|
Rmvl tv pm lead dual
|
$5,092.38 |
$5,092.38 |
$5,092.38 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$5,092.38 |
$5,092.38 |
$5,092.38 |
$4,195.80
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.58 |
$0.58 |
$0.58 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,057.13 |
$2,057.13 |
$2,057.13 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$1,688.34 |
$1,688.34 |
$1,688.34 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$2,352.96 |
$2,352.96 |
$2,352.96 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$2,501.16 |
$2,501.16 |
$2,501.16 |
$3,074.50
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,991.93 |
$2,991.93 |
$2,991.93 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$5,995.83 |
$5,995.83 |
$5,995.83 |
$4,738.00
|
|
Rpl tun cvc wo subq port
|
$6,224.40 |
$6,224.40 |
$6,224.40 |
$4,201.80
|
|
Rsv assay w/optic
|
$29.07 |
$29.07 |
$29.07 |
$73.80
|
|
Rubella antibody igg
|
$35.34 |
$35.34 |
$35.34 |
$73.10
|
|
Rubeola antibody igg
|
$62.70 |
$62.70 |
$62.70 |
$79.68
|
|
Russell viper venom diluted
|
$19.38 |
$19.38 |
$19.38 |
$70.16
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,078.44 |
$1,078.44 |
$1,078.44 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$718.77 |
$718.77 |
$718.77 |
$670.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$782.61 |
$782.61 |
$782.61 |
$815.66
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$522.12 |
$522.12 |
$522.12 |
$509.35
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$571.14 |
$571.14 |
$571.14 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$729.60 |
$729.60 |
$729.60 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,072.17 |
$1,072.17 |
$1,072.17 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$714.78 |
$714.78 |
$714.78 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$714.78 |
$714.78 |
$714.78 |
$601.70
|
|
Sclerotherapy fluid collection pq w/img
|
$2,393.43 |
$2,393.43 |
$2,393.43 |
$2,114.45
|
|
Screening Mammogram
|
$314.07 |
$314.07 |
$314.07 |
$303.55
|
|
Screening prostate cancer PSA
|
$33.06 |
$33.06 |
$33.06 |
$100.80
|
|
Sec art mech thrmbc non-intracranial add-on
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,565.60
|
|
Sedimentation rate erythrocyte automated
|
$7.98 |
$7.98 |
$7.98 |
$44.20
|
|
Semen analysis presence/motility
|
$13.68 |
$13.68 |
$13.68 |
$70.85
|
|
Semen analysis w/count
|
$18.81 |
$18.81 |
$18.81 |
$56.44
|
|
Sertraline (zoloft) - sendout
|
$37.62 |
$37.62 |
$37.62 |
$173.16
|
|
Set radiation therapy field
|
$539.79 |
$539.79 |
$539.79 |
$731.50
|
|
Set radiation therapy field
|
$1,531.02 |
$1,531.02 |
$1,531.02 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$1,169.64 |
$1,169.64 |
$1,169.64 |
$2,705.30
|
|
Shoulder MRI (with contrast)
|
$1,112.64 |
$1,112.64 |
$1,112.64 |
$2,449.80
|
|
Shoulder MRI (without contrast)
|
$1,055.64 |
$1,055.64 |
$1,055.64 |
$2,051.28
|
|
Shoulder X-ray
|
$103.74 |
$103.74 |
$103.74 |
$367.02
|
|
Shuntogram nonvascular supervision & interpretation
|
$80.37 |
$80.37 |
$80.37 |
$345.00
|
|
Sickling rbc
|
$11.40 |
$11.40 |
$11.40 |
$53.55
|
|
Sinus CT scan (with and without contrast)
|
$434.91 |
$434.91 |
$434.91 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$348.84 |
$348.84 |
$348.84 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$285.57 |
$285.57 |
$285.57 |
$1,279.50
|
|
Sinus/juglr venogram s&i
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$2,489.25
|
|
Sirolimus, oral
|
$4.80 |
$4.80 |
$4.80 |
$42.11
|
|
Skin Biopsy
|
$288.42 |
$288.42 |
$288.42 |
$382.80
|
|
Sleep Study (Polysomnography)
|
$3,550.53 |
$3,550.53 |
$3,550.53 |
$3,936.80
|
|
Sleep study unattended
|
$1,810.32 |
$1,810.32 |
$1,810.32 |
$595.50
|
|
Sleeve fing rolyan med
|
$533.52 |
$533.52 |
$533.52 |
$167.31
|
|
Sling pelv split sam med
