|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$86.35 |
$86.35 |
$86.35 |
$81.48
|
|
Pt application of modality traction mechanical
|
$106.26 |
$106.26 |
$106.26 |
$91.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$60.44 |
$60.44 |
$60.44 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$66.73 |
$66.73 |
$66.73 |
$88.00
|
|
Pulmonary vent imaging
|
$596.50 |
$596.50 |
$596.50 |
$933.75
|
|
Puncture arterial withdrawal blood for diagnosis
|
$45.36 |
$45.36 |
$45.36 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$414.78 |
$414.78 |
$414.78 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$464.24 |
$464.24 |
$464.24 |
$1,060.47
|
|
Pyruvate
|
$28.25 |
$28.25 |
$28.25 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,135.97 |
$1,135.97 |
$1,135.97 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$694.45 |
$694.45 |
$694.45 |
$1,199.16
|
|
Quest t3 uptake
|
$35.95 |
$35.95 |
$35.95 |
$53.20
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,005.12 |
$1,005.12 |
$1,005.12 |
$2,051.70
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,199.57 |
$1,199.57 |
$1,199.57 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$600.15 |
$600.15 |
$600.15 |
$1,126.32
|
|
Range of motion measurements
|
$60.44 |
$60.44 |
$60.44 |
$64.50
|
|
Rapid Strep Test
|
$35.40 |
$35.40 |
$35.40 |
$76.00
|
|
Rbc count only automated
|
$40.13 |
$40.13 |
$40.13 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$946.40 |
$946.40 |
$946.40 |
$231.12
|
|
Red blood cells leukocytes reduced each unit
|
$179.34 |
$179.34 |
$179.34 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$213.50 |
$213.50 |
$213.50 |
$534.15
|
|
Removal cerumen impacted (both sides)
|
$41.93 |
$41.93 |
$41.93 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$136.62 |
$136.62 |
$136.62 |
$255.97
|
|
Removal foreign body extrn auditory canal with anes
|
$188.70 |
$188.70 |
$188.70 |
$2,624.30
|
|
Removal foreign body foot subcutaneous right
|
$249.78 |
$249.78 |
$249.78 |
$1,260.80
|
|
Removal sutr and stapl no anes
|
$132.00 |
$132.00 |
$132.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$99.00 |
$99.00 |
$99.00 |
$93.88
|
|
Remove esophagus obstruction
|
$201.46 |
$201.46 |
$201.46 |
$560.00
|
|
Remove hip foreign body 27086
|
$312.68 |
$312.68 |
$312.68 |
$2,396.00
|
|
Renal function panel
|
$100.15 |
$100.15 |
$100.15 |
$114.37
|
|
Repair blood vessel direct hand finger
|
$1,411.24 |
$1,411.24 |
$1,411.24 |
$3,898.50
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$324.66 |
$324.66 |
$324.66 |
$1,055.69
|
|
Repair extns tendon finger without grft ea
|
$736.77 |
$736.77 |
$736.77 |
$2,340.00
|
|
Repair finger/hand tendon
|
$900.30 |
$900.30 |
$900.30 |
$4,350.00
|
|
Repair lac palate<2 cm
|
$228.82 |
$228.82 |
$228.82 |
$780.65
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$259.97 |
$259.97 |
$259.97 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$380.36 |
$380.36 |
$380.36 |
$1,244.09
|
|
Resp virus 6-11 targets
|
$463.74 |
$463.74 |
$463.74 |
$479.20
|
|
Resuscitation delivery/birthing room
|
$797.29 |
$797.29 |
$797.29 |
$802.00
|
|
Reticulated platelet assay
|
$68.80 |
$68.80 |
$68.80 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$10.83 |
$10.83 |
$10.83 |
$36.57
|
|
Rf abltj nrv nrvtg si jt
|
$2,446.08 |
$2,446.08 |
$2,446.08 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$65.06 |
$65.06 |
$65.06 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$341.64 |
$341.64 |
$341.64 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$429.73 |
$429.73 |
$429.73 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$350.06 |
$350.06 |
$350.06 |
$397.60
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$175.51 |
$175.51 |
$175.51 |
$1,876.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.03 |
$0.03 |
$0.03 |
$188.16
|
|
Rp loclzj tum 2+area 1+d img
|
$635.24 |
$635.24 |
