|
Revise kneecap with implant
|
$7,158.67 |
$7,158.67 |
$7,158.67 |
$9,625.50
|
|
Revise lower leg tendon
|
$2,373.50 |
$2,373.50 |
$2,373.50 |
$3,986.00
|
|
Revise lower leg tendon
|
$4,934.00 |
$4,934.00 |
$4,934.00 |
$4,934.00
|
|
Revise/remove sling repair
|
$4,245.00 |
$4,245.00 |
$4,245.00 |
$3,720.50
|
|
Revise/replace knee joint
|
$8,904.67 |
$8,904.67 |
$8,904.67 |
$5,491.20
|
|
Revise/replace knee joint
|
$17,695.67 |
$17,695.67 |
$17,695.67 |
$7,048.60
|
|
Revise spine eltrd perq aray
|
$3,538.50 |
$3,538.50 |
$3,538.50 |
$7,496.58
|
|
Revise vag graft via vagina
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$3,762.53
|
|
Revision of ankle joint
|
$5,682.00 |
$5,682.00 |
$5,682.00 |
$7,913.97
|
|
Revision of calf tendon
|
$5,314.00 |
$5,314.00 |
$5,314.00 |
$3,839.54
|
|
Revision of cervix
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$3,721.00
|
|
Revision of colostomy
|
$7,152.00 |
$7,152.00 |
$7,152.00 |
$4,332.25
|
|
Revision of cornea
|
$3,996.50 |
$3,996.50 |
$3,996.50 |
$2,760.73
|
|
Revision of eyelid
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$2,860.80
|
|
Revision of eyelid
|
$4,246.00 |
$4,246.00 |
$4,246.00 |
$2,760.73
|
|
Revision of eyelid
|
$4,416.00 |
$4,416.00 |
$4,416.00 |
$3,417.95
|
|
Revision of knee joint
|
$12,084.67 |
$12,084.67 |
$12,084.67 |
$8,885.39
|
|
Revision of knee joint
|
$23,559.50 |
$23,559.50 |
$23,559.50 |
$14,241.77
|
|
Revision of nose
|
$10,092.50 |
$10,092.50 |
$10,092.50 |
$5,773.60
|
|
Revision of toe
|
$1,423.20 |
$1,423.20 |
$1,423.20 |
$3,108.00
|
|
Revision of urethra
|
$6,715.00 |
$6,715.00 |
$6,715.00 |
$5,741.00
|
|
Revis reconst shoulder joint
|
$6,307.33 |
$6,307.33 |
$6,307.33 |
$7,074.60
|
|
Rev/rmv perph nstim eltrd ra
|
$3,249.00 |
$3,249.00 |
$3,249.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$2,502.67 |
$2,502.67 |
$2,502.67 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$3,736.00 |
$3,736.00 |
$3,736.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$69.00 |
$69.00 |
$69.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$36.50 |
$36.50 |
$36.50 |
$57.00
|
|
Rho d immune globulin inj
|
$197.50 |
$197.50 |
$197.50 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$2,889.50 |
$2,889.50 |
$2,889.50 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$2,889.50 |
$2,889.50 |
$2,889.50 |
$6,095.95
|
|
Riboflavin 5'phos opth<=3ml
|
$10,260.00 |
$10,260.00 |
$10,260.00 |
$7,970.03
|
|
Ring fx reform 11-13x17mm
|
$929.50 |
$929.50 |
$929.50 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$27.00 |
$27.00 |
$27.00 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$18,790.40 |
$18,790.40 |
$18,790.40 |
$9,301.22
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,362.54 |
$5,362.54 |
$5,362.54 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$10,088.78 |
$10,088.78 |
$10,088.78 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$2,889.50 |
$2,889.50 |
$2,889.50 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$2,889.50 |
$2,889.50 |
$2,889.50 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$6,517.33 |
$6,517.33 |
$6,517.33 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$5,773.00 |
$5,773.00 |
$5,773.00 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$1,822.05
|
|
Rmvl ndwellg tun pleural cath
|
$464.00 |
$464.00 |
$464.00 |
$1,156.80
|
|
Rmvl sq defib electrode
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$1,734.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,633.42 |
$5,633.42 |
$5,633.42 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$24.30 |
$24.30 |
$24.30 |
$188.50
|
|
Rotavirus antibody
|
$163.00 |
$163.00 |
$163.00 |
$125.01
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,459.50 |
$1,459.50 |
$1,459.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$886.00 |
$886.00 |
$886.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,141.00 |
$3,141.00 |
$3,141.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,563.50 |
$3,563.50 |
$3,563.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$3,687.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$12,089.50 |
$12,089.50 |
$12,089.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$15,079.50 |
$15,079.50 |
$15,079.50 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$10,189.75 |
$10,189.75 |
$10,189.75 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$14,152.00 |
$14,152.00 |
$14,152.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$14,425.50 |
$14,425.50 |
$14,425.50 |
$6,819.30
|
|
Rsv assay w/optic
|
$25.00 |
$25.00 |
$25.00 |
$79.38
|
|
Rubella antibody igg
|
$178.00 |
$178.00 |
$178.00 |
$77.03
|
|
Rubeola antibody igg
|
$37.50 |
$37.50 |
$37.50 |
$80.00
|
|
Russell viper venom diluted
|
$41.50 |
$41.50 |
$41.50 |
$72.54
|
|
Salmonella antibody
|
$36.00 |
$36.00 |
$36.00 |
$37.58
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$105.00 |
$105.00 |
$105.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$59.50 |
$59.50 |
$59.50 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$123.50 |
$123.50 |
$123.50 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$129.00 |
$129.00 |
$129.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$717.00 |
$717.00 |
$717.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$482.00 |
$482.00 |
$482.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$632.00 |
$632.00 |
$632.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$411.00 |
$411.00 |
$411.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$500.50 |
$500.50 |
$500.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$369.50 |
$369.50 |
$369.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$765.00 |
$765.00 |
$765.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$405.50 |
$405.50 |
$405.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$598.50 |
$598.50 |
$598.50 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$2,967.50 |
$2,967.50 |
$2,967.50 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$120.00 |
$120.00 |
$120.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$80.50 |
$80.50 |
$80.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$898.00 |
$898.00 |
$898.00 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$121.50 |
$121.50 |
$121.50 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$36.50 |
$36.50 |
$36.50 |
$42.30
|
|
Screening Mammogram
|
$293.00 |
$293.00 |
$293.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$37.00 |
$37.00 |
$37.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$41.50 |
$41.50 |
$41.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,391.50 |
$2,391.50 |
$2,391.50 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$14.50 |
$14.50 |
$14.50 |
$42.00
|
|
Semen analysis presence/motility
|
$11.50 |
$11.50 |
$11.50 |
$71.05
|
|
Serial casting application 97139app
|
$24.00 |
$24.00 |
$24.00 |
$78.39
|
|
Set radiation therapy field
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$1,636.36
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$335.50 |
$335.50 |
$335.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$193.50 |
$193.50 |
$193.50 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$588.00 |
$588.00 |
$588.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$371.50 |
$371.50 |
$371.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$309.50 |
$309.50 |
$309.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$341.00 |
$341.00 |
$341.00 |
$269.50
|
