|
Rmv implant contraceptive capsule 11976
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$18,911.00 |
$18,911.00 |
$18,911.00 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$4,847.00 |
$4,847.00 |
$4,847.00 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,723.00 |
$1,723.00 |
$1,723.00 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,619.50 |
$2,619.50 |
$2,619.50 |
$1,822.05
|
|
Rmvl hpglsl nstim ary pg
|
$11,235.50 |
$11,235.50 |
$11,235.50 |
$7,578.32
|
|
Rmvl icd by tv extr
|
$12,986.75 |
$12,986.75 |
$12,986.75 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$22,612.00 |
$22,612.00 |
$22,612.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$22,612.00 |
$22,612.00 |
$22,612.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$31,718.50 |
$31,718.50 |
$31,718.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$6,196.50 |
$6,196.50 |
$6,196.50 |
$3,977.32
|
|
Rmvl imed rx delivery device
|
$4,674.67 |
$4,674.67 |
$4,674.67 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$660.00 |
$660.00 |
$660.00 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$8,224.00 |
$8,224.00 |
$8,224.00 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$14,419.67 |
$14,419.67 |
$14,419.67 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$3,908.50 |
$3,908.50 |
$3,908.50 |
$1,610.35
|
|
Rmvl phrnc nrv stim pg only
|
$3,973.50 |
$3,973.50 |
$3,973.50 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$3,973.50 |
$3,973.50 |
$3,973.50 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$5,917.50 |
$5,917.50 |
$5,917.50 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$23,563.50 |
$23,563.50 |
$23,563.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$20,296.50 |
$20,296.50 |
$20,296.50 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,077.00 |
$2,077.00 |
$2,077.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$5,270.00 |
$5,270.00 |
$5,270.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$4,987.00 |
$4,987.00 |
$4,987.00 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$6,230.50 |
$6,230.50 |
$6,230.50 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$24,985.50 |
$24,985.50 |
$24,985.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$3,904.00 |
$3,904.00 |
$3,904.00 |
$4,031.69
|
|
Rmv ntr oi imp sk tc esp<100
|
$4,360.50 |
$4,360.50 |
$4,360.50 |
$5,272.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$538.85
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$12,303.00 |
$12,303.00 |
$12,303.00 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$3,973.50 |
$3,973.50 |
$3,973.50 |
$34,440.90
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$19,191.90 |
$19,191.90 |
$19,191.90 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$18,980.79 |
$18,980.79 |
$18,980.79 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,985.00 |
$5,985.00 |
$5,985.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$129.60 |
$129.60 |
$129.60 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,504.33 |
$4,504.33 |
$4,504.33 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$914.50 |
$914.50 |
$914.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,051.00 |
$2,051.00 |
$2,051.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$7,554.50 |
$7,554.50 |
$7,554.50 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$4,883.50 |
$4,883.50 |
$4,883.50 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$38,820.00 |
$38,820.00 |
$38,820.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$33,884.00 |
$33,884.00 |
$33,884.00 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$27,468.50 |
$27,468.50 |
$27,468.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$34,100.00 |
$34,100.00 |
$34,100.00 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$17,233.50 |
$17,233.50 |
$17,233.50 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$28,949.00 |
$28,949.00 |
$28,949.00 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$13,918.50 |
$13,918.50 |
$13,918.50 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$30,286.88 |
$30,286.88 |
$30,286.88 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$16,448.00 |
$16,448.00 |
$16,448.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$16,776.00 |
$16,776.00 |
$16,776.00 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$7,433.00 |
$7,433.00 |
$7,433.00 |
$4,176.15
|
|
Rpr blood vsl grf oth vein lo ex
|
$7,167.00 |
$7,167.00 |
$7,167.00 |
$5,983.35
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$4,795.33 |
$4,795.33 |
$4,795.33 |
$2,492.82
|
|
Rpr fem hernia init blocked
|
$11,819.00 |
$11,819.00 |
$11,819.00 |
$4,176.15
|
|
Rpr ing hernia baby blocked
|
$3,084.33 |
$3,084.33 |
$3,084.33 |
$4,176.15
|
|
Rpr ing hernia baby reduc
|
$9,253.01 |
$9,253.01 |
$9,253.01 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$19,936.50 |
$19,936.50 |
$19,936.50 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$4,596.67 |
$4,596.67 |
$4,596.67 |
$7,000.36
|
|
Rpr parastomal hrna ncr/strn 49622
|
$31,766.50 |
$31,766.50 |
$31,766.50 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$8,388.50 |
$8,388.50 |
$8,388.50 |
$3,906.18
|
|
Rrp hypspad comp moblj&urtp
|
$3,845.67 |
$3,845.67 |
$3,845.67 |
$10,235.30
|
|
Rsv assay w/optic
|
$100.50 |
$100.50 |
$100.50 |
$79.38
|
|
Rubella antibody igg
|
$159.00 |
$159.00 |
$159.00 |
$77.03
|
|
Rubeola antibody igg
|
$213.00 |
$213.00 |
$213.00 |
$80.00
|
|
Russell viper venom diluted
|
$189.00 |
$189.00 |
$189.00 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$27,087.15 |
$27,087.15 |
$27,087.15 |
$5,174.32
|
|
Salivary glnd img serial img
|
$684.50 |
$684.50 |
$684.50 |
$701.73
|
|
Salmonella antibody
|
$87.50 |
$87.50 |
$87.50 |
$37.58
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$105.00 |
$105.00 |
$105.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$57.00 |
$57.00 |
$57.00 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$114.00 |
$114.00 |
$114.00 |
$104.00
|
|
Sbsq psyc collab care mgmt
|
$209.50 |
$209.50 |
$209.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$783.00 |
$783.00 |
$783.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$553.50 |
$553.50 |
$553.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$563.50 |
$563.50 |
$563.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$456.00 |
$456.00 |
$456.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$404.00 |
$404.00 |
$404.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$852.50 |
$852.50 |
$852.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$792.00 |
$792.00 |
$792.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$613.50 |
$613.50 |
$613.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$529.00 |
$529.00 |
$529.00 |
$595.35
|
|
Scan proc cranial extra
|
$2,573.50 |
$2,573.50 |
$2,573.50 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$9,704.50 |
$9,704.50 |
$9,704.50 |
$2,067.91
|
|
Scan proc spinal
|
$3,645.92 |
$3,645.92 |
$3,645.92 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,998.50 |
$2,998.50 |
$2,998.50 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$6,965.00 |
$6,965.00 |
$6,965.00 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$2,967.50 |
$2,967.50 |
$2,967.50 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$148.50 |
$148.50 |
$148.50 |
$85.15
|
|
Screen cerv/vag thin layer
|
$105.50 |
$105.50 |
$105.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$2,111.50 |
$2,111.50 |
$2,111.50 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$83.00 |
$83.00 |
$83.00 |
$42.30
|
|
Screening Mammogram
|
$943.00 |
$943.00 |
$943.00 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
