|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,164.50 |
$1,164.50 |
$1,164.50 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$877.50 |
$877.50 |
$877.50 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,185.50 |
$1,185.50 |
$1,185.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$652.00 |
$652.00 |
$652.00 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$639.50 |
$639.50 |
$639.50 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$1,185.50 |
$1,185.50 |
$1,185.50 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$968.50 |
$968.50 |
$968.50 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$940.50 |
$940.50 |
$940.50 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$693.00 |
$693.00 |
$693.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$620.00 |
$620.00 |
$620.00 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$461.50 |
$461.50 |
$461.50 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,091.50 |
$1,091.50 |
$1,091.50 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$5,983.35
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$1,643.50 |
$1,643.50 |
$1,643.50 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$1,786.50 |
$1,786.50 |
$1,786.50 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,881.00
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$944.50 |
$944.50 |
$944.50 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$708.50 |
$708.50 |
$708.50 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$471.50 |
$471.50 |
$471.50 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$815.00 |
$815.00 |
$815.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$648.50 |
$648.50 |
$648.50 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$373.00 |
$373.00 |
$373.00 |
$5,959.65
|
|
Rsv assay w/optic
|
$6.50 |
$6.50 |
$6.50 |
$79.38
|
|
Rubella antibody igg
|
$34.50 |
$34.50 |
$34.50 |
$77.03
|
|
Rubeola antibody igg
|
$68.50 |
$68.50 |
$68.50 |
$80.00
|
|
Same day nb discharge 99463
|
$108.00 |
$108.00 |
$108.00 |
$183.07
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$157.50 |
$157.50 |
$157.50 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$57.00 |
$57.00 |
$57.00 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$113.50 |
$113.50 |
$113.50 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$158.00 |
$158.00 |
$158.00 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$80.00 |
$80.00 |
$80.00 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$116.00 |
$116.00 |
$116.00 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$63.50 |
$63.50 |
$63.50 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$102.50 |
$102.50 |
$102.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$582.50 |
$582.50 |
$582.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$289.50 |
$289.50 |
$289.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$448.50 |
$448.50 |
$448.50 |
$750.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$352.50 |
$352.50 |
$352.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$375.50 |
$375.50 |
$375.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$438.50 |
$438.50 |
$438.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$307.00 |
$307.00 |
$307.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$238.00 |
$238.00 |
$238.00 |
$595.35
|
|
Scope plantar fasciotomy
|
$454.00 |
$454.00 |
$454.00 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$97.50 |
$97.50 |
$97.50 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$714.00 |
$714.00 |
$714.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$689.00 |
$689.00 |
$689.00 |
$1,951.46
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$26.00 |
$26.00 |
$26.00 |
$57.60
|
|
Screening HIV antigen/antibody combination assay
|
$31.50 |
$31.50 |
$31.50 |
$42.30
|
|
Screening Mammogram
|
$187.50 |
$187.50 |
$187.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$48.00 |
$48.00 |
$48.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$35.00 |
$35.00 |
$35.00 |
$28.86
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$922.00 |
$922.00 |
$922.00 |
$2,139.60
|
|
Select picture audiometry
|
$61.50 |
$61.50 |
$61.50 |
$105.60
|
|
Semen analysis presence/motility
|
$89.00 |
$89.00 |
$89.00 |
$71.05
|
|
Sensorimotor examination
|
$39.50 |
$39.50 |
$39.50 |
$109.50
|
|
Sgmdsc w/band ligation
|
$104.00 |
$104.00 |
$104.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$41.50 |
$41.50 |
$41.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$192.50 |
$192.50 |
$192.50 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$69.50 |
$69.50 |
$69.50 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$88.50 |
$88.50 |
$88.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$230.50 |
$230.50 |
$230.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$47.00 |
$47.00 |
$47.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$192.50 |
$192.50 |
$192.50 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$389.50 |
$389.50 |
$389.50 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$32.00 |
$32.00 |
$32.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$47.50 |
$47.50 |
$47.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$192.50 |
$192.50 |
$192.50 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$502.00 |
$502.00 |
$502.00 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$593.50 |
$593.50 |
$593.50 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$3,188.00 |
$3,188.00 |
$3,188.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$585.50 |
$585.50 |
$585.50 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$625.50 |
$625.50 |
$625.50 |
$5,148.00
|
|
Shoe post-op mens m
|
$43.50 |
$43.50 |
$43.50 |
$52.20
|
|
Shorten radius or ulna
|
$796.50 |
$796.50 |
$796.50 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,727.50 |
$1,727.50 |
$1,727.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,313.00 |
$1,313.00 |
$1,313.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$4,832.80
|
|
Shoulder X-ray
|
$133.00 |
$133.00 |
$133.00 |
$339.50
|
|
Sialolithotomy 42330
|
$167.50 |
$167.50 |
$167.50 |
$3,837.72
|
|
Sickling rbc
|
$141.50 |
$141.50 |
$141.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$78.00 |
$78.00 |
$78.00 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$115.00 |
$115.00 |
$115.00 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$120.00 |
$120.00 |
$120.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$70.00 |
$70.00 |
$70.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$163.50 |
$163.50 |
$163.50 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$108.50 |
$108.50 |
$108.50 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$200.00 |
$200.00 |
$200.00 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$123.50 |
$123.50 |
$123.50 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$98.50 |
$98.50 |
$98.50 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$82.00 |
$82.00 |
$82.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$239.50 |
$239.50 |
$239.50 |
$589.45
|