|
$144.21 |
$144.21 |
$144.21 |
$115.20
|
|
Smear fluorescent and/or acid fast stain
|
$24.51 |
$24.51 |
$24.51 |
$64.20
|
|
Smear gram stain
|
$22.23 |
$22.23 |
$22.23 |
$57.85
|
|
Smear nasal eosinophil
|
$12.54 |
$12.54 |
$12.54 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$15.39 |
$15.39 |
$15.39 |
$64.35
|
|
Smear wet mount
|
$22.80 |
$22.80 |
$22.80 |
$68.63
|
|
Snrpn/ube3a gene
|
$149.91 |
$149.91 |
$149.91 |
$228.80
|
|
Sodium 24 hour urine
|
$15.96 |
$15.96 |
$15.96 |
$48.50
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$13.07 |
$13.07 |
$13.07 |
$84.80
|
|
Sodium serum/plasma/whole blood
|
$13.11 |
$13.11 |
$13.11 |
$42.70
|
|
Special physics consult
|
$484.50 |
$484.50 |
$484.50 |
$700.74
|
|
Special radiation dosimetry
|
$267.90 |
$267.90 |
$267.90 |
$445.50
|
|
Special radiation treatment
|
$1,483.14 |
$1,483.14 |
$1,483.14 |
$1,934.03
|
|
Special teletx port plan
|
$686.28 |
$686.28 |
$686.28 |
$1,046.65
|
|
Specific gravity body fluid
|
$10.83 |
$10.83 |
$10.83 |
$23.63
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$354.54 |
$354.54 |
$354.54 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$1,267.11 |
$1,267.11 |
$1,267.11 |
$380.00
|
|
Splint finger frog med
|
$103.74 |
$103.74 |
$103.74 |
$27.95
|
|
Split blood or products
|
$41.61 |
$41.61 |
$41.61 |
$148.98
|
|
Srs linear based
|
$20,693.85 |
$20,693.85 |
$20,693.85 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$186.96 |
$186.96 |
$186.96 |
$300.00
|
|
Staph a dna amp probe
|
$73.53 |
$73.53 |
$73.53 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$228.57 |
$228.57 |
$228.57 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$28,126.65 |
$28,126.65 |
$28,126.65 |
$23,387.00
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,425.07 |
$24,425.07 |
$24,425.07 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$13,463.40 |
$13,463.40 |
$13,463.40 |
$9,276.80
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$40,476.27 |
$40,476.27 |
$40,476.27 |
$19,765.20
|
|
St evaluate speech sound production
|
$180.69 |
$180.69 |
$180.69 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$320.34 |
$320.34 |
$320.34 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$198.36 |
$198.36 |
$198.36 |
$406.40
|
|
St evaluation swallow function
|
$132.24 |
$132.24 |
$132.24 |
$336.60
|
|
Strep b dna amp probe
|
$80.37 |
$80.37 |
$80.37 |
$139.20
|
|
Stress test pulmonary
|
$141.36 |
$141.36 |
$141.36 |
$327.20
|
|
Stress tte complete
|
$940.50 |
$940.50 |
$940.50 |
$1,964.95
|
|
St treatment speech individual
|
$156.18 |
$156.18 |
$156.18 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$178.98 |
$178.98 |
$178.98 |
$261.60
|
|
Sugars single quant
|
$85.50 |
$85.50 |
$85.50 |
$52.47
|
|
Sulfonylurea screen qn-sendout
|
$86.64 |
$86.64 |
$86.64 |
$184.60
|
|
Surgical pathology level 1 gross examination only
|
$39.90 |
$39.90 |
$39.90 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$55.29 |
$55.29 |
$55.29 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$83.22 |
$83.22 |
$83.22 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$385.32 |
$385.32 |
$385.32 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$155.61 |
$155.61 |
$155.61 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$466.26 |
$466.26 |
$466.26 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$12.54 |
$12.54 |
$12.54 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$12.54 |
$12.54 |
$12.54 |
$34.48
|
|
Susceptibility mic per plate
|
$35.34 |
$35.34 |
$35.34 |
$94.38
|
|
Svc venogram s&i
|
$913.14 |
$913.14 |
$913.14 |
$1,908.00
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$9.69 |
$9.69 |
$9.69 |
$44.85
|
|
T3 (triiodothyronine) free
|
$34.20 |
$34.20 |
$34.20 |
$89.82
|
|
T3 (triiodothyronine) total
|
$35.34 |
$35.34 |
$35.34 |
$94.90
|
