|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,551.20 |
$1,551.20 |
$1,551.20 |
$4,271.28
|
|
Rpr blood vsl grf oth vein lo ex
|
$7,199.20 |
$7,199.20 |
$7,199.20 |
$5,907.78
|
|
Rpr choanal atresia ntranasl
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$4,185.60 |
$4,185.60 |
$4,185.60 |
$6,553.49
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$7,708.80 |
$7,708.80 |
$7,708.80 |
$1,705.80
|
|
Rpr fem hernia init blocked
|
$5,808.00 |
$5,808.00 |
$5,808.00 |
$4,176.15
|
|
Rpr hypopl a-arch w/byp
|
$19,964.00 |
$19,964.00 |
$19,964.00 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$15,014.40 |
$15,014.40 |
$15,014.40 |
$2,009.87
|
|
Rpr hypspad comp simple
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$4,350.00
|
|
Rpr ing hernia baby reduc
|
$2,064.80 |
$2,064.80 |
$2,064.80 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$1,649.60 |
$1,649.60 |
$1,649.60 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
$1,786.40
|
|
Rsect hip tum incl femur
|
$15,161.60 |
$15,161.60 |
$15,161.60 |
$10,735.20
|
|
Rsv assay w/optic
|
$103.20 |
$103.20 |
$103.20 |
$75.45
|
|
Rubella antibody igg
|
$74.80 |
$74.80 |
$163.02 |
$77.80
|
|
Rubeola antibody igg
|
$57.75 |
$57.75 |
$176.54 |
$80.00
|
|
Russell viper venom diluted
|
$121.00 |
$121.00 |
$133.97 |
$72.54
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$419.10 |
$419.10 |
$601.04 |
$313.66
|
|
Salivary gland function exam
|
$1,267.38 |
$1,267.38 |
$1,267.38 |
$719.16
|
|
Salivary glnd img serial img
|
$649.00 |
$649.00 |
$649.00 |
$701.73
|
|
Salmonella antibody
|
$56.80 |
$56.80 |
$56.80 |
$37.58
|
|
Same day nb discharge 99463
|
$466.40 |
$466.40 |
$466.40 |
$183.07
|
|
Sarscov coronavirus ag ia
|
$75.20 |
$75.20 |
$107.25 |
$59.40
|
|
Sarscov & inf vir a&b ag ia
|
$204.00 |
$204.00 |
$204.00 |
$104.00
|
|
S bowel endoscope w/stent
|
$1,801.60 |
$1,801.60 |
$1,801.60 |
$4,379.25
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$372.80 |
$372.80 |
$372.80 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$215.20 |
$215.20 |
$215.20 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$278.40 |
$278.40 |
$278.40 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$140.80 |
$140.80 |
$140.80 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$536.00 |
$536.00 |
$536.00 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,325.60 |
$1,325.60 |
$1,325.60 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$563.20 |
$563.20 |
$746.90 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$435.05 |
$435.05 |
$1,286.28 |
$582.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,278.75 |
$1,278.75 |
$1,512.67 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,339.80 |
$1,339.80 |
$1,532.96 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$929.50 |
$929.50 |
$1,567.30 |
$595.35
|
|
Scan proc cranial extra
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$1,015.00
|
|
Scan proc spinal
|
$1,990.40 |
$1,990.40 |
$1,990.40 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,564.65 |
$2,564.65 |
$4,566.57 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$2,660.62 |
$2,660.62 |
$2,660.62 |
$4,246.72
|
|
Scr c/v cyto,thinlayer,rescr
|
$92.75 |
$92.75 |
$92.75 |
$85.15
|
|
Screen cerv/vag thin layer
|
$74.40 |
$74.40 |
$74.40 |
$86.56
|
|
Screening Colonoscopy (average risk)
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,800.00
|
|
Screening Colonoscopy (high risk)
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$2,000.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$33.55 |
$33.55 |
$126.71 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$93.60 |
$93.60 |
$93.60 |
$93.60
|
|
Screening HIV antigen/antibody combination assay
|
$96.80 |
$96.80 |
$96.80 |
$42.30
|
|
Screening Mammogram
|
$372.80 |
$372.80 |
$372.80 |
$310.20
|
|
Screening prostate cancer PSA
|
$167.20 |
$167.20 |
$216.54 |
$101.60
|
|
Screen pap by tech w md supv
