|
Rpr fem hernia init blocked
|
$681.50 |
$681.50 |
$681.50 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$445.00 |
$445.00 |
$445.00 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$813.50 |
$813.50 |
$813.50 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$623.50 |
$623.50 |
$623.50 |
$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
|
$105.50 |
$105.50 |
$105.50 |
$79.38
|
|
Rubella antibody igg
|
$83.50 |
$83.50 |
$83.50 |
$77.03
|
|
Rubeola antibody igg
|
$83.50 |
$83.50 |
$83.50 |
$80.00
|
|
Same day nb discharge 99463
|
$111.00 |
$111.00 |
$111.00 |
$183.07
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$157.50 |
$157.50 |
$157.50 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$58.50 |
$58.50 |
$58.50 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$117.00 |
$117.00 |
$117.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$157.50 |
$157.50 |
$157.50 |
$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
|
$43.00 |
$43.00 |
$43.00 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$106.00 |
$106.00 |
$106.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,015.50 |
$1,015.50 |
$1,015.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$771.50 |
$771.50 |
$771.50 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$247.50 |
$247.50 |
$247.50 |
$750.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$111.00 |
$111.00 |
$111.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$275.50 |
$275.50 |
$275.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$683.50 |
$683.50 |
$683.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$617.00 |
$617.00 |
$617.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$518.00 |
$518.00 |
$518.00 |
$595.35
|
|
Scope plantar fasciotomy
|
$454.00 |
$454.00 |
$454.00 |
$3,839.54
|
|
Screen cerv/vag thin layer
|
$63.50 |
$63.50 |
$63.50 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$610.00 |
$610.00 |
$610.00 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$1,403.00 |
$1,403.00 |
$1,403.00 |
$1,951.46
|
|
Screening HIV antigen/antibody combination assay
|
$62.00 |
$62.00 |
$62.00 |
$42.30
|
|
Screening Mammogram
|
$232.50 |
$232.50 |
$232.50 |
$312.55
|
|
Screening pap smear by phys
|
$41.00 |
$41.00 |
$41.00 |
$41.00
|
|
Screening prostate cancer PSA
|
$111.00 |
$111.00 |
$111.00 |
$100.63
|
|
Screen/visual acuity/bilat/quant 99173
|
$24.00 |
$24.00 |
$24.00 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$435.75 |
$435.75 |
$435.75 |
$29,055.00
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$881.00 |
$881.00 |
$881.00 |
$2,139.60
|
|
Sedimentation rate erythrocyte automated
|
$12.50 |
$12.50 |
$12.50 |
$42.00
|
|
Select picture audiometry
|
$56.00 |
$56.00 |
$56.00 |
$105.60
|
|
Sensorimotor examination
|
$37.00 |
$37.00 |
$37.00 |
$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/<
|
$46.50 |
$46.50 |
$46.50 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$276.00 |
$276.00 |
$276.00 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$77.00 |
$77.00 |
$77.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$99.00 |
$99.00 |
$99.00 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$662.00 |
$662.00 |
$662.00 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$192.00 |
$192.00 |
$192.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$64.00 |
$64.00 |
$64.00 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$72.00 |
$72.00 |
$72.00 |
$400.65
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$402.50 |
$402.50 |
$402.50 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$202.50 |
$202.50 |
