|
Rmvl perq right heart vad
|
$1,114.26 |
$1,114.26 |
$1,114.26 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,464.26 |
$8,464.26 |
$8,464.26 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,749.38 |
$5,749.38 |
$5,749.38 |
|
|
Rmvl pq iabp
|
$32.34 |
$32.34 |
$32.34 |
|
|
Rmvl pq vad left hrt vein sep session
|
$1,114.26 |
$1,114.26 |
$1,114.26 |
|
|
Rmvl sq defib electrode
|
$2,687.16 |
$2,687.16 |
$2,687.16 |
|
|
Rmvl subq card rhythm mntr
|
$780.78 |
$780.78 |
$780.78 |
|
|
Rmvl tv pm lead dual
|
$3,042.06 |
$3,042.06 |
$3,042.06 |
|
|
Rmvl tv pm lead sgl
|
$2,685.48 |
$2,685.48 |
$2,685.48 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.03 |
$0.03 |
$0.03 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$806.82 |
$806.82 |
$806.82 |
|
|
Rp loclzj tum 2+area 1+d img
|
$515.34 |
$515.34 |
$635.24 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,103.34 |
$1,103.34 |
$1,103.34 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,220.52 |
$1,220.52 |
$1,220.52 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,081.36 |
$1,081.36 |
$1,261.68 |
|
|
Rpl tun-cvad w subq port
|
$3,121.86 |
$3,121.86 |
$3,121.86 |
|
|
Rpl tun-cvad w subq pump
|
$3,499.86 |
$3,499.86 |
$3,499.86 |
|
|
Rpl tun cvc wo subq port
|
$2,206.68 |
$2,206.68 |
$2,206.68 |
|
|
Rsv assay w/optic
|
$16.80 |
$25.16 |
$28.32 |
|
|
Rubella antibody igg
|
$23.52 |
$38.98 |
$66.25 |
|
|
Rubeola antibody igg
|
$25.20 |
$41.76 |
$70.98 |
|
|
Russell viper venom diluted
|
$25.20 |
$38.16 |
$41.22 |
|
|
Rx metab gen seq alys pnl 6
|
$1,155.84 |
$1,659.46 |
$2,955.65 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$90.30 |
$370.30 |
$402.92 |
|
|
Salmonella antibody
|
$30.66 |
$50.81 |
$86.36 |
|
|
Same day nb discharge 99463
|
$168.14 |
$168.14 |
$168.14 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$482.16 |
$501.75 |
$543.75 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$228.06 |
$388.69 |
$421.22 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$224.70 |
$525.17 |
$569.12 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$460.74 |
$871.04 |
$943.95 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$346.92 |
$646.25 |
$700.35 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$316.26 |
$719.18 |
$779.38 |
|
|
Sclerotherapy fluid collection pq w/img
|
$983.22 |
$983.22 |
$983.22 |
|
|
Scope uretscp lithovue dig disp
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
|
|
Screening Mammogram
|
$272.46 |
$284.05 |
$286.10 |
|
|
Screw cortex 2.0 x 10mm
|
$15,588.82 |
$18,239.16 |
$130,746.98 |
|
|
Scrotal (Testicle) Ultrasound
|
$281.40 |
$805.19 |
$867.72 |
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,827.46 |
$3,827.46 |
$3,827.46 |
|
|
Sedimentation rate erythrocyte automated
|
$3.78 |
$5.72 |
$6.18 |
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$60.90 |
$68.19 |
$76.14 |
|
|
Semen analysis presence/motility
|
$15.54 |
$24.16 |
$28.42 |
|
|
Semen analysis w/count
|
$10.92 |
$16.98 |
$19.97 |
|
|
Sept9 promoter methylation analysis
|
$241.92 |
$347.33 |
$618.62 |
|
|
Set radiation therapy field
|
$464.52 |
$464.52 |
$464.52 |
|
|
Set radiation therapy field
|
$696.78 |
$696.78 |
$696.78 |
|
|
Set radiation therapy field
|
$807.66 |
$807.66 |
$807.66 |
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$58.10 |
$58.10 |
$58.10 |
|
|
Sheath gldlight lasr 12fx50cm
|
$5,835.90 |
$5,835.90 |
$10,171.14 |
|
|
Shot (Injection into Muscle or Under the Skin)