$635.24 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,081.36 |
$1,081.36 |
$1,081.36 |
$2,173.60
|
|
Rsv assay w/optic
|
$28.32 |
$28.32 |
$28.32 |
$76.32
|
|
Rubella antibody igg
|
$66.25 |
$66.25 |
$66.25 |
$77.40
|
|
Rubeola antibody igg
|
$70.98 |
$70.98 |
$70.98 |
$80.00
|
|
Russell viper venom diluted
|
$38.22 |
$38.22 |
$38.22 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$1,978.69 |
$1,978.69 |
$1,978.69 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$402.92 |
$402.92 |
$402.92 |
$314.26
|
|
Salmonella antibody
|
$86.36 |
$86.36 |
$86.36 |
$37.58
|
|
Scan duplex extremity veins unilateral/limited study
|
$910.10 |
$910.10 |
$910.10 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$675.23 |
$675.23 |
$675.23 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$751.42 |
$751.42 |
$751.42 |
$597.35
|
|
Screening Mammogram
|
$286.10 |
$286.10 |
$286.10 |
$310.20
|
|
Screw cortex 2.0 x 10mm
|
$18,239.16 |
$18,239.16 |
$18,239.16 |
$29,785.18
|
|
Scrotal (Testicle) Ultrasound
|
$867.72 |
$867.72 |
$867.72 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$5.73 |
$5.73 |
$5.73 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$76.14 |
$76.14 |
$76.14 |
$96.00
|
|
Semen analysis presence/motility
|
$24.68 |
$24.68 |
$24.68 |
$70.40
|
|
Semen analysis w/count
|
$17.34 |
$17.34 |
$17.34 |
$56.44
|
|
Sept9 promoter methylation analysis
|
$414.14 |
$414.14 |
$414.14 |
$316.68
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$58.10 |
$58.10 |
$58.10 |
$284.00
|
|
Shot (Injection into Muscle or Under the Skin)
|
$106.20 |
$106.20 |
$106.20 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$288.78 |
$288.78 |
$288.78 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$205.29 |
$205.29 |
$205.29 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$2,447.29 |
$2,447.29 |
$2,447.29 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$2,039.27 |
$2,039.27 |
$2,039.27 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$1,631.24 |
$1,631.24 |
$1,631.24 |
$2,096.84
|
|
Shoulder X-ray
|
$340.10 |
$340.10 |
$340.10 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$246.65 |
$246.65 |
$246.65 |
$263.25
|
|
Shuntogram nonvascular supervision & interpretation
|
$389.13 |
$389.13 |
$389.13 |
$355.80
|
|
Sickling rbc
|
$35.67 |
$35.67 |
$35.67 |
$59.40
|
|
Sinus CT scan (with and without contrast)
|
$2,372.50 |
$2,372.50 |
$2,372.50 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,977.08 |
$1,977.08 |
$1,977.08 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,581.66 |
$1,581.66 |
$1,581.66 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$333.21 |
$333.21 |
$333.21 |
$346.45
|
|
Sinus X-ray (limited)
|
$212.18 |
$212.18 |
$212.18 |
$215.40
|
|
Skeletal muscle relaxant 1/2
|
$98.87 |
$98.87 |
$98.87 |
$83.85
|
|
Skull X-ray (1 to 3 views)
|
$314.83 |
$314.83 |
$314.83 |
$294.45
|
|
Slco1b1 gene com variants
|
$377.47 |
$377.47 |
$377.47 |
$241.24
|
|
Sleep Study (Polysomnography)
|
$3,954.13 |
$3,954.13 |
$3,954.13 |
$3,734.50
|
|
Sleep study unattended
|
$521.16 |
$521.16 |
$521.16 |
$594.00
|
|
Slp eval non-spch gen comm dev
|
$114.04 |
$114.04 |
$114.04 |
$285.09
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$461.90 |
$461.90 |
$461.90 |
$557.70
|
|
Smear fluorescent and/or acid fast stain
|
$48.14 |
$48.14 |
$48.14 |
$64.35
|
|
Smear gram stain
|
$9.20 |
$9.20 |
$9.20 |
$55.55
|
|
Smear special stain inclusion bodies/parasites
|
$203.20 |
$203.20 |
$203.20 |
$73.50
|
|
Smear wet mount
|
$37.52 |
$37.52 |
$37.52 |
$67.55
|
|
Sodium 24 hour urine
|
$46.22 |
$46.22 |
$46.22 |
$48.98
|
|
Sodium serum/plasma/whole blood
|
$19.90 |
$19.90 |
$19.90 |
$46.26
|
|
Speech and Language Evaluation (comprehensive)
|
$261.20 |
$261.20 |
$261.20 |
$384.80
|
|
Speech Therapy Session (one-on-one)
|
$126.03 |
$126.03 |
$126.03 |
$246.87
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$613.20 |
$613.20 |
$613.20 |
$1,439.40
|