|
Rmvl foreign body upper arm/elbow subcutaneous
|
$140.98 |
$140.98 |
$140.98 |
$1,917.33
|
|
Rmvl i-artic rx delivery dev 20705
|
$103.88 |
$103.88 |
$103.88 |
$298.40
|
|
Rmvl icd by tv extr
|
$5,124.57 |
$5,124.57 |
$5,124.57 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$31,065.95 |
$31,065.95 |
$31,065.95 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$32,018.36 |
$32,018.36 |
$32,018.36 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$31,065.95 |
$31,065.95 |
$31,065.95 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$6,463.88 |
$6,463.88 |
$6,463.88 |
$4,114.00
|
|
Rmvl imed rx delivery device
|
$86.92 |
$86.92 |
$86.92 |
$468.00
|
|
Rmvl ndwellg tun pleural cath
|
$687.94 |
$687.94 |
$687.94 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$6,800.96 |
$6,800.96 |
$6,800.96 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$5,040.30 |
$5,040.30 |
$5,040.30 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$17,046.39 |
$17,046.39 |
$17,046.39 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,410.59 |
$13,410.59 |
$13,410.59 |
$10,427.04
|
|
Rmvl pq iabp
|
$5,040.30 |
$5,040.30 |
$5,040.30 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$5,040.30 |
$5,040.30 |
$5,040.30 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$3,442.88 |
$3,442.88 |
$3,442.88 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$3,857.34 |
$3,857.34 |
$3,857.34 |
$1,991.00
|
|
Rmvl tv pm lead dual
|
$3,805.40 |
$3,805.40 |
$3,805.40 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,378.75 |
$3,378.75 |
$3,378.75 |
$4,195.80
|
|
Romiplostim injection
|
$90.10 |
$90.10 |
$90.10 |
$319.53
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$16.22 |
$16.22 |
$16.22 |
$6,377.92
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$90.02 |
$90.02 |
$90.02 |
$188.50
|
|
Rotavirus antibody
|
$29.68 |
$29.68 |
$29.68 |
$38.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,064.88 |
$2,064.88 |
$2,064.88 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,283.66 |
$1,283.66 |
$1,283.66 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$4,436.63 |
$4,436.63 |
$4,436.63 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$5,031.82 |
$5,031.82 |
$5,031.82 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,632.93 |
$1,632.93 |
$1,632.93 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$4,061.39 |
$4,061.39 |
$4,061.39 |
$4,738.00
|
|
Rpl tun-cvad w subq pump
|
$2,074.42 |
$2,074.42 |
$2,074.42 |
$4,602.08
|
|
Rpl tun cvc wo subq port
|
$2,942.56 |
$2,942.56 |
$2,942.56 |
$4,201.80
|
|
Rsv assay w/optic
|
$98.58 |
$98.58 |
$98.58 |
$73.80
|
|
Rubella antibody igg
|
$115.54 |
$115.54 |
$115.54 |
$73.10
|
|
Rubeola antibody igg
|
$84.27 |
$84.27 |
$84.27 |
$79.68
|
|
Russell viper venom diluted
|
$96.99 |
$96.99 |
$96.99 |
$70.16
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$55.56 |
$55.56 |
$55.56 |
$6,466.16
|
|
Salmonella antibody
|
$25.44 |
$25.44 |
$25.44 |
$37.58
|
|
Sargramostim injection
|
$55.12 |
$55.12 |
$55.12 |
$708.27
|
|
Sarscov coronavirus ag ia
|
$75.26 |
$75.26 |
$75.26 |
$60.40
|
|
Sarscov & inf vir a&b ag ia
|
$186.03 |
$186.03 |
$186.03 |
$91.14
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,908.00 |
$1,908.00 |
$1,908.00 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,402.91 |
$1,402.91 |
$1,402.91 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$855.95 |
$855.95 |
$855.95 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$624.34 |
$624.34 |
$624.34 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$978.38 |
$978.38 |
$978.38 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,098.16 |
$1,098.16 |
$1,098.16 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,938.74 |
$1,938.74 |
$1,938.74 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,015.48 |
$1,015.48 |
$1,015.48 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$940.22 |
$940.22 |
$940.22 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,989.20 |