$202.50 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$202.50 |
$202.50 |
$202.50 |
$289.30
|
|
Sho arthrs dx +- synovial bx
|
$496.50 |
$496.50 |
$496.50 |
$3,821.05
|
|
Sho arthrs srg bicp tenodsis
|
$4,114.00 |
$4,114.00 |
$4,114.00 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$1,116.50 |
$1,116.50 |
$1,116.50 |
$6,311.00
|
|
Sho arthrs srg lmtd dbrdmt
|
$593.50 |
$593.50 |
$593.50 |
$4,521.67
|
|
Sho arthrs srg lss&rescj ads
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$565.00 |
$565.00 |
$565.00 |
$5,855.00
|
|
Sho arthrs srg rpr slap les
|
$5,324.00 |
$5,324.00 |
$5,324.00 |
$6,311.00
|
|
Sho arthrs srg xtnsv dbrdmt
|
$5,566.00 |
$5,566.00 |
$5,566.00 |
$5,148.00
|
|
Shorten radius or ulna
|
$813.00 |
$813.00 |
$813.00 |
$6,609.96
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$3,599.76 |
$3,599.76 |
$3,599.76 |
$7,807.24
|
|
Shoulder MRI (with and without contrast)
|
$1,690.50 |
$1,690.50 |
$1,690.50 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$1,040.50 |
$1,040.50 |
$1,040.50 |
$2,065.05
|
|
Shoulder prosthesis removal
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,870.38
|
|
Shoulder prosthesis removal
|
$15,805.00 |
$15,805.00 |
$15,805.00 |
$4,832.80
|
|
Shoulder X-ray
|
$271.00 |
$271.00 |
$271.00 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$107.00 |
$107.00 |
$107.00 |
$349.20
|
|
Sialolithotomy 42330
|
$171.00 |
$171.00 |
$171.00 |
$3,837.72
|
|
Sickling rbc
|
$708.50 |
$708.50 |
$708.50 |
$57.92
|
|
Sigmoidoscopy and biopsy
|
$396.50 |
$396.50 |
$396.50 |
$1,351.63
|
|
Sigmoidoscopy flex decompression 45337
|
$118.50 |
$118.50 |
$118.50 |
$1,078.88
|
|
Sigmoidoscopy for bleeding
|
$121.00 |
$121.00 |
$121.00 |
$1,890.00
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,444.83
|
|
Sigmoidoscopy w/ablation
|
$165.00 |
$165.00 |
$165.00 |
$2,604.00
|
|
Sigmoidoscopy w/fb removal 45332
|
$762.50 |
$762.50 |
$762.50 |
$1,388.56
|
|
Sigmoidoscopy w/resection
|
$203.50 |
$203.50 |
$203.50 |
$2,564.40
|
|
Sigmoidoscopy w/tumr remove
|
$579.50 |
$579.50 |
$579.50 |
$1,558.80
|
|
Sigmoid/rmv tumor/polyp/hot bx for 45333
|
$97.50 |
$97.50 |
$97.50 |
$1,664.40
|
|
Sig w/tndsc balloon dilation
|
$80.00 |
$80.00 |
$80.00 |
$1,901.90
|
|
Simple cystometrogram 51725
|
$78.50 |
$78.50 |
$78.50 |
$589.45
|
|
Sincalide 5 mcg solution for injection
|
$174.30 |
$174.30 |
$174.30 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$886.00 |
$886.00 |
$886.00 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$896.00 |
$896.00 |
$896.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$617.50 |
$617.50 |
$617.50 |
$1,292.04
|
|
Skel musc relaxant 3 or more
|
$5.00 |
$5.00 |
$5.00 |
$16.12
|
|
Skin Biopsy
|
$389.50 |
$389.50 |
$389.50 |
$360.34
|
|
Skin full graft 20sq cm less 15200
|
$699.50 |
$699.50 |
$699.50 |
$2,371.50
|
|
Skin split graft addl 100sq cm 15101
|
$116.50 |
$116.50 |
$116.50 |
$1,793.40
|
|
Skyla, 13.5 mg
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,643.47
|
|
Sleep study unattended
|
$353.00 |
$353.00 |
$353.00 |
$580.87
|
|
Slitting of prepuce
|
$147.00 |
$147.00 |
$147.00 |
$3,365.50
|
|
Slp pure tone screening
|
$29.50 |
$29.50 |
$29.50 |
$60.48
|
|
Slp ther svc non-spch gen
|
$266.50 |
$266.50 |
$266.50 |
$188.50
|
|
Small bowel endoscopy/biopsy
|
$163.00 |
$163.00 |
$163.00 |
$2,413.20
|
|
Small bowel endoscopy/biopsy
|
$306.50 |
$306.50 |
$306.50 |
$2,244.82
|
|
Smear fluorescent and/or acid fast stain
|
$24.22 |
$24.22 |
$24.22 |
$64.20
|
|
Smear gram stain
|
$56.00 |
$56.00 |
$56.00 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$28.10 |
$28.10 |
$28.10 |
$73.15
|
