203.20 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$1,342.80 |
$1,342.80 |
$1,342.80 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$630.80 |
$630.80 |
$630.80 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$4,999.20 |
$4,999.20 |
$4,999.20 |
$2,489.25
|
|
Sio rig pnl pelv/sac pre ots
|
$30.40 |
$30.40 |
$30.40 |
$418.75
|
|
Skeletal muscle relaxant 1/2
|
$54.40 |
$54.40 |
$54.40 |
$83.85
|
|
Skin Biopsy
|
$401.20 |
$401.20 |
$401.20 |
$360.34
|
|
Sleep Study (Polysomnography)
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$3,607.50
|
|
Sleep study unattended
|
$252.40 |
$252.40 |
$252.40 |
$580.87
|
|
Sling arm deluxe w/pad xs
|
$241.20 |
$241.20 |
$241.20 |
$30.35
|
|
Sling pelv split sam med
|
$241.20 |
$241.20 |
$241.20 |
$150.00
|
|
Sling suprapubic suburetheral
|
$16,991.60 |
$16,991.60 |
$16,991.60 |
$9,679.96
|
|
Sm-153 lexidron ther
|
$47,621.20 |
$47,621.20 |
$47,621.20 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$24.00 |
$24.00 |
$24.00 |
$64.20
|
|
Smear gram stain
|
$18.80 |
$18.80 |
$18.80 |
$55.25
|
|
Smear nasal eosinophil
|
$21.20 |
$21.20 |
$21.20 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$27.60 |
$27.60 |
$27.60 |
$73.15
|
|
Smear wet mount
|
$20.80 |
$20.80 |
$20.80 |
$67.49
|
|
Snrpn/ube3a gene
|
$182.80 |
$182.80 |
$182.80 |
$231.85
|
|
So airplane w/wo joint cf
|
$658.00 |
$658.00 |
$658.00 |
$1,276.80
|
|
So cap design without jnts cf
|
$489.60 |
$489.60 |
$489.60 |
$606.35
|
|
Socket insert below knee
|
$216.80 |
$216.80 |
$216.80 |
$397.60
|
|
Socket insert without lock mech
|
$372.40 |
$372.40 |
$372.40 |
$1,192.50
|
|
Socket insert w lock mech
|
$447.20 |
$447.20 |
$447.20 |
$1,544.50
|
|
Sock fracture or equal each
|
$20.40 |
$20.40 |
$20.40 |
$74.51
|
|
Sodium 24 hour urine
|
$21.60 |
$21.60 |
$21.60 |
$48.60
|
|
Sodium chloride 3 % ivpb
|
$9.72 |
$9.72 |
$9.72 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$6.99 |
$6.99 |
$6.99 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$21.20 |
$21.20 |
$21.20 |
$45.60
|
|
Soft interface below knee se
|
$50.80 |
$50.80 |
$50.80 |
$179.08
|
|
So vest canvas/web pre ots
|
$97.60 |
$97.60 |
$97.60 |
$256.54
|
|
Special physics consult
|
$174.40 |
$174.40 |
$174.40 |
$725.00
|
|
Special radiation dosimetry
|
$244.40 |
$244.40 |
$244.40 |
$392.50
|