|
$91.98 |
$106.20 |
$119.12 |
|
|
Shoulder AC Joint X-ray (both sides)
|
$55.44 |
$265.41 |
$288.78 |
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$63.00 |
$188.67 |
$205.29 |
|
|
Shoulder MRI (with and without contrast)
|
$1,200.78 |
$2,168.09 |
$2,447.29 |
|
|
Shoulder MRI (with contrast)
|
$1,000.86 |
$1,806.61 |
$2,039.27 |
|
|
Shoulder MRI (without contrast)
|
$800.52 |
$1,445.14 |
$1,631.24 |
|
|
Shoulder X-ray
|
$78.96 |
$312.58 |
$340.10 |
|
|
Shoulder X-ray (single view, both shoulders)
|
$62.58 |
$226.69 |
$246.65 |
|
|
Shuntogram nonvascular supervision & interpretation
|
$285.60 |
$285.60 |
$389.13 |
|
|
Sickling rbc
|
$23.52 |
$35.62 |
$38.47 |
|
|
Sinus CT scan (with and without contrast)
|
$973.98 |
$2,214.08 |
$2,376.18 |
|
|
Sinus CT scan (with contrast)
|
$811.86 |
$1,845.07 |
$1,980.15 |
|
|
Sinus CT scan (without contrast)
|
$649.32 |
$1,476.06 |
$1,584.12 |
|
|
Sinus/juglr venogram s&i
|
$1,575.84 |
$1,575.84 |
$1,575.84 |
|
|
Sinus X-ray (complete)
|
$67.20 |
$306.24 |
$333.21 |
|
|
Sinus X-ray (limited)
|
$55.44 |
$195.01 |
$212.18 |
|
|
Skeletal muscle relaxant 1/2
|
$64.68 |
$94.71 |
$102.41 |
|
|
Skin Biopsy
|
$125.58 |
$125.58 |
$125.58 |
|
|
Skull X-ray (1 to 3 views)
|
$78.96 |
$289.34 |
$314.83 |
|
|
Skull X-ray (complete)
|
$82.32 |
$332.29 |
$357.30 |
|
|
Slco1b1 gene com variants
|
$220.50 |
$316.58 |
$563.85 |
|
|
Sleep study attended
|
$1,139.04 |
$1,139.04 |
$1,139.04 |
|
|
Sleep Study (Polysomnography)
|
$2,569.98 |
$3,954.13 |
$4,178.81 |
|
|
Sleep study unattended
|
$305.34 |
$521.16 |
$531.03 |
|
|
Sling suprapubic suburetheral
|
$7,544.04 |
$11,621.41 |
$17,872.19 |
|
|
Slp eval non-spch gen comm dev
|
$114.04 |
$114.04 |
$114.04 |
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$181.44 |
$424.51 |
$461.90 |
|
|
Smear fluorescent and/or acid fast stain
|
$28.56 |
$36.48 |
$48.14 |
|
|
Smear gram stain
|
$5.46 |
$8.18 |
$9.20 |
|
|
Smear special stain inclusion bodies/parasites
|
$120.54 |
$180.52 |
$203.20 |
|
|
Smear wet mount
|
$22.26 |
$33.34 |
$37.52 |
|
|
Snrpn/ube3a gene
|
$122.64 |
$122.64 |
$176.08 |
|
|
Sodium 24 hour urine
|
$30.24 |
$44.28 |
$47.88 |
|
|
Sodium serum/plasma/whole blood
|
$6.30 |
$19.07 |
$20.62 |
|
|
Special physics consult
|
$480.06 |
$480.06 |
$480.06 |
|
|
Special radiation dosimetry
|
$381.78 |
$381.78 |
$381.78 |
|
|
Special radiation treatment
|
$813.96 |
$813.96 |
$813.96 |
|
|
Special teletx port plan
|
$701.40 |
$701.40 |
$701.40 |
|
|
Specific gravity body fluid
|
$4.20 |
$6.15 |
$6.65 |
|
|
Specimen fat stain
|
$7.56 |
$7.56 |
$7.56 |
|
|
Speech and Language Evaluation (comprehensive)
|
$229.32 |
$229.32 |
$261.20 |
|
|
Speech evaluation complex
|
$152.46 |
$152.46 |
$152.46 |
|
|
Speech Therapy Session (one-on-one)
|
$77.70 |
$77.70 |
$126.03 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$613.20 |
$759.93 |
$1,029.84 |
|
|
Spine X-ray (single view, one level)
|
$63.00 |
$232.32 |
$252.78 |
|
|
Spleen imaging
|
$284.76 |
$284.76 |
$284.76 |
|
|
Split blood or products
|
$143.64 |
$143.64 |
$143.64 |
|
|
Sputum specimen collection
|
$143.64 |
$224.63 |
$264.19 |
|
|
Srs linear based
|
$6,318.48 |
$6,318.48 |
$6,318.48 |
|
|
St analysis behavior qualitative voice/resonance
|
$110.04 |
$110.04 |
$248.14 |
|
|
St cognitve performance testing healthcare professional each hour
|
$167.17 |
$167.17 |
$167.17 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,874.06 |
$23,874.06 |
$23,874.06 |
|