$2,989.20 |
$2,989.20 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$378.42 |
$378.42 |
$378.42 |
$3,821.05
|
|
Screen cerv/vag thin layer
|
$111.30 |
$111.30 |
$111.30 |
$61.20
|
|
Screening Colonoscopy (average risk)
|
$1,903.76 |
$1,903.76 |
$1,903.76 |
$1,278.72
|
|
Screening Colonoscopy (high risk)
|
$1,951.46 |
$1,951.46 |
$1,951.46 |
$1,575.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$23.32 |
$23.32 |
$23.32 |
$54.26
|
|
Screening hepatitis b non-obstetric high risk
|
$367.82 |
$367.82 |
$367.82 |
$56.55
|
|
Screening hepatitis c antibody high risk
|
$39.22 |
$39.22 |
$39.22 |
$85.80
|
|
Screening HIV antigen/antibody combination assay
|
$42.93 |
$42.93 |
$42.93 |
$28.90
|
|
Screening Mammogram
|
$241.15 |
$241.15 |
$241.15 |
$303.55
|
|
Screening prostate cancer PSA
|
$54.59 |
$54.59 |
$54.59 |
$100.80
|
|
Screen pap by tech w md supv
|
$74.20 |
$74.20 |
$74.20 |
$41.80
|
|
Screen/visual acuity/bilat/quant 99173
|
$4.77 |
$4.77 |
$4.77 |
$28.86
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,649.16 |
$4,649.16 |
$4,649.16 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$81.09 |
$81.09 |
$81.09 |
$273.00
|
|
Sedimentation rate erythrocyte automated
|
$36.57 |
$36.57 |
$36.57 |
$44.20
|
|
Select picture audiometry
|
$78.44 |
$78.44 |
$78.44 |
$81.12
|
|
Self-meas bp pt educaj/train
|
$13.25 |
$13.25 |
$13.25 |
$39.77
|
|
Self-mgmt educ/train 2-4 pt 30min
|
$59.89 |
$59.89 |
$59.89 |
$60.18
|
|
Self-mgmt educ/train 5-8 pt 30min
|
$32.86 |
$32.86 |
$32.86 |
$32.86
|
|
Semen analysis presence/motility
|
$102.82 |
$102.82 |
$102.82 |
$70.85
|
|
Semen analysis w/count
|
$59.89 |
$59.89 |
$59.89 |
$56.44
|
|
Sensorimotor examination
|
$42.40 |
$42.40 |
$42.40 |
$81.12
|
|
Serial tonometry
|
$29.68 |
$29.68 |
$29.68 |
$144.33
|
|
Sertraline (zoloft) - sendout
|
$860.72 |
$860.72 |
$860.72 |
$173.16
|
|
Set radiation therapy field
|
$639.71 |
$639.71 |
$639.71 |
$731.50
|
|
Set radiation therapy field
|
$1,426.23 |
$1,426.23 |
$1,426.23 |
$1,636.36
|
|
Set-up cardiovert-defibrill
|
$352.45 |
$352.45 |
$352.45 |
$354.90
|
|
Sgmdsc w/band ligation
|
$525.76 |
$525.76 |
$525.76 |
$1,645.43
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$90.10 |
$90.10 |
$90.10 |
$284.00
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm
|
$94.87 |
$94.87 |
$94.87 |
$286.89
|
|
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm
|
$109.71 |
$109.71 |
$109.71 |
$442.61
|
|
Shave sgl skin lsn f/e/e/n/l/m >2cm
|
$123.49 |
$123.49 |
$123.49 |
$480.35
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$77.91 |
$77.91 |
$77.91 |
$258.40
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$84.27 |
$84.27 |
$84.27 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 1.1-2cm
|
$100.17 |
$100.17 |
$100.17 |
$275.88
|
|
Shave sgl skin lsn s/n/h/f/g >2cm
|
$100.17 |
$100.17 |
$100.17 |
$442.61
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$97.52 |
$97.52 |
$97.52 |
$311.25
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$92.22 |
$92.22 |
$92.22 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$104.41 |
$104.41 |
$104.41 |
$302.55
|
|
Shigella antibody
|
$32.33 |
$32.33 |
$32.33 |
$26.93
|
|
Shoe post-op mens m
|
$12.19 |
$12.19 |
$12.19 |
$42.87
|
|
Shoulder MRI (with and without contrast)
|
$3,096.79 |
$3,096.79 |
$3,096.79 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$2,607.07 |
$2,607.07 |
$2,607.07 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$4,368.26 |
$4,368.26 |
$4,368.26 |
$2,051.28
|
|
Shoulder X-ray
|
$176.49 |
$176.49 |
$176.49 |
$367.02
|
|
Sialography s&i
|
$413.93 |
$413.93 |
$413.93 |
$462.40
|
|
Sialolithotomy 42330
|
$376.83 |
$376.83 |
$376.83 |
$3,837.72
|
|
Sickling rbc
|
$45.05 |
$45.05 |
$45.05 |
$53.55
|
|
Sigmoidoscopy and biopsy
|
$1,003.29 |
$1,003.29 |
$1,003.29 |
$1,351.63
|
|
Sigmoidoscopy/submucosal injection 45335
|
$1,266.17 |
$1,266.17 |
$1,266.17 |
$1,374.60
|