|
$76.00 |
$76.00 |
$76.00 |
$53.46
|
|
Screen/visual acuity/bilat/quant 99173
|
$55.20 |
$55.20 |
$55.20 |
$28.86
|
|
Screw cortex 2.0 x 10mm
|
$1,557.56 |
$1,557.56 |
$4,653.74 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$785.40 |
$785.40 |
$1,415.87 |
$612.55
|
|
Sec abd wall suture evisceration/dehsn 49900
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$2,005.60
|
|
Sec art mech thrmbc non-intracranial add-on
|
$1,374.45 |
$1,374.45 |
$1,425.24 |
$4,380.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$484.78 |
$484.78 |
$484.78 |
$223.89
|
|
Sedimentation rate erythrocyte automated
|
$55.97 |
$55.97 |
$61.05 |
$42.00
|
|
Segmentectomy 32484
|
$8,154.40 |
$8,154.40 |
$8,154.40 |
$2,915.40
|
|
Select picture audiometry
|
$59.20 |
$59.20 |
$59.20 |
$105.60
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$110.55 |
$110.55 |
$185.60 |
$94.25
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$96.00 |
$96.00 |
$96.00 |
$51.98
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$72.80 |
$72.80 |
$72.80 |
$33.04
|
|
Semen analysis presence/motility
|
$102.40 |
$102.40 |
$116.60 |
$70.40
|
|
Semen analysis w/count
|
$194.70 |
$194.70 |
$396.00 |
$56.44
|
|
Sensorineural acuity lvl tst
|
$120.00 |
$120.00 |
$120.00 |
$129.36
|
|
Sequestrectomy olecrn proces
|
$4,676.80 |
$4,676.80 |
$4,676.80 |
$7,807.24
|
|
Sequestrectomy radial h/n
|
$4,505.60 |
$4,505.60 |
$4,505.60 |
$4,499.12
|
|
Sequestrectomy shft/dstl hum
|
$5,425.60 |
$5,425.60 |
$5,425.60 |
$7,913.97
|
|
Serpina1 gene
|
$395.45 |
$395.45 |
$395.45 |
$195.65
|
|
Sertraline (zoloft) - sendout
|
$156.00 |
$156.00 |
$172.15 |
$126.43
|
|
Set radiation therapy field
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$787.50
|
|
Set radiation therapy field
|
$2,066.89 |
$2,066.89 |
$2,560.80 |
$1,641.90
|
|
Sgmdsc w/band ligation
|
$2,460.80 |
$2,460.80 |
$2,460.80 |
$2,288.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$272.80 |
$272.80 |
$272.80 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$367.20 |
$367.20 |
$367.20 |
$284.88
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$308.00 |
$308.00 |
$308.00 |
$442.22
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$323.20 |
$323.20 |
$323.20 |
$472.79
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$860.25 |
$860.25 |
$860.25 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$176.00 |
$176.00 |
$176.00 |
$223.00
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$283.20 |
$283.20 |
$283.20 |
$269.50
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$242.40 |
$242.40 |
$242.40 |
$400.40
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$162.40 |
$162.40 |
$162.40 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$174.40 |
$174.40 |
$174.40 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$182.40 |
$182.40 |
$182.40 |
$289.30
|
|
Sheath gldlight lasr 12fx50cm
|
$5,046.14 |
$5,046.14 |
$5,046.14 |
$6,570.70
|
|
Sho arthrs dx +- synovial bx
|
$4,267.20 |
$4,267.20 |
$4,267.20 |
$3,839.54
|
|
Sho arthrs srg bicp tenodsis
|
$10,127.20 |
$10,127.20 |
$10,127.20 |
$4,950.40
|
|
Sho arthrs srg capsulorraphy
|
$10,660.00 |
$10,660.00 |
$10,660.00 |
$7,166.67
|
|
Sho arthrs srg compl synvct
|
$7,887.20 |
$7,887.20 |
$7,887.20 |
$4,399.11
|
|
Sho arthrs srg lmtd dbrdmt
|
$7,252.00 |
$7,252.00 |
$7,252.00 |
$4,807.00
|
|
Sho arthrs srg lss&rescj ads
|
$7,468.00 |
$7,468.00 |
$7,468.00 |
$3,839.54
|
|
Sho arthrs srg prtl synvct
|
$6,396.80 |
$6,396.80 |
$6,396.80 |
$5,886.74
|
|
Sho arthrs srg rmvl loose/fb
|
$6,612.00 |
$6,612.00 |
$6,612.00 |
$3,839.54
|
|
Sho arthrs srg rpr slap les
|
$10,127.20 |
$10,127.20 |
$10,127.20 |
$6,740.20
|
|
Sho arthrs srg xtnsv dbrdmt
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$5,148.00
|
|
Shoe post-op mens m
|
$52.20 |
$52.20 |
$52.20 |
$53.20
|
|
Shortening of thigh bone
|
$9,193.60 |
$9,193.60 |
$9,193.60 |
$7,413.38
|
