|
Revise eyelid lining
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$2,698.92
|
|
Revise eye socket implant
|
$4,675.50 |
$4,675.50 |
$4,675.50 |
$5,110.00
|
|
Revise/remove sling repair
|
$3,756.00 |
$3,756.00 |
$3,756.00 |
$3,720.50
|
|
Revise spine eltrd perq aray
|
$3,538.50 |
$3,538.50 |
$3,538.50 |
$7,496.58
|
|
Revision of cervix
|
$3,711.50 |
$3,711.50 |
$3,711.50 |
$3,721.00
|
|
Revision of colostomy
|
$5,051.00 |
$5,051.00 |
$5,051.00 |
$4,332.25
|
|
Revision of cornea
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$2,760.73
|
|
Revision of eyelid
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$2,860.80
|
|
Revision of eyelid
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$3,417.95
|
|
Revision of iris
|
$754.00 |
$754.00 |
$754.00 |
$1,388.40
|
|
Revision of nose
|
$7,008.50 |
$7,008.50 |
$7,008.50 |
$5,773.60
|
|
Rev-rem impl neurostim gen-rec
|
$13,325.00 |
$13,325.00 |
$13,325.00 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$3,249.00 |
$3,249.00 |
$3,249.00 |
$4,121.65
|
|
Rf abltj nrv nrvtg si jt
|
$5,465.00 |
$5,465.00 |
$5,465.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$50.50 |
$50.50 |
$50.50 |
$57.20
|
|
Rheumatoid factor quantitative
|
$33.50 |
$33.50 |
$33.50 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$162.23 |
$162.23 |
$162.23 |
$243.11
|
|
Rho(d) immune globulin h, sd
|
$19.50 |
$19.50 |
$19.50 |
$3,709.00
|
|
Rho d immune globulin inj
|
$197.50 |
$197.50 |
$197.50 |
$217.71
|
|
Riboflavin 5'phos opth<=3ml
|
$10,260.00 |
$10,260.00 |
$10,260.00 |
$7,970.03
|
|
Ring fx reform 11-13x17mm
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$1,509.75
|
|
Risk ascvd tst once pr 12 mo
|
$33.50 |
$33.50 |
$33.50 |
$35.25
|
|
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-pvvr 10 mg/ml intravenous solution
|
$10,088.78 |
$10,088.78 |
$10,088.78 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$931.00 |
$931.00 |
$931.00 |
$846.42
|
|
Rmvl fb upr arm/elbow deep
|
$3,925.00 |
$3,925.00 |
$3,925.00 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,968.50 |
$1,968.50 |
$1,968.50 |
$1,822.05
|
|
Rmvl sq defib electrode
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$4,089.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$16,149.40 |
$16,149.40 |
$16,149.40 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,477.31 |
$5,477.31 |
$5,477.31 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.50 |
$0.50 |
$0.50 |
$188.50
|
|
Rpl tun-cvad w subq port
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$3,687.00
|
|
Rpm tx mgmt 1st 20 min
|
$32.50 |
$32.50 |
$32.50 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$41.00 |
$41.00 |
$41.00 |
$101.25
|
|
Rsv assay w/optic
|
$113.50 |
$113.50 |
$113.50 |
$79.38
|
|
Rubella antibody igg
|
$130.50 |
$130.50 |
$130.50 |
$77.03
|
|
Rubeola antibody igg
|
$157.50 |
$157.50 |
$157.50 |
$80.00
|
|
Russell viper venom diluted
|
$514.00 |
$514.00 |
$514.00 |
$72.54
|
|
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
|
$119.50 |
$119.50 |
$119.50 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$134.50 |
$134.50 |
$134.50 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$68.50 |
$68.50 |
$68.50 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$90.50 |
$90.50 |
$90.50 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$44.50 |
$44.50 |
$44.50 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$106.00 |
$106.00 |
$106.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$542.00 |
$542.00 |
$542.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$631.50 |
$631.50 |
$631.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$455.00 |
$455.00 |
$455.00 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$183.50 |
$183.50 |
$183.50 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$201.50 |
$201.50 |
$201.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$399.50 |
$399.50 |
$399.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$509.00 |
$509.00 |
$509.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$349.50 |
$349.50 |
$349.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$318.00 |
$318.00 |
$318.00 |
$595.35
|
|
Scr c/v cyto,thinlayer,rescr
|
$82.00 |
$82.00 |
$82.00 |
$85.15
|
|
Screen cerv/vag thin layer
|
$103.50 |
$103.50 |
$103.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$6,157.00 |
$6,157.00 |
$6,157.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$67.50 |
$67.50 |
$67.50 |
$42.30
|
|
Screening Mammogram
|
$453.50 |
$453.50 |
$453.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$104.00 |
$104.00 |
$104.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$25.50 |
$25.50 |
$25.50 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$6,510.00 |
$6,510.00 |
$6,510.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$36.00 |
$36.00 |
$36.00 |
$42.00
|
|
Semen analysis presence/motility
|
$88.50 |
$88.50 |
$88.50 |
$71.05
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$261.00 |
$261.00 |
$261.00 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$290.50 |
$290.50 |
$290.50 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$493.50 |
$493.50 |
$493.50 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$224.50 |
$224.50 |
$224.50 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$225.50 |
$225.50 |
$225.50 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$225.50 |
$225.50 |
$225.50 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$225.50 |
$225.50 |
$225.50 |
$269.50
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$449.00 |
$449.00 |
$449.00 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$225.50 |
$225.50 |
$225.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$225.50 |
$225.50 |
$225.50 |
$289.30
|
|
Shoe outflare wedge
|
$117.50 |
$117.50 |
$117.50 |
$107.24
|
|
Sho lift taper to metatarsal
|
$122.50 |
$122.50 |
$122.50 |
$111.14
|
|
Shoulder MRI (with and without contrast)
|
$5,474.50 |
$5,474.50 |
$5,474.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,273.50 |
$2,273.50 |
$2,273.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$2,065.05
|
|
Shoulder X-ray
|
$338.00 |
$338.00 |
$338.00 |
$339.50
|
|
Shrinker prosth below knee
|
$101.50 |
$101.50 |
$101.50 |
$105.12
|
|
Shrinker upper limb
|
$138.50 |
$138.50 |
$138.50 |
$109.50
|
|
Shunt glaucoma baerveldt 350mm
|
$2,137.50 |
$2,137.50 |
$2,137.50 |
$4,636.80
|
|
Sialography s&i
|
$576.00 |
$576.00 |
$576.00 |
$499.20
|
|
Sickling rbc
|
$124.00 |
$124.00 |
$124.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$267.00 |
$267.00 |
$267.00 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$888.00 |
$888.00 |
$888.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$751.00 |
$751.00 |
$751.00 |
$1,292.04
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$269.00 |
$269.00 |
$269.00 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,371.50
|
|
Skyla, 13.5 mg
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$1,643.47
|
|
Sleep study attended
|
$920.00 |
$920.00 |
$920.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$3,135.50 |
$3,135.50 |
$3,135.50 |
$3,607.50
|
|
Sleep study unattended
|
$382.00 |
$382.00 |
$382.00 |
$580.87
|
