|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,640.00 |
$11,640.00 |
$11,640.00 |
$33,467.20
|
|
Rmvl icd pulse gen only
|
$3,268.00 |
$3,268.00 |
$3,268.00 |
$3,977.32
|
|
Rmvl imed rx delivery device
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$761.60
|
|
Rmvl ndwellg tun pleural cath
|
$2,338.00 |
$2,338.00 |
$2,338.00 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$5,957.50 |
$5,957.50 |
$5,957.50 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$3,096.50 |
$3,096.50 |
$3,096.50 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,765.67 |
$21,765.67 |
$21,765.67 |
$14,929.60
|
|
Rmvl sq defib electrode
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,602.50 |
$1,602.50 |
$1,602.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,268.00 |
$3,268.00 |
$3,268.00 |
$4,028.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,668.36 |
$7,668.36 |
$7,668.36 |
$8,950.11
|
|
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
|
$14.97 |
$14.97 |
$14.97 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$3,047.50 |
$3,047.50 |
$3,047.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,186.00 |
$3,186.00 |
$3,186.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$21,016.50 |
$21,016.50 |
$21,016.50 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$21,523.50 |
$21,523.50 |
$21,523.50 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$16,879.00 |
$16,879.00 |
$16,879.00 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$28,629.50 |
$28,629.50 |
$28,629.50 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$7,942.00 |
$7,942.00 |
$7,942.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$4,672.00 |
$4,672.00 |
$4,672.00 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$14,667.75 |
$14,667.75 |
$14,667.75 |
$2,402.40
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$24,492.00 |
$24,492.00 |
$24,492.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$14,562.00 |
$14,562.00 |
$14,562.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$5,183.00 |
$5,183.00 |
$5,183.00 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$3,869.00 |
$3,869.00 |
$3,869.00 |
$4,176.15
|
|
Rpr fem hernia init blocked
|
$5,475.00 |
$5,475.00 |
$5,475.00 |
$4,176.15
|
|
Rpr nsl vlv collapse w/rmdlg
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$7,000.36
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$5,959.65
|
|
Rsv assay w/optic
|
$27.50 |
$27.50 |
$27.50 |
$79.38
|
|
Rubella antibody igg
|
$77.50 |
$77.50 |
$77.50 |
$77.03
|
|
Rubeola antibody igg
|
$27.50 |
$27.50 |
$27.50 |
$80.00
|
|
Russell viper venom diluted
|
$34.50 |
$34.50 |
$34.50 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$23,596.53 |
$23,596.53 |
$23,596.53 |
$5,174.32
|
|
Salmonella antibody
|
$78.50 |
$78.50 |
$78.50 |
$37.58
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$105.00 |
$105.00 |
$105.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$68.50 |
$68.50 |
$68.50 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$134.00 |
$134.00 |
$134.00 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$103.50 |
$103.50 |
$103.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$662.00 |
$662.00 |
$662.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$662.00 |
$662.00 |
$662.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$662.00 |
$662.00 |
$662.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$610.00 |
$610.00 |
$610.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$610.00 |
$610.00 |
$610.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$650.50 |
$650.50 |
$650.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$662.00 |
$662.00 |
$662.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$610.00 |
$610.00 |
$610.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$610.00 |
$610.00 |
$610.00 |
$595.35
|
|
Scan proc cranial extra
|
$2,248.40 |
$2,248.40 |
$2,248.40 |
$2,366.00
|
|
Scan proc spinal
|
$6,433.56 |
$6,433.56 |
$6,433.56 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,634.50 |
$2,634.50 |
$2,634.50 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$2,967.50 |
$2,967.50 |
$2,967.50 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$82.00 |
$82.00 |
$82.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$105.50 |
$105.50 |
$105.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$792.00 |
$792.00 |
$792.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$62.50 |
$62.50 |
$62.50 |
$42.30
|
|
Screening Mammogram
|
$330.00 |
$330.00 |
$330.00 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$84.00 |
$84.00 |
$84.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$39.50 |
$39.50 |
$39.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$25.50 |
$25.50 |
$25.50 |
$42.00
|
|
Semen analysis presence/motility
|
$106.50 |
$106.50 |
$106.50 |
$71.05
|
|
Serpina1 gene
|
$332.50 |
$332.50 |
$332.50 |
$197.00
|
|
Set radiation therapy field
|
$175.50 |
$175.50 |
$175.50 |
$762.40
|
|
Set radiation therapy field
|
$477.50 |
$477.50 |
$477.50 |
$1,157.38
|
|
Set radiation therapy field
|
$477.50 |
$477.50 |
$477.50 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$6.57 |
$6.57 |
$6.57 |
$7.14
|
|
Sgmdsc w/band ligation
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$2,146.95
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$5,986.00 |
$5,986.00 |
$5,986.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$231.00 |
$231.00 |
$231.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$777.00 |
$777.00 |
$777.00 |
$442.22
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$231.00 |
$231.00 |
$231.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$231.00 |
$231.00 |
$231.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$231.00 |
$231.00 |
$231.00 |
$269.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$514.50 |
$514.50 |
$514.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$6,570.70
|
|
Sho arthrs srg bicp tenodsis
|
$6,271.00 |
$6,271.00 |
$6,271.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$11,800.50 |
$11,800.50 |
$11,800.50 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$5,644.50 |
$5,644.50 |
$5,644.50 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$10,693.34 |
$10,693.34 |
$10,693.34 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$10,868.50 |
$10,868.50 |
$10,868.50 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$8,758.50 |
$8,758.50 |
$8,758.50 |
$5,148.00
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$13,974.50 |
$13,974.50 |
$13,974.50 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,353.50 |
$1,353.50 |
$1,353.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,227.00 |
$2,227.00 |
$2,227.00 |
$2,065.05
|
|
Shoulder X-ray
|
$385.00 |
$385.00 |
$385.00 |
$339.50
|
|
Sialolithotomy 42330
|
$4,891.00 |
$4,891.00 |
$4,891.00 |
$3,837.72
|
|
Sickling rbc
|
$124.20 |
$124.20 |
$124.20 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$300.00 |
$300.00 |
$300.00 |
$1,351.63
|
|
Sigmoidoscopy for bleeding
|
$720.00 |
$720.00 |
$720.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$114.38 |
$114.38 |
$114.38 |
$1,444.83
|
|
Sigmoidoscopy w/resection
|
$561.26 |
$561.26 |
$561.26 |
$2,564.40
|
